Bile is secreted by liver cells and enters the gallbladder through the excretory ducts, and then into the duodenum. Without this secretion, digestion is impossible. For bile stagnation, if there are no stones, doctors recommend a choleretic preparation. There are many recipes with different medicinal herbs, but a gastroenterologist or therapist will help determine which herbal remedy is suitable, focusing on the patient’s condition.

The gallbladder is not just a depot for liver secretions. The organ is emptied when a portion of food enters the intestines from the stomach. This does not happen during stagnation. As a result, the absorption of fats worsens, and there is also a risk of damage to the intestinal walls by highly concentrated gastric juice.

A person whose gallbladder function is disrupted feels heaviness and pain in the right hypochondrium, and morning bitterness in the mouth.

Sometimes nausea occurs and appetite disappears. The intestines react to the development of pathology with constipation. Choleretic herb will help solve the problem.

The doctor will recommend a suitable herbal mixture. Depending on its composition, it may

• , causing an intense release of liver secretions into the intestine;
• improve the flow of bile, increase its fluidity;
• accelerate the filling of the organ with bile secretion;
• relax the muscles of the ducts, facilitate the evacuation of secretions.

Different plants have different effects on the body, so it is forbidden to choose choleretic preparations without first consulting a doctor. The doctor, focusing on the causes of bile stagnation, recommends the composition most suitable for the patient.

To assess the patient's condition, ultrasound diagnostics of the abdominal organs is prescribed. Ultrasound shows how actively the bile duct is contracting, whether there is dyskinesia of the excretory ducts.

In such conditions, choleretic herbs should be taken 30-40 minutes before meals three times a day.

Required dosage medicinal drink determined by a specialist. It differs for patients of different ages. For example, for children 6-12 years old, an infusion of 1 dessert spoon of the collection poured with a glass of boiling water is suitable. For adults, the same amount of water will require 1 tablespoon of dry herb.

If stones are identified during diagnosis, then the use of choleretic agents is prohibited. Active movement of secretions can cause them to move and block the ducts.

What are the types of cleansing fees for the gallbladder?

Any medicinal herb is endowed with many valuable properties. But to get the maximum effect, it is better to drink a collection of several plants.

Not everyone who is prescribed herbal medicine agrees to prepare medicinal teas on their own. In this case, the pharmacy comes to the rescue, where choleretic collection can be found without any problems.

Phytohepatol

This remedy is used for hepatitis, biliary dyskinesia. It is convenient to prepare the herbal mixture - you need to pour boiling water over a bag and let the drink brew.

Phytohepatol 2 and 3 are available for sale. They act in the same way, but contain different herbs. Collection No. 2 includes the following herbs:

• yarrow;
• immortelle;
• mint;
• coriander

Phytohepatol No. 3 contains yarrow, coriander, as well as chamomile and calendula flowers. The product stimulates the flow of bile, reduces inflammation, and has an antimicrobial effect.

Camps No. 1-3

Doctors, in addition to drug therapy, often recommend a choleretic collection of one of three types.

Choleretic collection 1 contains peppermint, immortelle, coriander and trifoliate (water). The product not only effectively drives bile, but relieves inflammation, reduces the content of blood HDL, prevents the occurrence of gallstones.

Choleretic collection No. 2 relaxes the muscles of the ducts, improves outflow and has a moderate anti-inflammatory effect. The preparation includes coriander (fruits), yarrow herb, peppermint, immortelle.

The collection with serial number 3 contains, in addition to chamomile and calendula colors, mint and tansy. This remedy copes with pathogenic microbes, drives bile, relaxes the walls of the bladder and excretory canals.

When you have to take a herbal remedy not at home, it is convenient to do so. A bag filled with herbs is simply poured with boiling water.

For those who prefer traditional way For preparing the infusion, a pack of dry raw materials is suitable. It will be enough for the whole course.

You can prepare your own collection with lingonberry leaf and chamomile - 1 part each, immortelle and knotweed - 2 parts each. Mix the herbs and brew 2 tablespoons per 500 ml of boiling water. Must be observed important condition– drink the choleretic mixture slightly warm.

Harm and contraindications

Reactions different people the components of herbal collections are not the same. To avoid making the condition worse, before taking medicinal herbs, you need to visit a doctor.

It is forbidden to use drugs that stimulate bile synthesis for people suffering from pancreatitis and highly active hepatitis. The condition of patients with cirrhosis, as well as irritable bowel syndrome, in which loose stool, taking choleretic herbs will only worsen.

Another contraindication for using a collection of choleretic herbs is an allergy to plant components. In case of personal intolerance to substances that are included in the composition natural remedy, you can't take it.

Doctors are especially careful when prescribing herbal medicines to pregnant and lactating women. They are allowed to take choleretic herbs only if there is an urgent need for it.

Possible side effects

Taking choleretic preparations for a long time or if the dosage recommended by a specialist is exceeded can cause unwanted side effects. Most often, diarrhea occurs when there is an excessive intake of bile. To get rid of it you need to stop taking the infusion. Other undesirable reactions are also possible:

• rashes and itching of an allergic nature;
• heartburn, nausea, vomiting;
• general weakness;
• headaches.

People who have stones in their gallbladder and ducts should also not drink herbal infusions to improve the flow of bile. They are recommended to be taken only as a means of preventing stone formation.

If one of the listed undesirable effects occurs, you should stop drinking herbal tea and consult a doctor. If, nevertheless, it is necessary to cleanse the hepatobiliary system, then a more gentle method will do. They can use the one recommended by the doctor.

Choleretic mixture is a herbal mixture used by people suffering from abnormalities of the gallbladder and its ducts. There are 3 types of fees that can be used. In some cases, they use everything at once. Long-term use Taking this decoction without consulting a doctor can provoke the formation of liver pathologies. The drugs have contraindications and side effects. Before use, you should read the instructions.

Indications, types, compositions, pharmacological action

Choleretic collection(Phytohepatol) - a mixture of herbs that is used to combat diseases of the gallbladder and biliary tract. There are 3 types of fees (No. 1, No. 2 and No. 3). Doctors prescribe them if the patient has developed hepatitis, chronic cholecystitis (acute inflammatory process in the gallbladder), poor appetite and digestive disorders, inflammation bile ducts, nausea and postcholecystectomy syndrome (a pathological condition that develops after surgery on the gastrointestinal tract).

In accordance with the composition of the choleretic collection, there are 3 types, each of which consists of different plants:

Form	Compound	Healing properties
№1	mint leaves; three-leaf watch; coriander fruit; immortelle flowers	Mint has a sedative effect and helps in removing stones from the body. When taking this collection, the functioning of the gallbladder and liver is stimulated. The trifoliate, which is part of this product, has an anti-inflammatory effect, and coriander seeds have an analgesic effect. Immortelle helps relieve spasms; it also affects the viscosity of the liver, its chemical composition and reduces cholesterol and bilirubin levels
№2	yarrow; mint; coriander fruit; immortelle flowers (sandy caraway)	Thanks to yarrow, inflammation and spasms are relieved
№3	tansy; calendula; chamomile; mint; yarrow	Tansy removes microorganisms from the body, relieves inflammation and is used for diarrhea, and chamomile has a hypnotic effect. The flowers of the plant are used for flatulence, diarrhea, gastritis with reduced acidity

This drug has the following pharmacological effects:

• choleretic (removal of bile from the body);
• anti-inflammatory (preventing the development of the inflammatory process);
• antispasmodic;
• increased appetite;
• restoration of intestinal motility.

Choleretic collection is releasedin the form of crushedcomponentsin cardboard packages or in filter bags for single use. The product is available in pharmacies without a prescription. There are 25 sachets in boxes.

Side effects, contraindications

Among side effects Heartburn and allergic reactions are observed. Sometimes there is a burning sensation in the sternum and belching. The following may also appear:

• diarrhea;
• asthenia;
• headaches;
• nausea and vomiting.

If such reactions occur after any of the preparations, you should consult a doctor or replace the product yourself. If a person has stones in the gallbladder or their ducts, then such drugs cannot be used. They should be used with caution by pregnant women and women who are breastfeeding, as well as by hypersensitivity to one of the components of the product.

Collection No. 3 should not be drunk by children under the age of 12 years, with gastritis, cirrhosis of the liver, pancreatitis and ulcers in adults. When conducting studies, no interactions with other medications were found. This means that the preparations can be consumed regardless of whether a person takes medications or not.

Dosage and method of preparation

According to the instructions for use, to properly prepare the first collection, you need 1 tbsp. l. add 200 ml hot water and heat for 15 minutes. Then you need to infuse the composition for 45 minutes. Before use, you need to strain it through gauze or a bandage and add boiled water to a volume of 200 ml.

• Serious pathologies arise - pancreatitis, cholelithiasis;
• blood cholesterol levels increase;
• Dysbacteriosis progresses;
• stool is constantly disrupted;
• general intoxication of the body is possible;
• immunity decreases.

