According to WHO statistics, approximately 20-25% of the world's inhabitants suffer from diseases of the hepatobiliary system. The hepatobiliary system directly includes the liver, gallbladder and its ducts.
It is possible to stabilize the functionality of organs conservatively, that is, with the help of certain drugs. What drugs for the treatment of the gallbladder and liver to use in a particular case, the attending physician decides, based on the patient's diagnosis.
To date, to stabilize the work of the hepatobiliary system, such groups of medicines as choleretics, cholespasmolytics, derivatives of ursodeoxycholic acid, essential phospholipids, dietary supplements, drugs based on milk thistle and artichoke, amino acids are used. Let's consider each of the groups separately and find out which hepatoprotectors are the most effective and safe.
Cholespasmolytics
When considering medications for the liver and gallbladder, it is imperative to mention cholespasmolytics. As the name implies, medicines in this segment have an antispasmodic effect, like, say, the synthetic antispasmodics No-Shpa and Drotaverin. And the prefix "chole" means that drugs are intended for the treatment of pathologies of the gallbladder.
Why are cholespasmolytics needed? In fact, everything is extremely simple - such funds relieve spasms and pain, and also eliminate stagnant processes in the biliary tract. In simple terms, they "extinguish" the unpleasant symptoms of hepatobiliary disorders.
According to experts, the best cholespasmolytics are:
- Bellalgin. Contains metamizole sodium salt. The tool is used in combination with analgesics for cholecystitis, cholangitis, biliary dyskinesia, hepatitis, fatty hepatosis, gallstone disease and even cirrhosis. Bellalgin relieves the increased tone of the gallbladder and its ducts, relieves the symptoms of gallstone disease.
- Metacin. The active ingredient is methocinium iodide. The agent has a selective effect on peripheral M-cholinergic receptors. Relieves spasms and pain inherent in liver and gallbladder diseases. It is widely used for cholecystitis, gallstone disease, hepatitis, cirrhosis, biliary dyskinesia.
- Buscopan. The active component of the cholespasmolytic is hyoscine butyl bromide. The drug has a local antispasmodic effect on the smooth muscles of the biliary tract and other organs of the gastrointestinal tract. The medicine perfectly helps to fight gall and intestinal colic.
Cholespasmolytics are rarely prescribed for pregnant and lactating women. Juvenile patients should be taken with extreme caution.
Choleretics
Choleretics are drugs for the liver and gallbladder that are very effective and relatively safe compared to other hepatoprotectors. There are two types of choleretics - true choleretics and hydrocholeretics.
The latter help to dilute bile, as it were, and thereby increase its volume.
The mineral waters Naftusya, Borzhomi, Essentuki 17, Jermuk, Slavyanovskaya, etc. are examples of hydrocholeretics.
Best true choleretics:
- Allohol. It contains four active ingredients - dry bile of livestock, activated carbon, garlic extract, nettle extract. It is recommended to take a pill for the treatment of the liver and gallbladder for diseases such as chronic reactive hepatitis, cholangitis, cholecystitis, atonic constipation, biliary dyskinesia. Allochol stops the processes of decay and fermentation in the intestines, stimulates the production of bile, normalizes its passage, and enhances the secretory function of liver cells. You can take Allochol after removing the gallbladder, as well as during the recovery period after surgery.
- Odeston. Contains Gimecromone. Odeston increases the synthesis of bile, normalizes its passage through the bile ducts, relieves spasms in the bile ducts and the sphincter of Oddi. Odeston also reduces the stagnation of bile, prevents the development of gallstones, and normalizes cholesterol metabolism. Indications for use: biliary dyskinesia, non-calculous cholecystitis, cholangitis, bile hyposecretion with concomitant dyspepsia.
- Nikodin. The active ingredient is hydroxymethylnicotinamide. Nikodin improves the functionality of the liver and gallbladder, eliminates spasms in the biliary tract, and has an anti-inflammatory effect. Nikodin also enhances the secretion of bile and even has a weak bactericidal effect.
Choleretics can be taken simultaneously with antibacterial drugs, as they help to enhance the bactericidal effect of the latter.
Ursodeoxycholic acid
UDCA is a hepatoprotective agent. The substance reduces the content of cholesterol in bile, thereby helping to reduce the level of lithogenicity. In addition, the acid dissolves cholesterol stones in the gallbladder, protects hepatocytes from the destructive effects of toxic bile acids, strengthens the immune system, and has a choleretic effect.
Indications for the use of hepatoprotectors based on ursodeoxycholic acid:
- The presence of cholesterol stones in the gallbladder. But there are a number of nuances here. The fact is that UDCA can be used only when a person does not have a blockage of the bile ducts, the gallbladder is functioning normally, and the calculus does not contain a lot of calcium.
- Hepatitis (inflammation of the liver). Moreover, UDCA can be used even for atypical forms of autoimmune hepatitis.
- Non-alcoholic form of steatohepatitis.
- Toxic liver damage.
- Atresia of the intrahepatic biliary tract.
- Reflux gastritis, reflux esophagitis.
- Chronic opisthorchiasis.
You can take hepatoprotectors with ursodeoxycholic acid to prevent the hepatotoxic effect of cytostatics, oral contraceptives, antibiotics, analgesics.
The best UDCA-based products are Ursofalk, Exhol, Ursoliv, Ursodez, Grinterol, Ursosan, Urdoksa, Livodexa.
Essential phospholipids
Doctors suggest that essential phospholipids are incorporated into the cell membranes of hepatocytes, accelerating local regenerative processes. Also, the components stop tissue inflammation in the bile ducts, gallbladder and liver.
Even in the instructions for use for EPL, it is mentioned that hepatoprotectors:
- They slow down the progression of fibrosis - the degeneration of hepatocytes into connective tissue.
- They normalize lipid and protein metabolism.
- They increase the stores of glycogen in the liver, have a positive effect on carbohydrate metabolism and the functioning of the pancreas as a whole.
- They convert “bad cholesterol” into good one, thereby normalizing lipid utilization. In addition, under the influence of phospholipids, it is possible to prevent the development of atherosclerosis and fatty infiltration of hepatocytes.
- They reduce the lithogenicity of bile, normalize its production and passage, eliminate stagnant processes in the biliary tract.
- Normalize blood flow.
Indications for the use of essential phospholipids can be cirrhosis, hepatitis of any genesis, fatty hepatosis, liver failure, cholangitis, cholecystitis, hepatic coma or precoma, liver fibrosis, toxicosis during pregnancy, psoriasis, radiation sickness. You can take EPL to prevent drug-induced hepatitis.
The best representatives of phospholipids are Essentiale N, Essentiale Forte N, Gepagard Active, Rezalut Pro, Essliver Forte, Eslidin, Doppelgerts Active essential phospholipids.
Milk thistle products
A lot of good reviews from doctors and patients have drugs based on the fruits of milk thistle.
The plant contains a substance called silymarin. It is it that has a hepatoprotective effect.
Silymarin:
- Neutralizes the negative effects of free radicals.
- Stimulates regenerative processes in damaged hepatocytes.
- It induces the production of phospholipids and proteins.
- It inhibits the penetration of hepatotoxic substances into liver cells.
- Slows down the progression of necrosis and cirrhosis.
- It relieves inflammation in the gastrointestinal tract and liver parenchyma.
- Normalizes the activity of liver enzymes.
- It has a choleretic effect.
- Stabilizes lipid metabolism.
The most effective silymarin-based hepatoprotector is Karsil. This tool has been used for several decades. Many experts believe that today there is not a single hepatoprotector that would be more effective than Karsil. In addition to it, Legalon and Silimar are on the list of good milk thistle-based drugs.
Artichoke hepatoprotectors
If a patient wants to purchase an inexpensive hepatoprotector for cleansing the liver and normalizing the gallbladder, you need to turn your attention to products based on the field artichoke extract.
In folk medicine, the artichoke has long been used as a medicine for bitterness in the mouth and digestive disorders. Indeed, the plant helps to cope with dyspepsia. It was also found that the artichoke has a choleretic and diuretic effect.
The therapeutic effect of taking hepatoprotectors of this segment:
- Reducing the level of bad cholesterol in the blood.
- Normalization of passage and bile synthesis.
- Excretion of excess fluid from the body.
- Relief of inflammatory processes in hepatocytes, gallbladder and its ducts.
- Stabilization of cholesterol metabolism.
- Cleansing the body of toxins, including alcohol breakdown products.
The best artichoke-based hepatoprotectors are Cinarix and Hofitol.
Derivatives of amino acids
Derivatives of amino acids are also often used in diseases of the hepatobiliary system. They have a strong evidence base. According to hepatologists, amino acids are an order of magnitude more effective than the same essential phospholipids.
