Liver cells constantly produce bile, which is not only necessary for proper digestion, but is also antibacterial agent. The gallbladder plays the role of a reservoir of concentrated bile. IN right moment organ supplies duodenum the amount of bile necessary for normal digestion.
When problems occur in the liver or gall bladder, for example, little bile is secreted, or the organ is not able to remove it, there is a need to take choleretic herbs. The list of them is quite large, all plants have mass various properties, so they must be selected by a specialist.
List of choleretic herbs
What herbs are choleretic? This list is well known to everyone since childhood, since they large quantities grow in Russia, Ukraine and Belarus. This list includes the following:
The great advantage of plants is their availability. The preparations can be purchased at a pharmacy or prepared independently at home. For each component from the list of choleretic herbs, there is a certain period of time when they can be collected. Basically it lasts from June to August, and they need to be dried on a smooth surface, preferably in the shade.
What are choleretic herbs for?
As mentioned above, almost all medicinal plants have many different properties. Therefore, the list of choleretic herbs for bile stagnation is conventionally divided into several groups. They combine plants with similar qualities.
1. Increased This group of plants contracts the muscles of the liver and gallbladder, allowing bile to enter the intestines. The collection of such herbs is strictly contraindicated for patients suffering from cholelithiasis, as this can lead to blockage of the bile ducts.
2. Thinning agents. This group accumulates water in the body, which dilutes bile and promotes its removal.
3. Improving the quality of bile. Choleretic herbs of this group contribute to improvement and also determine its proper production and timely release. These fees contain a lot useful substances- acids, flavonoids, vitamins various groups, tannins and much more. Thanks to their influence, the functioning of the liver and gall bladder returns to normal.
4. Antispasmodic. The list of choleretic herbs in this group has analgesic properties, helps relax the gallbladder muscle, this increases the volume of bile released. The list of antispasmodic plants necessarily includes dandelion.
Quite often, during treatment it is necessary to solve more than one health problem, since digestive disorders entail many troubles. It is for this purpose that they are compiled medical fees.
When should and should not be taken
Choleretic herbs, the list of which was provided above, are used to treat the following ailments:
Medicinal infusions and decoctions reduce the load on the liver, activate gastrointestinal motility, and cleanse it of toxins. But despite all the benefits, folk remedies may cause harm, so consultation with a specialist is required. All choleretic herbs from the list are prohibited in the following cases:
- viral hepatitis;
- biliary colic;
- calculous cholecystitis;
- acute liver intoxication.
With such contraindications, it is better to choose an alternative treatment.
Herbs for bile stagnation
In the treatment of each disease there are specific features of the use of choleretic herbs. Poor flow of bile causes a person to painful sensations under the right rib and bitterness in the mouth. If treatment is not timely, stagnation of bile can lead to the formation of stones in the gallbladder. In this case, the following herbs are used:
- Dandelion - a decoction of the roots is usually made; it has a pronounced anti-inflammatory and diuretic effect. Reception is prohibited if there are gallstones, colitis, gastritis and hemorrhoids.
- Birch leaves - relax the bile ducts, eliminate spasms, relieve inflammation. Use during pregnancy is only possible with a doctor's permission.
- Corn silk - has the ability to prevent disease on early stage. Prohibited for varicose veins, thrombosis and gallstones.
Choleretic herbs for bile stagnation and dyskinesia
This disease is caused by a disorder motor activity muscles of the gallbladder and biliary tract. In this case, the following plants are prescribed:
Collection of herbs for inflection of the gallbladder
Frequent inflammatory processes cause bending of the organ. It cannot function normally, which means the bile does not flow well. In this case, the following herbs will help:
- fennel;
- choleretic collection № 3.
Complex of herbs for cholecystitis
To treat this disease, medicinal mixtures No. 1 and 3 are used, which can be purchased at a pharmacy or you can relieve inflammation using the following herbs:
- calendula;
- immortelle;
- oats;
- sagebrush;
- sage;
- chamomile.
The main criterion for choosing these herbs is that they have antiseptic and antispasmodic properties.
Herbs for gallstones
With such a diagnosis, treatment should be treated more than carefully, since it is no longer possible to take preparations that have diuretic properties. This can cause stones to shift, blockage of the ducts and injury.
Prescriptions in this case should be made only by a doctor. The most effective are infusions from:
- Swamp calamus, combination with immortelle and St. John's wort gives good results.
