Duodenal sounding with bile culture. How to do blind probing with magnesia, sorbitol or mineral water. Preparing for Blind Probing

Probing of the gallbladder is a method of examining an organ using a probe. It is also called duodenal, because in the lower part of the duodenum there are 2 ducts: the gallbladder and the pancreas. When food enters there, then bile duct also enters for its digestion. For research, this same bile is called choleretic drugs and taken from there with the help of a probe. This procedure can be performed both for diagnostic purposes and to alleviate the patient's condition.

How is the probing of the gallbladder performed?

There is also a probeless, or blind, way to separate bile. Consider the technique of carrying out both methods. Should be carried out special training to duodenal sounding of the gallbladder. The day before the start of the diagnosis, the patient is warned that food should not be taken after 18.00. Sounding is carried out in the morning on an empty stomach. The duodenal probe is a disposable sterile thin hose, at the end of which there is an olive. The nurse should have a tray, two heating pads, a towel, a syringe (20 ml), magnesium sulfate 25% and 3 sterile containers labeled A, B, C at the ready. There are markings on the probe that help health worker insert the probe into duodenum using the correct length.

The patient is seated in a comfortable place so that he does not strain, and a towel is tied over his chest. The health worker teaches the patient in advance how to behave correctly when inserting the probe. A tray is given to drain saliva into the hands.

The most unpleasant procedure is the moment of swallowing the probe. The hose is carefully inserted into the mouth, the olive on the probe lubricates the throat for easy passage. The patient must breathe through the nose and make swallowing movements so that the hose enters the body more easily. The patient must breathe properly and deeply so that the urge to vomit is reduced. Having reached a depth of 14 cm, the liquid is withdrawn with a syringe. If cloudy contents come out, this will mean that the hose has reached the stomach.

The patient is placed on the right side and 2 warm heating pads are placed. When the probe is in the duodenum, the other end is lowered into the first test tube, marked A. Clean and clear liquid without any impurities. A mixture is formed immediately from 2 organs - the pancreas and the gallbladder. Usually, 15–40 ml of duodenal bile is sent for analysis.

After the first collection, a 25% solution of magnesia is injected into the intestine, after which, within 10 minutes, an active separation of bile from the gallbladder will begin. The liquid has a dark olive color. It is collected in a second tube labeled B. The bile should drain until the color changes to bright yellow. It should come out of the gallbladder from 50 to 60 ml.

The probe is carefully removed, the patient is given water to rinse the mouth and transferred from the treatment room to the department in which the patient will have to rest for about an hour. During this time, he will be under the control of doctors, his pulse and pressure will be measured.

Phases of duodenal sounding

So, the procedure goes through the main phases:

1. Receiving bile from the general stream. The stage takes 20 minutes. The liquid should not exceed 45 ml. With a larger volume we are talking about pathology.
2. The second stage is associated with the arrival of bile. It lasts a maximum of 6-10 minutes.
3. Then bile appears from the common ducts. This process takes up to 4 minutes.
4. The release of bile from the bladder lasts 20-30 minutes.

Evaluation of the results of the study

To begin with, evaluate appearance or the physical qualities of the intestinal contents. Pay attention to color, density and consistency. If a person is not sick, then the contents of all three test tubes should be transparent and slightly viscous. The normal specific gravity of mixed bile from the first tube and hepatic bile from the third is 1.008–1.012. And the bile from the gallbladder should be 1.026–1.032.

When a portion of bile becomes colorless as a result of obstruction of the biliary tract, this is a sign of jaundice.

Painful processes in gallbladder expressed total absence portion B, i.e. bile directly from the gallbladder. This can happen due to stagnation of bile and loss of contractility of the organ itself. It can be cholelithiasis, cholecystitis, and dyskinesia that affects the bile ducts. Sometimes it happens that after the first attempt of probing and the introduction of magnesia, the necessary portion of bile is not released. Therefore, there is a need for a secondary introduction of the probe. Confirmation of the diagnosis will be the appearance of dark-colored bile in a large volume.