The hepatoprotectors include either ademetionine or ornithine aspartate. Ademetionine is an amino acid that takes part in the synthesis of phospholipids and bioactive substances. It has antioxidant, anti-inflammatory, hepatoprotective effects.
Ornithine is an amino acid that reduces the level of ammonia in the blood, normalizes the functionality of the liver and brain, cleanses the body of toxins, helps to stop inflammatory processes in the liver and gallbladder, and prevents the development of fibrosis.
Best Amino Acids:
- Based on ademetionine - and Heptor. Produced in the form of tablets and a lyophilisate, from which a solution is prepared for infusion (through a dropper). Heptral and Heptor are prescribed to persons who have been diagnosed with chronic hepatitis of any genesis, fatty hepatosis, intoxication, chronic non-calculous cholecystitis, liver cirrhosis, liver failure, hepatic encephalopathy. Also ademetionine helps to cope with depression and intrahepatic cholestasis in pregnant women.
- Ornithine-based - Hepa-Merz and Ornithine Canon. They are used for the treatment of acute and chronic diseases of the hepatobiliary system, which are accompanied by hyperammonemia. Also, the list of indications includes steatosis, steatohepatitis and hepatic encephalopathy.
Dietary supplements and homeopathy
Dietary supplements and homeopathic medicines are often used in the treatment of pathologies of the hepatobiliary system. Such funds are completely safe. They can be used even during pregnancy and lactation. Most dietary supplements are prescribed for underage patients.
Supplements and homeopathic hepatoprotectors relieve inflammation, relieve dyspeptic disorders, effectively fight fatty infiltration of hepatocytes, strengthen immunity, have a positive effect on the synthesis of bile, and stabilize its flow.
The best homeopathic medicines and supplements are shown in the table.
| Name. | What is included? | Indications. |
| Liv 52. | Thorny capers, common chicory seed powder, black nightshade, arjuna terminalia, Gali tamarix and common yarrow. | Helps with toxic, infectious and medicinal hepatitis. Liv 52 is also prescribed for cirrhosis, anorexia, fatty hepatosis, cholecystitis. You can take dietary supplements to prevent toxic changes in the liver. |
| Milk thistle, medicinal dandelion, sodium sulfate, celandine, phosphorus. | Galstena is a homeopathic medicine. It is used in the complex therapy of cholecystitis, fatty hepatosis, hepatitis, cirrhosis, chronic pancreatitis. | |
| Hepatrin. | The active components of the dietary supplement are essential phospholipids, artichoke extract, milk thistle extract, B and E vitamins. | Radiation sickness, atherosclerosis, pancreatitis, cholecystitis, fatty hepatosis, cirrhosis, hepatitis, steatohepatitis, liver failure. |
| Dipana. | Plant extracts picrooriza curroa, andrographis, eclipta, phyllanthus, black nightshade, tinospora, hyssop, boerhavia, ginger, long pepper. | Biliary cirrhosis of the liver, intoxication of various origins, hypomotor dyskinesia of the biliary tract, alcoholic liver disease, fatty hepatosis. You can take homeopathic drugs to prevent intoxication and drug hepatitis. |
- notice the yellowness of the skin;
Food
Folk remedies
Choleretic herbal preparations
Medications
Of plant origin
Synthetic
Video about choleretic herbs
Stagnant processes in the gallbladder and its ducts can lead to a deterioration in general well-being and cause a number of health problems, up to and including the formation of stones. In order to be able to deal with this problem, there are many popular ways. Choleretic folk remedies for bile stagnation are an alternative that can help in this situation. They are used for stagnation of bile in the liver and its ducts, the gallbladder. Chief among the tasks that they are called upon to perform is the launch of the processes of cleansing the body of toxins.
If you receive any of the signals that you have a stagnation process, you should immediately visit a gastroenterologist and together with him choose the treatment tactics that will help you get rid of the problem.
Signs indicating bile stagnation (main):
Yellowing of the skin and whites of the eyes, as well as the tongue;
Frequent aftertaste of bitterness in the mouth, regardless of whether it is observed after eating or before it;
Excessive irritability and fatigue;
Feeling of nausea and heaviness in the right side under the ribs;
Digestive disorders, abdominal pain.
Cholestasis, or bile stasis, is an unpleasant phenomenon. But, you can fight it quite successfully.
A variety of methods are used for this purpose, including:
Using reliable folk recipes;
Switching to a different regime of the day and significant changes in diet.
Medical treatment should always be prescribed by a qualified doctor!
It has long been noticed by healers that many plants are able to provoke increased activity of the liver, gallbladder and eliminate spasms of their ducts, contributing to the expansion of the latter.
They eliminate not only the symptoms that are inherent in bile stagnation, but also its cause. This is what else plant raw materials are capable of, which are harvested from these plants!
- It effectively eliminates itching and rashes on the surface of the skin.
- Significantly improves digestive processes and intestinal motility.
- You can forget about heartburn, soreness in the abdominal cavity, feeling of heaviness after eating.
- Increases metabolism, thereby improving performance, eliminating excess weight, and so on.
- Promotes rapid cleansing and gradual recovery of the liver.
Please note that in cases of chronic stagnation of bile, and in difficult situations, herbs alone cannot be dispensed with. But as a supplement to the main therapy - medication, they are perfect.
What are these herbs:
Field chamomile flowers;
Burdock (plant root);
Milk thistle and others.
Collection of herbs that can be used for stagnant bile
To date, pharmacies offer the widest range of choleretic charges.
The pharmaceutical industry designates them with numbers, respectively: 1, 2 and 3.
The composition of all fees is 100% natural. Almost any choleretic collection includes: immortelle herb, mint and yarrow. They are natural antispasmodics and antiseptics, with their help, bile is discharged to the required state, and its output is facilitated.
But, it is far from necessary to go to the pharmacy for a choleretic collection, it can be quite successfully compiled at home. The correct combination of herbs will allow you to achieve a tremendous effect in terms of healing and cleansing the liver, as well as removing stagnant bile from the ducts.
The best choleretic herbs
What are the choleretic herbs.
First option
It contains celandine, dandelion (plant root), St. John's wort flowers, anise. Each plant needs to be taken 1 part, adding to them two parts of the stigmas of the corn cobs.
To brew such a collection, the following manipulations should be performed: take 5 grams of the collection, pour the raw material with half a liter of boiling water, boil for 5 minutes, insist, strain. Drink the prepared product in 3 doses (100 ml for each dose).
Second option
It is necessary to combine St. John's wort with the immortelle. About 20 grams of the resulting collection should be poured with one liter of boiling water for at least 11 hours.
After the collection is infused in water, put it on gas and bring to a boil, holding it for 8-10 minutes. Remove from heat, cool, strain. The optimal dose of such a decoction is 350-450 ml per day. The broth should be taken 3 to 4 times a day.
Consume it after a meal (after about 40 minutes). The course is 2-3 weeks.
The third option
Take nettle, corn cobs, milk thistle seeds, and knotweed herb. Pour at least 10 g of this raw material with half a liter of boiling water, which has already cooled down to room temperature.
The course of taking each collection is determined either by your doctor or by you based on how you feel. It should not exceed a period of 2 consecutive weeks. The courses can be repeated every 2-3 months.
Choleretic folk remedies for bile stagnation
Juices can be distinguished among the most effective means that can cope with bile stagnation. They reduce the spasms of the ducts. But that is not all! With their help, you can significantly thin out the thickened bile.
Thus, its outflow is stimulated in a natural way. Such juices are also able to cope with pain. And they are almost completely safe. The main thing is to take into account individual contraindications, among which, for example, intolerance.
The juices, examples of which will be given below, can be used even by pregnant women and children.
1. Radish juice
It doesn't just stimulate the natural motility of the gallbladder and its ducts! It helps to produce bile and remove it into the intestines.
Radish juice should be consumed in 20-30 ml half an hour before meals. But, if you suffer from such ailments as gastritis or stomach ulcers, duodenal ulcers, then radish juice is contraindicated for you.
2. Dandelion juice
Unlike radish juice, it is more difficult to finish it off, but it works just as well. In order to get juice from a dandelion, you should dig it up by the roots, rinse well under clean running water.
Frequency rate of admission - 2 times a day. The duration of the course should be from three to four weeks.
3. Pear juice
It must be natural, freshly squeezed. It should be drunk about 120 ml on an empty stomach: in the morning and in the evening (20 minutes before meals). It has a very positive effect on the density of bile.
4. Red rowan juice
It should be cooked only from fresh berries. They are collected only after the first frost, washed, passed through a blender (and then wrung out) or a juicer. You need to take such a remedy in 20-25 ml 2 times a day. The course is about 4 weeks.