- Bitter wormwood. For this diagnosis, you can use both a decoction and an alcohol tincture. Combines effectively with horsetail, is not recommended for people suffering from stomach ulcers and obesity.
- Peppermint. Helps reduce the size of the stone or dissolve it. The effect is enhanced in combination with lemon balm and pharmaceutical chamomile. Cannot be taken with high blood pressure, breastfeeding or individual intolerance.
Pharmacy herbal preparations
All components from the list of choleretic herbs for bile stagnation and other diseases of this organ can be purchased at the pharmacy and collected independently. You can also buy ready-made herbal teas, which contain many plants and have a complex effect.
1. Choleretic collection No. 1. It includes mint, coriander, immortelle. Infusion No. 1 eliminates inflammation, activates the digestive system, relieves muscle spasm from the gallbladder and ducts, increases tone, has choleretic and analgesic properties. Proper preparation The decoction is very important for treatment. It is prepared like this: place about 10-20 g of the collection in an enamel container and pour a glass of hot, but not boiling water. Put on water bath and simmer for 15 minutes. Then remove the broth from the heat and cool for 45 minutes, strain and drink 1/3 cup three times a day before meals. The duration of treatment is determined by the doctor.
2. Choleretic collection No. 2. Contains immortelle, mint, yarrow and coriander. The decoction is prepared and taken in the same way as collection No. 1.
3. Choleretic collection No. 3. Consists of mint, yarrow, tansy, calendula and chamomile. The combination of these herbs has a calming effect and promotes the removal of bile from the bladder, relieves inflammation, and has antimicrobial properties. The collection is available in bags, and prepare as follows: Pour a glass of boiling water over 1-2 packets and leave for 15-20 minutes. Choleretic tea should be drunk from 300 to 600 ml per day.
Violation of the functions of a vital human organ, the gallbladder, leads to indigestion and the development of various diseases. Its role is especially significant because it is a universal storage device that collects and filters bile high concentration coming from liver cells.
There are a number of diseases that can provoke disturbances in the functioning of organs, for example, production of insufficient quantity bile, or its removal becomes difficult. Official and traditional medicine, the origins of which are studied in the Indian medical system - Ayurveda, offers herbal remedies and herbs that have a beneficial effect and help normalize health. To choose effective choleretic drugs or herbs, you should ask questions to a specialist who will assign the necessary names, select a treatment regimen and give nutritional advice. Find out more detailed information you can go further.
Mechanism of action of choleretic herbs and herbs
In pharmacology, many properties of choleretic plants have long been studied; their special qualities are also known. Classification is made according to the principle of influence on the condition of organs:
- Bile-liquefiers actively increase the amount of fluid in the body, which improves the natural elimination process, eliminates stagnation, and cleanses harmful toxins. For liquefaction, take immortelle, celandine, mint, which improve liver function.
- Increases muscle tone(corn silk, tansy). It is produced by increasing the contraction of the muscles of the organ, as a result of which the liquid is released into the intestines easier and faster, the organs work better. In case of cholelithiasis, it cannot be used, as a strong blockage may form, which only a surgeon can remove.
- Antispasmodic plants act as follows: reduce the tone of the bladder muscles, relax, make more pressure in the area of the digestive system, so the liquid functions faster. These include chamomile flowers, fennel seeds, corn silk, as well as dandelion, etc.
- Increasing the quality of bile components. This category of herbs is universal, can improve liver biliary functions better, it saturates the body with all kinds of vitamins and nutrients.
Varieties of choleretic herbs
Appointed medicinal fees conditionally divided into two main subspecies, namely:
- Choleretics give an impetus to increase the production of bile by cells, increase the secretion of the organ, and remove the viscosity of the liquid. These include shepherd's purse, as well as dandelion, useful yarrow, horsetail.
- Cholekinetics enhance the tone of the bile and relax the tense ducts through which bile enters the intestine. This type includes wormwood, calendula, etc.
Some of the plants combine both of these properties, especially calamus and corn silk.
What diseases are treated with choleretic herbs?
Medicinal herbs will provide active assistance to the body in cases of the following diseases:
At the pharmacy you can purchase the following hepatoprotectors, the composition of which is made using natural plants. You need to drink them as prescribed by your doctor, according to the instructions. The drugs are used in a complex manner to establish the full functioning of the gallbladder. Let's look at some of them:
- Allohol tablets They contain nettle, garlic extract, and dry bile; it is recommended to drink them for hepatitis, constipation, dyskinesia, and cholecystitis. Allochol increases secretion and motility of the digestive tract organs, eliminates flatulence.