Expansion of the gallbladder can occur if 100 ml or more of bile enters tube B. Usually this phenomenon occurs as a result of stagnation.

When examining under a microscope, the sediment of all 3 containers is carefully examined. Normally, they should all be the same. When studying, they contain a meager amount of leukocytes, small epithelial cells, as well as a small amount of grains of cholesterol and sodium oxalate.

Slime and increased number leukocytes indicate an inflammatory process. Depending on where it is found, one can judge the localization of inflammation.
At microbiological research for different pathogens, different pathogenic microorganisms such as Giardia, coli, staphylococcus, enterococcus, typhoid fever bacillus.

Who should not have duodenal sounding?

There are diseases in which it is risky to carry out this survey. It , acute cholecystitis, poor circulation and the presence of gallstones. When probing, a stone from the bladder can move and enter the bile duct. And this, in turn, will lead to jaundice. skin. Probing is not carried out for people with exacerbation of gastritis, stomach ulcers and any other diseases digestive system. Ultrasound should be done before probing internal organs, after which a decision is made to conduct a diagnosis.

With blind probing of the gallbladder, the gallbladder is emptied by the method of probeless tubage, which can be done at home.

Preparation is carried out as follows. Tubage without a probe is carried out early morning when there is no food or water in the stomach. It is at this time that the gallbladder is most active. You need to lie on your right side and bend your knees. The patient should take slow sips, within 30 minutes, to drink a cholagogue. To remove bile, you can use 2 cups of heated mineral water without gas. You can brew corn silk or drink a 25% solution of water with magnesia.

A heating pad is placed under the right side to stimulate the separation of bile. The whole process should take 2 hours. The fact that the procedure was carried out correctly will be indicated by a liquidish green stool. The cleansing process can be carried out 1 time in 7 days. The duration of therapy is 3 months.

When choosing mineral water for tubage, it is better to give preference to Borjomi, Kislovodskaya or Smirnovskaya. It is desirable to heat such water, but you can simply leave the bottle open overnight so that the gas evaporates.

Apply choleretic agents. You can mix 1 tbsp. l. olive oil with warm mineral water. Such natural remedies, like immortelle and stigmas of corn, you need to insist in a glass of boiling water. For such an amount of water, 15–20 g of the collection is enough. Sorbitol is dissolved in 200 mg of mineral water.

It is possible to combine 2 methods of tubage only on the condition that duodenal sounding will be carried out once a month, probeless tubage - 2 times a week. Tubage can be carried out for a long time, if the patient's condition requires it.

Tubage can also be carried out for the purpose of prevention to maintain the health of the body, if there are no contraindications for this. It can be successfully used in cholestasis. After the tubage, a person feels much better. He has no pain from the liver, the process of digestion of food improves and general state the patient is changing for the better.

Sounding helps in the case when an examination of the main ducts along which bile moves should be carried out. The purpose of the procedure is to empty the bile organ and prevent stagnation. With heaviness in the right hypochondrium and the appearance of bitterness in the mouth, it is possible to perform a liver and gallbladder tubage at home.

gallbladder tube or blind probing allows you to clean the ducts of the digestive system, including the liver, bile ducts and kidneys. Through this method, a person can lose excess weight, get rid of toxins. The procedure is recommended for everyone who has reached puberty. To achieve maximum effectiveness, the method should be applied at least twice a year. Despite the benefits, gallbladder tubage has contraindications. You can not do the procedure for people with severe disorders in the internal organs, for example, with cholelithiasis. When cleaning, the stone may begin to exit the bile duct, which will lead to blockage of the duct, then surgery will be required.

Why do you need a cleansing tube?

The method is curative and preventive. The procedure is needed:

• to stimulate the bile duct;
• resorption of stagnation, when the gallbladder and / or liver is covered by pathology.