Choleretic herbal preparations help increase the release of bile into the intestines. You can make them yourself, but ready-made pharmacy ones are more convenient and effective. Treatment with choleretic complexes helps with diseases:

• chronic hepatitis;
• dyskinesia of the gallbladder and excretory tract;
• Giardiasis

The remedy is also used after (removal of the gall bladder).

Choleretic collection 1, 2 or 3: which one to choose

The composition of the collection includes medicinal herbs that prevent bile stagnation. As a rule, they are part of a complex treatment, but they are also recommended for the prevention of pathologies of the liver and biliary system.

Before taking any choleretic drugs, you should definitely seek advice from a specialist, since uncontrolled use of choleretic drugs can lead to very negative consequences.

Ready pharmacy fees have not only choleretic, but also anti-inflammatory, antispasmodic effect.

№1

It includes the following components:

1. Mint. The leaves are rich in tannins, vitamins, amino acids, and essential oils. This makes mint an excellent antiseptic and antispasmodic. Due to its choleretic and analgesic effects, mint is used in the treatment of organs of the biliary system, for.
2. Coriander (seeds). Polyunsaturated fatty acids, vitamins A, C, E, PP, group B, essential oils in the plant give it anti-inflammatory and choleretic properties.
3. Immortelle. IN folk medicine its inflorescences are used to treat liver diseases. The flowers contain vitamins, flavonoids, essential oils, and bitterness. It improves the motility of the bile ducts and bladder, has an analgesic effect, and improves bile secretion.
4. Three-leaf watch. Its leaves are rich in phytoglycosides, flavonoids, polyunsaturated fatty acids, pectin. Used as a choleretic, anti-inflammatory and laxative.

The drug is contraindicated in case of individual intolerance, stomach and duodenal ulcers, stone formation. Available in cardboard packs or filter bags.

№2

This collection contains the same components, but instead of the three-leaf watch, yarrow herb is included. This plant:

• normalizes bile production;
• relieves spasms of the gallbladder and ducts;
• has an anti-inflammatory effect;
• reduces pain syndrome;
• increases immunity.

Instructions for use of choleretic collection 2 contain a description of its effect on the body (anti-inflammatory, antispasmodic, choleretic) and a list of pathologies for which it is used:

• chronic hepatitis;
• dysfunction of the bile ducts and bladder;
• intestinal disorders due to stagnation of bile;
• state .

The drug should not be taken in case of individual intolerance or cholelithiasis. Violating the dosage can cause heartburn.

They produce 30-100 g of crushed herbs in cardboard packs and are sold without a prescription.

№3

The collection contains yarrow and mint, as well as other effective components:

• chamomile, which soothes, reduces pain, spasms, and is effective for stagnation of bile;
• calendula flowers have anti-inflammatory, analgesic, antispasmodic effects;
• Tansy flowers have a pronounced antimicrobial and choleretic effect.

Instructions for use of choleretic collection 3 recommend its use in complex therapy at:

• bile duct dyskinesia;
• chronic hepatitis;

The third collection is contraindicated in case of allergies to these choleretic herbs, certain types of cholecystitis, pregnancy and breastfeeding. It should not be given to children under 12 years of age. Uncontrolled use may cause heartburn.

For those who do not have time to wait and carry out all the manipulations, bags of herbs can be brewed like tea.

Available in cardboard packs of 35 and 50 g, and disposable bags of 2 g in boxes of 10 and 20 pcs. Available without a prescription.

Each of these fees has contraindications and side effects, so the choice of the appropriate one must be left to the attending physician.

How to cook and drink

It is simple to prepare a choleretic preparation prescribed by a specialist:

• 5-10 g of medicinal raw materials are poured hot water(85-90°C) in an amount of 200 ml;
• Cover tightly with a lid and place over boiling water. water bath for a quarter of an hour;
• after removing from heat, leave for at least 45 minutes;
• filter, if necessary, add water to the initial volume.

Prepare the infusion in a heat-resistant glass or ceramic dishes. Store in the refrigerator for no more than 48 hours.

If you use the collection in filter bags, take 1-2 pcs. per glass of water.

• Shake thoroughly before use;
• drink within 30-40 minutes. before meals three times a day;
• The daily dose is one and a half glasses, a single dose is 100 ml.

For children over 12 years old, the volume is halved. The product from the refrigerator should not be heated; it is better to leave it at room temperature in advance.

It is correct to drink the choleretic mixture in small sips - this increases its effectiveness.

The duration of treatment is prescribed by the doctor. As a rule, it lasts no more than a month, in in rare cases up to six months.

In addition to the plants included in choleretic pharmaceutical preparations, he also uses others (dandelion, birch leaves, corn silk). When preparing mixtures of medicinal herbs yourself, you need to remember that before you start taking it, you need to consult a specialist.

Harm and contraindications

Despite their high therapeutic effectiveness, these drugs have contraindications. For example, the herbs they contain can cause allergic reaction or rise blood pressure, which is dangerous for hypertensive patients. The fees are not used for certain diseases:

• exacerbation of pancreatitis;
• cirrhosis and liver neoplasms;
• ulcer of the stomach and duodenum.

Long-term use and non-compliance with the prescribed dosage can cause diarrhea, nausea, heartburn, especially in people suffering from chronic gastrointestinal diseases. In these cases, the choleretic preparation is stopped, and the doctor prescribes other drugs.

Can it be taken together with other choleretic medications?

Complex treatment of congestion is aimed at removing bile and includes traditional medicines, choleretic preparations, therapeutic diet ().

They have a narrowly targeted mechanism of action, for example:

• stimulate the production of bile by the liver (Allohol, Cholamin);
• enhance the functioning of the gallbladder (Xylitol, Holosas);
• dilate the bile ducts, relieve spasms (Papaverine, No-shpa, Besalol).

Herbs included in the composition medicinal fees 1-3, on the contrary, have wide range actions, enhance the effectiveness of each other and the tablets. They have a minimum of side effects and contraindications, therefore they are an important component therapy for bile stagnation. However, you must inform your doctor about taking any medications.

Analogs

If the reception herbal collection is contraindicated, drugs are prescribed that are similar in action but differ in composition, that is, analogues.

Among them we can highlight funds plant origin:

1. Rafacholine C is a natural drug in tablets that is widely used for biliary pathologies. It contains artichoke and black radish extracts, peppermint oil.
2. Polyphytol-1 is a tincture of 9 medicinal herbs. Indicated for cholecystitis, cholangitis, chronic hepatitis and bile duct dysfunction.
3. Phytohepatol is a collection that includes chamomile, tansy, peppermint, calendula and yarrow. It has a choleretic and anti-inflammatory effect, prevents liver intoxication, and restores its damaged cells. Suitable for chronic hepatitis, inflammation and dyskinesia of the bile ducts.

Natural herbal preparations, being highly effective, require compliance with the doctor’s recommendations regarding dosage and duration of treatment. Any violations can lead to intestinal upset and heartburn. Contraindications to their use are stone formation and acute diseases digestive organs.

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Thank you

Currently choleretic drugs in the complex treatment and prevention of various diseases of the liver and gall bladder are used in clinical practice gastroenterologist quite widely. This is due to the effects of choleretic drugs, which relieve painful attacks, alleviate the course of the disease, and also prevent the deterioration of the condition or the emergence of a new pathology provoked by decompensation of an existing disorder.

To understand why choleretic drugs are needed, you should know what bile is, what its physiological functions and how it moves through the digestive system. Bile represents biological fluid, produced by liver cells and accumulated in the gallbladder. The liquid has a bitter taste, a specific odor and, depending on how long it was produced, can be yellow, brown or greenish in color. Bile performs the following physiological functions in the human body:

• Emulsification and digestion of fats received from food;
• Activation of enzymes of the small intestine and pancreas necessary for complete digestion of food;
• Ensures complete absorption of fat-soluble vitamins, calcium and cholesterol.

Enzyme activation small intestine and pancreas is carried out due to the fact that bile neutralizes the effect of pepsin, which comes from the stomach with the food bolus. After neutralization of pepsin, necessary conditions for the functioning of enzymes of the small intestine and pancreas.

Emulsification of fats is carried out by bile acids contained in bile, which in addition improve intestinal motility, stimulate the formation of protective mucus and prevent the attachment of bacteria and proteins to the mucous membrane. Thanks to these effects, bile prevents constipation and intestinal infections. In addition, bile is necessary for the excretion of substances such as cholesterol, bilirubin, glutathione and steroid hormones from the human body along with feces.

Bile is synthesized by liver cells and enters the gallbladder through special ducts. Then from the gallbladder, also through the duct system, it enters the duodenum, where it performs its physiological functions. That is, the gallbladder is a kind of reservoir for the temporary storage of bile from the moment of its production until the food bolus enters the duodenum.