- Essentiale saturated with phospholipids, used for liver diseases. Restores liver cells and organelles, normalizes metabolism, stabilizes bile.
- contains extract of fumaria officinalis, fruits of milk thistle, which can relieve spasms, facilitate the removal of bile, and relieve intoxication.
- Homeopathic medicine galstena, contains extracts of milk thistle, dandelion, and celandine. Galstena is prescribed for developing pancreatitis, common liver and gall diseases.
- Flamin works with the help of the ingredient sandy immortelle. Relieves inflammation, improves the quality of digestion, relaxes the sphincters of the bladder, enhances secretion.
- Ursosan capsules help with stones, cholecystitis, liver diseases.
- Liquid tincture of jofito l is made on the basis of artichoke leaf extract. Strengthens the diuretic, choleretic effect.
- Artichoke extract(from Evalar) has a hepatoprotective effect, normalizes regular metabolic processes in liver cells.
- Holenzym made with the inclusion of dry bile, as well as dried pancreas of cattle.
- Holosas restores and normalizes the function of hepatocytes.
Pharmaceutical phytohepatols and their properties
Specially selected preparations by specialists will help to avoid the development of problems associated with congestion in the gallbladder. medicinal herbs, of which each collection includes several types. Available in tea bags and as a decoction mixture.
Collection No. 1. This includes the leaves of the so-called three-leaf watch, which relieves inflammation and stimulates the gastrointestinal tract. Mint has a beneficial effect on working processes in organs, removes stones, and relieves spasms of the muscles of the ducts. Coriander relieves pain, immortelle will reduce tone and spasms.
You can prepare the collection like this: take 1 tbsp. spoon of ingredients, pour 200 ml of boiling water. Next, simmer over low heat for about 15 minutes, avoiding boiling. Be sure to let it brew for 45 minutes, then strain the infusion. Take as directed, 100 ml of infusion, 3 times a day before eating.
Collection No. 2. Contains yarrow, which relieves inflammation, spasms, pain, and helps bile to be eliminated faster. Also, the composition includes mint, immortelle, coriander. The preparation and rules for receiving the collection are similar to collection No.1. The doctor recommends how long to take the infusion.
Collection No. 3. It contains anti-inflammatory calendula, antibacterial chamomile, mint, yarrow, and bile-reducing tansy flowers. To brew a healing mixture, take a couple of sachets of the drug, steam the ingredients in a glass hot water, leave to infuse for 15 minutes. You should drink from 1 to 3 glasses during the day and at night.
Available contraindications for herbal medicines
To avoid side effects when taken and not to cause harm to the body, you should carefully follow the recommendations of specialists and drink teas and decoctions according to the instructions. Familiarize yourself with the situations in which taking herbs is prohibited. These include viral hepatitis, calculous cholecystitis, intoxication of the body, biliary colic, is also dangerous during pregnancy. Pregnant women should talk to their doctor about this and find alternative types of medications.
Use of herbs for bile stagnation: for children and adults
The list of herbs for bile stagnation is presented below:
- Corn silk minimizes the risk of developing disease on initial stage, but they are prohibited for varicose veins and gallstones.
- Dandelion roots gently relieve inflammation, but are prohibited for gastritis and hemorrhoids.
- Birch leaves relax the muscles of the ducts and stop inflammatory processes.
Treatment of biliary dyskinesia with herbs
With this disease, muscle activity is impaired, so help the following types plants:
- Combining angelica with sage herbs, peppermint leaves, and caraway seeds. To prepare the infusion, all ingredients must be taken in equal quantities.
- Fresh horseradish leaves infused with alcohol solution. The tincture helps bring the liver back to normal.
- Collection of herbs from the following composition: 2 tbsp. l. buckthorn bark, immortelle, 1 tbsp. l. mint, 3 tbsp. l. dried rose hips. Mix the available ingredients, brew with boiling water, let steep for 30 minutes and drink as tea.
Gallbladder inflection: what herbal teas to drink?
A bend in the bile duct develops with regular inflammation, when the outflow is weak and stagnation develops. In this case, fee No. 3 described above will be relevant. In combination with it you can brew medicinal chamomile, which relieves inflammation and kills bacteria, and fennel.