5. Oils of the first extraction
An outstanding topic in cholestasis management! They help very well even in severe cases. The leading positions among them are occupied by oils: flax, rapeseed, sunflower, as well as olive oil.
They "start" the gallbladder, promote the production of secretions, cleanse the liver. You need to take oils like this: drink them in the morning on an empty stomach before meals (half an hour before it). Dose - 1 dessert spoon. Course: week of admission - 3 weeks off.
6. Pumpkin seeds against bile stagnation
There are no strict rules for using pumpkin seeds. They just need to be nibbled when you want. But, it is better to do this at least once every three to four days. They will do all the useful work themselves.
Important! Treatment of bile stagnation requires an integrated approach. It should also include items such as changing lifestyle and diet.
Avoid stressful situations as much as possible. Stress leads to severe spasms of the gallbladder and liver ducts. This can be confirmed by people suffering from cholecystitis. One has only to get nervous, as the heaviness in the side makes itself felt. And this is a direct and fast path to the stagnation of a secret.
An active lifestyle is the key to liver health and normal gallbladder functionality! If you do not move much, then the likelihood that the outflow of bile will be impaired increases.
And for those people who spend almost a day at a computer monitor, such problems are almost guaranteed.
Try to stay in the fresh air as much as possible, if possible - walk, give preference to active rest.
Eliminate junk food from your diet. First of all - fried, too salty and spicy, too fatty. Do not overuse flour products. However, food can not only harm, but also heal.
So, the majority of patients note that with the normalization of the regimen and quality of nutrition, their condition significantly improved. And some even had cholestasis.
Products for diseases of the gall
The following products have a choleretic effect, improve the condition of the gastrointestinal tract, promote liver renewal and cleanse the body of toxins:
Vegetables: blue and white cabbage, red tomatoes, beets, carrots;
Fresh herbs: leaf lettuce; artichoke, celery, parsley and others;
Dried fruits: dried apricots, raisins, prunes, dried pears and apples;
Almost all berries with sourness: cherries, cherries, red and black currants, citrus fruits, and so on;
Condiments and spices: turmeric, ginger, rosemary;
Fiber-rich foods;
Wheat and oat bran.
7. Pork lard against bile stagnation
An alternative option for getting rid of stagnant bile secretion is salted lard, which is best eaten with garlic. And it is also recommended to sprinkle it with freshly ground black pepper (do not overdo it) to improve the taste and aroma of the product and increase the bile drainage effect.
Contraindications to the use of folk choleretic agents (based on herbs and oils)!
- Individual intolerance.
- Stomach or duodenal ulcer, other serious gastrointestinal problems.
- Gallstones.
The use of choleretic drugs for stagnation of bile
Dear readers, the widespread prevalence of cholelithiasis (cholelithiasis) makes us look for methods of prevention and elimination of the main cause of stone formation - high lithogenicity of bile. Its thickening just leads to the progression of gallstone disease. And choleretic agents with stagnation of bile help prevent the formation of stones and the appearance of constant pulling pains. But it is better to take such drugs with the agreement of the attending physician. Everything related to the symptoms and treatment of biliary stasis is within the competence of the gastroenterologist. In the absence of a specialist of this profile, you can sign up for a consultation with a therapist.
Sometimes the symptoms of bile stagnation are just the beginning of colic, which can result in perforation of the bile wall and other dangerous complications. Therefore, folk and choleretic drugs with stagnation of bile begin to be taken only after ultrasound diagnostics. If the study confirms the absence of stones, especially small ones that can get stuck in the duct, you can start taking choleretic drugs with bile stagnation.
Functions of bile in the human body
The liver secretes bile, which is stored in the gallbladder. Here it acquires a certain concentration and during meals is excreted in portions into the duodenum. Burning plays a key role in human digestion. It is involved in the breakdown of fats and the absorption of nutrients. With its help, the motor function of the intestine is realized. Bile has a bactericidal effect and inhibits the development of infectious processes in the organs of the digestive tract.
Under the influence of certain provoking factors, bile can stagnate in the bladder for too long. In this case, its lithogenicity increases, it becomes too concentrated and thick. It is always dangerous, first of all, the formation of calculi.
The main causes of bile stagnation
Before you start using tablets or other forms of choleretic drugs for bile stasis, you need to understand the possible causes of the violation. Otherwise, the treatment will only have a temporary effect.
The main predisposing factors for bile stagnation:
- violation of the principles of balanced nutrition;
- episodes of prolonged hunger, exclusion from the diet of almost all fats that cause the release of bile from the gallbladder;
- frequent adherence to a diet, the diet of which is not characteristic of the usual diet of a healthy and active person;
- chronic diseases of the liver and other organs of the digestive tract, which can disrupt the process of bile formation and bile excretion.
If, during the examination, specialists find not only symptoms of bile stagnation, but also concomitant diseases, treatment in adults and children must necessarily include methods and drugs aimed at eliminating the identified pathologies. If you suspect you have gallbladder problems, get an ultrasound scan. It's affordable and safe. In case of complaints of pain and discomfort in the abdomen, the doctor will still refer you to an ultrasound scan. By doing it in advance, you can save time.
How can you suspect you have stagnation of bile?
The insidiousness of diseases of the gallbladder is that they proceed without pronounced symptoms for a long time. Therefore, clear signs of bile stagnation usually appear several months or even years after the onset of the disease.
Possible symptoms of stagnation of bile in the gallbladder:
- a feeling of heaviness, pain in the right hypochondrium;
- discomfort after consuming fatty and fried foods, alcohol;
- bitter taste in the mouth;
- jaundiced skin tone;
- nausea, rare vomiting mixed with bile.
Usually the symptoms of bile stagnation are mild. Most often, there is chronic moderate pain in the right hypochondrium. They should alert you and force you to undergo ultrasound diagnostics.
Important! Timely treatment started at the first signs of stagnation of bile in the gallbladder prevents the formation of calculi and avoids the need for surgical interventions in the future.
If your close relatives had gallstone disease or they had to carry out cholecystectomy and other similar operations due to diseases of the biliary tract, be especially attentive to your health and diet. A hereditary predisposition to gallstone disease, although not officially proven, is well known to specialists who have been observing patients with stones for decades.
Basic treatments for bile stasis
For the treatment of bile stagnation, official medicine offers the following methods:
- choleretic drugs;
- adherence to a diet with stagnant bile;
- choleretic herbs.
To achieve the maximum effect, it is recommended to carry out a comprehensive treatment of bile stagnation in the gallbladder, which includes certain food restrictions, taking ready-made medications and the course use of special herbal preparations. Each of these methods should be written separately.
Choleretic drugs
With stagnation of bile, drugs from the following groups are used:
- choleretics;
- cholekinetics;
- cholespasmolytics.
Choleretics increase the activity of the liver, which begins to produce more bile, reduce its viscosity, reduce the inflammatory response and the risk of developing cholecystitis. Choleretics include drugs such as Hofitol, Nikodin, Allohol.
Cholekinetics normalize the contractility of the gallbladder and at the same time have a relaxing effect on the ducts. This creates favorable conditions for the outflow of bile and the elimination of signs of stagnation. Cholekinetics include drugs such as magnesia, sorbitol, xylitol.
Cholespasmolytics remove painful spasms, weaken the biliary tract, which contributes to the free exit of bile from the bladder. Such drugs are prescribed for acute and chronic pain syndrome. A common antispasmodic is No-shpa.
Choleretic drugs
Ready-made choleretic agents for bile stagnation should ideally be prescribed by a doctor. Drugs can be quite unpredictable, especially for people with a latent course of cholelithiasis and calculous cholecystitis.
Allochol is a natural herbal remedy based on dried bile. Herbal extracts are additional components. The drug has been used as a choleretic agent for many decades. You can see how to take Allochol with bile stasis in the manufacturer's instructions or ask your doctor. The standard dosage per day is 3-6 tablets. They are taken after meals. The course of treatment usually lasts a month.
In its composition, Cholenzym contains an extract of animal bile, enzymes of the pancreas of cattle. The drug eliminates stagnant processes in the gallbladder, facilitates digestion, dulls pain. It is used not only for stagnation of bile, but also for other diseases of the digestive tract. The daily dosage is 2-3 tablets during or after meals.
As part of the choleretic agent Nikodin - derivatives of amidanicotinic acid and formaldehyde. The drug fights inflammation in the area of the gallbladder walls, which is necessary for people with cholecystitis and other concomitant diseases. The medicine speeds up the release of bile. Additionally, Nikodin has a bactericidal effect, prevents the multiplication of infectious pathogens in concentrated bile with increased lithogenic properties.
