Stagnation of bile: symptoms. Cholagogue drugs for stagnation of bile, treatment. Who said that it is impossible to cure severe diseases of the gallbladder? List of choleretic foods

Violation of the production and outflow of bile from the gallbladder is a problem characteristic of a number of pathologies of the liver and biliary tract. Potentially, it can cause severe dysfunction of other organs and systems - a violation twilight vision, osteoporosis, cholelithiasis, cardiovascular changes, intestinal obstruction. Cholagogue with stagnation of bile - one of the ways to correct this condition.

Indications for the use of drugs for stagnation of bile

Under the general term "choleretic agents" are combined several various groups drugs. All of them are designed to normalize the circulation of bile, but the indications for their use may vary slightly.

Thus, before using any choleretic agents, it is important to make a correct diagnosis.

Treatment often requires a combination of drugs different groups And additional reception antibiotics, hepatoprotectors and other means. Only a specialist can competently develop a therapeutic tactic. In some cases, with stagnation of bile, a surgical operation is indicated.

Cholagogue

To eliminate stagnation of bile are used not only medical preparations. Sometimes herbal and folk remedies, as well as a special diet, can be a good help.

Cholagogue drugs are prescribed by a gastroenterologist in order to improve the process of outflow of bile. bile stasis creates serious problems related to human health. Cholagogue preparations for stagnation of bile in gallbladder activate its outflow and cleanse the body of toxins. The principle of action of these drugs is different, some of them improve the movement of bile through the ducts, others stimulate its production.

What are choleretic agents

Bile is a liquid of biological origin that stimulates digestion and improves the absorption process. nutrients. Bile helps break down and digest dietary fats, prevents constipation and protects the body from pathogenic microbes.

Any food product affects the process of bile formation. Some foods inhibit the production of bile, while others, on the contrary, improve it. If a person has a prolonged stagnation of bile, he is prescribed choleretic drugs and a special diet.

The patient is prescribed:

• medications;
• Food;
• medicinal herbs.

The purpose of taking such drugs is to increase the secretion of bile. One group of drugs stimulates the production of bile, the other accelerates its progress and relieves spasms from the gallbladder.

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Types of choleretic drugs

All choleretic drugs, depending on their therapeutic function, are divided into several groups:

• choleretics;
• cholikinetics;
• hydrocholeretics;
• cholespasmolytics.

Each of these groups has a different spectrum of action. In general, two main functions can be distinguished. Some activate the production of bile, others affect the contractile function of the gallbladder.

Choleretics

The main action of choleretics is to increase the secretion of bile. Medicines in this group are made from animal extracts and plant origin There are also synthetics.

Preparations based on animal extract are made from:

• bile;
• liver;
• pancreas;
• mucous membrane.

These are the so-called true choleretics. This composition of medicines includes: Hologon, Liobil, Cholenzim, Allohol.

Synthetic choleretics: Nicodin, Tsikvalon, Holosas.

cholekinetics

Medicines included in the group of cholekinetics increase the tone of the gallbladder, as a result of which the bile ducts begin to relax, which contributes to the rapid removal of bile. This effect is possessed by: Sorbitol, Mannitol, Xylitol, Magnesia. This can also be attributed natural remedies: coriander and cumin oil, lingonberry and cranberry juices. As well as medicinal herbs: chamomile, calendula, dandelion.

Hydrocholeretics

Hydrocholeretics thin bile, thereby increasing its volume. The outflow of bile into the duodenum is accelerated, they increase the colloidal stability of bile.

Such an effect has mineral water, like Essentuki and Borjomi, as well as medicines made on the basis of valerian.

Cholespasmolytics

Medicines included in the group of cholespasmolytics have complex impact. They stop spasms of the gallbladder, expand the ducts and eliminate pain syndrome. Cholespasmolytics will include synthetic drugs and medicines made on the basis of plant extracts. Synthetic agents include: No-shpu, Papaverine, Eufillin, Atropine and others. herbal medicines: tinctures prepared from arnica, valerian, elecampane, St. John's wort. On the basis of natural raw materials are made: Tanacehol, Febihol, Flamin.

The duration of treatment with choleretics can be 90 days. Painkillers are taken no longer than two weeks.

Rules for taking choleretic drugs

In order for the medicine to be as effective as possible, certain rules must be observed:

• each choleretic drug with stagnation of bile in the gallbladder is taken before meals, preferably one hour before meals;
• wash down the tablets with plain water;
• after a while it is necessary to eat, otherwise the stomach may be upset;
• choleretic drugs drink long time, the course of treatment lasts at least two weeks.

The course of therapy must be repeated at least twice a year. The break between treatment should be from one to two months, depending on the complexity of the disease.

Food

There is a whole group of products whose action is aimed at improving the outflow of bile. This group includes:

• all vegetable oils (sunflower, olive, corn);
• raw vegetables;
• vegetable broths;
• citrus fruit;
• prunes;
• melon and watermelon;
• greenery;
• turmeric;
• avocado.

But there are also foods that, on the contrary, slow down the production of bile. This meat broths, mushrooms and legumes. It is better not to use such products.

The best choleretic agents

Among the huge variety of drugs that have a choleretic effect, those that are characterized by increased efficiency follow.