Classification of choleretic drugs

Currently, an anatomical-therapeutic-chemical classification of choleretic drugs is used, which takes into account chemical structure the medicinal substance used, and its therapeutic effects, And anatomical structures, which are affected by the drug. Such integrated approach allows you to create the most complete classification, reflecting various aspects of use, therapeutic effects and features of absorption, distribution and excretion of drugs from the human body.

So, today choleretic drugs are classified into the following groups and subgroups:

1. Choleretics(drugs that increase bile production by liver cells):

True choleretics, increasing bile production due to active synthesis bile acids:

• Choleretics containing bile acids and made from plant or animal raw materials (for example, animal bile, plant extracts, etc.);
• Synthetic choleretics, which are chemicals, obtained by organic synthesis and having the property of increasing bile production;
• Medicinal herbs that have a choleretic effect (used in the form of infusions, decoctions, etc.).

Hydrocholeretics, which are substances that increase the volume of bile by diluting it and increasing the percentage of water in it.

2. Cholekinetics(drugs that improve the flow of bile by increasing the tone of the gallbladder and simultaneous relaxation of the bile ducts).

3. Cholespasmolytics (drugs that improve the flow of bile by relaxing the muscles of the gallbladder and biliary tract):

• Anticholinergics;
• Synthetic antispasmodics;
• Antispasmodics made from plant materials.

4. Drugs to reduce the bile lithogenicity index (the products prevent the formation of gallstones and promote the dissolution of existing ones):

• Preparations containing bile acids – ursodeoxycholic or chenodeoxycholic;
• Preparations containing highly active solvents of organic compounds of lipid nature, for example, methyl tert-butyl ether.

True choleretics, containing bile acids as active components, are medicinal preparations, mainly made from animal raw materials. The most commonly used raw materials are natural bile, extracts of the liver or pancreas, as well as tissue from the mucous membrane of the small intestine of healthy animals. That is why choleretic drugs of this group are often called drugs of animal origin. In addition to animal raw materials, many complex preparations may include extracts of medicinal herbs that have the necessary choleretic effect.

Synthetic choleretics are drugs that contain active substances includes only compounds obtained through organic synthesis. In addition to the choleretic effect, drugs in this group also have the following therapeutic effects: antispasmodic (reduce pain in diseases of the biliary tract and gallbladder), hypolipidemic (reduce the concentration of cholesterol in the blood), antibacterial (destroy pathogenic bacteria, provoking inflammatory diseases biliary tract) and anti-inflammatory (reduce inflammation existing in the biliary tract). In addition, synthetic choleretics suppress the processes of putrefaction and fermentation in the intestines, thereby eliminating bloating, stool instability and other symptoms of dyspepsia.

Medicinal herbs with choleretic effects improve liver function, increase bile secretion, while simultaneously reducing its viscosity. Herbs also increase the concentration of cholates in bile. Along with the choleretic effect, medicinal herbs also have a cholekinetic effect, that is, on the one hand, they increase the secretion of bile, and on the other, they improve its excretion, thereby achieving a comprehensive therapeutic effect on the human body. Herbal preparations can also have anti-inflammatory, antimicrobial and diuretic effects. Due to the content of only various herbs as active substances, drugs in this group are often called herbal choleretic agents.

Hydrocholeretics increase the volume of bile due to its dilution and reduction of viscosity, achieved by increasing the content of the water fraction in it. In this situation, the excretion of bile is facilitated and the formation of stones is prevented.

Cholekinetics are agents that enhance the tone of the gallbladder and at the same time relax the muscles of the bile duct. To understand the significance of the effect of cholekinetics, you need to know that the gallbladder is connected to the duodenum by the bile duct, through which bile flows from one organ to another. Accordingly, when increased tone the bile duct narrows, which interferes with the movement of bile. And with low tone of the gallbladder, it simply does not “push” bile into the duct. Thus, increasing the tone of the gallbladder and relaxing the duct create ideal conditions for the outflow of bile, since the first contracts intensively, pushing out the contents and preventing it from stagnating, and the second has a wide enough lumen to allow the entire volume to pass through within a short period of time. The resulting effect of cholekinetics is the release of the gallbladder and the flow of bile into the duodenum, resulting in improved digestion and elimination of congestion.

Cholespasmolytics are divided into several groups depending on the characteristics of their pharmacological action, however, the resulting effects are the same for everyone. Cholespasmolytics eliminate spasms and expand the bile ducts, facilitating the excretion of bile into the intestine. These drugs are usually used in short courses to relieve pain in various diseases of the gallbladder and biliary tract.

Drugs to reduce bile lithogenicity, strictly speaking, are intended to dissolve existing gallstones and prevent the formation of new ones. Since these drugs have a choleretic effect, they are, with some degree of convention, classified in the group of choleretic drugs.

Each group and subgroup includes certain drugs that have a number of properties and clinical effects used in various options pathologies of the biliary tract and liver. In the next section we provide a list of choleretic drugs belonging to each group and subgroup.

Choleretic drugs - lists

Below, for ease of orientation and selection, we provide a list of choleretic drugs by classification groups. In this case, we will first indicate the international name of the active substance, and next to or in brackets a number of commercial names under which the drug can be produced.

True choleretics

True choleretics containing bile components include the following drugs:

• Preparations containing components of natural animal bile - Allohol, Cholenzym, Vigeratin, Lyobil;
• Dehydrocholic acid – Hologon;
• Sodium salt of dehydrocholic acid - Decholin, Biliton, Suprakol, Kholamine, Kholomin.

Synthetic choleretics

The following drugs are synthetic choleretics:

• Hydroxymethylnicotinamide (Nicodin, Bilamid, Bilizarin, Bilocid, Cholamid, Coloton, Felosan, Isochol, Niciform);
• Gimecromon (Odeston, Holonerton, Holestil);
• Osalmid (Oxafenamide, Osalmid, Auxobil, Drenamid, Driol, Enidran, Salmidochol);
• Cyclovalon (Cyclovalon, Benevo, Cyclovalone, Divanil, Divanone, Flavugal, Vanilone).

Choleretics based on medicinal herbs

Choleretics based on medicinal herbs are as follows:

• Immortelle flower extract (Flamin);
• Corn silk extract (Peridol, Insadol);
• Tansy extract (Tanacehol, Tanaflon, Sibektan, Solaren);
• Turmeric extract (Convaflavin, Febichol);
• Mackerel leaf extract (Flacumin);
• Extract of leaves and roots of barberry (Berberine sulfate, Berberis-Homaccord, Berberis plus);
• Rose hip extract (Holosas, Holemaks, Holos);
• Datiscanna hemp extract (Datiscan);
• Voludushka extract (Pequocrine);
• Artichoke extract (Hofitol, Holebil);
• Preparations containing a complex of herbs that have a choleretic effect (Cholagol, Holagogum, Travochol, choleretic preparations No. 2 and 3, Urolesan, Phytohepatol No. 2 and 3).

Hydrocholeretics

The following drugs are hydrocholeretics:

• Alkaline mineral waters (Naftusya, Borjomi, Narzan, Essentuki 17, Essentuki 4, Arzni, Smirnovskaya, Slavyanovskaya, Izhevskaya, Jermuk, etc.);
• Salicylates (sodium salicylate);
• Valerian preparations (alcoholic infusion of valerian, valerian tablets, Valerianahel, etc.).

Cholekinetics

The following drugs are cholekinetics:

• Magnesium sulfate (Magnesia, Cormagnesin);
• Sorbitol (Sorbitol);
• Mannitol (Mannitol, Mannitol);
• Xylitol;
• Extract of leaves and roots of barberry (Berberine sulfate, Berberis-Homaccord, Berberis plus);
• Immortelle flower extract (Flamin);
• Rose hip extract (Holosas, Holemaks, Holos).

Cholespasmolytics

The following choleretic drugs are cholespasmolytics:
1. Anticholinergics:

• Bellalgin;
• Belloid;
• Besalol;
• Metacin;
• Platyfillin;
• Spasmolitin;
• Fubromegan.

2. Synthetic cholespasmolytics:

• Papaverine (Papaverine, Papaverine bufus, Papazole);
• Drotaverine (Bioshpa, Nora-Drotaverine, Droverin, No-Shpa, Nosh-Bra, Ple-Spa, Spazmol, Spazmonet, Spazoverin, Spakovin);
• Aminophylline (Aminophylline-Eskom, Eufillin);
• Mebeverine (Duspatalin).

3. Herbal cholespasmolytics:

• Arnica tincture;
• Valerian tincture;
• Tincture of elecampane;
• St. John's wort tincture;
• Mint tincture;
• Melissa tincture;
• Tincture of calendula flowers;
• Convaflavin (turmeric root);
• Cholagol (extracts of various herbs).