Hofitol has a choleretic and choleretic effect. The drug contains artichoke extract. Brown pills are familiar to many, as they are often prescribed by physicians and gastroenterologists for diseases of the liver and gallbladder. Hofitol is drunk for a month, 2-3 tablets 3 times a day.
We suggest watching a video - what doctors say about bile stasis.
Herbs for stagnant bile
In addition to finished medicines, it is recommended to use choleretic herbs for bile stagnation. If you have the time and desire, you can harvest them yourself by collecting plants at a certain period, away from highways and potentially hazardous chemical plants. Choleretic herbs are dried when fresh air is available, but not in direct sunlight.
Important! If you do not know which plants are best to collect and combine with each other, it is better to use ready-made collections that can be purchased at the pharmacy.
The following herbs have a choleretic effect:
- corn silk;
- artichoke;
- sagebrush;
- immortelle;
- calendula;
- chamomile;
- bird highlander;
- Birch buds;
- St. John's wort;
- shepherd's bag;
- barberry.
This is only part of the herbs with choleretic action that can be used for bile stasis. But they are the most studied and proven to be effective. It is not recommended to combine more than 5-10 plants due to the unpredictability of the therapeutic effect.
Folk recipes for bile stagnation
On the basis of certain plants, you can prepare recipes for traditional medicine for bile stagnation. They can be used, among other things, to prevent the formation of stones, if you have pulling pains under the right rib after the holidays, but there are no stones.
Infusion of oats
A large amount of oat infusion has a pronounced choleretic effect and can be used as a tyubage. But to prevent colic and achieve a mild cleansing action, it is recommended to use the product in small quantities.
Just brew a glass of oats with a liter of boiling water and let stand in a thermos for several hours. Take a sip of the infusion every hour during the day. On this day, try to rest more, do not eat any fatty foods and alcohol. You can apply a warm heating pad to the area of the right hypochondrium to enhance the effect.
A decoction of St. John's wort and immortelle
To reduce the lithogenicity of bile, you can use a decoction of immortelle and St. John's wort. It is necessary to take plants in equal proportions - 2 tablespoons each, pour a liter of water and put on low heat, then sweat for 10 minutes. Cool the finished broth, strain through several layers of gauze and use a glass several times a day after meals.
Camomile tea
With a tendency to stagnation of bile, it is recommended to drink chamomile tea daily. It facilitates bile excretion, has an anti-inflammatory effect on the mucous membrane of the digestive tract. In chamomile tea, you can add a few tablespoons of infusion or decoction of oats, calendula, immortelle. In this combination, the herbal collection will have a more pronounced choleretic effect.
Universal recipe: pour 1 tablespoon of chamomile (fresh or dry) with a glass of boiling water. Cover. Insist everything until the chamomile decoction cools down. Strain. Take a third of a glass warm 3 times a day half an hour before meals or one hour after meals.
It's great to brew a simple rosehip. It is considered one of the best choleretic agents. You can use both fresh rose hips and dry. You need to drink in courses.
For a liter of water, you need to take 4 - 5 tablespoons of rose hips, drink the infusion before meals, a cup a day, it can be warm or cold. Children under 12 years old can drink rosehip drink 1/3 - 1/2 cup a day.
Diet with bile stasis
A diet with bile stagnation helps to empty the gallbladder in a timely manner and avoid dangerous complications, including cholecystitis and the development of gallstone disease. It is recommended to eat fractionally, in no case overeating. A common mistake is to skip fat altogether. But fatty acids are vital for humans. If he does not get vegetable and animal fats in limited quantities, it is precisely the stagnation of bile and other adverse health consequences that occurs.
The main rule of nutrition for stagnant bile is the absence of long intervals between meals, when the gallbladder does not empty for a long time. It is also necessary to avoid overloading the biliary tract and exclude the use of fried, fatty, overly spicy foods and alcoholic beverages.
Products for the outflow of bile
With the help of choleretic products with stagnation of bile, you can carry out a light tubing. But you must be sure that there are no stones. For the outflow of bile, olive or flaxseed oil with a small amount of lemon juice is most often used. They empty the bile, prevent the appearance of pain in the right hypochondrium.
Juice therapy has a choleretic effect. Juices are drunk on an empty stomach in a few tablespoons for 1-2 weeks. All this time, you must follow a diet low in animal fats. In this case, you must not consume any fried foods and alcohol. To cleanse the gallbladder, it is recommended to drink a mixture of radish and turnip juice with pulp. It stimulates the entire digestive system, relieves constipation. For stagnant bile, pear juice is useful. But he can provoke loose stools without habit.
In the fall, you can drink rowan juice as a course. It causes sufficiently strong contractions of the gallbladder. It is taken on an empty stomach, 15-20 ml. It is not worth increasing the dose, especially for those who use this agent for the outflow of bile for the first time. On the contrary, it is worth starting with a teaspoon, increasing the dosage by the end of the first week of admission to 20 ml. The term of such alternative treatment of bile stagnation usually lasts no more than 2 weeks.
For homemade tubing, you can use a mixture of lemon juice and mineral water. Such a composition is taken in the morning on an empty stomach, after which it is necessary to lie down with a warm heating pad under the right side. Cleansing the gallbladder from thickened bile is accompanied by diarrhea.
Choleretic drugs for stagnant bile
Regardless of age or gender, many people are faced with "signals" from the body about liver problems caused by cholestasis. Choleretic agents with stagnation of bile are designed to start the processes of cleansing organs from toxic "waste", contributing to the production of the hormone cholecystokinin. There are options - from medical to grandmother's prescriptions - to cope with the disease. Take care of yourself if you:
- from time to time you feel painful symptoms in the right hypochondrium;
- you feel an unpleasant aftertaste of bitterness in your mouth;
- notice the yellowness of the skin;
- noticed signs of chronic fatigue.
List of the most effective choleretic agents
The best choleretic agent for bile stagnation is the observance of a whole range of measures to improve health. They are aimed at stimulating the work of the digestive system, cleansing the liver, and normalizing the functions of the gallbladder. The combination of actions that contribute to getting rid of the disease includes:
- Compliance with the basics of dietary nutrition.
- The use of medicines, the achievements of traditional medicine, which improve the secretion of the gallbladder.
- An active lifestyle - it is an excellent "choleretic" for the prevention of bile stagnation.
- Compliance with the drinking regime, inclusion of mineral water without gas in the therapeutic diet.
- If you are overweight, limit the calorie content of foods to 2000 kcal per day.
Food
Stagnation in the gallbladder can be prevented by adhering to the basics of dietary nutrition. The main enemies of a healthy liver are salty, spicy foods. "Outlawed" spices, smoked meats, baked goods and sweets. Fractional meals up to 4-6 times a day will help. You don't have to eat large portions. Overeating is dangerous with dyskinesia of the bile ducts, it causes heaviness and pain on the right side of the hypochondrium.
What are choleretic foods? They enhance the kinesthetics of the digestive tract, stimulate the injection of bile into the intestines, removing congestion and relieving spasms. However, cholagogue products should not be consumed in large quantities. The consequences of uncontrolled admission can be the movement of stones along the bile ducts, followed by the removal of the bladder. Useful choleretic agents for bile stagnation are:
- Vegetable oils. They stimulate the production of cholecystokinin, a hormone responsible for the formation and entry of bile into the stomach.
- Fresh vegetable juices based on beets, carrots, cabbage; berry fruit drinks from lingonberry, cranberry; sauerkraut juice.
- Fresh fruits, vegetables. They enhance the motility of the gastrointestinal tract, gently cleanse the liver, intestines, preventing the stagnation of bile.
- Fiber in bran. Wheat, oatmeal, they are an excellent way to cleanse the liver, which is the first to be hit by cholestasis.
- First meal. Vegetable soups, borscht or low-fat broths from poultry meat are indispensable dietary meals for the prevention / treatment of bile stagnation.
- Parsley, dill, cilantro, rosemary, celery, spinach, lettuce have excellent choleretic properties.
Folk remedies
The use of choleretic formulations has been tested by many generations. Traditional medicine will help relieve painful manifestations of cholestasis, stimulate the outflow of bile and the activity of the body's metabolic functions. The natural composition, the absence of specific allergens makes folk recipes available for use during pregnancy. Means that reduce congestion will help to avoid the development of the disease:
- Eating vegetable oil and lemon juice on an empty stomach. A tablespoon of flaxseed, rapeseed, olive or sunflower oil with the same amount of lemon juice will kickstart metabolic functions. The composition will gently cleanse the intestines and liver from bile stagnation after a night's rest.