Allohol is one of these drugs. This is an inexpensive, but at the same time effective remedy, which is part of the group of choleretics. Allochol contains animal bile, as well as garlic and nettle extract. The medicine improves the process of promoting bile, eliminates fermentation processes. The drug improves digestive process.

Odeston is a synthetic agent, the main component is hymecromon. Has antispasmodic and choleretic action. The medicine normalizes the synthesis of bile and its progress through the ducts, and also prevents gallstone disease. The cure is different high efficiency, but has a number of contraindications, which you need to familiarize yourself with before use.

Flamin is a medicine made on the basis of vegetable herbs. The medicine is made from immortelle, it also includes additional biologically active substances. This effective remedy acts in several directions at once: it improves the secretion of bile, increases the tone of the gallbladder, relieves spasms from the ducts, and dilutes bile. Also, the medicine improves the digestive process and has an antibacterial property. The drug is well tolerated, but there are still some contraindications.

According to patient reviews, the most effective means include Allochol and Holenzim. As an effective pain medication, patients take No-shpu. Good feedback at Foamin, Gepabene and Nicodin.

Folk remedies

Treatment of stagnation of bile can be carried out by folk methods. The main method of treatment is the use of medicinal plants.

From stagnation of bile, St. John's wort helps well. A choleretic decoction is prepared from it. One tablespoon is poured with a glass of boiling water and boiled over low heat. Drink a decoction before meals for half a glass.

Many medicines are made on the basis of immortelle. It is useful to use a dry extract of immortelle daily, one gram per dose. During the day, eat three grams of the extract.

Beetroot juice is good for this disease. Beets will first need to be boiled, and then grated on a fine grater. The juice is squeezed and drunk an hour before a meal.

Pumpkin seeds have an amazing healing properties. With their help, you can cure the gallbladder by using them every day.

Before starting treatment with folk remedies, you need to consult a doctor. Some herbs should not be taken in the presence of any disease.

Contraindications

In the presence of certain diseases, it is impossible to take choleretic drugs. It is better to refuse to take such medicines if a person has one of the following ailments:

• stones in the gallbladder;
• acute hepatitis;
• cholestasis;
• ulcer;
• biliary pancreatitis;
• obstructive jaundice;
• cirrhosis of the liver.

You can not drink choleretic medicine for women during pregnancy. Each drug has characteristic contraindications, so before you start taking this or that remedy, you need to carefully read the instructions for use.

Treatment plan

In order to fully improve the biliary system, the course of treatment must be planned in stages. The treatment plan includes the following mandatory items:

• organization proper nutrition, the diet is made taking into account the recommendations of the attending physician;
• taking medications;
• active lifestyle;
• drinking non-carbonated mineral water and herbal teas;
• avoid overeating.

One of the main reasons why bile stagnates in the gallbladder is malnutrition. That is why very important point in the treatment of the disease is the organization of proper nutrition. Only in this case, the treatment will bring the desired effect.

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Reading time: 8 minutes

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In a child, stagnant processes may occur due to congenital anomalies the structure of this organ (for example, its inflection). As a result of stagnation of bile, the so-called biliary sludge, which is a mixture of some components of bile (cholesterol, bilirubin and calcium salts), which precipitate in the form of crystals. Stones and polyps form from this biliary sludge over time.

For its treatment, choleretic agents are used that do not allow bile to stagnate, and not only medicines, but also traditional medicine.

Remember the main thing: what to do with stagnation of bile and what to drink with stagnation of bile - only a qualified doctor decides!

How to remove bile from the gallbladder during its stagnation is the topic of our today's article.

Remember that taking drugs to combat congestion in this organ is contraindicated in the presence of stones in the bile ducts or the gallbladder itself. Before starting the reception, you should make sure that they are absent using ultrasound. Cholagogue remedies for stagnation of bile remove stones from the cavity of the organ and lead to blockage of the duct. In this case, the case often ends with cholecystectomy (resection of the gallbladder). Life after cholecystectomy is associated with dietary and exercise restrictions.

The main symptoms of cholestasis

As a rule, the following symptoms are characteristic of this pathology:

• constant feeling of nausea with occasional vomiting;
• belching with air;
• bitter taste in the mouth;
• pain in the right hypochondrium;
• bad breath;
• yellowing of the skin and sclera of the eyes (typical for advanced stage disease).

Often the first symptom is pruritus. Then, as the pathology develops, the color of the excrement changes - the urine darkens, and the feces, on the contrary, brightens.

If you experience any of these symptoms, you should seek medical attention as soon as possible medical care in order to prevent the development of more serious diseases.

Medications for the treatment of cholestasis (for bile stasis)

Effective choleretic drugs for bile stasis may have different formulations and mechanisms of their action. Correct selection such a remedy for stagnation of bile in the gallbladder is possible only with the help of a qualified doctor, since medical science is known wide range choleretic agents. So how to treat stagnation of bile?