Choleretic agents used increase peristalsis and contractility gallbladder, which intensifies the outflow of bile with toxins, toxins, pathogenic flora and slime. The blind method brings relief in the area on the right under the ribs, improves well-being. Before tubage, you need to consult a doctor for selection suitable remedy according to the results of the examination and ultrasound. Purpose of the method:

• complete emptying of the gallbladder;
• disclosure bile ducts;
• elimination of stagnation;
• prevention of stone formation.

In addition to the prevention of gallstone disease, cleansing helps to improve digestion by improving the output of bile into the duodenum. Tubage is recommended for chronic pathologies liver and gallbladder, tendency to form stones, obesity, atherosclerosis, regular constipation.

The method is simple to perform, so you can use it at home. But if even a small stone is found in the gallbladder, probeless cleaning is strictly prohibited.

Rules for cleaning

The probeless method is used as aid in the treatment of gastroenterological pathologies. To carry out the procedure at home, you must follow certain rules:

1. Tubage is performed in the morning on an empty stomach.
2. Medicines prescribed by a doctor are drunk after cleansing.
3. You need to drink solutions in small sips while standing.
4. You need to lie on your right side, bend your knees.
5. Sitting is prohibited.
6. You can not turn sharply, all movements should be smooth and careful.
7. Important positive mental attitude detachment from everyday problems.
8. When cleaning, you need to maintain one position of the body.
9. After the tubage, it is allowed to do a little warm-up and eat.

Tubage is carried out using special formulations, for example, holinokinetics. Doctors recommend:

• mineral water, such as Borjomi, Narzan, Essentuki;
• MgSO4;
• sorbitol;
• xylitol;
• choleretic herbal decoctions.

Mineral water the best way suitable for trial (first) tubage, as the liquid is hypoallergenic and completely safe.

Probeless cleaning at home is done on the basis of human biorhythms in certain time of the year. For example, in summer it is better to carry out the procedure at 5-6 o'clock in the morning, and in winter - at 8-9 o'clock in the morning. Before carrying out tubage, you should change the diet three days before the procedure:

• there is fresh salads in olive oil;
• reduce portions by 2 times;
• have dinner no later than 18:00;
• drink 2-3 liters clean water per day, not including tea, juices and coffee.

Methods of tubage of the gallbladder

Before you do a gallbladder tubage, you need to examine the body, undergo an ultrasound scan for the absence of stones or coarse sand in the kidneys and bile duct. There are three ways to carry out probing cleansing at home: mineral water, magnesium and sorbitol.

Cleaning with mineral water

Tubage of the gallbladder with mineral water is carried out in several stages:

1. The mineral water is heated up to 40-50°C before the procedure. You can do this in a pot on the stove.
2. A heating pad is being prepared hot water. In order not to burn the skin, it should be wrapped in a towel.
3. Drink 5 small sips of warm mineral water. The patient is placed on the back or on the right side. Within 5 minutes you need to lie down, pressing a heating pad to the place of projection of the diseased organ. Heat will relieve spasm and relax the muscles of the gallbladder, which will speed up the flow of stagnant bile.
4. The patient gets up and again drinks a few sips of water, again lies down with a heating pad for 5 minutes.
5. Standing, 500 ml of water is drunk with breaks of 5 minutes.
6. The patient lies on the right side with a heating pad for 20 minutes.

The total procedure time is 60-80 minutes. It is necessary to repeat the probing after 10 days.

With magnesia

MgSO4 effectively cleanses the biliary system. The remedy relaxes, relieves spasms, improves the outflow of bile. Dry crystalline powder of magnesia is easily soluble in water. The drug effectively expands the bile ducts, stimulates the bile duct, prevents the formation of stones, improves the functioning of the liver and gallbladder. Stages of the procedure:

1. Magnesia is prepared in the evening: 14 g of crystals are diluted in 250 ml of warm (40-45 ° C) non-carbonated mineral water.
2. The remedy is drunk in small portions in the morning and on an empty stomach.
3. The patient lies on his right side with a warm heating pad for 1.5-2 hours.
4. You need to get up on your feet smoothly, without sudden movements.
5. You can have breakfast after 1 hour, better vegetable salad, for example, from carrots, cabbage and beets.

