As you know, bile is tirelessly produced by the liver, and then accumulates in the gallbladder. In the case when its outflow is difficult, cholestasis occurs - stagnation of bile. The reasons for this condition may be different. Often, stones in the bile ducts, pathologies of the pancreas lead to violations. Cholestasis can develop due to the toxic effects of drugs, hepatitis, or alcohol abuse. If bile stasis occurs in a child, the cause is most likely a parasitic infection. Only after the examination and revealing the true nature of the cholestatic syndrome, therapy is prescribed.
Stagnation of bile: symptoms, treatment
Cholestasis is manifested by a slight yellowing of the skin, itching of the skin, lightening of the feces and darkening of the urine, an increase in the liver (mild). Also, a person may experience a bursting dull pain in the right hypochondrium, often there is bitterness in the mouth, nausea, vomiting.
Therapy is carried out under the strict supervision of doctors. Treatment of stagnation of bile should be comprehensive. Often itinclude measures to eliminate itching, diet and therapy for developing osteopenia.
Itching relief
For this purpose, antihistamines, cholestyramine, phenobarbital, naloxone can be prescribed. But in most cases, urosodeoxycholic acid (UDCA for short) is used. As a result of its use, toxic bile acids begin to be displaced from the enterohepatic circulation, which prevents membrane damage. Due to the cholehepatic shunt, ursodeoxycholic acid exhibits a choleretic effect. The optimal dose of UDCA per day is ten to fifteen milligrams per kilogram of body weight. It should be taken for a long time.
Diet therapy
Diet with stagnant bile must be strictly observed. Perhaps this is the key point that contributes to the speedy recovery of the patient. Sticking to it is extremely important. So, you need to eat fractionally - five to seven times a day in small portions. It is strictly forbidden to eat at night.
Fifty - sixty percent of the total diet should be hot food, while cold foods and drinks should be excluded altogether. It is also forbidden to eat fried foods, fatty broths and soups. The main part of the dishes should be steamed, the meat can be boiled or baked (veal, beef, chicken, turkey are allowed).
Diet for bile stasis implies the mandatory inclusion of fermented milk and dairy products in the diet: they are useful because they contain animal fats. Generallythe amount of fat as such is not limited, but preference should be given to vegetable oils (two to three tablespoons should be consumed daily). If you are concerned about constipation, the amount of the mentioned product in the daily diet should be increased.
It is strictly forbidden to consume chocolate, cocoa, canned food, alcohol. All legumes, any mushrooms, radishes and radishes, onions, spinach, sorrel, garlic, egg yolk are also excluded. In the form of an omelet, it is allowed to eat egg white. Duck, goose, lamb, pork meat must also be discarded. Buckwheat and oatmeal are very useful. For a change, you can add pasta to milk porridges and casseroles, but do not abuse them.
Any fresh bread in the diet is prohibited, you can use only yesterday's (dried) rye or wheat. Lenten baking is allowed, but on condition that no oil was added to the dough. Coffee and tea are not recommended, but if you really want to, you can drink them with the addition of cream or milk. Naturally, the drink should not be too strong. Also, all acidic fruits (both fresh and in the form of juices) and vegetables containing a lot of starch should be removed from the diet. Sweet confectionery is strictly prohibited.
Drug therapy
An important part of complex therapy is the use of drugs with choleretic, hepatoprotective, hypocholesterolemic effects. Treatment of bile stasis often involves the use of medications such as Heptral,Silimar, Hofitol, Hepatosan. Let's talk about them in more detail.
1. The drug "Heptral"
This drug is involved in transsulfidation and transmethylation of cells (these are two important biochemical processes). As a result, the permeability of cell membranes is normalized, and the energy potential increases. The daily dose of the drug is 1600 mg, in some cases it can be doubled.
2. Medication "Silimar"
Treatment of bile stasis with this remedy also gives good results. The drug includes an extract of the fruits of spotted milk thistle as an active ingredient. Said plant is known to contain flavolignans such as silydanin, silybin and others. Taking the medication allows you to enhance the activity of cytochromes, restore membrane permeability. The drug should be taken three times a day, 100 milligrams at a time for 4 weeks. If the effect is insufficient, you can extend the course of therapy up to two to three months.
3. Means "Hofitol"
The drug is made from the juice of artichoke leaves and has a wide range of clinical properties: choleretic, hypolipidemic, cholekinetic, cytoprotective. The drug "Hofitol" as components includes flavonoids, squiterlactone, cinnarine, caffeoliquinic acids, vitamins, microelements. These components produce hepatoprotective and choleretic effects, increase the secretion of bile s alts, improve the filtration capacity of the kidneys, which makes it possibleeliminate bile stasis. Treatment in children is also successful: when taking the medicine, metabolic processes are optimized, pain syndrome is stopped, flatulence and discomfort are eliminated, stools are normalized.
4. Medicine "Hepatosan"
This is a domestic preparation, which is obtained from pig liver cells as a result of freeze-drying. Cells, once in the human body, come to life and begin to work at the level of the intestine as hepatocytes. Then the medicine begins to act already at the level of the liver cells. This remedy will be most effective for people whose cholestasis is caused by a liver disease such as cirrhosis.
Stagnation of bile: treatment with folk remedies
Here are some well-proven recipes of traditional healers.
1. Peel and cut the beets into small pieces, and then boil until the consistency of the broth becomes thick like syrup. Take a tablespoon every four hours.
2. Pour boiling water over one tablespoon of herb and leave to infuse for an hour. After that, strain and drink half a glass of infusion in the morning and evening.
3. Add one tablespoon of St. John's wort to a glass of boiling water and boil over low heat, then strain. Drink a healing decoction before meals (an hour) half a glass in small sips.
Treatment of bile stasis can also be done by taking dry immortelle extract, tansy tea,mummy solution, tinctures from barberry fruits. In addition, it is necessary to regularly perform special gymnastics, take walks in the fresh air. This will enrich the blood with oxygen, activate the liver and bile secretion. Stay he althy!