Choleretic with litholytic action

Choleretic drugs with litholytic action are as follows:
1. Ursodeoxycholic or chenodeoxycholic acids - Livodexa, Urdoxa, Urso 100, Ursodez, Ursodex, Uroliv, Ursolit, Ursorom S, Ursosan, Ursofalk, Choludexan, Exchol;
2. Methyl tert-butyl ether.

Choleretic herbal preparations

Choleretic herbal preparations are presented in ready-made dosage forms (tablets, tinctures or powders for preparing a solution for oral administration) or dried crushed parts of plants that have the necessary properties.

Currently, the following choleretic herbal preparations in finished forms are available on the domestic pharmaceutical market:

• Berberis-Homaccord;
• Berberis plus;
• Berberine sulfate;
• Datiscan;
• Insadol;
• Peridol;
• Convaflavin;
• Pequocrine;
• Sibektan;
• Solaren;
• Tanaflon;
• Tanacehol;
• Travochol;
• Urolesan;
• Phoebihol;
• Phytohepatol No. 2 and 3;
• Flacumin;
• Flamin;
• Holagogum;
• Holagol;
• Holebil;
• Holemaks;
• Holos;
• Holosas;
• Hofitol.

In addition, the following medicinal herbs have a choleretic effect:

• Birch buds;
• Turmeric root;
• Calamus rhizome;
• Barberry roots and leaves;
• Burdock roots;
• Dandelion roots;
• Chicory root;
• Corn silk;
• Artichoke leaves;
• Volodushka leaves;
• Nettle leaves;
• Peppermint leaves and oil;
• Orthosiphon leaves;
• Parsley leaves;
• Mackerel leaves;
• Tansy leaves and flowers;
• Fir oil;
• Terpene oil Rose hips;
• Coriander fruit;
• Rowan fruits;
• Carrot seeds;
• Horseradish root juice;
• Knotweed herb;
• Danish grass;
• Oregano herb;
• Centaury grass;
• Lily of the valley herb;
• Artemisia grass;
• Immortelle flowers;
• Cornflower flowers;
• Tatar flowers.

Have a cholekinetic effect following products and medicinal herbs:

• Calamus rhizomes;
• Dandelion roots;
• Rhubarb roots;
• Barberry leaves;
• Lingonberry leaves;
• Watch leaves;
• Coriander oil;
• Juniper oil;
• Cumin oil;
• Olive oil;
• Coriander fruit;
• Juniper fruits;
• Cumin fruits;
• Fennel fruit;
• Rose hips;
• Sunflower oil;
• Lingonberry juice;
• Knotweed herb;
• Oregano herb;
• Shepherd's purse grass;
• Thyme herb;
• Yarrow herb;
• Immortelle flowers;
• Cornflower flowers;
• Calendula flowers;
• Chamomile flowers.

Modern choleretic drugs

Modern choleretic drugs are represented by a group of synthetic choleretics and combined herbal and animal agents. Synthetic choleretics include drugs containing nicodine, hymecromone, osalmide or cyclone as active substances. Synthetic choleretics compared to natural ones (for example, Allohol, Cholenzym, Lyobil, etc.) are better tolerated, do not cause unstable stool, and also have a number of additional positive therapeutic effects, such as antispasmodic, hypolipidemic, antibacterial and anti-inflammatory.

In addition, modern choleretic drugs include drugs of dehydrocholic acid (Hologon, Decholin) and ursodeoxycholic acid (Livodexa, Urdoxa, Urso 100, Ursodez, Ursodex, Uroliv, Ursorom, Ursorom S, Ursosan, Ursofalk, Choludexan, Exchol). Also modern drug Duspatalin is a cholespasmolytic.

Among the modern choleretic plant and animal preparations are the following:

• Berberis-Homaccord;
• Vigeratin;
• Insadol;
• Convaflavin;
• Pequocrine;
• Peridol;
• Sibektan;
• Solaren;
• Tanacehol;
• Tanaflon;
• Urolesan N;
• Phoebihol;
• Holagogum;
• Holagol;
• Holaflux;
• Holosas.

Choleretic drugs - indications for use

A general indication for the use of choleretic drugs is pathology of the gallbladder, biliary tract or liver. However, to select the optimal drug, it is necessary to know the indications for use of each group of choleretic drugs. Within the groups there are slight differences between the drugs, which, however, do not affect their indications for use, which remain the same. Thus, for clinical orientation in choleretic drugs, it is necessary to know the indications for use of each classification group, which we will consider below.

Choleretics

Indications for the use of choleretics are the same for all three subgroups of this group of choleretic drugs. This means that synthetic choleretics (for example, Tsikvalon, Nicodin, Oksafenamide, etc.), and drugs containing components of natural bile (for example, Allohol, Lyobil, Decholin, Cholenzym, Hologon, etc.), and herbal products (for example, Convaflavin, Holosas, Flacumin, etc.) have the same indications for use. So, choleretics are indicated for use in the following conditions or diseases:

• Chronic inflammatory liver diseases (for example, hepatitis, steatosis, etc.);
• Chronic inflammatory diseases of the biliary tract (cholangitis, cholecystitis, etc.);
• Habitual constipation caused by impaired bile flow.

Choleretics, depending on the characteristics of the disease, can be used in combination with antibiotics, painkillers, antispasmodics and laxatives.

In addition, in case of insufficient bile secretion, choleretics containing components of natural animal bile can be used as replacement therapy drugs.

Among choleretics, the most “harsh” are drugs containing bile components, so they are the worst tolerated and often provoke stool disorders. Synthetic choleretics have a milder effect, but in terms of the range of positive therapeutic effects they are significantly inferior to drugs containing bile components. In addition, synthetic choleretics do not improve the properties of bile, like natural preparations and products containing medicinal herbs. But synthetic choleretics, in addition to choleretic, have the following therapeutic effects:

• Antispasmodic effect (eliminate spasm and pain in the biliary tract) is expressed in osalmide and hymecromone;
• Lipid-lowering effect (reduce the concentration of cholesterol in the blood due to its removal from the body) expressed in osalmide;
• Antibacterial effect expressed in nicodine;
• Anti-inflammatory effect expressed in cyclone;
• Suppression of rotting and fermentation in the intestines - the effect is pronounced in nicodine.

These therapeutic effects must be taken into account when choosing the optimal drug. For example, if a person has a pronounced pain component, then he needs a choleretic drug with an antispasmodic effect. That is, he needs to choose a drug containing osalmide or hymecromone. If diseases of the biliary tract and gallbladder are combined with atherosclerosis, hypertension and high levels of cholesterol in the blood, then you should choose a drug containing osalmide. With pronounced inflammatory changes in the wall of the gallbladder or bile ducts, it is necessary to choose drugs with cyclone.

Plant choleretics have more soft action compared to synthetic and natural preparations containing bile components. In addition, they provide comprehensive positive impact on the organs gall bladder, ducts and liver, due to which their very high efficiency is achieved. That is why at present, in the absence of allergies or intolerance to herbal components, it is recommended to use preparations containing herbal components as choleretics.

Hydrocholeretics

Indications for the use of hydrocholeretics, in principle, do not differ from those for choleretics. However, drugs in this group are almost never used independently. They are usually used in combination with other choleretic agents, mainly choleretics and cholekinetics, to enhance the therapeutic effect.

Cholekinetics

Indications for the use of cholekinetics are as follows:

• Hypotonic biliary dyskinesia;
• Atony of the gallbladder with stagnation of bile in combination with dyskinesia;
• Chronic cholecystitis;
• Chronic hepatitis;
• Gastritis with low or zero acidity (hypoacid or anacid) of gastric juice;
• Preparation for duodenal intubation.

Cholekinetics cause an increase in the tone of the gallbladder and relaxation of the sphincter of Oddi, so they are prescribed mainly for the hypotonic form of biliary dyskinesia. Indications for their use are atony of the gallbladder with stagnation of bile in dyskinesia, chronic cholecystitis, chronic hepatitis, in anacid and severe hypoacid conditions. They are also used during duodenal intubation.

Cholespasmolytics

Indications for the use of cholespasmolytics are as follows:

• Hyperkinetic biliary dyskinesia;
• Moderate pain syndrome accompanying diseases of the biliary tract and gallbladder.

Cholespasmolytics are mainly used to relieve moderate pain in an outpatient or home setting.

Indications for the use of choleretic drugs with litholytic action

Indications for the use of choleretic drugs with litholytic action are as follows:

• Dissolving small stones in the gall bladder and preventing the formation of new ones;
• Dissolution of stone fragments formed after the ultrasonic crushing procedure;
• Complex treatment of cholelithiasis;
• Reflux gastritis or reflux esophagitis, provoked by the reflux of bile acids into the stomach or esophagus;
• Acute hepatitis;
• Toxic damage to the liver from poisons, alcohol, drugs, etc.;
• Compensated biliary cirrhosis of the liver;
• Primary cholangitis;
• Atresia of the intrahepatic biliary tract;
• Stagnation of bile due to parenteral nutrition;
• Biliary dyskinesia;
• Complex treatment of chronic opisthorchiasis;
• Prevention of liver damage during the use of cytostatics or oral contraceptives.

