How to lower bilirubin at home. How to reduce bilirubin in the blood: causes of the increase and methods of treatment. Causes of a decrease in direct and indirect bilirubin

Donating blood for analysis is a common procedure for any medical examination. The study can include dozens of parameters, and the result of a biochemical blood test for bilirubin can be a real puzzle for the patient. The digital expression and the maximum allowable norm of substances are indicated on the form. However, decoding and practical advice how to lower bilirubin in the blood can only be given by a qualified doctor.

Blood test for pigments

Diagnosis and routine medical examination in an adult necessarily includes blood biochemistry. Among other indicators, the amount of pigments is determined: total, direct and indirect bilirubin. The result can be ready within a day, a few days or a week. The best option- a private laboratory, as they quickly prepare studies on the amount of bilirubin per paid basis. Depending on the result of the analysis, the indicator can be low, high or in the range allowable rate. Bilirubin is excreted from the body in the urine and through gastrointestinal tract. The excreted pigment can give the urine a dark tint.

There are other symptoms of excess bilirubin in the blood:

• Severe yellowness of the eyes and skin
• Bitter taste in the mouth
• Bloating, constipation, diarrhea
• Headache, fatigue, weakness
• Nausea, pain in the right hypochondrium
• Difficulties in solving intellectual problems, inability to concentrate

At similar symptoms you should immediately consult a doctor and think about how to lower bilirubin in the blood. An excess of bilirubin, shown in a blood test, indicates that the substance accumulates in the body and begins to be released into the blood. The doctor will tell you how to remove bilirubin, if necessary, prescribe appropriate drugs and conduct an additional examination.

Prohibited foods in medical nutrition

If the elevated bilirubin in the blood is a temporary phenomenon, and medical examination did not reveal diseases or pathologies, to reduce bilirubin in the blood, the patient is recommended special diet. it traditional way normalization of pigment metabolism. To facilitate the work of the body and reduce the level of bilirubin in the blood, you should eat right. Especially carefully monitor their diet should people with Gilbert's syndrome. The therapeutic diet imposes a number of strict restrictions that must be followed. Also, the pigment may increase due to side effects some drugs taken, in this case, in order for the indicators to decrease, it is necessary to adjust the therapy and replace the drugs with less dangerous drugs:

• To reduce bilirubin in Gilbert's syndrome and other diseases that cause high bilirubin, it is recommended not to consume salt. There is no ban on seasonings and spices, but you can’t salt dishes.
• Sweet pastries, especially with baking powder, are excluded.
• The ban is imposed on products of the meat industry (sausages, sausages, ham, meat rolls, etc.).
• Since it helps to reduce bilirubin in the blood normal work liver, fatty meats and fried foods should be removed from the diet.
• Alcohol is completely excluded, both in drinks and in dishes and desserts.
• It is forbidden to use sauces based on tomatoes, mustard and mayonnaise.
• Chocolate, cocoa, sweets and desserts are high in fat, colorings and sweeteners and should be limited.
• Are under the ban sour berries, fruits and greens (tomatoes, sorrel, citrus fruits, etc.) and mushrooms.
• Any canned food excluded (meat, fish, vegetables, berries, etc.).

Diet principles

Significant restrictions and a decrease in the amount of food consumed have beneficial effect on the body. A diet that reduces the amount of bilirubin pigment cannot be called scarce if found the right approach to cooking. Food can be tasty and healthy.

Nutrition with elevated bilirubin should be based on the following principles:

1. Homemade food. In cafes and buffets it is very rare to find diet menu by all rules. To reduce bilirubin, you will have to cook all the meals yourself, including snacks for work.
2. Lots of liquid. The recommended amount of water for consumption per day, when bilirubin is elevated, is 2-2.5 liters. Plain water can be replaced with herbal or green tea and unsweetened compotes.
3. Fractional nutrition. Since it is possible to lower the level of bilirubin by improving the functioning of the liver and biliary tract, it is necessary to eat food often and in small quantities. In this way, additional load on the internal organs processing of substances will be minimal.
4. Blanks. What to do at home instead of using the usual semi-finished products is easy to determine. Dumplings without salt lean meat(can be frozen), cottage cheese casseroles with berries for a snack in the office, etc. are allowed with an increase in bilirubin in the blood.
5. Diversity. You can make bilirubin decrease with the help of cereals, dairy and vegetable soups, salads and other tasty dishes.