- Xylitol or sorbitol. "Blind" tubage based on these substances with the use of a heating pad in the liver area is a remedy that helps to get rid of bile stagnation. The procedure should be carried out after consultation with a gastroenterologist, preferably under the supervision of a doctor.
Choleretic herbal preparations
Teas, decoctions and herbal infusions with choleretic properties will become effective means of relieving bile stagnation:
- Immortelle, tansy, angelica and corn stigmas perfectly cleanse the liver of toxins, while simultaneously stimulating the digestive tract to break down food.
- Cumin, peppermint improve metabolic processes, remove stressful conditions. They are both natural antispasmodics.
- Pharmacy chains offer choleretic herbal preparations, known under the numbers 1, 2 and 3. The main components are: immortelle, yarrow, mint, coriander, which eliminate bile stagnation.
- Choleretic herbal collection 3 contains natural antiseptics - chamomile, calendula flowers, which prevent the development of inflammatory processes of the biliary tract, plus tansy, immortelle.
Medications
Choleretic drugs for biliary dyskinesia are represented by antispasmodics, choleretics, cholikinetics. Natural or synthetic, they are available in tablets, granules, liquid form (ampoules). In the treatment of bile stasis, the standard prescribed by the doctor is as follows:
- Reception of antispasmodics with analgesic effect from 5 days to 2 weeks.
- Choleretics are taken according to the instructions for a long time - up to three months.
- Cholekinetics are prescribed on an ad-hoc basis if there is a need to stimulate the outflow of bile.
Of plant origin
Herbal choleretic preparations for bile stagnation are widely represented on the market, have a low price and are relatively safe due to their natural composition. The doctor will help you choose a medicine, having previously determined the cause of bile stagnation. The purpose of the type of agent depends on the clinical picture of the disease. You will be offered:
- alcoholic tinctures: common barberry, corn silk;
- syrups (no alcohol): Holosas, Rosehip and mint;
- tablets: Febichol, Flamin, Tanacehol, Berberina;
- mixes for teas: Holaflux (Germany-England).
Medicinal choleretic agents may have a different origin. Preparations containing an extract of animal bile, its acids, can reduce the load on the pancreas and gallbladder. Substances are quickly processed by the liver, stimulate the mechanisms of food breakdown in the intestines, and make bile less viscous. These are Allochol, Cholenzym (with pancreatic enzymes), Lyobil (contains purified bovine bile), Hologon (choleretic effect is weakly expressed with increased bile production).
Synthetic
The synthesized agents prescribed for stagnation of bile have a more pronounced nature of the action. Their use requires a lower dosage than drugs of natural origin. The line is represented by Russian-made drugs: Nikodin, Oxafenamide, Polish Gimecromon, Tsikvalon. In addition to choleretic, artificially created drugs have antispasmodic, anti-inflammatory, analgesic mechanisms.
What remedies for stagnation of bile are prescribed for children
- Flamin. This anti-inflammatory, secretory, bile-excreting drug breaks down cholesterol, dilates intestinal vessels, relieves spasms.
- Holagogum. The natural composition - turmeric, spinach, mint essential oils - is safe for the child's body. It is a stimulant of the secretory function of the gallbladder.
- Holaflux. The herbal ingredients of the drug act as antispasmodics, cholekinetics, hepaprotectors of the child's liver.
Video about choleretic herbs
Often, dysfunction in the production of bile is caused by an abundance of fatty, fried foods with hot spices, and a violation of the diet. Sometimes diseases are "to blame" - cholecystitis, pancreatitis. Seeing a doctor, making a diagnosis and prescribing treatment with choleretic drugs will help to avoid complications. Do not forget about the prevention of cholestasis using herbal preparations strictly according to the instructions. After watching the video, you will learn about folk ways to get rid of bile stagnation.
Choleretic drugs for bending the gallbladder
Choleretic drugs for kinking the gallbladder are the basis of drug treatment. Normally, this organ has the shape of a pear and accumulates bile in its cavity, and at the beginning of the digestive process, it moves along the biliary tract and enters the intestines. Some forms of bladder bends do not interfere with this process, in which case there is no indication for prescribing drugs. If the pathology is acquired and is accompanied by stagnation of bile, special agents are prescribed that stimulate its outflow. There are also herbal folk remedies that have a similar effect.
The gallbladder is located near the liver, in the right hypochondrium. It consists of the bottom, body and neck, and at its end is the muscular sphincter. Normally, its walls are elastic and capable of stretching as bile flows in, which is produced by liver cells. When food enters the stomach, the sphincter reflexively relaxes and bile moves into the lumen of the small intestine.
The kink of the gallbladder is its deformation. It can arise for several reasons, among which are the following:
- anomalies in the structure of the organ, which are congenital and in most cases do not interfere with the outflow of bile in a child;
- cholecystitis - inflammation of the walls of the gallbladder, in which adhesions form and change the shape of the organ;
- cholelithiasis - the appearance of stones in the cavity of the gallbladder, which stretch its walls;
- increased physical activity, weight lifting, old age and associated organ prolapse.
In some cases, the disease is asymptomatic and is detected only during routine examinations. If bile freely enters the biliary tract and the deformation of the bladder does not prevent this, the patient just needs to be periodically examined by a doctor. If bile stagnation occurs, this is accompanied by painful sensations in the right hypochondrium. Excess bile pigments penetrate the bloodstream, staining the skin and mucous membranes in different shades of yellow. This phenomenon is called jaundice. In addition, insufficient flow of bile into the intestines causes digestive disorders, since food is digested only under the action of its enzymes.
Why take choleretic drugs?
When the gallbladder is bent, which is accompanied by stagnation of bile, a course of choleretic drugs is prescribed. This is a prerequisite, since the overflow of an organ with bile can adversely affect health and cause dangerous symptoms:
- stretching of the gallbladder and thinning of its walls up to rupture;
- thickening of bile, which is the cause of the formation of stones;
- general intoxication with the ingress of bile pigments into the blood and internal organs;
- digestive disorders.
Basic pharmaceutical preparations
In pharmacies, you can find a huge number of medicines in the form of tablets, capsules and herbal preparations that provoke the outflow of bile. They differ in composition and cost, and may have a number of contraindications. You can take these drugs only as directed by your doctor.
Flamin is a pill that contains polyphenol flavonoids and an extract of the medicinal plant immortelle. This agent changes the properties of bile, making it more fluid, and facilitates its movement along the bile ducts. Unlike many pharmacy drugs, it is prescribed not only for adults, but also for children. The dosage for patients of different ages will be different. Adults should take a whole tablet 3 times a day on an empty stomach. Children under 7 years of age are given half the adult dose at the same frequency, and after 7 years, one third of the tablet should be taken three times a day.
The drug is released in the form of drops, which must be diluted with water and consumed orally. It is a combination of medicinal herbs (dandelion, wormwood, celandine, motherwort and others) infused with alcohol. The dosage is 20-30 drops per 1 glass of water three times a day. This medicine is not prescribed for children. When ingested, the drug stimulates muscle contraction in the neck and body of the gallbladder, relieves spasm and normalizes the outflow of bile. In addition, it has a mild laxative effect.
Allochol UBF is a medicine in the form of tablets, which is prescribed to stimulate the outflow of bile. The preparation consists of extracts of nettle and garlic, as well as activated carbon. Under its influence, the amount of secreted bile increases, and it is freely excreted through the bile ducts. In addition, the remedy affects the work of the digestive tract, cleanses the intestines from toxins and toxins, and relieves the manifestations of dyspepsia.
Gepabene is a herbal remedy based on milk thistle and fume. Tablets are prescribed not only for the inflection of the gallbladder, but also for various liver diseases. When ingested, they have a number of positive effects:
- restore the tone of the gallbladder and normalize the outflow of bile;
- relieve inflammation, which is often the cause of blockage of the lumen of the bile ducts;
- stimulate regenerative processes in the liver tissues, thereby restoring the process of bile secretion.
The medicine is approved for use in adults and children. It has a complex effect on the liver and biliary tract, relieves inflammation and muscle spasms. Thanks to these effects, it is possible to note not only an improvement in the outflow of bile, but also the elimination of pain when the gallbladder is bent.
Henofalk is a drug used for cholelithiasis. Some stones have cholesterol in the chemical composition, so the medicine lowers the amount in the blood. As a result, bile acquires a more liquid consistency, does not accumulate in the cavity of the bladder and moves freely along the biliary tract. The product is synthetic and contains chenodeoxycholic acid.
The drug is prescribed for adults and children with violations of the outflow of bile, including when the gallbladder is bent. It is created on the basis of bovine bile. Upon entering the body, the tablets participate in digestion processes and normalize the work of the gastrointestinal tract. They also restore the function of the liver and biliary tract.