Recipes for herbal decoctions for cholecystitis
For cholecystitis, doctors usually prescribe prescriptions with herbal mixtures number 1 and 3, which cope well with the disease. Auxiliary plants that provide an antispasmodic and antibacterial effect can be St. John's wort, chamomile, wormwood, sage, and calendula.
How to take natural choleretic medications for pancreatitis?
The selection of drugs for pancreatitis may consist of the following fee options:
- Take 4 tbsp. l. immortelle, 3 tbsp. l. trefoil, mint and coriander in the amount of 2 tbsp. l. Mix the ingredients, take 2 tbsp. l. mixture, pour 0.5 liters of boiling water and keep it on low heat for 20 minutes. You need to divide the resulting decoction into 3 parts and drink it before meals.
- Take 2 tbsp. l. hawthorn and immortelle, 3 tbsp. l. dill and mint seeds, 1 tbsp. l. chamomile and stir. Next 2 tbsp. l. mixed ingredients pour 1 tbsp. boiling water, leave for half an hour, drink 0.5 cups 3 times before meals.
It is also recommended to perform tubage with magnesium - a procedure for effective cleaning liver test, which can be done at home. You only need to eat healthy products, vegetables and fruits, adhere to the diet prescribed in the hospital.
Medicinal compositions for gallstones
- Calamus root– in the form alcohol tincture take orally 3 r. For a day. The number of drops is calculated based on the patient’s body weight.
- Anise ordinary should be consumed 20 drops during meals, or diluted in drinks.
- Knotweed root drink as a decoction half an hour before meals, 3 r. per day.
- Black elderberry. Drink it 1 tbsp. per day, divided into three meals.
- Dandelions The plants are consumed in the form of juice once a day, half a glass, for a week.
Medicinal herbs for children and adults with giardiasis
- Sagebrush. Cooking recipe: 1 tbsp. steam a spoonful of dried wormwood with 250 g of hot boiling water, let it brew for an hour. Drink according to the following scheme: 1 tbsp. l. in 30 min. before food.
- Tansy. Recipe: 1 tbsp. l. pour 500 ml of fruit warm water, let it brew for 4 hours in a closed container. You need to drink 100 mg of the composition a couple of times a day, the course will be 4 days.
The benefits of choleretic herbs when the gallbladder is removed
After removal, in the absence of a bile organ, herbs are drunk to normalize the patient’s condition, relieve discomfort, or to eliminate a specific problem. Herbal infusions should be taken as recommended by a doctor. For complex therapy Suitable choleretic herbs are immortelle, coltsfoot, barberry, rose hips, and birch buds.
Biliary dyskinesia, chronic pancreatitis and cholecystitis are very common diseases in our country, even among children. They do not always manifest noticeable symptoms: most only note a lack of appetite and even nausea in the morning, heaviness in the right hypochondrium, periodic itching skin. However, it turns out that all these are signs of bile stagnation. And, until thick bile begins to turn into stones, it is necessary to take choleretic drugs.
We'll talk about what they are and how they work.
Why and where do you need to drive bile?
Many people mistakenly believe that bile is formed in the gallbladder and for some reason accumulates there. This is not so: bile is produced by liver cells, from the liver it enters the gallbladder and concentrates there - excess water leaves it.
When a person eats food that contains fats, a signal about this reaches the gallbladder, and it, by contracting, removes bile through the bile ducts into the duodenum. The hole through which bile exits is located next to the hole where the pancreas releases its secretions.
Tasks of bile:
- make an emulsion from the incoming fats, which will be easier for pancreatic enzymes to reach;
- create the right conditions for the functioning of pancreatic enzymes - and without them neither proteins, nor fats, nor carbohydrates can be digested normally;
- stimulate intestinal contractions;
- provide suction fat-soluble vitamins: A, D, E, group K;
- prevents microorganisms from attaching to the intestinal walls: then they will not be able to be absorbed into the blood along with food;
- removes substances that have passed through the liver with feces: some hormones, bilirubin, cholesterol.
That is, bile is a very useful substance, and it is imperative that it is formed correctly and correctly delivered to the duodenum. This is what choleretic drugs are aimed at. But in reality, everything is not so simple.
3 were called choleretic different groups drugs. They affect the biliary tract in different ways, and do not simply “drive” bile along its path:
- some – choleretics – increase bile production;
- others - cholekinetics - accelerate the excretion of bile from the hepatic ducts to the duodenum;
- third - cholespasmolytics - relax the spasmodic bile ducts;
- fourth - cholelitogenic preparations of bile acids - are used to liquefy bile so that stones do not form in it. These same products have the ability to dissolve very small stones - thanks to the change chemical properties bile.