Effect after the procedure:

• loose or mushy stools;
• at wrong dosage stool give greenery;
• the presence of compacted, but soft clots in the feces indicates the effectiveness and correctness of the cleaning.

If discomfort occurs during probing, the procedure should be stopped. It does not hurt to consult a specialist.

When a person has stagnation of bile in the gallbladder, he feels pain in the right hypochondrium, nausea, bitterness in the mouth. Such symptoms indicate diseases of the liver, bile ducts, or inflammation of the gallbladder. In order to correctly determine the pathology that has arisen, doctors often prescribe a clinical diagnostic procedure for the patient - duodenal sounding of the gallbladder. In this case, a mixture of bile with gastric, pancreatic and intestinal juice, which are part of the contents of the duodenum, is being studied. This procedure allows you to assess the state secretory function pancreas and the entire biliary system.

What does the term "duodenal" mean?

To answer this question, one must refer to anatomical structure internal organs. On the inner surface the lower part of the duodenum is the so-called duodenal papilla, which opens the pancreatic duct and choledochus - the common bile duct. During digestion, the bile in the gallbladder travels through the cholidochus into the duodenum. When the process of digestion is absent, the flow of bile into this body needs to be stimulated so that a sampling of the contents can be taken for research. For this purpose, special choleretic solutions are used, which are injected into the duodenum. The introduction of solutions and sampling is carried out using a double probe. Therefore, this procedure is called duodenal sounding.

Carrying out duodenal sounding

The procedure is carried out in the morning, on an empty stomach. The day before probing, it is necessary to exclude from the use of products that cause increased gas formation. Also, 5 days before the scheduled study, you will need to stop taking laxatives, vasodilators, antispastic and choleretic drugs. On the eve of the procedure, the patient is injected subcutaneously or given inside 8 drops of a 0.1% solution of atropine.

Duodenal sounding involves the introduction of a probe with a plastic or metal olive located at its end. Three marks are marked on the probe, measuring the distance from the patient's front teeth to the navel in a standing position. This is necessary so that the doctor is guided and knows where the probe is located.

The patient will then need to swallow the olive. For many people, this procedure is extremely unpleasant, but it is necessary. After swallowing the olive, the doctor advances the probe inward with translational movements, and the patient synchronously performs swallowing movements. The first mark, fixed at the level of the front teeth, means that the probe has entered the stomach. After this, the patient is placed on the right side and the swallowing of the probe continues. The second mark indicates the approach of the probe to the pylorus, and the third mark indicates the penetration of the probe into the duodenum. After a certain time, a golden liquid begins to come out of the probe, which is placed in different test tubes for research.

Procedure technique

Currently, duodenal sounding uses the so-called fractional technique, which consists of five phases of bile pumping.

• The first phase involves sampling the contents of the duodenum - bile, gastric, pancreatic and intestinal juices. This procedure takes approximately 20 minutes.

• Then it is necessary to stop the formation of bile in the spasm of the sphincter of Oddi. So the second phase clinical trial consists in the introduction of magnesium sulfate inside. This phase lasts about 5 minutes.

• During the third phase, which lasts no more than 4 minutes, the contents of the extrahepatic bile ducts are taken.

• After the cessation of the formation of bile in the sphincter of Oddi, brown thick cystic bile continues to stand out. The fourth phase is the taking of her sample (portion B).

• When the bile returns to its characteristic golden yellow color, the fifth phase begins: it is collected for research within half an hour.

On this bile fence for laboratory research ends. All samples obtained are subjected to bacteriological and microscopic examination. Of course, duodenal sounding of the gallbladder is an unpleasant procedure, but it is necessary to put up with it.