Taking choleretic drugs - brief instructions

All choleretic drugs, regardless of the form of release, must be taken 20 - 30 minutes before meals. Moreover, the total daily dosage is divided equally into 3 to 5 doses, depending on how many times a day a person eats. It is recommended to take choleretic drugs before each meal. The medications must be taken with a sufficient amount of water and be sure to eat something half an hour after taking it. If a person does not eat something after taking a choleretic drug, he will experience nausea, diarrhea and general health will worsen.

Typically, choleretic drugs are taken in long (up to 3–8 weeks) courses 2–4 times a year, with intervals of at least 1–2 months between them. Such courses of use of choleretic drugs are preventive and should be carried out for the entire period of time while the disease persists. In case of exacerbation of diseases of the biliary tract, liver and gallbladder, choleretic drugs are used as part of complex therapy in large dosages.

Ursodeoxycholic acid preparations for the treatment of reflux gastritis and reflux esophagitis, as well as the dissolution of gallstones, must be taken continuously for 6 to 8 months.

Choleretic drugs for children

The following choleretic drugs can be used in children:

• Choleretics containing components of natural bile - Allochol;
• Synthetic choleretics - Nicodin, Oksafenamide, Osalmid;
• Choleretics containing medicinal herbs - Flamin, Febichol, Holosas, Holemaks, Holos, Chofitol;
• Cholekinetics - Valerian, Valerianahel, Magnesia, Cormagnesin, magnesium sulfate;
• Anticholinergics (cholespasmolytics) - Atropine, Metacin, Platiphylline, Papaverine, Papazol, Drotaverine, No-Shpa, Bioshpa, Nora-Drotaverine, Nosh-Bra, Ple-Spa, Spasmol, Spasmonet, Spazoverine, Spakovin Eufillin.

The dosage of the above choleretic drugs is calculated individually by body weight, based on the ratio specified in the instructions for each specific drug.

In addition, children can drink alkaline mineral waters (Borjomi, Essentuki 17, Essentuki 4, Jermuk, Slavyanovskaya, etc.) as natural hydrocholeretics. It is recommended not to use medicinal herbs with a choleretic effect in children under 12 years of age, since the prepared infusions and decoctions contain a wide range of active substances and it is simply impossible to predict the child’s body’s reaction to all of them.

Choleretic drugs during pregnancy

Pregnant women can only take choleretic drugs that do not provoke contractile activity uterus and do not penetrate through the placenta to the fetus, and also do not cause significant deterioration of the condition. The following choleretic drugs are completely safe during pregnancy:

• Holenzyme;
• Holosas;
• Holemaks;
• Holos;
• Valerian;
• Magnesia (magnesium sulfate);
• Cormagnesin;
• Atropine;
• Metacin;
• Papaverine (Papazole);
• Drotaverine (No-Shpa, Bioshpa, Nora-Drotaverine, Nosh-Bra, Ple-Spa, Spazmol, Spazmonet, Spazoverin, Spakovin).

In addition, there is a group of choleretic drugs that can be taken during pregnancy under the supervision of a doctor and only as directed. These drugs are theoretically safe for pregnant women, but experimental clinical trials For obvious ethical reasons, this was not carried out. Therefore, the instructions usually state that the drugs can be used during pregnancy, but only under the supervision of a doctor. These choleretic drugs include the following:

• Odeston;
• Holonerton;
• Cholestil;
• Flamin;
• Phoebihol;
• Berberis-Gommacord;
• Hofitol;
• Eufillin.

It is better not to use medicinal herbs with a choleretic effect during pregnancy, since their infusions and decoctions contain large number active substances, the effects of each of which cannot be assessed in advance and with high accuracy. If necessary, you can choose ready-made dosage forms, made on the basis of herbs, for example, Holosas, Holemaks, Cholenzym, etc.

Dosages, rules of administration and duration of therapy with choleretic drugs in pregnant women are exactly the same as usual.

The use of choleretic drugs for certain diseases

Biliary dyskinesia (BID)

The selection of drugs depends on the form of biliary dyskinesia. Yes, when hypertensive type of biliary dyskinesia (ZhVP) the following choleretic drugs are indicated:

• Cholespasmolytics of any type (for example, No-Shpa, Papaverine, Platyfillin, Metacin, Duspatalin, Odeston, etc.), which reduce pain;
• Cholekinetics (for example, Magnesia, Cormagnesin, Berberine-Gommacord, Holosas, Holemaks, Holos, Sorbitol, Mannitol, Flamin, etc.).

The general treatment regimen is usually as follows: cholespasmolytics are used in short courses to eliminate pain, after which long-term use of cholekinetics begins. Cholespasmolytics can also be used occasionally as needed. In case of hypertensive type of dyskinesia of the gallbladder, choleretic drugs from the group of choleretics and hydrocholeretics, for example, Allochol, mineral waters, etc., cannot be used.

With dyskinesia of the gallbladder of the hypotonic type The following choleretic drugs are indicated:

• Any choleretics (for example, Allohol, Lyobil, Nikodin, Tsikvalon, Holagogum, Holagol, Flacumin, Convaflavin, Febichol, Sibektan, Tanacechol, etc.);
• Hydrocholeretics (alkaline mineral waters, etc.);
• Antispasmodics of myotropic action (Duspatalin, Odeston).

Choleretics are used in long courses of 4–10 weeks, and antispasmodics in short cycles of 7–14 days. Alkaline mineral waters can be drunk constantly. Cholekinetics are usually not used for the hypotonic form of gastric dyskinesia.

Choleretic drugs for bile stagnation

In this case, to eliminate congestion, the most effective and optimal are the choleretic group of cholekinetics, for example, Cormagnesin, Berberine-Gommacord, Holosas, Mannitol, Flamin, etc.

Cholecystitis

Choleretic drugs for cholecystitis are used at any stage of the disease. In the presence of gallstones in cholecystitis, only products containing ursodeoxycholic acid as the active substance can be used as choleretic drugs (for example, Livodex, Urdox, Urso 100, Ursodez, Ursodex, Uroliv, Ursolite, Ursorom S, Ursosan, Ursofalk, Choludexan , Exhol).

For non-stone cholecystitis, it is necessary to take choleretics from any group. Among synthetic choleretics, the optimal ones are choleretic ones containing oxafenamide and hymecromone or cyclovalone as active substances. When using oxafenamide or hymecromone, there is no need to additionally take cholespasmolytics (No-Shpa, Papaverine, etc.), since these synthetic choleretics have an antispasmodic effect. And while using cyclovalone, there is no need to take additional antibacterial drugs, since this choleretic has a pronounced antimicrobial effect. When using choleretics containing bile components or medicinal herbs (for example, Allochol, Liobil, Sibektan, Tanacechol, etc.), it is necessary to additionally take cholespasmolytics or antibacterial drugs.

In addition to any choleretics for non-stone cholecystitis, it is necessary to take cholekinetics (Magnesia, Cormagnesin, Berberine-Gommacord, Holosas, Holemaks, Holos, Sorbitol, Mannitol, Flamin, etc.), which will facilitate the release of bile into the duodenum from the gallbladder.

There are very few negative reviews about choleretic drugs and they are usually due to the ineffectiveness of a particular drug in this particular case. The lack of a clinical effect causes disappointment in a person, from which he concludes that the drug is ineffective and leaves it negative feedback.

However, choleretic drugs are very effective if taken correctly and as directed, taking into account the properties of each drug. Therefore, a negative review of a drug is not a reflection of its ineffectiveness, but of the wrong choice of drug.

Choleretic drugs - prices

Prices for choleretic drugs are very variable and range from 50 to 500 rubles per pack. The cost of the drug depends on the manufacturer ( imported medicines more expensive than domestic ones) and its composition. The cheapest are preparations containing components of natural bile and medicinal herbs. The most expensive are synthetic choleretics, cholespasmolytics and ursodeoxycholic acid preparations. That is, there are groups of drugs with relatively expensive and cheap prices. However, since in each specific case choleretic drugs from a certain group are indicated, it is impossible to replace them with drugs from another, cheaper classification subgroup. You can only choose the most cheap drug from the same group. This principle of replaceability should always be used when choosing a choleretic drug.

Preparation of choleretic Marco Polo salad - video

Before use, you should consult a specialist.

Many children quite often complain of abdominal pain. I don’t know about yours, but mine skillfully manipulate this fictitious illness: active phase Sincere “suffering” begins when they don’t want to finish dinner or go to kindergarten, and even when parents reasonably demand that cleaning in the nursery be completed as quickly as possible.