Regardless of the type of such drugs, certain rules should be observed when taking them:

• regardless of the dosage form of the drug, they should be taken at least one hour before meals; if these are capsules or tablets for stagnation of bile in the gallbladder, then they should be washed down with water without gas;
• the daily dose is divided into two, three or four doses (the number of doses depends on how many meals per day the patient is accustomed to);
• it is necessary to eat after taking such medicines, because if the patient remains hungry after taking the medicine, the risk of diarrhea or nausea increases;
• choleretic drugs are taken for a long period of time (from 21 days to two months, depending on the recommendations in the instructions);
• after the end of the course of taking such a drug, you should definitely take a break for a period of one to two months; after that (if there is such a need), treatment can be repeated, but not more than two, three or four courses of therapy per year;
• when treating cholestasis in a child, you should carefully monitor age restrictions the use of a particular drug, since many drugs are contraindicated for children.

Medications - choleretics

These drugs include drugs that stimulate the production of bile in the liver. Depending on the composition of a particular drug, the mechanism of their action may be as follows:

1. natural bile;
2. animal liver tissues;
3. tissues of the mucous membrane of their intestines;
4. their pancreas tissue and so on.

As a rule, extracts of various medicinal herbs.

The most famous true choleretics are:

1. Allochol;
2. Liobil;
3. Holenzim;
4. Hologon.

• synthetic choleretics: the basis of their composition is chemical compounds obtained by organic synthesis; in addition to choleretic, they also have antibacterial, antispasmodic and antibacterial and anti-inflammatory effects; such funds provide positive influence on the digestion process, help to eliminate the symptoms of flatulence, and also have an overwhelming effect on the fermentation processes in the intestines.

The most popular synthetic choleretics:

1. Osalmid;
2. Nicodin;
3. Tsikvalon.

• different kind medicinal plants and herbs for stagnation of bile, which have a pronounced choleretic effect: they cause bile liquefaction in the gallbladder, stimulate its production and have other beneficial effects on the liver.

The most widespread preparations, which are based on medicinal herbs, have proven their effectiveness in bile stasis:

• Insadol (based on extract corn silk);
• Hofitol (field artichoke);
• Holosas (rose hip);
• Flamin (immortelle);
• Berberis-Gommakord (barberry);
• Febihol (turmeric).

Herbal preparations of complex action:

• Travohol;
• Cholagol;
• Urolesan.

Medicines - cholekinetics

If the causes of cholestasis are associated with impaired motility of the bladder and its ducts, then apply medicines this group. The action of such drugs significantly increases the tone of such an organ as the gallbladder, and has a relaxing effect on the bile ducts, which in combination will accelerate the release of bile.

These include:

• beckons;
• Sorbitol;
• Magnesia,
• Flamin;
• Xylitol;
• Holosas.

Preparations of the hydrocholeretic group

These effective choleretic agents increase the amount of bile excreted by reducing its viscosity during stagnation of bile. The use of such drugs leads to an increase in the amount of water in the bile, which allows it to be more quickly excreted into duodenum and it stagnates less.

Mainly - different kinds medicinal mineral waters:

• Polyana Kvasova;
• Essentuki;
• Borjomi.

In addition, such drugs include preparations based on valerian and salicylates.

Medicines - cholespasmolytics

This group of drugs includes various pharmacological action drugs, however, they are taken for one purpose - the elimination of spasms in the gallbladder and the expansion of the biliary tract. Both of these effects accelerate the excretion of bile. In addition, such funds are taken in order to stop the pain syndrome.

Cholenospasmolytics are classified as follows:

• synthetic drugs:

1. Mebeverine;
2. Papaverine;
3. Eufillin;
4. No-shpa.

• medicines - anticholinergics:

1. Besalol;
2. Ballalgin;
3. Platifillin.

• herbal antispasmodics - tinctures of such medicinal herbs as:

1. arnica;
2. Melissa;
3. St. John's wort;
4. elecampane;
5. valerian.

Allochol is one of the most popular means to combat this disease. It includes:

• Activated carbon;
• dry bile,
• chopped nettle;
• garlic powder.

The combination of these components is the most successful for effective cleansing gallbladder. Allochol also helps to improve the functioning of the entire digestive system generally.

This effective choleretic agent, which is distinguished by its inexpensive cost and availability, is often prescribed for stagnant processes called cholestasis. This medicine is usually taken one to two tablets at least three times a day. The duration of treatment is usually one month. The most common scheme for taking this drug is as follows:

• on the first day of the course - one tablet three times a day;
• the second - the fifth day - two tablets three times a day;
• sixth and seventh - three tablets three times a day;
• eighth - tenth - two tablets three times a day;
• eleventh - one tablet three times a day.

Cleaning the gallbladder with this tool should be carried out as directed and under the supervision of a physician. If taking the drug leads to a deterioration in well-being, then it should be stopped immediately.

Folk remedies for stagnation of bile

In addition to medication, for the treatment of this disease, the means are also used, which offers ethnoscience(your grandmother also drank them). As a rule, the composition of such funds, which you can prepare yourself according to the instructions attached to them, includes:

• sagebrush;
• birch buds;
• calamus roots;
• burdock roots;
• leaves of the plant artichoke field;
• corn silk;
• leaves of orthosiphon;
• rowan berries and so on.