Diseases of the biliary system and liver are often accompanied by stagnation of bile. Violations of its outflow provoke failures in the digestive and excretory processes, lead to functional disorders in the work of the liver and stomach. The gallbladder and ducts can be cleared with a procedure called blind probing. It is performed quite simply, subject to all recommendations.

Blind probing or tubage is a method of stimulating the outflow of bile by flushing the gallbladder and bile ducts. This is a gentle, economical way to cleanse the biliary tract, which can be done at home.

The procedure allows you to cleanse the liver and biliary system of toxins, toxins, removes excess bilirubin from the bloodstream. Restoration of the normal outflow of bile regulates digestive process, normalizes the work of the liver and intestines.

Indications for holding

Violations of the outflow of bile throughout the gallbladder and bile ducts are called cholestasis. Such a pathology is observed both inside the liver and outside it (in the gallbladder and ducts). Indications for blind probing are cholestatic phenomena in diseases accompanied by such characteristic features, how dyspeptic disorders, digestive disorders and defecation.

These include:

Blind probing is also carried out to prevent bile stasis, improve digestion. The procedure is recommended only after complete examination according to the results of the analyzes and instrumental research(ultrasound, MRI).

The procedure is possible only by agreement with the attending physician, after clarifying the diagnosis and in the absence of contraindications.

Contraindications

There are several pathologies in which blind probing is prohibited. These are diseases such as:

Contraindications apply to patients with hyperkinetic dyskinesia, patients with cholelithiasis (stones in the gallbladder or ducts), in the presence of tumor processes. The procedure is not recommended for pregnant women, as well as during menstruation (plus 10-14 days before it starts).

Blind probing method

After agreement with the attending physician, you can carry out a cleansing choleretic treatment on one's own. The procedure for cleaning the gallbladder at home is carried out in compliance with the rules of preparation and taking into account individual features organism.

Preparatory activities

Before blind probing, it is necessary to carry out some preparatory measures. They consist of the following steps:

Cholagogue sounding is carried out using special means that stimulate the flow of bile. You need to choose them based on individual reaction organism.

The table shows the means that are used for blind probing:

OU * ( special conditions) - individual intolerance or allergic reaction to the substance.

Tubage with mineral water

The most common method, suitable for almost all categories of patients. Medium carbonated natural mineral water (Narzan, Borjomi) with reduced salinity is recommended.

The blind probing technique is carried out in several stages:

Step 1. Excess is removed from the mineral water carbon dioxide. To do this, you can open a bottle of mineral water 7-10 hours before the procedure.

Step 2. Tubage is carried out in the early morning, on an empty stomach. The total liquid volume is 400 ml (2 cups). Water is heated to 36-40 0 C.

Step 3. Drink 3-4 sips of water horizontal position, you need to lie on your right side. A warm heating pad is applied to the region of the right hypochondrium for 5 minutes.

Step 4. After 5 minutes, you need to get up, do a few deep breaths and do a few active movements(tilts or turns of the body).

Step 5. Repeat the third and fourth points until the water runs out.

The total duration of blind probing should not exceed 1 hour. As a result of the procedure, there is a urge to empty the intestines. The stool may have a soft texture, the mass is painted in dark green color. This indicates a successful cleansing of the gallbladder and an intense bile outflow.

IMPORTANT! During the procedure, you may experience slight pain and discomfort in the right hypochondrium, caused by a rapid outflow of bile.

Tubage with various means

In addition to mineral water, blind tubage is carried out with magnesia. The solution is prepared as follows: the powder is dissolved in warm boiled water with the addition of a slice of lemon. The required dose is calculated taking into account the weight of the patient, 10 g of the drug per 10 kg of weight. Ready solution retains its properties for 12 hours after preparation.

Food sweeteners are also used - xylitol and sorbitol for blind probing. They can be used for tubage of children or patients with diabetes. To prepare a solution of 4 tbsp. l substances are diluted in 200 ml warm water.