Medical treatment

The first question that the patient asks is: how to treat elevated bilirubin? This is the wrong approach to solving the problem, since the indicators of a reduced or, conversely, a high level of pigment in the blood are a consequence, not a cause. Before you lower the amount of bilirubin and drink pigment-reducing drugs, you need to find out the cause of the reduced or increased pigment. For this, additional tests and surveys. Depending on the reason why the pigment rises, choleretic agents, liver-supporting medications and sorbents are prescribed.

To improve the outflow of bile, it is allowed to use herbal preparations and vitamins. Before you reduce the level of bilirubin in the blood with choleretic drugs, you need to make sure that there are no other pathologies. Often prescribed Karsil, Allochol, etc.

Any remedy should be taken strictly according to the instructions and recommendations of the doctor.

Normalization of liver functions is carried out with the help of medications and therapeutic diet. In order to determine how to reduce the level of pigment in the blood in adults, an examination is carried out and a diagnosis is made.

How to treat liver diseases? Treatment is carried out with the use of antibacterial, antiviral, enzyme and other drugs.

For general strengthening liver, Essentiale, Mezim, Pancreatin, etc. are used. To speed up the removal of the pigment and reduce its toxic effects on the body, the doctor may recommend Enterosgel or Activated charcoal, and folk remedies can also be used to reduce the pigment.

Alternative medicine

Before you wonder how to lower bilirubin in the blood folk remedies, you should consult with your doctor. Alternative medicine can only be an addition to the traditional drug treatment. Popular grandmother's recipes distinguish the following:

1. Motherwort herb tincture reduces bilirubin. 20 g of dry leaves are poured into 250 ml. boiling water and insist for a day. Take 3 tablespoons in the morning before breakfast.
2. Beet juice. Fresh root vegetables are washed, peeled and fresh juice is prepared using a juicer. 1/3 cup is enough, taken on an empty stomach.
3. Herbal collection. Mix in a dry container 1 pack of motherwort grass, corn stigmas, chamomile and birch leaves. 2 tbsp. spoons of the resulting mixture are brewed with 200 ml of boiling water for at least 30 minutes. Take before meals 2 times a day. Each time you should prepare a fresh decoction.

The optimal treatment is a combination of drug treatment and grandmother's methods proven over the years. Pharmacies offer a wide variety of herbs with detailed instructions by application. How to lower bilirubin with folk remedies, combining them with taking medications, the doctor will tell you.

Excess normal bilirubin is serious violation metabolic process. Only a complete medical examination, blood test, correct diagnosis and following the recommendations of the doctor will help maintain health. If left untreated, pigment levels will continue to rise, which can lead to serious consequences.

In contact with

Bilirubin is a breakdown product of red blood cells. Revealed in biochemical analysis blood. Permissible norms depend on the age of the person. Experts advise not to wait until the result becomes critical, but immediately take measures to correct it. Explaining how to lower bilirubin in the blood, doctors recommend A complex approach. That is, you need to combine drug therapy with diet and additional methods.

Why is high bilirubin dangerous?

Provoking factors high bilirubin associated with a violation of the formation of a water-soluble fraction of the bile pigment in the liver, hemolysis or malfunction of the biliary tract. Most often, the problem is in violation of the gallbladder. Common predisposing factors for this are cholelithiasis, intoxication, helminthic infestations, infectious lesions.

With an increased content of pigment, there is a change in the number of erythrocytes that have collapsed. Because of this, protein metabolism is disturbed. Bilirubin is a toxic substance. As a result of its increase in the blood, it penetrates into the cells various organs, prevents them from breathing normally, which leads to death.

The sooner the appointment starts medicines, the faster it will be possible to lower the indicators of the substance and the greater undesirable consequences can be avoided.

Removal of bilirubin with a detox diet

Diet with elevated bilirubin is not independent method therapy, but promotes speedy recovery, enhance the effect of drugs. It is easier to lower the necessary indicators with its help. The main rule of nutrition is to categorically avoid such foods:

• salt - dishes are prepared without adding it;
• salty spices;
• some greens - sorrel, spinach, green onion;
• flour, especially fresh pastries;
• canned food, pickles;
• smoked meats, sausages;
• sugar, sweets;
• alcohol.