The main active ingredient of this drug is an extract of the medicinal herb of tansy. It has a pronounced antispasmodic effect, which allows you to relieve acute pain syndrome. In addition, muscle spasms interfere with the normal contraction of the gallbladder walls. Under the influence of Tanacechol, the tone of the bladder walls is restored, and with it the outflow of bile.
This medication is not effective enough, but it has no contraindications or side effects. For this reason, it can be prescribed for children and the elderly, as well as for mild symptoms. The drug restores the outflow of bile and relieves spasms. It is produced in the form of a suspension, which is especially convenient in the treatment of gallbladder bending in children.
Hologon is a drug that has a pronounced choleretic effect even in a small dosage. It contains synthetic components instead of plant extracts and is prescribed only in case of emergency, acute pain syndrome and jaundice. It is contraindicated in children and elderly patients.
Odeston is a medicine that is recommended for the acute stage of gallbladder bending and severe symptoms. The drug effectively affects the formation of bile and its excretion, relieves pain and inflammation. The dosage and duration of the course of treatment is prescribed by the doctor.
Folk choleretic drugs
Treatment of the gallbladder with folk remedies should be started only after consulting a doctor. Medicinal herbs for this disease are very effective, therefore, many pharmaceutical preparations are made on their basis. The following drugs have a pronounced choleretic effect:
- decoction of corn stigmas;
- infusion or decoction of immortelle herb;
- collection of wormwood and celandine in the form of a decoction or infusion;
- fresh beet juice;
- decoction of parsley root;
- corn oil.
These substances are easy to make at home and used to treat gallbladder disease. However, they can have contraindications, as well as drugs in the form of pills. In addition, before starting treatment, it is worth making sure that such drugs are not contraindicated for the patient. For example, it is forbidden to use them if, with gallstone disease, large stones clog large ducts and prevent the outflow of bile. Stimulating the bladder in this case can provoke an exacerbation of symptoms.
Additional methods
To support the functioning of the liver and gallbladder, you must follow a special diet. Doctors recommend eating only those foods that do not require a lot of bile to be digested. It is worth paying attention to boiled dishes, fresh vegetables and fruits, homemade juices.
There are products that will have to be completely abandoned for the period of treatment:
- fatty, fried foods, especially meat;
- alcohol and carbonated drinks;
- fresh bread and pastries;
- confectionery.
In addition to choleretic drugs, you may need funds to support bowel function. At the pharmacy, you can buy probiotics in pill form and take them as directed. In addition, fermented milk products must be present in the diet. Kefirs, yoghurts and low-fat cottage cheese stimulate digestion and restore the balance of the natural microflora.
Treatment of the curvature of the gallbladder with the help of choleretic agents is a complex of drugs and folk methods. If there is no indication for surgery, you need to ask your doctor about how to cure the main symptoms of the disease with medicines. There are many varieties of choleretic drugs in the pharmacy, which differ in composition. They are available in the form of tablets, capsules and drops. They are often based not on synthetic substances, but on herbal extracts. These same ingredients can be purchased separately and used to make home remedies. When the gallbladder is bent, bile can periodically stagnate, therefore, when the first symptoms appear, the course of treatment is prescribed again.
In recent years, there has been an increase in the incidence of cholelithiasis (GSD) in Russia: every ninth man and every fifth woman over the age of 40 suffer from this pathology. The formation of calculi is preceded by congestion, changes in the composition of bile and impaired motility of the gallbladder and ducts. Choleretic drugs help to avoid the formation of stones at the stage of the appearance of bile putty.
The role of bile in the body and disruption of work
The liver produces a secret around the clock, which accumulates in the gallbladder and is released into the duodenum during digestion. On average, the daily volume of bile produced is 1.5 liters. Secret functions:
- emulsifies fats, improves their absorption;
- neutralizes the acidic environment of gastric juice;
- activates enzymes of the pancreas and duodenum;
- improves the absorption of substances in the intestine;
- stimulates the intestines;
- increases the production of bile;
- removes cholesterol and bilirubin.
Bile contains enzymes and is actively involved in digestion. The secret breaks down fats into microscopic balls, increasing the contact area of the substance with enzymes. Bile enhances the effect of pancreatic and duodenal lipase 10–20 times, ensures the absorption of fat-soluble vitamins (A, K, D, E, group B) and fatty acids. With a lack of secretion, a person's metabolism is disturbed, and vitamin deficiency develops.
Bile protects the intestinal mucosa from aggressive gastric juice, neutralizes pepsin and alkalizes the food mass. The secret allows active enzymes to be retained on the villi of the intestinal mucosa, improving parietal digestion.
Due to its bacteriostatic properties, bile maintains normal intestinal microflora, prevents the development of putrefactive processes, and fights against pathogens of intestinal infections.
With the help of bile, 70% of cholesterol and bilirubin are excreted from the body.
In what cases is it necessary to take choleretic drugs?
Medicines that enhance the production and outflow of bile are used as part of the treatment of diseases of the gallbladder and ducts. Choleretic agents are prescribed for the following diseases:
- dyskinesia of the bladder, pathways and sphincter of Oddi of a hyperkinetic and hypokinetic nature;
- chronic cholecystitis, cholangitis;
- cholestasis;
- hepatitis;
- constipation;
- biliary sludge syndrome;
- postcholecystectomy syndrome.
Choleretic tablets, syrups, drops can be used to prevent cholelithiasis. More often this need arises in pregnant women, patients on pantheral (artificial) nutrition. The reason for the use of the remedy is the abnormal structure of the gallbladder: kinks, bends, folded gallbladder, double, in the form of a Phrygian cap, hourglass and other options.
Choleretic agents are used at the stage of detecting sludge - thick putty bile.
Medicines are needed to eliminate congestion in the organs of the biliary tree.
Features of reception
Choleretic drugs have been used for a long time. On average, the course is from 2 weeks to a month. Before admission, the patient is prescribed an ultrasound of the gallbladder and ducts. Concrements of the biliary tree are a contraindication to taking most choleretic drugs. The active secretion of bile will lead to the migration of stones, which can damage the neck of the gallbladder, ducts and sphincters.
When prescribing the drug, the doctor determines the type of dyskinesia. With hyperkinetic and hypokinetic disorders of the motility of the gallbladder and ducts, the choleretic agent has a different effect. The combination of choleretic drugs is designed to perform the following functions: increase the production of bile, improve its output into the intestine, reduce lithogenic properties and viscosity.
With long-term therapy, you should periodically change the funds, a large selection allows you to do this. This measure makes it possible to avoid the body's addiction to the medicine.
The main types of choleretic drugs
Medicines for stagnation of the biliary tree are divided into two large groups:
- increasing the volume of bile produced;
- improving the secretion of secretions into the intestines.
The first group is called choleretics. It includes drugs that increase the production of bile acids and agents that stimulate the production of bile by increasing the proportion of water (hydrocholeresis).
Classification table of choleretics:
Classification of agents that stimulate the excretion of bile:
- cholekinetics that increase the tone of the gallbladder and relieve spasm of the sphincters of the biliary tract (cholecystokinin, magnesium sulfate);
- antispasmodics that relieve the tone of the biliary tract (Urolesan, atropine, aminophylline).
About hydrocholeretics
Mineral waters are aimed at thinning bile by increasing the share of water in the secret. Hydrocholeretics include Essentuki, Smirnovskaya, Slavyanovskaya and other products. Mineral salts stimulate the production of bile, dilute it, and reduce the absorption of water in the gallbladder and ducts. Usually, waters of medium and low mineralization with a content of sodium and magnesium cations are chosen.
Treatment with still mineral waters is carried out within a month. During the day, a person drinks one bottle, which he divides into equal parts. You need to drink water 30-50 minutes before meals. In the first days, the serving size is 50 ml, then gradually increases to 200 ml.
Tablets and syrups
Choleretic drugs are available in different forms. For the treatment of adults, tablets and capsules are used. In pediatrics, syrups are preferred.
Allochol
The drug has a natural composition, it contains dry bile, the effect of which is enhanced by herbal ingredients: extracts of garlic and nettle. Allochol enhances bile secretion, increases secretion, normalizes the motility of the gastrointestinal tract (GIT). The agent suppresses the processes of putrefaction and fermentation in the intestines.
The drug is used in the treatment of non-calculous cholecystitis, cholangitis, chronic hepatitis, dyskinesia, constipation, postcholecystectomy syndrome. Allochol is not prescribed for acute forms of diseases, jaundice, gallstone disease, ulcers of the gastrointestinal tract, liver dystrophy.