Choleretic juices

Effective folk remedies for bile stasis are the juices of the following plants:

• from dandelion (freshly harvested plants and their roots are used). Such juice stimulates bile formation and helps efficient bile excretion. Reception schedule: 20 milliliters of fresh dandelion juice twice a day for a month;
• from rowan (prepared from fresh berries, which are harvested immediately after the first frost). Take 20 milliliters three times a day for 21 days;
• from garden turnips. Stimulates contraction bile ducts. It is appointed at their narrowing. Reception scheme - three times a day, 25 milliliters until the patient's condition improves. Contraindications - peptic ulcer;
• from radish. Enhances bile formation and accelerates the excretion of bile, and also improves the functions of the stomach in cases low acidity. Take three times a day for 25 milliliters. Not recommended for peptic ulcer, gastritis and in cases of intestinal inflammation;
• from a pear. Improves the production of bile. Reception - 100 milliliters in the morning and evenings. The duration of taking this juice is not limited. Your child will be especially pleased with such therapy, since such juice is also very tasty.

Decoctions that increase the production of bile (folk recipes)

If bile is not produced enough, traditional medicine advises the use of the following decoctions:

• a decoction based on St. John's wort, knotweed, celandine, dandelion roots and anise fruits, with the addition of two parts of corn stigmas. Five grams of this collection is poured with water in the amount of half a liter and boiled over low heat for five minutes. After cooling, the broth must be filtered. Drink this decoction three times a day, 100 milliliters;
• a decoction based on a collection of two parts of immortelle (flowers) and St. John's wort. 15 grams of the collection is poured with water in the amount of one liter and left in this form for ten hours, after which it is boiled for seven minutes. Drink 100 milliliters after each meal (at least an hour later). Daily rate- 400 milliliters. The duration of therapy is 21 days. Then - a week break, after which the treatment of stagnation of bile can be continued. A cold place is needed to store the prepared broth.

Application of oils

Effective in cholestasis vegetable oils first pressing, such as:

• sunflower;
• olive;
• flaxseed oil (for stagnation of bile - a very effective remedy).

Take these oils every day on an empty stomach, one tablespoon or dessert spoon half an hour before breakfast. They help not only to cure the stagnation of bile, but also have a beneficial effect on the digestive processes.

Coffee

Natural ground coffee is also an effective remedy for this disease. You need to drink it every day in the morning without sugar, seizing a small amount(literally at the tip kitchen knife) natural butter.

Use of milk thistle

Milk thistle is one of the most popular and effective herbal choleretic agents, used both traditionally and as a folk remedy. It is part of some medicines, but is sold in a pharmacy and in the form of meal.

The meal is the powder that remains after the oil has been squeezed out. For the entire course of therapy of such meal, 400 grams are needed. Reception - every day three times 30 minutes before meals. Single dosage - one teaspoon of powder (swallow and drink water without gas).

Milk thistle meal can be prepared at home. For its seeds of this plant must be ground in a coffee grinder immediately before use.

For self cooking milk thistle oil, its seeds must also be crushed, and then put the powder in a glass dish and pour olive oil (required - first pressing). The container is placed in a dark place and the oil is allowed to brew for seven days. Reception - one dessert spoon once a day before meals (usually before breakfast).

This herb can also be used as a decoction. Such a decoction, which removes bile from the bladder cavity, requires a tablespoon of plant seeds, which is poured with 250 milliliters of water, after which they begin to boil over low heat for five minutes. The resulting broth should be infused for an hour, then it is filtered. Reception scheme: twice a day before each meal, 100 milliliters.

Contraindications to the use of choleretic drugs

Despite the effectiveness of such drugs for stagnation of bile in the gallbladder, they, like any other, have their own contraindications for use, namely:

• large stones in the bile ducts or in the gallbladder itself. Choleretic agents in these cases can move the stone from its place, which can lead to blockage of the bile duct. As a result - hepatic colic or inflammation. Often in such emergency cases can't do without surgical intervention, however, even after removal of the gallbladder, the risk of recurrence of stone formation remains;
• exacerbation of peptic ulcer;
• acute pancreatitis;
• individual hypersensitivity or intolerance to the substances that make up the drug.

In conclusion, I would like to say that any self-treatment can cause significant harm, since putting accurate diagnosis only a doctor can, on the basis of instrumental and laboratory research. Improper self-medication often ends with cholecystectomy, and life after gallbladder removal is associated with serious dietary restrictions and physical activity. In order not to bring the matter to the removal of the organ, contact a specialist.

It provides effective choleretic preparations and the best natural herbal folk remedies and herbs for bile stasis for adults and children for home use.

However, with stagnation of bile in the gallbladder in cases of biliary dyskinesia, with an inflection (bend) of the gallbladder or after its removal, treatment - pills and remedies, should be prescribed by a general practitioner for adults or a pediatrician for children!

Do not blindly self-medicate, find out real reason disease to avoid complications.

How to use, folk medicines and herbal products, indicated under each description medical collection herbs.

cook collection 1:

1. wormwood - 10 g;
2. trifoli leaf (three-leaf watch) - 10 g;
3. peppermint leaves - 10 g.

Brew 2 tablespoons of the mixture in 200 ml of boiling water, leave for 1 hour. Take three tablespoons of infusion half an hour before meals three times a day.

cook collection 2:

1. coriander fruits - 20 g;
2. immortelle flowers - 40 g;
3. peppermint leaf - 20 g;
4. three-leaf watch sheet - 30 g.