The rest of the food can be eaten. Lowering bilirubin is difficult for people with overweight, so when choosing a diet for them, the doctor can set allowable amount calories. Foods containing fiber can be especially good at reducing the pigment content.

How to reduce bilirubin in the blood with choleretic and hepatoprotective drugs

To lower bilirubin, you need complex therapy. Medicines of two groups are usually prescribed: choleretic and hepatoprotectors. Only the attending physician should be engaged in their appointment after the diagnosis.

Amino acids

A decrease in bilirubin requires a greater intake of amino acids. These substances are the building blocks for all proteins in the body. With a decrease in the number of erythrocytes, additional sources amino acids.

effective means, active ingredients which are amino acids:

• Heptral, Heptor, Geparetta (contain ademetionine);
• Hepa-merz (drug with ornithine);
• Amviks, Ensil, Previn (biologically active additives).

What amino acids do important role in the construction of protein, makes their use useful. They will not only reduce the amount of bile pigment, but also strengthen the body as a whole.

Essential phospholipids

These drugs belong to the group of hepatoprotective drugs. With an increase in bilirubin associated with diseases of the gallbladder, liver, the membranes of the cells of these organs are damaged. Because of this, their functionality is reduced. Essential phospholipids are used to restore the structure of liver cells.

To reduce bilirubin in the blood, Essentiale forte H is usually prescribed - tablets for oral administration. The main advantages of the drug is that it has practically no contraindications (except for individual intolerance and age up to 12 years), can be used for a long time. Also nominated:

• Rezalut pro;
• Essliver forte;
• Eslidin;
• Phosphogliv;
• Phosfonciale.

Bile acids

These drugs have choleretic action lowering bilirubinemia. Drugs with ursodeoxycholic and chenodeoxycholic acids are effective:

• Ursoliv;
• Urdox;
• Exhol;
• Ursosan;
• Grinterol;
• Henohol;
• Henosan;
• Ursofalk;
• Ursodez.

Animal products

For the manufacture of medicines of animal origin, the liver of pigs and cattle is used.

An effective drug of animal origin, capable of lowering the pigment content, is Hepatosan. Available in the form of gelatin capsules taken orally. Recommended daily dose- two pieces a day, taken before meals. The duration of treatment is limited - no more than 10 days. Analogues of Hepatosan are Progepar and Sirepar.

herbal remedies

Extracts of some medicinal plants effectively lower bilirubin. The advantage of medications herbal basis in their safety, they have practically no contraindications, except for individual intolerance by the body. They normalize the outflow of bile into the intestines, due to which they are able to reduce the absorption of pigment from bile into the blood.

• Effective preparations based on milk thistle - unique plant, which contains amino acids involved in the breakdown of proteins (Karsil, Legalon, Silimar, Sibektan, Gepabene).
• Also widely used pumpkin seeds, the most valuable element of which is oil. Medicines that lower bilirubin: Tykveol, Peponen.
• The artichoke is another liver healer that can quickly reduce excess poisonous matter. Preparations: Artichol, Artichoke extract, Hofitol, Cinacholine.
• Rosehip - contained in the preparations Holosas, Hepatophyte.

Cholagogue

Cholagogue drugs can effectively lower bilirubin, which are divided into three groups:

• choleretics - Allohol, Hologon, Osalmid;
• cholekinetics - Sorbitol, Flamin;
• cholespasmolytics - Atropine, Metacin, Fubromegan.

Other medicines

Considering general harm for the body, associated with the action of elevated bilirubin, it is advisable to take vitamin complexes. If the causes of the phenomenon are related to infectious lesion liver, gallbladder, immuno-strengthening drugs are also effective.

To lower excess bilirubin, the following are usually prescribed:

• Multi-tabs Immuno plus;
• Vitrum;
• Centrum;
• Immunal;
• Alphabet.

How to quickly remove bilirubin folk remedies

Folk recipes are used as a supplement to drug therapy. Their independent use is inefficient.

motherwort tincture

To lower bilirubin in the blood at home, motherwort infusion is used. The easiest way is to purchase a ready-made infusion in a pharmacy, prepare it according to the instructions. You can prepare the plant yourself. To do this, it must be collected during the flowering period, finely chopped, dried, stored in a dark place. When you need to prepare a remedy, take a teaspoon of the workpiece, pour 200 ml of boiling water. Grass insist 20-30 minutes. Then filter the solution, take the entire volume three times, drink before meals.

beetroot juice

To reduce the levels of bilirubin in the blood, use beetroot juice. It is effective due to its blood purifying properties.