But often children's complaints about tummy pain are not so harmless. Especially if the child complains of abdominal pain immediately after eating. And especially if he does it systematically. And it’s especially important if the child has diarrhea and constipation, his stomach growls, or he has bad breath. All this should at least alert attentive parents. Perhaps the baby has problems with the gallbladder.

What problems are there?

If your child often complains of abdominal pain, do not ignore it, visit a gastroenterologist. The doctor will be able to recognize gallbladder disease by performing a procedure ultrasound diagnostics(ultrasound). The doctor will be able to examine the contours and thickness of the walls of the organ objectively if the patient comes to the office on an empty stomach.

In the following video from the Union of Pediatricians of Russia you can learn more about biliary dyskinesia.

Primary visual findings are confirmed or refuted by the results of laboratory tests. The child will have to donate blood, urine and feces. Only then will the probability of making a correct diagnosis increase to almost 99.9%.

If a pathology is detected, get ready for a rather long treatment, the basis of which will be the prescription of choleretic drugs. Let me note right away that only a doctor should prescribe them; initiative in this situation is punishable by serious consequences for the baby.

If a child systematically complains of abdominal pain, it is worth visiting a gastroenterologist. What can children take?

If you have been prescribed a choleretic drug for children, you should understand what exactly this medicine is and how it works.

A choleretic drug is a drug that helps the formation of bile and its further excretion into the intestines. They can be plant-based, animal protein-based, or synthesized.

Special requirements are imposed on “children’s” choleretic drugs. It is desirable that the drug be in the form of a suspension or syrup. This will make it easier for the child to accept it. But the main thing is that the drug is plant-based. Then he will have much less side effects than synthetic choleretic drugs.

Medicines

Let's consider the most popular gallstones suitable for children:

• Holaflux is a choleretic drug, usually prescribed for chronic form cholecystitis and dyskinesia of the bladder and biliary tract. A herbal preparation containing dandelion, thistle, celandine, etc. The medicine facilitates the outflow of bile. The instructions for use say that no side effects were found, so this drug is often prescribed to children. Available in the form of a dry herbal mixture for preparation choleretic tea.

Holaflux is natural herbal preparation which causes almost no side effects

• Holagogum is a drug that can also be prescribed for the treatment of cholecystitis, dyskinesia, chronic pancreatitis, and to facilitate adaptation after treatment. Available in capsules, it is of plant origin.

Holagogum is a herbal preparation in the form of capsules

• Allochol is also a herbal choleretic drug that improves the flow of bile and normalizes liver activity. In addition to plants, it contains dry animal bile. The child will have to take the drug for more than a month; the dosage will be determined by the doctor, taking into account the baby’s age and weight. Typically, children under 7 years of age are prescribed half a tablet 2-3 times a day, and children over 7 years of age are prescribed a whole tablet.

Allochol promotes the flow of bile and supports liver function

• Cholenzym is a combined choleretic agent that has choleretic and enzymatic properties, i.e. contains enzymes that promote digestion. Form release - tablets. Contains dry animal bile and herbs. Prescribed to children over 12 years of age: 1 tablet three times a day. For children over three years old, the dosage is calculated individually by the doctor. The maximum course of taking a choleretic drug is 9 weeks.

• Flamin is a herbal preparation containing immortelle. This herb improves the flow of bile. Available in the form of ointment, powder for preparing a suspension, choleretic tea, tablets. Means, according to numerous reviews doctors and parents, shows high effectiveness against bile stagnation. The doctor may prescribe the same drug to your baby for giardiasis. Flamin, according to the manufacturers, is not recommended for children under 5 years of age and children with peptic ulcer stomach.

Flamin is prescribed to children over 5 years of age

• Berberine is herbal medicine based on substances obtained by pharmacists from the roots and leaves of barberry. An effective antispasmodic and choleretic agent. Contraindicated only for pregnant women and phytoallergy sufferers. Available in pharmacies in tablet form.

Berberine is contraindicated in pregnant women

• Odeston is a herbal preparation that not only promotes the synthesis and removal of bile, but also prevents the processes of cholesterol crystallization. This drug is contraindicated in children under 10 years of age.

Odeston is contraindicated for children under 10 years of age

In addition, children with dysfunction of the gallbladder and biliary tract may be prescribed Nicodin, Osalmid, Cormagnesin. Often, in addition to the choleretic agent, the doctor may prescribe a separate antispasmodic. As a rule, in pediatrics this is No-shpa.

Folk remedies

Besides pharmaceutical drugs, diseases of the gallbladder and its ducts can be treated folk ways. The best fighters against bile stagnation are considered to be birch buds, corn silk, rowan fruits, burdock roots, and rose hips. There are several ways to prepare drugs with a choleretic effect:

1. Choleretic juices,
2. Choleretic decoctions, teas.

• Dandelion juice. It is prepared from dandelions along with roots. It perfectly removes stagnant bile and has a slight antispasmodic effect. Take it twice a day, 20-25 ml. The course of treatment will be 3 weeks.

Dandelion juice should be taken twice a day

• Rowan juice. Do you remember how in school, back in the USSR, we collected rowan berries and took them to the pharmacy? So, only many years later I learned that the main use of these astringent red berries is in the manufacture of drugs that “disperse” bile. The clusters, “nailed” by the first frosts and having passed the temperature “ shock therapy“You need to collect and carefully squeeze out. Take 15 ml. twice a day. The course of treatment is three weeks.

Rowan juice should be taken for three weeks, twice a day.

• Radish juice. It is easy to press and does not require a special recipe. Take 30 ml. three times a day. It is important to know that this juice is contraindicated for children with gastritis and high levels of acidity in the stomach.

Radish juice is contraindicated for children with gastritis

• Pear juice. Tasty and very healthy choleretic juice. You can take it as much as you like in quantity and duration. Pear juice is a rather weak choleretic agent; it is best used after the main phase of treatment as prophylactic. Children will really like this medicine, both at the age of one, and at 2 years, and at 4 years.

Pear juice is probably the most delicious medicine for a child

For decoctions and homemade tea knotweed, St. John's wort, anise fruit, corn silk, rose hips, and immortelle are suitable for a choleretic effect.

Infusions with a choleretic effect should be given to children with great caution - manifestations of allergies to herbs are possible. The most popular infusion for gall bladder problems is Mint. Take celandine, mint leaves and cinquefoil. Everything should be in equal proportions. The total weight should be no more than 2 grams. Pour a glass of boiling water over the herbal mixture and let cool slightly. This infusion perfectly “disperses” bile and helps normalize liver function. Mint infusion is taken hot, like tea, twice a day. General course reception – at least two weeks. This tea should not be given to children under 6 years of age.

The video below shows some effective recipes choleretic decoctions and infusions. But before preparing the decoction, check whether a child at this age can drink such an infusion.

Mineral waters or Tyubazh

Rinsing the gallbladder is carried out strictly in the morning. A few days before it, you don’t need to eat salty or fatty foods.

You will need half a liter of still mineral water (Essentuki or Borjomi). The water must be heated to 40 degrees Celsius.

Add a tablespoon of Magnesia (powder) to a glass of hot liquid. Instead of magnesium sulfate, you can use your choice of “Sorbitol” or “Holosas”. The resulting solution must be taken orally. Lying on your right side, apply a warm heating pad to the hypochondrium area. This therapeutic “lying down” should last at least 2 hours. After this, it is advisable to empty your intestines. The most difficult thing here is to force the child to lie in one position for so long. But try to combine YouTube and watching cartoons. Tubage is carried out on the recommendation of a doctor and no more often than once every 6 months.

The gallbladder is washed in the morning

If your child has problems with bile, then alkaline table mineral waters “Essentuki” and “Borjomi” should be present on his table almost every day.

Choleretic oil

Considers it a strong choleretic folk remedy linseed oil. But the store-bought version of this product will not work. Make your own butter. 100 grams flaxseeds need to grind in a coffee grinder or blender, place in liter jar, and add refined (odorless) sunflower or olive oil. Your flaxseed oil should be stored in the refrigerator for a week, and then you can give it a teaspoon to your child before meals.

General requirements for taking choleretic drugs

• Never give your child a choleretic drug on an empty stomach. Have him eat something before taking the next dose. Candy won't do. It’s good if it’s something that creates a larger volume of food in the stomach - fruit, cake.
• When preparing choleretic juices, the main condition is that the juice must be squeezed out immediately before use. You cannot store the squeezed juice; it quickly loses its medicinal properties.
• When taking a choleretic drug, it is important to follow the schedule prescribed by doctors. Make sure your child does not miss a single dose of medication.
• Never prescribe a choleretic drug, no matter how attractive its composition may seem to you, to a child on your own! This should be done by a doctor.
• The child during treatment and for quite a long time after it must adhere to the diet prescribed by the doctor. It will be reduced to a reduction in the amount of fats of protein origin, as well as carbohydrates, especially “fast” ones. The child will need to eat at least six times a day - divided and balanced.