Other means for the procedure are prepared as follows:

• olive oil mixed with lemon juice, in proportion 1/1 ( total- 1 glass);
• raw yolks (3 pcs.) are ground with sugar, diluted in 250 ml of water;
• 3 teaspoons of honey per 250 ml of boiled water.

Probing is carried out in the same way as in the method with mineral water. After tubage (regardless of the method) is required light breakfast. What can you eat after the procedure? Recommended light choleretic food. Breakfast may consist of 1 egg, mashed with a small amount butter, and hot tea, green, black or herbal.

duodenal sounding

This method of stimulating the outflow of bile is used only in medical institution. It consists in washing the biliary tract with a probe. In this case, bile is pumped out without a heating pad, but with the use of other special equipment.

Duodenal sounding is performed as for cleaning biliary system, and for the fence biological material for analysis. Preparation for duodenal sounding is similar to preparation for blind tubage, but requires more stringent conditions:

• duration plant based diet is at least 5 days;
• 5 days before probing, it is necessary to stop taking antispasmodics, vasodilators and laxatives, as well as drugs that stimulate bile secretion.

Dinner before the procedure cannot contain gas-forming products. It should be light and consist of one dish.

The method consists in swallowing a special probe with an olive at the end. Before inserting the probe, the patient is given atropine to reduce salivation. The length of the rubber tube inserted into the esophagus is equal to the distance from the navel to the bite line in a standing position. The tube is inserted gradually, the patient assists the insertion by swallowing. The introduction is controlled by marks applied to the probe, or using a special apparatus.

Bile sampling for analysis, carried out on different stages(fractions) of the introduction, so the procedure is called fractional probing.

Washing with a probe begins at the moment when the tube is inserted into the duodenum through the duodenal papilla. To start an intense secretion of bile, an irritating solution (xylitol, olive oil, pituitrin, magnesium sulfate, or another secretion irritant) is injected into the tube.

Drainage is left until the gallbladder is completely emptied. This is determined by the release of a clear mixture of intrahepatic bile and intestinal juice. The tube is then removed.

The course of tubage during treatment is 3 procedures with an interval between them of 3-4 days. To prevent bile stasis, blind probing can be done once a month. Before preventive procedures consultation with a gastroenterologist is required.

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The gallbladder is one of the organs gastrointestinal tract. It accumulates bile, which is necessary for proper digestion. Stagnation of bile entails dangerous consequences such as failure of the process of digestion of food, biliary cirrhosis, inflammatory processes in the gallbladder leading to cholecystitis. To eliminate the pathology, there are a number of medicines, but they should not be taken without the appointment of a specialist. In a hospital, the most detailed study of the mechanism of bile secretion allows duodenal sounding of the gallbladder, which consists in introducing a probe into the duodenum through the patient's mouth. Despite the effectiveness of the procedure, many patients can hardly tolerate the introduction of the tube, and with recent bleeding in the gastrointestinal tract, esophageal vein dilatation, severe heart disease, spinal curvature this method contraindicated. To restore the normal outflow of bile, a blind probing of the gallbladder is performed, which can be done independently at home.

Blind probing of the gallbladder is a douching performed to reduce the load on the liver, stimulate the gastrointestinal tract. Active tubage is used in combination with moderate physical activity. Passive probing is done at night so that bile can naturally leave the body.

Procedures are carried out with a frequency of once every 3-4 days. The course must include at least 3 sessions. It is recommended to repeat the prophylactic course in three months.

Abundant chair with greenish tint indicates that the treatment was successful. With difficult bowel release, an enema is prescribed.

Indications for the procedure:

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• acalculous cholecystitis;
• pain in the right hypochondrium;
• bitter taste in the mouth;
• yellowing of the whites of the eyes and skin;
• causeless fatigue;
• regular consumption of alcoholic beverages;
• tendency to overeat;
• constipation, gas formation, heaviness after eating;
• rehabilitation period after cholecystectomy;
• biliary dyskinesia.