Freshly squeezed juice is not recommended. It is better to defend it in the refrigerator for 2-3 hours.

Especially valuable is the juice of young beets, extracted in July-August. To lower bilirubin, you need to drink half a glass a day, before each meal. Juice must be diluted with water in equal proportions.

Broth on corn stigmas

Corn silk is a useful medicinal raw material that is used to lower the level of bilirubin in the blood. To prepare the product, we take 2 tbsp. stigmas, pour a glass of boiling water, leave to brew until cool. When the infusion becomes room temperature, we filter it. We drink half a glass 5-6 times a day, the interval between doses should be at least 2 hours.

Tincture on birch buds

Birch buds have a number of useful properties:

• anti-inflammatory;
• choleretic;
• diuretics;
• antibacterial.

They are especially effective in helping to lower the amount of bilirubin. We take 1 tbsp. kidneys, pour 250 ml of red wine, preferably Cahors, put on water bath over low heat, bring to a boil, turn off after a few minutes. Let cool, take tincture of 1 tbsp. three times a day before meals.

Other recipes

From simple herbs you can make drugs to effectively lower bilirubin:

1. Chamomile. We take 2 tbsp. plants, brew in 200 ml of boiling water. We take 100 g three times a day.
2. Calendula. We brew 1 tbsp. plants with a glass of boiling water, leave for half an hour to brew, filter. We take a glass in the morning and in the evening.

It is dangerous to experiment too much with folk remedies, especially with those tinctures that have alcohol base. Always consult with your physician.

Prevention of high bilirubinemia

Preventive measures include rules that will help lower bilirubin and prevent many other diseases. The main ones are:

• adherence to the principles of proper nutrition;
• rejection of bad habits;
• compliance with the rules of personal hygiene;
• timely scheduled visits to doctors.

To lower bilirubin in the blood, complex therapy is required. Apart from medicines, it includes following a diet, using folk recipes. After recovery, it is recommended to follow measures to prevent high bilirubinemia.

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How to lower bilirubin in the blood? This question is quite logical if a person received a bad analysis result with overestimated indicators. Bilirubin is a pigment that has a yellow- Brown color, it is contained in bile. This is a kind of waste product of red blood cells, which is formed when they go through the process of destruction.

Bilirubin is present in the blood in two forms. This is indirect bilirubin, which does not have the ability to dissolve in water. However, after passing through a certain cycle of processing in the liver, it becomes water-soluble. The second form dissolves in water and turns out, just after the release of not direct bilirubin from the liver. If its level rises, you can notice the yellowness of the skin and eye proteins. However, before you figure out how to lower bilirubin in the blood, you need to understand why it increased at all.

An indicator of the norm of bilirubin is a figure of approximately 300 mg per day. If we talk about the content of bilirubin in the blood, then the level should be in the range from 3.4 to 17 mmol per liter. When the liver has no problems, nothing interferes with its functioning, the pigment is constantly excreted with bile.

If problems arise in the process of removing bilirubin, then its content quickly grows in the blood. This is due to the fact that after processing in the liver, it is not excreted in the bile. As a result, there is an accumulation in the body, penetration into the tissues. It is because of this that, if the elevated bilirubin level is not treated long enough, the skin can take on an icteric color. In addition, such a pigment obtained from the liver, in the absence of a conclusion, is dangerous for the whole organism, as it is toxic.

Reasons for the increase

Before lowering bilirubin in the blood, it is necessary to establish the reasons why its amount has increased. In particular, there are six main reasons why the level of bilirubin inevitably rises. First of all, it is necessary to exclude a violation of the output of bile. Quite often, in the presence of a disease with stones in the gallbladder, clogging of the biliary tract occurs. The same effect is given to the inflamed pancreas, which swells and squeezes the paths.

The reasons for the increase may also lie in liver disorders directly. Particularly when a parenchymal lesion is present. The same effect turns out to be impaired synthesis of glucuronoids if the body lacks the necessary enzymes. Quite often this is manifested in cirrhosis and hepatitis.