Never give your child choleretic drugs on an empty stomach.

And finally. Introduce foods with a choleretic effect into your child’s diet. Your baby can and should be given bran, vegetables and vegetable broth, oranges, pears, melons, watermelon and prunes more often. He would like to “make friends” with vegetable juices, which promote the formation of bile - with cabbage and beetroot.

And remember that soda, ice cream, smoked sausage, chocolate, French fries, fatty meats and even onions and garlic interfere with the normal outflow of bile.

Diseases of the gallbladder and its ducts are quite dangerous and unpleasant. To avoid long treatment, it is better to do your best to prevent these ailments from birth. Feed the baby in a balanced and correct manner, make sure that the child leads an active lifestyle and does not sit for hours at the computer after eating. And, of course, listen to his complaints.

Watch Dr. Komarovsky's program about problems of the gallbladder and pancreas.

For normal functioning gastrointestinal tract is important, even the main importance is proper nutrition. If you eat improperly, the digestion of food and the production of bile are disrupted. Often manifestations of the disease are observed in lovers of various diets. Lenten and protein-free diets harm the gallbladder.

Dull pain, a feeling of heaviness in the right hypochondrium, a bitter taste in the mouth, nausea, abnormal bowel movements, obesity - these are all symptoms of diseases that arise due to improper production of bile. Cholagogues of plant origin have been used in folk medicine. Plus these choleretic folk remedies in the absence of side effects when properly manufactured and used.

Properties of choleretic herbs

In folk medicine, herbs that have choleretic properties are widely used, helping to activate bile secretion processes.

Herbs are divided into groups:

1. Stimulates the secretion of bile.

These include: centaury, calendula, red rowan, and wormwood.

1. Helping to remove bile into the intestines.

These are: rosehip, dandelion, oregano, yarrow, shepherd's purse, chamomile.

1. Combining stimulation and formation of bile; release of bile to the bile ducts.

These are: knotweed (knotweed), common barberry, calamus, corn silk, calendula, sandy immortelle.

Recipes for herbal choleretic agents

• Corn silk

To improve the secretion of bile in the liver, a decoction of corn silk is prepared. One part of corn silk + 25 parts of water is boiled to obtain a decoction dark color. Cool the broth and strain through a sieve. Drink four sips in 15 minutes. before meals for two weeks.

• pumpkin seeds

• Beet juice

The popular vegetable is used not only for cooking delicious dishes, but also used to improve the breakdown of fats and prevent fermentation processes in the intestinal lumen.

Using a juicer, squeeze the juice from a root vegetable that has been cooked until half cooked. average size. If you don’t have a juicer, you can grate the beets on a coarse grater and squeeze them through cheesecloth. The resulting juice is taken 1/3 cup per 20 minutes. before meals for a week. Repeat the course after seven days.

• Dandelion

Traditional medicine suggests using dandelion roots as an anti-inflammatory and analgesic for bile stagnation.

During the flowering period of the dandelion, the roots of the flower are dug up. Wash well, chop finely and put into a saucepan at the rate of 6 roots per half liter of water. Boil over low heat for 20 minutes. Filter until a clear decoction is formed. Take 3⁄4 cups warm, usually before meals for a week to a week and a half.

• Peppermint

To improve the outflow of liver secretions, mint is used as a homemade choleretic remedy, which has a good antispasmodic effect on the smooth muscles of the bile ducts. One teaspoon of dried or fresh raw materials is poured into 250g. boiling water, infuse under a closed lid and drink instead of tea without adding sugar. This tea relieves nausea, a feeling of heaviness in the right side, and improves appetite.

For good tone of the intestines and gall bladder, stimulation of the production of gastric juice and pancreatic enzymes, take decoctions of immortelle and angelica rhizomes.

• Immortelle decoction

60gr. The flowers are poured with boiling water (one and a half glasses), kept in a steam bath for 30 minutes, filtered thoroughly. Add boiled water to the original volume. Take a third of a glass 15 minutes before meals for seven days.

• Angelica decoction

When bile stagnates, a decoction of angelica rhizomes has a good choleretic effect. This decoction also helps get rid of flatulence and improves appetite.

100 grams of roots are poured with a liter of water and boiled over low heat for half an hour. The broth is filtered and taken before meals up to five times a day, a third of a glass. The course is two weeks.

• Mineral waters to cleanse the liver

Mineral waters are taken as effective choleretic agents. They should be drunk warm, releasing carbon dioxide from the water bottle. Borjomi, Essentuki No.17, Karlovskaya, Truskavetskaya mineral waters are suitable for use when bile stagnation occurs. Drink a glass of them twice a day, preferably before meals.

• Vegetable oil, salted lard, rose hips

Against bile stagnation, a procedure is carried out using vegetable oil and rose hips. Heat half a glass of vegetable oil (unrefined) slightly and drink on an empty stomach. After this, lie in bed on your right side, placing a hot heating pad on the liver area. The duration of the procedure is until the water in the heating pad cools down.

For three days after the procedure, drink unsweetened rosehip infusion when thirst appears. The infusion is prepared from dried rose hips. Place two tablespoons of fruit in a thermos and pour a liter of boiling water. Leave for an hour. If you don’t have a thermos, close the container with the infusion tightly and wrap it up.

A more pleasant option for this procedure is to use a good piece (150 grams) of salted butter instead of vegetable oil. lard(with garlic and black pepper). Eating bread is prohibited! Eat lard and again lie down on your right side, placing a hot heating pad, as in the first option. Take rosehip infusion according to the first scheme.

Causes of the disease

The main cause of gallbladder disease is poor nutrition. Bitterness in the mouth after waking up - first obvious symptom problems in the functioning of the gallbladder. If treatment is not taken during this period, pain and heaviness in the right hypochondrium will develop.

Timely consultation with a doctor, inclusion in complex treatment choleretic folk remedies will help avoid many unpleasant moments associated with acute pain during cholecystitis and very painful attacks of cholelithiasis.

Vegetables and fruits, juices squeezed from them, have a beneficial effect on the human body when regularly included in the menu. We must remember that any juices prepared at home must be diluted with water in a ratio of 1:4. Half a glass of life-giving drinks twice a day, drunk before meals, will bring significant benefits to the body.

Including pumpkin dishes in your diet helps saturate the body with a large amount of nutrients. Pumpkin seed oil is specifically used to treat bile ducts.

Disease prevention

Prevention of the disease includes excluding heavy, salty, smoked, and fried foods from the diet. Overeating should disappear from the life of the sick person forever. Proper nutrition is the key to good health.

Contraindications to taking choleretic drugs

Even taking herbal choleretic agents there are several contraindications. They cannot be used if you have:

• An exacerbation of a stomach or duodenal ulcer has occurred;
• Acute pancreatitis or its exacerbation;
• Ultrasound showed that there were large stones or fractions in the gallbladder or its ducts;
• Liver diseases have worsened.

Be healthy!

Choleretic drugs for children are prescribed for obstructed bile outflow. Produced by the liver and stored in the gallbladder, it must flow through the ducts into the intestines. Without this, quality digestion is impossible. Sometimes bile cannot flow out of the bladder or is thrown into upper sections tract. Children begin to have problems with bowel movements, their stomachs constantly rumble, and bad breath appears. Worth applying for qualified help. The specialist will conduct an examination and, if the diagnosis is confirmed, prescribe choleretic drugs for children.

Reasons for using choleretic drugs in children

There are several diseases that provoke improper or untimely outflow of bile.

Pathologies can be:

• congenital;
• develop in preschool age;
• appear in a teenager.

Choleretic drugs are often prescribed for the treatment of diseases. Medicines are taken by children in accordance with the prescription under the strict supervision of parents.

Common diseases that impair the functioning of the gallbladder include:

• Cholecystitis. Provokes inflammatory processes in the bile reservoir. In children, pathology begins due to improper or unbalanced nutrition, sedentary lifestyle life. In addition, cholecystitis can develop as a result of genetic predisposition.

The main symptoms of biliary inflammation:

1. lack of appetite;
2. belching with a bitter taste;
3. feeling of heaviness with right side the abdomen is closer to the ribs;
4. dull or sharp pain;
5. yellowness of the skin.

In children, cholecystitis is usually primary, acute.

The disease has a number of specific symptoms, which include:

1. painful sensations in the abdomen on the upper side;
2. bloating;
3. diarrhea;
4. constipation;
5. the child’s sleep becomes restless and is often interrupted;
6. increased fatigue;
7. loss of appetite.

As a result of the development of lambiasis, the gastric mucosa becomes inflamed. In the absence of proper treatment, this can provoke a number of pathologies such as gastritis and ulcers.