Side effects from taking the pills include allergic reactions and diarrhea.
Allochol is an effective, widespread and inexpensive choleretic drug that has ensured the popularity of the drug for decades and has been marked by positive reviews from doctors and patients. The course of therapy can vary from 3 weeks to 3 months. The agent is taken 2-4 times a day after meals. The exact treatment regimen is prescribed by the doctor.
Holagol
The drug is available in the form of drops, includes herbal ingredients: turmeric extract, essential oils of mint, eucalyptus. Enhances the action of the agent magnesium salicylate. Cholagol has a choleretic, antispasmodic and mild laxative effect. The remedy is prescribed for the treatment of cholangitis, inflammation of the bladder during remission. According to the instructions, holagol can be used by children from 12 years old. The drug is taken 3 times a day, half an hour before meals, for which 5-15 drops are dripped onto a piece of sugar.
Liv 52
The product includes herbal ingredients: powders of chicory seeds, caper roots, nightshade, terminalia, casia, yarrow, tamarix. Liv 52 is included in the group of hepatoprotectors, aimed at improving liver function, normalizing protein metabolism, and increasing bile secretion.
The medicine protects the biliary system from the effects of toxins, improves digestion processes. Liv 57 can be part of the treatment of various types of hepatitis, anorexia. The tool is used with increased stress on the biliary area due to alcohol consumption, taking hepatotoxic drugs, chemotherapy.
Holosas
The drug is available in the form of a syrup. The main active ingredient is a liquid rosehip extract, which provides a powerful choleretic effect due to a high concentration of flavonoids. Holosas is prescribed for the treatment of non-calculous cholecystitis and chronic hepatitis. The drug is not recommended for people with fructose intolerance, children under 12 years old, pregnant women.
People with diabetes should be wary of holosas. The recommended dose (5 ml) contains 0.34 bread units.
Holosas can cause allergies, heartburn.
Hepabene
The drug is a prescription drug, available in the form of capsules. Hepabene contains an extract of medicinal smoke and milk thistle. The first plant contains fumarin, which normalizes the motility of the biliary tract and the sphincter of Oddi, facilitates the release of bile into the intestines. Silymarin, which is contained in the fruits of milk thistle, has a hepatoprotective effect.
Possible side effects include allergic reactions and diarrhea. However, the toxic effect of the drug has not been fully studied. At the moment, there is no information on the frequency of occurrence of side effects.
Gepabene relieves the symptoms of dyspepsia, stimulates the secretion of bile. The drug is not prescribed for children under 18 years of age, pregnant women and patients with acute diseases of the biliary system and cholelithiasis.
Cholenzyme
The preparation of animal origin contains bile and enzymes (lipase, amylase, trypsin). The tablets have a strong choleretic effect, facilitate the breakdown of proteins, fats and carbohydrates, and normalize metabolism.
The medicine is prescribed for people with chronic gastrointestinal diseases: cholecystitis, pancreatitis, hepatitis, colitis. gastritis. The drug normalizes bowel function, eliminates flatulence, non-infectious diarrhea. Healthy people can use cholenzyme in case of errors in the diet: overeating, starvation, after fatty foods, with a sedentary lifestyle.
Contraindications include acute forms of bladder inflammation, pancreatitis, gallstone disease, exacerbation of chronic pathologies, children under 12 years of age.
Odeston
The drug contains a chemical substance, gimecromone, which relieves spasm of the biliary tract and the sphincter of Oddi, facilitates the excretion of bile into the duodenum. Odeston is used for hyperkinetic biliary dyskinesia, non-calculous cholecystitis, cholangitis, and is used after surgery.
Odeston can cause allergies, flatulence, ulceration of the gastrointestinal tract mucosa, pain in the right hypochondrium. The drug is not prescribed for children under 18 years of age, for patients with biliary obstruction, ulcerative colitis, Crohn's disease, hemophilia, stomach and duodenal ulcers.
Rezalut Pro
The medicine contains phospholipids obtained from soy extract and oil. Rezalut Pro is a hepatoprotector, accelerates the regeneration of liver cells, lowers cholesterol in bile, and normalizes lipid metabolism.
The drug is prescribed for hepatitis, cirrhosis, toxic lesions and fatty liver degeneration. Also, the agent is used with a high concentration of cholesterol, if diet therapy does not work.
Rezalut Pro is not prescribed for people with hypersensitivity to soybeans, peanuts, phospholipids. In pediatrics, it is used with caution for the treatment of children over 12 years of age.
Ursosan
The drug is used for drug therapy of gallstone disease. Ursosan contains ursodeoxycholic acid, which reduces the amount of cholesterol in bile and prevents its absorption in the intestines. The drug is aimed at dissolving cholesterol stones with a diameter of no more than 2 cm.
The course of therapy takes from 6 months to 3 years. During this time, a person must take the drug daily and undergo examinations once every three months. The condition for selecting patients for treatment is an active gallbladder, which is less than half filled with stones.
Ursofalk
The drug is an analogue of Ursosan and contains ursodeoxycholic acid and is aimed at treating gallstone disease, biliary dyskinesia, primary biliary cirrhosis, hepatitis, cholangitis. The course of therapy can last up to three years. The patient is examined every three months. The therapy is continued only with positive dynamics.
The success of therapy depends on the compliance of the clinical picture with the selection requirements: the patient must have a functioning gallbladder, only cholesterol stones, the size of calculi does not exceed 2 cm. The bladder must be more than 50% free of formations. In this case, a positive result is achieved in 80% of cases. It is best to dissolve multiple stones up to 1 cm in diameter.
Ursofalk can be used in children under three years old, for this, a syrup is used, since a small child cannot swallow a pill or capsule.
Choludexan
Another drug with ursodeoxycholic acid, which has a choleretic effect, reduces the lithogenic properties of bile. Choludexan promotes the transition of cholesterol from solid sediment and stones into a liquid state. The therapy can take several years.
The best choleretic herbs
List of plants that stimulate the secretion of bile:
- birch buds;
- oregano;
- corn silk;
- flowers of blue cornflower, immortelle;
- mint;
- buckthorn;
- Far Eastern lily of the valley;
- scumpia.
Herbs contain essential oils, tannins, ethers, bitterness and other substances that increase bile formation, affect the tone of the smooth muscles of the gallbladder and tract. In addition to the choleretic effect, herbal decoctions have a mild diuretic, anti-inflammatory, disinfectant effect. Medicinal plants stimulate the secretory function of the stomach, pancreas and intestines. Herbs affect the composition of bile, reduce its viscosity. Decoctions increase intestinal motility and increase the tone of the gallbladder. 
Choleretic charges and individual herbs are prescribed for chronic non-calculous cholecystitis, biliary dyskinesia, and constipation.
They have a beneficial effect on the condition of the heart and kidneys, and fight edema. Herbs should not be used for obstructive jaundice, cholelithiasis and allergies.
Folk remedies and food
Liver cleansing is one of the popular traditional medicine treatments. However, doctors warn that taking a large amount of choleretic drugs can lead to formidable complications of cholelithiasis.
A popular technique for carrying out a tubage at home is when a person drinks a large amount of vegetable oil on an empty stomach, lies on his side, placing a heating pad on the right hypochondrium. Such a measure forces all organs to work in an enhanced mode. In the presence of stones in the gallbladder or ducts, tubage can cause hepatic colic, acute cholecystitis and pancreatitis, obstructive jaundice.
A more rational and safe way to activate bile secretion is the regular use of choleretic products in small quantities. It is enough to add a teaspoon of unrefined vegetable oil to food every time.
List of foods that increase the secretion and outflow of bile:
- egg yolks;
- condiments and spices;
- meat, fish broths;
- vegetable and fruit juices, fruit drinks;
- vegetables with a high content of oxalic acid and essential oils: spinach, sorrel, onions, garlic, turnips, radishes, beets;
- sour fruits and berries.
Moderate consumption of these products helps to improve the process of bile secretion in a healthy person. In diseases of the organs of the biliary zone, choleretic food is limited.
Conclusion
Choleretic drugs are used for dyskinesia of the organs of the biliary tree, the formation of a thick bile putty. Medicines are made from components of plant, animal origin, as well as artificially synthesized substances. The drugs should only be used as directed by a physician. For the prevention of gallbladder diseases, it is enough to regularly consume choleretic products in small quantities.
Gallstone disease is a pathology in which a calculus forms in the gallbladder. There are 4 types of stones - cholesterol (composed of lipids), bilirubin (formed by the pigment bilirubin), calcareous (from calcium salts), mixed.