The reasons for the increase in bilirubin may also lie in the too rapid destruction of red blood cells. This releases hemoglobin. Most often, the causes of such rapid destruction lie in anemia of a hemolytic nature. Often it is useless to treat such problems, since they are congenital.

The reasons for such processes may lie in the serious destruction of muscles. This happens with injuries or oncological lesions. The reasons for the increase in pigment lie in the disturbed conversion of the direct fraction in the liver directly. You should also not forget that some drugs can make the level of bilirubin higher, as they negatively affect the liver.

If a we are talking about an increase in indirect bilirubin, then the reasons may lie in liver failure. There is also Gilbert's syndrome, which shows a permanent decrease in liver enzyme. If we are talking about direct bilirubin, the problems are associated with a disease of the biliary tract.

Decrease in bilirubin

When it comes to questions of how to reduce bilirubin, it is often suggested to use folk remedies. However, first of all, you need to full examination to understand how best to reduce the indicators. Treatment of elevated bilirubin is prescribed depending on the primary pathology, since an increase in the enzyme itself is not a disease, it is the body's reaction to pathologies.

Quite often, in the treatment of folk remedies, attention is paid to herbs. This helps to unload the liver, make the removal of bilirubin faster. It is worth noting that in the treatment of folk remedies it is not at all necessary to engage in self-collection of herbs.

Many pharmacies issue various fees that reduce the amount toxic substances in the body. In particular, one of these options is a mixture of mint, motherwort, St. John's wort and chamomile flowers. This mixture is poured with boiling water and infused. After this, it is necessary to strain the mixture and consume it twice a day before meals.

When using folk remedies, do not forget about decoctions of a birch leaf. This component helps to perfectly reduce the level of bilirubin. An additional plus will be the normalization of bowel function.

Do not forget also about tea, as the basis for which motherwort, chamomile or St. John's wort is used. All these products have a diuretic effect. It is he who helps to reduce toxic substances in the body.

Diet and medication

Nutrition with elevated bilirubin occupies an important place in matters of fast and effective treatment. If you want to achieve a quick result, it is worth knowing which foods can be consumed and which are not. This must be done, as the wrong diet with high bilirubin can exacerbate the problem.

A diet with elevated bilirubin involves the rejection of salt, including pickles and preservatives, fermented foods. When choosing products such as bread, it is best to opt for a salt-free option.

A diet with elevated bilirubin involves the exclusion from the diet of flour products, for which soda or baking powder is used. Products such as biscuits, cakes and pastries should be excluded.

A diet with elevated bilirubin is based on the principles of using only useful products nutrition. The diet should not contain such foods as smoked meats, very acidic fruits, spicy and fatty sauces, including tomato-based ones.

You will have to give up strong, sharp vegetables, such as radishes or green onions. Mushrooms and garlic are also on the list of forbidden pleasures.

A diet with elevated bilirubin suggests an exception:

• rich broths;
• hot spices and seasonings;
• refractory fats;
• seafood such as mussels and oysters;
• canned food;
• any alcohol;
• fatty meat;
• cheeses, especially spicy ones;
• ice cream.

If you want to make a diet for yourself, then you should give preference to milk, which is characterized by a low percentage of fat, juices, compotes and jelly, non-carbonated water should be used. From oils, you can use vegetable and creamy.

It is better to take lean meat in boiled form, adding to vegetables. A variant of sweets can be honey or jam. It is necessary to add a minimum amount of salt to cereals. Load up on sweet fruits and fish. In addition, it is important to observe abundant drinking regimen. Food should be fractional. In particular, it is best to break the usual diet into six doses, the breaks between which should not be more than two and a half hours.

Medications are an essential element in the treatment of elevated bilirubin. This is about choleretic preparations. If we are talking about diseases of a hereditary nature, then it is recommended to use symptomatic treatment. In particular, preference is given to sorbents, vitamins.

If the cause of high bilirubin is infection or inflammation of the liver, then the use of hepatoprotectors, drugs, antiviral, antibacterial orientation will be required. First of all, of course, hepatoprotectors are prescribed, which help to improve the condition of the liver and normalize its work.

If elevated bilirubin has caused intoxication, then antioxidants and sorbents will help improve metabolism and reduce the amount of toxins. In addition, infusions of special antitoxic drugs or glucose can be tried. However, this treatment is required only in severe cases.