• in the presence of acute infectious processes;
• with cholelithiasis with formed stones;
• if complaints of stagnation of bile are not accompanied by a deterioration in health.

Preparing for Blind Probing

A few days before cleansing, you need to follow a diet, the main part of the diet should be light plant foods. Drinking should be plentiful - water, freshly squeezed juices. This is primarily necessary in order to prevent the formation fecal plug, which can prevent the release of bile from the body.

Tubage with sorbitol

This method of probing the gallbladder is considered the most accessible. It is carried out in the morning on an empty stomach. A tablespoon of sorbitol must be dissolved in 200 ml of warm water and drunk immediately. After that, lie down, pressing a heating pad to your right side for two hours. Under the influence of heat in the liver, blood flow increases, the action of enzymes is activated, and bile is liquefied. As a rule, after the end of the procedure, there is a desire to go to the toilet. Come out with feces toxic substances, coarse residues with slags, as well as stagnant bile. After that, patients are given mineral water with citrus, boiled eggs and a small piece of butter.

Tubage with magnesia

Magnesia is known for its pronounced diuretic effect. The medicine is sold in a pharmacy in the form of ampoules or powder. To make a solution, combine a tablespoon of the product with 200 ml of water. If a person's body weight exceeds 70 kg, the dosage may be doubled. For children, the amount of funds is calculated individually. bad taste, remaining in the mouth after drinking the medicine, can be neutralized by eating a slice of lemon. After that, you need to lie on your right side, after placing a heating pad under it. Warming up lasts several hours, an hour after the procedure, you can drink herbal decoctions, mineral water. Cleansing the gallbladder at home is carried out in this way once a month.

Contraindications:

• high blood pressure;
• period of menstruation;
• bearing a child;
• internal bleeding;
• calculous cholecystitis;
• intestinal pathology;
• kidney failure.

Cleansing with mineral water

The use of water of medium mineralization "Borjomi", "Essentuki", "Jermuk", "Arzni" normalizes acidity and starts the process natural cleansing organism. Bile is liquefied, spasm of the bladder is eliminated, intestinal peristalsis is improved. Drinks can be used as an independent remedy for healing and stimulation metabolic processes in the following way:

• In the evening, they take a bottle of mineral water, shake it thoroughly and release all the gas, while leaving it open all night.
• In the morning pour 400 ml of mineral water and warm up to 40 degrees.
• Treatment is carried out on an empty stomach. After drinking some water, you need to lie down on your right side, applying a warm heating pad to the right under the ribs.
• After five minutes, get up, take a deep breath and exhale several times, drink again and continue warming up. Deep breathing promotes "massage" of the liver by the diaphragm.
• The actions are repeated until the prepared portion of mineral water is drunk, but not more than one hour.

You can enhance the effect by adding active ingredient- magnesia or sorbitol. The procedure is completed by heating the area of ​​the gallbladder for several hours.

Tubage with the use of herbal ingredients

There is a method of probing, during which there is no need for heating. For cooking medicinal infusion 40 grams of crushed rose hips are poured into 400 ml of boiling water and infused in a thermos all night. In the morning, infusion with the addition of 2 tbsp. spoons of sorbitol is drunk on an empty stomach. After that, it is recommended to move.
A good effect is given by tubage using dandelion root, corn silk, hypericum, immortelle, mint. A tablespoon of raw materials is placed in a glass and poured with boiling water to the top. After an hour, the broth should be filtered and drunk. The procedure is completed by heating the right side with a heating pad.

Eating is acceptable 30 minutes after tubage and should be light, for example, porridge boiled in water, sweet tea with a piece of white bread, a small amount butter and cheese. Drink throughout the day enough liquids and avoid fatty, fried, smoked, marinades, chocolate, coffee.
When pain the procedure must be terminated immediately. To find out the cause of pain, you need to consult with a specialist.

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