Each of them has its own point of application and, accordingly, its own indications. Without knowing which drug to take in this situation, you can only harm yourself. For example, relax the bile ducts that are already lacking tone. Or force the already sick liver to “strain” and produce bile (when the liver is already working as hard as it can - in order to at least neutralize dangerous toxins).
How choleretic drugs work, and on what basis one or the other is chosen, is not a mystery at all. Therefore, we tell you what, how and why.
Choleretic drugs and indications for them
To understand what type of drug is needed and when, consider how bile moves:
- Formed in the liver cells, it enters the intrahepatic bile ducts.
- From these ducts, bile flows by gravity first into the right or left hepatic duct(from right lobe liver - to the right, from the left, respectively, to the left). Then the bile from both of these ducts, also by gravity, is collected into the common hepatic duct. It is a tube in which there are few muscle cells.
- From the common hepatic duct there is a branch - a “tube” (duct), which leads to the gallbladder. There are almost no muscles in it, so the bile needs to get there somehow. The force that propels it in this direction is the difference in pressure between that created by the liver (when it secreted bile) and the resistance exerted by the sphincter of Oddi. The sphincter of Oddi is a circular muscle that lies where the hepatic duct (more precisely, its continuation is the common bile duct) passes into the duodenum. That is, the sphincter of Oddi is such a faucet. When it is closed, bile flows into the cystic duct and, with its pressure, straightens the folds lying between the bladder and cystic duct, and accumulates in the gallbladder.
- As the gallbladder fills, the pressure in it increases, and in the hepatic ducts, accordingly, decreases. And when the sphincter of Oddi “tap” opens (this happens in response to pepsin gastric juice and is a signal that food has entered the gastrointestinal tract), the pressure differences become such that already prepared, concentrated bile first flows into the duodenum.
- When the pressure in the gallbladder increases to 250-300 mm of water column, it contracts itself - then the sphincter of Oddi has to open.
- The common bile duct also has almost no muscle fibers, so it contracts poorly.
What follows from all this in relation to drugs? Let's consider it in relation to diseases. As a result, you will understand which particular group of choleretic drugs you need. So.
Choleretic drugs for biliary dyskinesia
The word “dyskinesia” refers to a disturbance in the normal movement of bile. This diagnosis itself necessarily requires decoding, because it is unclear whether the bile will move faster or slower.
So, dyskinesia is characterized by only 2 concepts:
- What tone do the bile ducts have? It could be:
- normal (then there is no need to correct it);
- increased (hypertensive dyskinesia), when bile is released quickly, which will facilitate its reflux into the stomach. In this case, drugs are needed - cholespasmolytics;
- reduced when bile flows slowly. To correct this condition, cholekinetics are needed.
- How the biliary tract contracts:
- With high speed– then the bile does not have time to concentrate. This can be relieved with antispasmodics;
- at normal speed;
- at a low speed, which contributes to stagnation of bile. In this case, either choleretics are needed (then more bile will be formed and it will have to be released faster), or cholekinetics - to stimulate the movements of the biliary tract.
Thus, the diagnosis for biliary dyskinesia consists of 2 parts. As a result, it may be:
- hypertonic hyperkinetic. More “strong” cholespasmolytics are needed. Usually these are synthetic drugs;
- hypertensive normokinetic. It is treated with cholespasmolytics, which do not inhibit the peristalsis of the biliary tract itself (usually herbal remedies);
- hypertensive hypokinetic. You need a drug that will relieve the spasm (otherwise the bile will not go away), and a cholekinetic agent;
- hypotonic hypokinetic. Both choleretics and cholekinetics are needed;
- hypotonic normokinetic. Usually one choleretic is enough.
If you do not determine the type of your own dyskinesia and take drugs at random, you can worsen your condition. Most often, choleretics drink it to increase bile production. Now imagine what will happen if dyskinesia is caused by a bend in the gallbladder? Or is it hypokinetic? Then the gallbladder becomes full, and then it has to contract sharply. This will be a very painful condition called biliary colic.
There is a second option: uncontrolled use of cholespasmolytics. As a result, the bile stagnates, and salts with cholesterol begin to precipitate, forming stones, or the bile becomes infected: cholecystitis occurs.