• Neoplasms. There are benign and malignant. The first include, for example, polyps in the gallbladder and its ducts. Malignant tissue growths, unlike polyposis, metastasize and grow into neighboring organs and their systems.

• Deformation of the gallbladder. The shape of the organ can be changed from birth, or it changes with age as a result of stress, excessive physical activity. The pathology can also be caused by sudden weight gain and unbalanced nutrition.

The main method of treating all of these pathologies is biliary or cholagogue drugs. They are prescribed for abnormal outflow or stagnation of bile in children.

A gastroenterologist makes a diagnosis based on examination of the child, tests and hardware studies. First of all, urine and blood samples are taken and ultrasound diagnostics are performed.

Review of medications for preschool children

A qualified gastroenterologist should prescribe choleretic drugs for a child. Medicines help normalize the synthesis of liver secretions.

Drugs for the treatment of diseases of the digestive system in childhood differ from adult mixtures. Products are available in the form of syrups or suspensions. It is easier for children to take them orally than tablets and capsules.

Herbal components predominate in the composition of children's medicines. They are beneficial with a minimal risk of side effects.

The most effective choleretic agents for children under 3 years old according to statistics:

1. Holaflux. Prescribed when confirming diagnoses: chronic cholecystitis and dyskinesia biliary tract. Holaflux is made from thistle, dandelion, and celandine. The product normalizes the flow of bile, relieving the painful sensation. Typically, medicinal tea is made based on Holaflux. It is sweetish and is enjoyed by children.
2. Holagogum. Prescribed for the treatment of chronic pancreatitis, cholecystitis, biliary dyskinesia and to facilitate adaptation after therapy for these diseases. The product is of plant origin and is available in capsules. They are small and slippery and can be easily swallowed by children.
3. Flamin. It was developed with the aim of improving and normalizing the outflow of bile in children. Flamin is prescribed for the treatment of giardiasis. The active ingredient is immortelle. Flamin is available in the form of tablets, ointments, powder, tea and is recommended for children from 3 to 6 years old.

The child's body is not yet fully adapted to external factors. Therefore, it is prohibited to prescribe medications on your own for the treatment of gallbladder disease.

Review of medications for school-age children

Before giving your child a cholagogue for children, you need to understand the principle of its action. The drugs normalize the formation and outflow of liver secretions. It is necessary for the full functioning of the digestive system. The correct and coordinated functioning of its organs in the child’s body guarantees full development child. In addition to the action, the form and composition of the product are important.

Choleretic drugs in the form of syrups, suspensions or tablets are produced for children mixed with herbal ingredients:

• animal protein;
• synthesized elements;
• fruit sugars to give medicines a pleasant taste.

School-age children are most often prescribed:

1. Allohol. Normalizes the outflow of bile and also improves liver function. Usually prescribed to children aged 7 to 10 years. Allohol contains plant components and animal bile. The dosage is prescribed individually depending on the characteristics of the body and the degree of disruption of the gallbladder.
2. Holenzim. Created on the basis of enzymes. They help the child’s body cope with the process of digesting various foods. Cholenzym is prescribed only to adolescents who have reached 12 years of age.
3. Berberine. Its main component is barberry, in particular the roots and leaves of the plant. Barberine relieves strong painful sensations and normalizes the flow of bile.
4. Odeston. Helps the process of bile synthesis, promotes its removal, and prevents cholesterol crystallization. Odeston should not be taken by children under 10 years of age.

Drugs prescribed to treat the gallbladder and restore its functions undergo multi-level testing. In pharmacies, batches of drugs are accompanied by factory certificates.

Folk choleretic remedies for children

Choleretic herbs for children can be prepared in the form of juices, decoctions or teas. They, like regular medications, are taken in consultation with your doctor. Herbal ingredients have contraindications.

The following traditional medicine recipes are considered the most effective and useful:

1. Dandelion juice. To prepare, you need to take the plant along with the roots. The juice is squeezed out of it and taken 20 milliliters 2 times a day for 3 weeks. Dandelion extract relieves pain well and removes stagnant bile.
2. Rowan juice. The berries are collected and pressed after the first frost. The juice is taken 15 milliliters 2 times a day. The course of treatment is 3 weeks. The resulting drug quickly disperses accumulated bile.
3. Pear juice. Children love it for its taste. However, pear juice is weaker than other plant choleretics. Therefore, most often the drug is taken only as a preventive measure.

Diseases of the gallbladder and its ducts have serious consequences. You should not start illnesses in childhood. When the first symptoms appear, you need to undergo examination and then treatment. In addition, parents should closely monitor the child’s diet and lifestyle. This will help prevent the development of diseases.

Children often suffer from malfunctions of the biliary system. If a child complains of abdominal pain, vomiting, constipation, or a feeling of nausea, it is probably worth checking his gallbladder and bile ducts. When diagnosing a particular disease, the doctor will develop a treatment regimen and prescribe effective medications.

If a child complains of abdominal pain, it makes sense to check his gallbladder and bile ducts

Choleretics, cholekinetics, cholespasmolytics and their differences

Choleretic agents are divided into 3 types according to their mechanism of action and composition:

1. Choleretics;
2. Cholekinetics;
3. Cholespasmolytics.

Choleretics are made from animal raw materials, but they can also be synthetic. Medicines of animal origin contain natural bile, extracts of animal liver and pancreas. Synthetic drugs are a product of modern pharmacology.

The main function of choleretics is the synthesis of bile and its dilution. They relieve inflammation in the biliary tract and gallbladder.

Cholekinetics increase the tone of the gallbladder and relax the muscles of the ducts. As a result, the outflow of bile is more active, and it flows through the ducts without resistance.

Cholespasmolytics eliminate spasms that cause pain. They relax the bile ducts, which normalizes the flow of bile. Cholespasmolytics are divided into synthetic (No-shpa, Mebeverine, Papaverine) and herbal (Holagol, herbal infusions - mint, St. John's wort, lemon balm, arnica, valerian) agents (instructions for use for children for the drug "No-Shpa"). Cholespasmolytics are taken in short courses.

The best medicines of plant, animal and synthetic origin for children

Not all choleretic medications are indicated for children. Most often, gastroenterologists prescribe the following choleretic drugs for the treatment of children: Holaflux, Holagogum, Allochol, Cholenzym, Flamin, Berberine, Nikodin, Odeston.

• Holagogum stimulates the formation and outflow of bile and prevents its stagnation. Indications: biliary dyskinesia, cholecystitis, chronic pancreatitis. The basis of the drug is plant substances. Used to maintain and prolong the therapeutic effect.
• Allohol contains animal bile. Prescribed for children over 7 years of age. It has proven its effectiveness in treating schoolchildren. Improves bile flow, regulates liver function. The dosage of Allochol is selected by the doctor individually. Depends on the age and body weight of the child.

• Cholenzym is used in the treatment of patients over 12 years of age. This is a choleretic agent containing enzymes.
• Flamin is not recommended for children under 5 years of age. Stimulates the functioning of the biliary system and is an antispasmodic. The flow of bile becomes uniform, it does not accumulate. The base is immortelle flower extract.

With stagnation of bile

Stagnation of bile in a child is quickly and effectively eliminated by Holaflux. It is used in the treatment of dyskinesia and chronic cholecystitis. Holaflux improves the flow of bile, stimulating its production. Additionally, it has an antispasmodic effect and restores damaged liver cells. The composition of the drug includes plant elements: extracts of celandine, dandelion and thistle. Also, for stagnation of bile in children, use:

• Holosas,
• Hofitol,
• Flamin.

When the gallbladder is bent

A kink in the gallbladder is one of the forms of dyskinesia (how is a kink in the gallbladder treated in children?). Treatment of the disease should be comprehensive and combine medication, physiotherapy, diet, and mineral hydrotherapy. When the gallbladder is bent in children, use:

• Cyqualon,
• Odeston,
• Allohol,
• Flamin et al.

The pain that occurs is relieved with the help of cholespasmolytics (Drotaverine, Papaverine).

For biliary dyskinesia

There are 2 types of gallbladder dyskinesia: hypomotor and hypermotor. In childhood, hypomotor dyskinesia practically does not occur, but if it does exist, the following are indicated:

• Allohol,
• Holenzim,
• Holagogum,
• Cyclalon (over 7 years old).

For the treatment of hypermotor dyskinesia the following is used:

• Flamin,
• Odeston (over 12 years old),
• Papaverine,
• Drotaverine,
• Sorbitol.

Herbal remedies and other folk remedies

Traditional medicine knows many choleretic agents based on medicinal plants (immortelle, yarrow, coriander, thistle, etc.). Pharmacies sell special choleretic preparations. However, the herbs are not recommended for use by children under 12 years of age. If a child is prone to allergies, carefully select herbal medicine; it is not recommended to use herbal teas.