2 tablespoons of the collection pour 200 ml of water, boil for 10 minutes. Insist 1 hour, strain. Take half a glass 3 times a day 15 minutes before meals.

Gathering 3:

1. chandra grass;
2. lemon balm herb 10 g;
3. peppermint herb;
4. centaury grass;
5. wormwood herb 20 g

Pour 2 tablespoons of the collection with 400 ml of boiling water, leave for 2 hours. Take 1 glass in the morning and in the evening 30 minutes before meals.

Gathering 4:

1. arnica flowers - 10 g;
2. watch leaves;
3. yarrow herb;
4. wormwood herb 20 g

Prepare and take as in the previous recipe.

Gathering 5:

1. St. John's wort (grass) - 150 g;
2. birch leaves - 150 g;
3. crushed rose hips - 200 g;
4. kidney tea - 100 g.

Brew 1 tablespoon of the mixture with 300 ml of boiling water, boil for 5 minutes, leave for 4 hours in a warm place. Take warm half a glass 3 times a day 20 minutes before meals.

Freshly made juice from turnips, half diluted with water, promotes better emptying of the gallbladder, and undiluted juice - the formation of bile by the liver.

Very well stimulates the formation of bile in the liver. mineral waters. Water is especially useful in this regard. Truskavets And Berezovskaya.

Choleretic plants and herbs

All choleretic herbs and plants can be divided into two categories:

1. Choleretic drugs that can increase the amount of bile produced.
2. Choleretic substances that promote the release of bile into the intestinal tract.

Cholagogue herbs and plants, preparations based on them, belong more precisely to the first category, that is, to choleretic agents that stimulate liver cells to create bile. Also, in addition to their choleretic action, they reduce blood cholesterol, and most of choleretic plants and herbs, in addition, have a diuretic effect.

drugs, from choleretic herbs and plants, used for diseases of the gallbladder, liver. And, by the way, due to the fact that bile itself is involved in digestion and helps to absorb fat soluble vitamins, choleretic herbs and plants can be used for diseases of the gastrointestinal intestinal tract.

Plants and herbs containing choleretic substances, are used both singly and in combination of several, like choleretic tea.

List of choleretic herbs and plants

1. Tsmin sandy, or immortelle sandy.2. Angelica officinalis.3. Common corn.4. Peppermint.5. Oats ordinary, or sowing.6. Radish sowing.7. Scotch pine.8. Cumin ordinary.

Choleretic drugs and tablets

Active choleretic agent are bile acids- cholic, glycocholic, etc. The synthetic derivative of this series - dehydrocholic acid, has the strongest choleretic effect.

Of the preparations of natural bile acids, Allohol, Cholenzym, Choline, Hologon are used.

Of the synthetic choleretic agents (which are not derivatives of cholanic acid), the most common are Tsikvalon, Nicodin.

From herbal preparations to medical practice use preparations of immortelle, tansy, corn stigmas, birch buds.

The biliary function of the liver is enhanced by pituitrin, histamine, and various fats. Magnesium sulfate promotes emptying of the gallbladder.

List of pills and drugs: intake

The most commonly used choleretic drugs include:

1. Berberine bisulfate is administered orally at 0.005-0.01 g 3 times a day before meals for 2-4 weeks.
2. Convaflavin is used orally at 0.02 g 3 times a day before meals for 3-4 weeks. Release form: tablets of 0.01 g.
3. Corn silk is prescribed orally as a decoction or infusion (10 g per 200 ml of water), 1-3 tablespoons 3-4 times a day. Liquid corn stigma extract is administered orally 30-40 drops 2-3 times a day before meals. Release form: 25 ml in glass bottles. Storage: in a cool, dark place.
4. Nicodin is administered orally at a dose of 0.5-1 g 3-4 times a day before meals for 10-14 days. Release form: tablets of 0.5 g.
5. Oxafenamide is taken orally at 0.25-0.5 g 3 times a day before meals for 15-20 days. Release form: tablets of 0.25 g.
6. Allochol tablets contain dry bile of animals, dry extract of garlic, dry extract of nettle and activated charcoal. Assign inside after meals for adults 1-2 tablets 3-4 times a day, for children (in a special dosage form) up to 7 years - 1 tablet, over 7 years - 2 tablets 3 times a day for 3-4 weeks. Release form: tablets; tablets for children containing the above ingredients in half the amount.
7. Tablets "Liobil" contain lyophilized bovine bile. Assign inside 1-3 tablets 3 times a day at the end of meals for 1-2 months. Release form: tablets of 0.2 g.
8. Tablets "Holenzim" contain dry bile, dried pancreas and mucous membrane small intestines slaughter cattle. Applied orally 1 tablet 1-3 times a day after meals.
9. Flacumin contains a sum of flavonol aglycones from skumpia leaves. Assign inside of 0.02-0.04 g 2-3 times a day before meals for 3-4 weeks.
10. Flamin contains the amount of flavones of immortelle sandy. Take orally 0.05 g 3 times a day before meals for 10-40 days. Release form: tablets of 0.05 g.
11. Cholagol contains turmeric root colorant, buckthorn emodin, magnesium salicylate, essential oils, ethanol, olive oil. Use inside 5 drops (on sugar) 3 times a day ½ hour before meals, with attacks of cholelithiasis once 20 drops. Release form: in vials of 10 ml.
12. Sandy immortelle flowers are taken orally as a decoction (10 g per 250 ml of water) in a warm form, ½ cup 2-3 times a day before meals.
13. Holosas - syrup from condensed aqueous extract rose hips and sugar.
14. Assign inside adults 1 teaspoon, children - ¼-½ teaspoon 2-3 times a day.
15. Tsikvalon is prescribed orally 0.1 g 3-4 times a day for 3-4 weeks. Release form: tablets of 0.1 g.
16. Dry immortelle extract is used 1 g 3 times a day for 2-3 weeks.