Pathology is accompanied by acute paroxysmal pain in the right hypochondrium, dyspeptic disorders, bitterness in the mouth, and increased body temperature. These signs, as a rule, occur after consuming fatty foods, alcohol, sweets. With gallstones, angina pectoris and disturbances in the work of the cardiovascular system are possible.
Gallstone disease is treated with either medication or surgery, depending on the size and type of calculus. In the first case, the patient is prescribed antispasmodics, naturopathic choleretic drugs, drugs for diarrhea, enzymes and ursodeoxycholic acid.
Antispasmodics
Antispasmodics for gallstone disease are used without fail, especially if the patient periodically has bouts of biliary colic. Specific funds are selected on an individual basis.
Antispasmodics can be combined with analgesics and non-steroidal anti-inflammatory drugs. With gallstone disease, it is allowed to use drugs produced in the form of capsules, tablets, solutions for intravenous or intramuscular administration.
The best antispasmodics are discussed in the table below.
| Name. | Description. | Dosage. |
| Dicetel. | This medicine for gallstone disease is used quite often. It can be prescribed in preparation for an operation to remove gallstones, as well as in cases where cholelithiasis is accompanied by chronic cholecystitis. Dicetel is a medicine based on pinaveria bromide. The substance has a myotropic and antispasmodic effect. The effect is based on a weak m-anticholinergic action and selective blocking of calcium channels, which are located on the cells of the digestive tract and urinary tract. The drug eliminates spasms of the smooth muscle structure and improves blood flow to the walls of the gastrointestinal tract. | Take 150-200 mg per day, divided into 2 doses. |
| Galidor. | Also a good antispasmodic medication. Its active ingredient is bencyclane. Halidor has an antispasmodic and vasodilatory effect. Its main component blocks calcium channels, has an antiserotonin effect and blocks the sympathetic ganglia. Bencyclan has an antispasmodic effect on the visceral muscles of the gastrointestinal tract and urinary tract. | Consume 100-200 mg at a time, the maximum allowable daily dosage is 400 mg. |
| No-Shpa. | This drug is included in the list of the most effective antispasmodics. No-Shpa is widely used as part of the complex treatment of pathologies of the gastrointestinal tract. The active ingredient is drotaverine hydrochloride. The substance reduces the tone and motor activity of the smooth muscles of the internal organs, which helps to relieve spasms and pain in the right hypochondrium. | You need to take 40 mg of No-Shpa at a time. The maximum allowable daily dose is 240 mg. |
| Baralgin M. | This drug is used very often for gallstone disease, since it is fast-acting, relatively inexpensive and well-tolerated by patients. The active substance of Baralgin is sodium metamizole. The substance has an analgesic, antipyretic and antispasmodic effect. The mechanism of action is in many ways similar to that of non-narcotic analgesics. | Single dose - 500 mg. Baralgin M solution is administered intramuscularly or intravenously, single dose - 2-5 ml. The rate of intravenous administration is 1 ml per minute, heart rate and blood pressure are necessarily monitored. |
| Spazmalgon. | It is widely used for diseases of the liver, hepatic ducts and gallbladder. It helps to cope well with pain in pancreatitis and other gastrointestinal diseases. Spazmalgon contains 3 active components at once - metamizole sodium, pitofenone, fenpiverinium bromide. The drug has an antispasmodic, antipyretic, anti-inflammatory, analgesic effect. The active ingredients relax the smooth muscles of the gallbladder and its ducts. | Drink 1-2 tablets 2-3 times a day. When using Spazmalgon in ampoules, inject 5 ml at a time, the daily dosage is 10-15 ml. |
Antispasmodics are not recommended to be taken on an ongoing basis. The course of treatment should be 3-5 days. If there is a need to extend therapeutic measures, a doctor's supervision is mandatory. All of the above drugs are available without a prescription.
Diarrhea drugs
Diarrhea with gallstone disease is common, therefore antidiarrheal drugs are often included in complex therapy. If the diarrhea was caused by an intestinal infection, antibiotics are used.
So, patients are mainly prescribed Rifaximin, Intetrix, Zanocin, Tsiprobay, Tarivid. Antibiotics for diarrhea are used for a short time - usually the course lasts no more than 1-2 weeks.
If there are no intestinal infections, then diarrhea is treated with other drugs:
- Probiotics. Help with gallstone disease, intestinal dysbiosis, dyspepsia. The best probiotics are Lactobacterin, Bifidobacterin, Florin Forte, Bifikol, Linex, Acipol, Atsilakt, Hilak Forte, Florok, Bak-Set. These drugs are available as capsules, solutions, and tablets for oral use. Probiotics are the safest medicines for diarrhea and can be taken even by children. By the way, it is recommended to use drugs of this segment in preparation for surgical interventions.
- Means that slow down intestinal motility - Loperamide, Imodium, Diara, Lopedium, Enterobene. Such medications slow down the passage of feces through the intestines. Also, tablets increase the tone of the anal sphincter, slow down intestinal motility, reduce the urge to defecate.
- Enterosorbents. They help to eliminate diarrhea with gallstone disease and speed up the process of removing toxins from the intestines. Enterosorbents can be taken even for long courses and in cases where cholelithiasis is accompanied by intoxication. The best enterosorbents are Smecta, Enterosgel, Polysorb, Activated Carbon, Sorbex, Carbactin.
- Herbal antidiarrheal medicines. Best of all are the fruits of the bird cherry, the fruits of the blueberries, the rhizomes of the burnet.
Enzymes
For cholelithiasis and inflammation of the pancreas, enzyme agents are used. They contain enzymes from the pancreas of a pig or cattle.
Enzymes have a positive effect on digestion, reduce the severity of pain, help get rid of spasms, and promote the absorption of vitamins and minerals in the intestines.
Enzyme preparations are available in the form of capsules and tablets for oral administration. These drugs are based on digestive enzymes, namely amylase, lipase and protease.
The best products in this segment:
- Pancreatin. The cheapest drug of domestic origin. The medicine is good, but it contains a fairly low concentration of enzymes. As a rule, Pancreatin is used to prevent inflammatory processes in the pancreas, as well as in the presence of dyspeptic disorders on the background of gallstone disease.
- Mezim.
- Creon.
- Panzim Forte.
- Hermital.
- Mezim Forte.
- Panzinorm Forte.
Enzymes for cholelithiasis should be taken after meals. The course of treatment lasts from 2 weeks to 3 months, depending on the presence of concomitant complications from the pancreas.
Choleretic drugs
When choosing a specific drug, the physician takes into account the pathogenesis of gallstone disease and the presence of concomitant complications, including cirrhosis, fatty hepatosis, biliary dyskinesia, cholangitis, etc.
The list of the best drugs with a choleretic effect includes:
- Lidan Paishi. A Chinese homeopathic remedy that has many positive reviews. The composition includes the following plants and naturopathic components: Banks rose, wormwood, desmodium, Baikal skullcap, root tubers of long turmeric, rhubarb, betel palm fruit, magnolia, Glauber's salt.
- Lecithin. Contains 1200 mg of soy lecithin. Indications for use are gallstones, gestosis, atherosclerosis, acute hepatitis, toxic liver damage. Lecithin for cholelithiasis should be taken for at least 1-2 months.
- Carsil. Milk thistle extract acts as an active ingredient. The tool has a hepatoprotective, choleretic, immunomodulatory effect. Carsil perfectly helps to dissolve small cholesterol stones and maintain normal liver function.
- Choleretic collection No. 2. The composition includes sandy immortelle flowers, peppermint leaves, yarrow herb. It is recommended to drink the healing fee after meals. Indications for its use are the initial stage of cholelithiasis, cholecystitis, DZhVP, hepatitis.
Note that it is strictly forbidden to take any choleretic drugs if the diameter of the stone in the gallbladder is more than 1 centimeter.
Ursodeoxycholic acid
To maintain normal liver function and dissolve small cholesterol stones, it is customary to use agents based on a compound called ursodeoxycholic acid.
UDCA is an active component of such drugs as Greenterol, Ursofalk, Urkliv, Ursodex, Ursolac, Choludexan, Ursosan, Ekurochol,. Medicines are produced in the form of tablets, capsules and suspensions. By the way, suspensions are mainly used in the treatment of hepatobiliary disorders in children.
Ursodeoxycholic acid:
- Reduces the saturation of bile with cholesterol and the production of cholesterol in the liver.
- Dissolves cholesterol stones.
- It has a membrane stabilizing effect.
- Boosts immunity.
- Reduces the lithogenicity of bile, normalizes its physical and chemical parameters.
When using drugs based on ursodeoxycholic acid, it is customary to regularly undergo ultrasound and monitor the activity of liver enzymes. It is also necessary to take into account the fact that UDCA can cause decompensation of biliary cirrhosis of the liver.
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