Choleretic drugs for bile stagnation
Choleretic drugs for bile stagnation are choleretics and cholekinetics. In addition, it is necessary to check the bile ducts for the presence of stones in them. If they are absent or they are small (up to 3 mm), bile acid preparations are prescribed.
When there is stagnation in the liver, which is accompanied by yellowing and itching of the skin, not only choleretic drugs are prescribed, but also medicines from other groups. In this case, treatment is generally recommended to take place in a hospital - to monitor the effectiveness of therapy and timely diagnosis complications.
Choleretic drugs for inflection of the gallbladder
The inflection of the gallbladder itself already indicates biliary dyskinesia. Most likely, it will be hypokinetic (since bile must overcome a greater obstacle to enter the gallbladder) and hypermotor. And for its treatment, cholespasmolytics, cholekinetics and bile acid preparations will be needed - for the prevention of cholelithiasis. As with “normal” dyskinesia, drugs are preferred outside of exacerbation plant origin.
Dyskinesia when bending can be both hypokinetic and hypomotor. In this case, cholekinetics and, sometimes, choleretics are needed.
Choleretic agents for cholecystitis
Inflammation of the gallbladder usually requires the following medications:
- choleretics - to “dilute” infected bile with “fresh”;
- cholespasmolytics - since when the gallbladder is inflamed with cholecystitis, its spasm is inevitable;
- cholelithogenic agents in case there are no stones - to prevent their formation.
For this disease, antibiotics are also prescribed - usually 2 groups at once.
Choleretic agents for pancreatitis
Inflammation of the pancreas - pancreatitis - is accompanied by increased production of its enzymes. We remember that bile stimulates the synthesis of these substances, which means that in this case it should be released in small portions - no sudden surges. For this purpose both in acute and pancreatitis chronic course Cholespasmolytics are prescribed. And to prevent the formation of stones - since bile stagnation will inevitably occur here - cholelitogenic drugs will be used.
Pancreatitis is dangerous disease, requiring complex therapy, but in no case self-medication!
How to improve your condition after cholecystectomy
The main problem after removal of the gallbladder is the inability to concentrate bile. That is, it is more liquid and flows faster into the duodenum. However, even in such less concentrated bile, conditions remain for the formation of stones, so taking cholelithogenic drugs is mandatory.
Choleretics are contraindicated in post-cholecystectomy conditions: the liver already begins to compensatoryly produce more bile.
Antispasmodics are needed, which should be taken systematically immediately after surgery and during the first three months. This is explained by the fact that previously the gallbladder and the sphincter of Oddi worked in concert: when the bladder contracted (under the influence of hormone-like substances, gastric and pancreatic juice), the sphincter relaxed. As soon as the gallbladder was gone, the sphincter of Oddi, which is not endowed with such sensitivity, became more difficult to navigate what and when to do. In this situation, it most often spasms. It needs to be relaxed with cholespasmolytics before the spasm becomes stenosis, which will require a new operation.
The condition after surgery may also be accompanied by hypotonicity of the sphincter of Oddi, which occurs already some time after the operation. In this case, cholekinetics are prescribed.
In this condition, drugs that improve liver function, anti-inflammatory drugs and antibiotics are also prescribed.
List of choleretic drugs
Let's consider what representatives of the different groups of these drugs are. Let's start our list of choleretic drugs with the largest group - choleretics.
Choleretics
Choleretics are divided into 2 large groups:
- True choleretics, which increase the amount of bile by increasing its formation. They, in turn, are divided into 3 groups - depending on the raw materials from which they are made - into:
- containing bile acids(from animal bile);
- synthetic drugs that activate the mechanisms of bile formation;
- medicinal herbs that affect the mechanisms of bile formation.
- Hydrocholeretics are drugs that increase the volume of the gallbladder by diluting bile with water.
IN this section We will consider only drugs of animal and synthetic origin, as well as hydrocholeretics. We will consider all herbal preparations - both choleretics and cholekinetics - separately.
AlloholCompound: natural bile, nettle, activated carbon, garlic |
Odeston
|
Nikodin
|
Compound: hymecromone (synthetic drug) 
Compound: synthetic substance hydroxymethylnicotinamide Hydrocholeretics include mineral waters with alkaline pH:
- Borjomi;
- Essentuki 4 and 17;
- Jermuk;
- Naftusya;
- Slavyanovskaya.