Cholagogue folk remedies for stagnation of bile: action

Stagnation of bile and a significant decrease in its amount entering the duodenum is classified in medicine as cholestasis. It is noteworthy that diagnosing this disease is quite simple, because the patient will complain about:

1. pain in the right hypochondrium;
2. feeling of bitterness in the mouth;
3. classic signs of indigestion;
4. liver enlargement.

Stagnation of bile should be treated only under the supervision of a doctor and after a full examination, because the complications of this condition are quite serious: liver failure, cirrhosis of the liver . Therapeutic measures may include medicines, and physiotherapy, but in the first place are choleretic herbs for stagnation of bile.

Problems with the gallbladder: for children – School of Dr. Komarovsky

It turns out that the well-known expression “work up an appetite” has a great semantic load in relation to the resolution of problems in children with the functioning of the gallbladder and pancreas. If you want to feed your baby properly, wait until he says: “Mom, I want to eat.”

Stagnation of bile with a bend / bend of the gallbladder: treatment according to V. V. Kartavenko

Use one more recipe from our School as a safe cholagogue.

My name is Viktor Vladilenovich Kartavenko. I am a professor, doctor medical sciences, I am one of the authors of the "School safe health Doctor Kartavenko. Today we will talk for 2 minutes about how we can correctly and regulated use the secret closed point of Genghis Khan as the main choleretic agent.

And so, you are worried about nausea, you are worried about heartburn, belching, you experience discomfort in the region of the stomach, in the region of the peritoneum, in the region of the gastrointestinal tract - and in this case, the secret point of Genghis Khan, previously closed, will be of great help to us.

How are we going to influence it? It is enough to have an index finger or any object with which you can act on this point without the possibility of injury skin surface. And we start working from this point. index finger we fix this place and within 1.5-2 minutes we make pressing movements, causing mild soreness. After 1.5 -2 minutes after exposure to this place, a pleasant warmth appears.

In addition to the finger, we can use a pencil, but without damaging the skin. I draw your attention to the fact that for all its safety and accessibility, the Genghis Khan point is still an emergency point.

Dear friends, if you have any questions related to the prevention and treatment of the gallbladder, the use and use of choleretic drugs, with the appointment various kinds diets related to the treatment and prevention of the gallbladder and bile stasis - leave your questions below in the comments. And we will answer them in our new videos.

This video is from the Union of Pediatricians of Russia. Biliary dyskinesia - what you need to know? Tips for parents.

Functional disorders of the biliary system - violations of the regularity of the flow of bile into the duodenum.

Complaints of patients: recurrent abdominal pain associated with eating, stool disorders.

Diagnostics: ultrasound examinations, “choleretic breakfast”.

Risk of disease: stones in the gallbladder.

Treatment: diet with 4-5 meals a day and restriction of fatty and / or fried foods and intake choleretic drugs.

A. S. Potapov, head of the department of gastroenterology, tells Science Center children's health.

Gepabene: choleretic tablet of plant origin

Allochol: tablets, instructions for use

Allochol tablets instructions for use contain information about contraindications and indications (for which they are used), dosages and method of application, undesirable side effects. And also others important information, which should be known before using Allochol.

One tablet contains about 0.1 g of sucrose (sugar), which corresponds to 0.01 XE; the maximum daily dose of the drug contains about 0.8 g of sucrose (sugar), which corresponds to 0.08 XE.

EFFECT ON THE ABILITY TO DRIVE VEHICLES AND MECHANISMS: The use of the drug does not affect the ability to drive vehicles and occupation by other potentially dangerous species activities requiring increased concentration attention and speed of psychomotor reactions.

STORAGE CONDITIONS: In a dry, dark place, at a temperature not exceeding 25 °C. Keep out of the reach of children.

EXPIRY DATE: 4 years. Do not use after the expiration date.

DISPENSAL CONDITIONS FROM PHARMACIES: Without a prescription

PHARMACODYNAMICS: Choleretic (cholekinetic and choleretic) agent, reduces the processes of putrefaction and fermentation in the intestine. Strengthens secretory function liver cells, reflexively increases secretory and motor activity organs of the gastrointestinal tract. Enhances the formation of bile and bile acids.

The action of bile is due reflex influence on the secretory function of the liver parenchyma. Bile also enhances the secretory and motor function gastrointestinal tract.

Nettle leaves have choleretic and anti-inflammatory properties.

Activated carbon is an adsorbent that binds toxic substances V gastrointestinal tract.

PHARMACOKINETICS: The drug is well absorbed in the gastrointestinal tract. Cholic and chenodeoxycholic acids contained in the preparation undergo 7-alpha-dehydroxylation in the intestine. Chenodeoxycholic acid, in addition, is metabolized in the liver: conjugated with amino acids, secreted into bile, from where it is again excreted into the intestine, then partially reabsorbed; the rest is excreted through the intestines.

Important! All information in this video and description is provided for reference purposes only. Do not self-medicate. At the first signs of illness, contact your doctor.

Cholagogue drugs with stagnation of bile in the liver and ducts perform a number of important tasks for health. And above all, they start the process of cleansing the body. Having received another signal about problems with the outflow of secretions, you should visit a gastroenterologist and jointly develop tactics to eliminate unpleasant symptoms cholestasis at home. Persistent taste of bitterness, yellowness skin and mucous membranes of the eyes, nausea and heaviness after eating, fatigue for no reason - these are signs that it is time to take care of health.

And here all methods are good: medications, folk, "grandmother's" treatment. It is extremely important to establish nutrition and choose an effective diet.

About the reasons unpleasant phenomenon, symptoms and I have written a large and detailed article. I recommend reading it to understand how to comprehensively approach the treatment of bile stasis.

Choleretic drugs for stagnation of bile

To cope with the signs of cholestasis and eliminate congestion, it is necessary to act in different directions.

• Apply medicinal cholagogue preparations.
• Use time-tested folk remedies.
• Change your diet by choosing foods that promote the outflow of bile secretions.

The best choleretic herbs

Here is a list of the most effective choleretic herbs that promote a good outflow of bile. At the same time, medicinal plants will relieve other symptoms of stagnation:

1. Help relieve skin itching, rash.
2. Heal the liver, cleansing it of harmful substances.
3. They will relieve heartburn, unpleasant heaviness in the stomach and nausea.
4. Start metabolic processes.
5. Improve the processes of digestion.

However, it should be borne in mind that the proposed folk choleretic agents are only an addition to basic therapy prescribed by a gastroenterologist.

List of the most effective choleretic agents:

• Immortelle.
• (about all medicinal properties fibers, read the article by clicking on the link).
• Tansy.
• Red rowan.
• Gentian.
• Angelica common.
• Mint.
• Knotweed.
• Aloe.
• Burdock root.
• Birch buds.
• Caraway.
• Calendula.
• Watch.
• Buckthorn.
• Coriander.
• Sagebrush.
• yarrow.,
• Sabelnik.
• Chamomile.

Milk thistle is a powerful and incredibly effective mild remedy. I advise you to get acquainted with the methods of removing bile in a separate article.

Herbal preparations for stagnation of bile

Pharmacies offer choleretic fees. There are several of them, with numbers 1, 2 and 3. The basis of almost all fees are natural choleretic agents. Among them are immortelle grass, mint, yarrow. They act as natural antispasmodics and antiseptics. Liquefies bile and facilitates the outflow of biliary tract. Physicians are favorable to the receipt of these fees, since they healing effect undeniable and scientifically proven.

For use at home, fees can be compiled independently. You can combine several herbs at your discretion, or use the recipes suggested by herbalists.

1. Collection number 1. It includes celandine, dandelion root, St. John's wort, knotweed, anise fruits. Take them 1 part at a time and add 2 parts of the stigmas from the corn cobs. 5 gr. the resulting collection is brewed with 500 ml. boiled water and boil for five minutes. Drink by dividing 300 ml. for three doses.
2. Collection number 2. Combine St. John's wort and immortelle. 15 gr. collection, pour a liter of boiling water and hold for 10 hours. Then bring to a boil and cook for 7 minutes. the daily dose of the drug is 400 ml., Divided into 4 doses. Drink an hour after eating. Course - 21 days. But if necessary, the treatment can be repeated, but after a pause of a week.
3. Collection number 3. Mix nettle, corn stigmas, milk thistle seeds and knotweed. 5 gr. raw materials pour 400 ml. cold water. After 6 hours, boil and cook for 5 minutes. Divide the total volume into 3-4 doses. The course of therapy is 2 weeks.

How to remove bile from the body folk remedies

Among the best effective folk remedies coping with stagnation - juices. They liquefy thick bile, stimulate its withdrawal, and relieve pain. Natural medicines are absolutely harmless, if you consider individual contraindications. Therefore, they are available for pregnant women and children.

• Dandelion juice. Dig up the plant with roots, squeeze out the juice and take 20 ml. 2 times a day. The course is a month.
• Red rowan juice. Prepare a drink from berries harvested after the first frost. The dosage is the same as in the first recipe.
• Radish juice. Stimulates the formation of bile, helps to quickly remove the secret into the intestines. Drink 25 ml. before meals. Attention! In some diseases of the gastrointestinal tract, juice is unsafe.
• Pear juice. Improves secretion production. Drink 100 ml in the morning and before dinner.

Among the effective folk methods it is impossible not to mention the use of virgin vegetable oils, which help to get rid of the symptoms of cholestasis. good remedy- linseed, olive, rapeseed, sunflower oil.