Cholekinetics
The following synthetic drugs promote contractions of the biliary tract:
Magnesium sulfate (powder)
|
Sorbitol
|
Compound: magnesium 
Compound:Cholespasmolytics
Bellalgin
|
Metacin
|
Platyfillin
|
Papazole
|
Drotaverine
|
Duspatalin
|
Eufillin
|
Galidor
|
Buscopan
|
Compound: belladonna extract, metamizole, soda, benzocaine 
Compound: Methocinium iodide 
Compound: platyphylline hydrotartrate 
Compound: papaverine hydrochloride, bendazole 
Compound:
Compound: mebeverine 
Compound: aminophylline 
Compound: bencyclane 
Compound: hyoscine Cholelytics
Drugs that reduce the saturation of bile with cholesterol and, accordingly, are used to prevent the formation and dissolution of small stones are drugs based on ursodeoxycholic acid:
- Ursosan;
- Ursofalk;
- Ursodeoxycholic acid;
- Ursodez;
- Grinterol;
- Urdoxa.
The cheapest of them is Ursodeoxycholic acid: 600 RUR/50 tablets, the most expensive is Ursofalk: 915 RUR/50 tablets.
These drugs are available in the form of 250 mg capsules. The daily dose is calculated depending on body weight and the presence of stones, and is 2-6 caps/day.
Ursodeoxycholic acid preparations are contraindicated in acute inflammations liver, gallbladder and biliary tract, during pregnancy/lactation, in the presence of calcium stones, frequent biliary colic.
Herbal choleretic drugs
Plant choleretics
Flamin
|
Tanacehol
|
Berberis-homaccord
|
Holosas
|
Hofitol
|
Urolesan
|
Valerian tablets
|
Compound: 
Compound: tansy extract 
Compound: 
Compound: extract in syrup 
Compound: artichoke extract 
Compound: complex of choleretic herbs 
Compound: valerian extract Plant cholekinetics
Berberis gommacord and its analogue, discussed in the section of plant choleretics, are complex drugs, which have both an antispasmodic and an improving peristalsis of the biliary tract effect.
In addition, the following have a cholekinetic effect:
- almost any vegetable oil, especially olive, cumin, sunflower;
- barberry leaves;
- roots and rhizomes of calamus;
- fennel fruit;
- caraway fruits.
Herbal cholespasmolytics
These are drugs such as “Holagol”, valerian tablets.
As antispasmodics of plant origin, decoctions and tinctures are prepared from various herbs, which are best purchased at the pharmacy:
- tansy;
- arnica;
- turmeric root.
What choleretic drugs can be used for children
If you can experiment with yourself on your own - at your own peril and risk, then choleretic drugs for children should be prescribed by a doctor, based on the disease and the type of contraction of the biliary tract.
The following choleretic drugs are used for children:
- “Papaverine” and “Atropine” in the form of injections, in strict dosages and only under medical supervision - from 6 months;
- “Holosas” - from 3 years;
- "Urolesan" - from 7 years;
- "Hofitol" - from 6 years;
- "Eufillin" - from 6 years;
- "Duspatalin" - from 10 years;
- "Flamin" - from 6 years old.
What drugs can be called the best?
It is very difficult to average which choleretic drugs are the best, since each organism is individual. But some patterns can still be identified.
So, among choleretics, the following work best: “Nikodin”, “Holosas”, “Urolesan”, “Tanacehol”.
It is better to choose their cholekinetics: “Magnesium sulfate” or “Sorbitol”, using them for “blind probing”.
As for cholespasmolytics, synthetic drugs all work well and act quite quickly. Optimal for the biliary tract are Buscopan and Duspatalin. “No-shpa” and “Papaverine” have a relaxing effect on all smooth muscles, without selectively affecting the biliary tract.
Today, digestive disorders are one of the most common pathologies among the population. A special place is occupied by diseases of the liver and gall bladder, which can lead to disruption of the outflow of bile. There are remedies that can improve the outflow of this fluid.These include a choleretic collection. It is prepared on the basis of various herbs. The most popular decoction is based on mint, wacht, coriander and immortelle. This collection is prepared and accepted using a special technology. Firstly, after mixing 1 tablespoon of raw material with hot water and subsequent infusion, the decoction must be filtered.
Secondly, it is recommended to use the collection every day for 2-3 weeks. Take it 3 times a day in a volume of 300 ml. It is very important that the intake is taken before meals, and not after or during it. This will ensure optimal flow of bile and preparation for digestion of food.