Thanks to the treatment, the intestines and liver will be gently cleansed. How to take the oil: Drink in the morning, on an empty stomach. Dosage - dessert spoon. After 30 minutes, start breakfast.

Contraindications for use

1. Make sure there are no stones in the gallbladder, especially large ones. Ask your doctor for a referral for an ultrasound scan, which should be done before starting treatment.
2. Individual intolerance to the components in the composition of the drug.
3. Ulcerative lesion in the acute stage.
4. Acute pancreatitis.

Medications for stagnation of bile

Various medications are used to treat lethargy of bile. Their classification is divided into medicines of different mechanism of action and different composition.

Choleretics. Contribute to an increase in the production of bile secretions in the liver. Depending on the composition, they are divided into:

1. True. Allochol, Liobil, Holenzim, Hologon. Made on the basis of extracts of animal and vegetable origin. They contain bile acids made from natural bile, from the tissues of the liver, pancreas of animals, or their intestinal mucosa.
2. Synthetic. Nicodin, Tsikvalon, Osalmid. Preparations are obtained as a result of the synthesis of organic substances. Endowed with choleretic action. Simultaneously relieve spasms, inflammation, eliminate harmful bacteria. Suppress fermentation in the intestines and fight flatulence.
3. Vegetable origin. Prepared on the basis vegetable plants. Designed to increase secretion production and to reduce the viscosity of bile. These are Febihol from turmeric, Berberis-Gommakord, which uses barberry extract, Holosas on rosehip extract, Hifitol, made from artichoke, Insadol - extract of corn stigmas.

Urolesan, Travohol and Cholagol are complex preparations.

Cholekinetics. Magnesia, Xylitol, Flamin Sorbitol, Manit, Holosas. They increase the tone of the gallbladder, while simultaneously relaxing its ducts, which allows bile to stand out and pass faster.

Hydrocholeretics. Alkaline mineral waters - Essentuki, Borjomi, Polyana Kvasova. Plus herbal preparations based on valerian, salicylates. Decreasing viscosity, increase the amount of bile secretion. Due to this, it is quickly excreted into the intestines.

Cholespasmolytics. The purpose of the drugs in this group is aimed at expanding the bile ducts and eliminating spasms. Cholespasmolytics eliminate pain. Depending on the action, they are divided into synthetic and vegetable.

1. Vegetable: herbal tinctures elecampane, lemon balm, valerian, arnica.
2. Synthetic: No-shpa, euffilin, Papaverin, Mebeverin, Besalol, Belalgin.

How to take drugs for the treatment of cholestasis

Instructions for use are indicated on the packages, but there are a number of general rules, regardless of classification.

• Distribute daily dose for 2-4 doses, depending on the number of meals.
• Regardless of the form of release of the drug (tablets, liquid form, herbal collection), take one hour before meals, not earlier. drink it down necessary quantity water. Drinking carbonated water is not allowed.
• After taking the drug, you need to eat. You can not skip meals, otherwise there is a risk of indigestion or severe nausea.
• The treatment is long-term, carried out in courses, according to the instructions or recommendations of the doctor for 21-60 days.
• After the completed course, you need to take a break of 30-60 days. If necessary, the course of taking choleretic drugs is allowed to be repeated. In total, it is permissible to conduct 2-4 courses per year.

Harmless choleretic drugs for children

Another reason is the inflection of the gallbladder, which also prevents outflow. IN this case drug treatment aims to normalize the contractile function of the ducts.

Like adults, the child is prescribed herbal medicines. Wherein Special attention appeals to their harmlessness. The list includes:

• Flamin is considered one of the best drugs, acting in both directions - it improves motor skills and makes the ducts contract more strongly. At the same time, the medicine breaks down cholesterol, relieves inflammation, dilates the intestinal vessels and relieves children of pain.
• Holagogum. Is natural remedy, which includes spinach, turmeric, mint essential oil.
• Holaflux. Safe for the child's body drug, which is a stimulant correct operation functions of the gallbladder.

Herbal preparations are given to children very carefully and in a reasonable dosage. Contraindications to the use of herbs from the composition of the collection are certainly taken into account.

Food

One of the conditions for improving the outflow of bile is compliance with the basics diet food. In addition to diseases, among the causes of the pathology of the production of bile secretion is the abundance of fatty, spicy and fried foods.

Many foods, due to the presence in their composition of substances useful for the liver, can become a “medicine” for stagnation of bile. Sometimes, just by adjusting the diet, patients observe a significant improvement in their condition.

Have a choleretic effect:

• Vegetables - cabbage, beets, carrots, tomatoes.
• Dried fruits - prunes, raisins, dried apricots.
• Sour berries and fruits - plums, cherries, currants, apples, cranberries, citrus fruits.
• Fresh greens - rhubarb, spinach, artichokes, lettuce.

A number of spices and seasonings have the property to actively remove bile. Among them are familiar to many turmeric, coriander, ginger, rosemary. Don't skip fiber. Wheat and oat bran have an excellent effect of cleansing the liver.

You will learn how to deal with stagnation of bile and a story about the best choleretic agents by watching the video.