It is advisable to always drink the decoction fresh, since after two days it loses its healing properties. Before drinking the herbal mixture, you will need to shake it thoroughly so that any sediment settles at the bottom. active substances evenly distributed in the container.
Using a collection based on mint, coriander and immortelle
From the previous one, it is recommended to drink this collection in a volume of no more than one and a half glasses per day. Number of receptions per day – 3.It is very important to observe the interval between taking the choleretic decoction and eating food; it should be approximately 30 minutes.
These numbers are optimal for people, but everything is a little different. At the same time daily dose is reduced to 150 ml, the number of doses remains the same. Drink healing and healthy drink necessary until the impaired functions are restored and only under the supervision of a physician. It is important that the decoction must be cooled before use; there is no need to drink it hot.
It is recommended to store the choleretic collection in the refrigerator at low temperatures, otherwise it can quickly deteriorate and become useless. It is forbidden to drink such a mixture for people who have stones in, as well as with individual intolerance. Thus, based on all of the above, we can conclude that drinking healing herbal tea necessary according to specific instructions, observing storage rules, portion sizes and frequency. You need to drink before complete cure and restoration of bile discharge.
Pain in the child's abdomen, of which he complains, needs medical attention if the discomfort is accompanied by additional symptoms. Nothing supernatural: problems with stool, frequent rumbling in the stomach, bad smell from the mouth. Taken together, these manifestations indicate the presence of problems with digestive system child.
What can cause systematic abdominal pain in a child?
Ailments associated with the production and conduction of bile that a child may suffer from:
- Cholecystitis is an inflammation of the bile reservoir.
Accompanied by:
- appetite disorder;
- bitter belching with an unpleasant odor;
- heaviness in the right side;
- pain syndrome manifests itself as dull or sharp impulses;
- the skin acquires a yellowish tint.
- heredity;
- ill-considered nutrition;
- sedentary lifestyle.
- Dyskinesia - due to improper contraction of the sphincter of Oddi muscles in the gallbladder, the removal of substances from the reservoir is impaired.
Symptoms:
- it hurts with giardiasis upper part abdomen, near the navel;
- frequent bloating;
- problems with stool;
- sleep disturbance;
- the child gets tired quickly;
- The baby doesn't eat well.
The disease provokes inflammation of the gastric mucosa, which entails more serious consequences when running.
- Neoplasms in the gallbladder are extremely rare occurrence, the formation of benign or malignant tumor in the bile reservoir, but still occurs.
- A bend in the gallbladder is a congenital or acquired pathology.
When the gallbladder is bent, the following symptoms:
- pain in the right side, closer to the back;
- during the transition of bile to abdominal cavity the pain becomes acute and radiates to the left side;
- pain;
- sudden changes in body temperature;
- problems with stool.
- prolonged stress;
- excessive physical activity;
- obesity;
- ill-conceived diet;
- excessive physical activity for a child;
- frequent exacerbations of chronic cholecystitis.
In almost all of the previously mentioned cases, choleretic drugs for children are prescribed during treatment.
What can children take and at what age?
Choleretic medications should be taken with caution, especially in the case of children. In order to fully understand the risks and consequences, it is necessary to understand the principle of action of drugs of this type.
These drugs promote the formation of bile in volumes not exceeding the norm and the passage of the substance into the intestines.
Children's medications are different from adult ones. They are mainly produced as a syrup or suspension to make it easier for the baby to take. Doctors recommend giving preference to plant substances because they have minimal amounts side effects, compared with synthesized ones.
The most effective and popular drugs:
- Holaflux - prescribed for chronic cholecystitis and dyskinesia. plant matter, which includes thistle, dandelion and celandine.
- Holagogum - prescribed for chronic pancreatitis, cholecystitis, dyskinesia. After treatment, it is taken to facilitate the body’s adaptation. Plant matter.
- Allohol – herbal preparation, which improves bile flow and improves liver function. One of the few that contains animal bile. The dosage and course of administration are prescribed individually, depending on the age and weight of the child. The treatment is effective for children from 7 to 10 years old.
- Cholenzym – combined choleretic drug, containing enzymes that promote high-quality digestion of food. Prescribed only to adolescents over 12 years of age.
- Flamin – improves the flow of bile and is released into various forms. One of the most effective, judging by reviews from doctors and parents. It is prescribed for giardiasis, but is not recommended for children under 5 years of age and children with peptic ulcer disease.
In general, all of the above drugs have a good reputation among doctors and parents, are also highly effective and have virtually no side effects.
