As you know, bile is relentlessly produced by the liver, and then accumulates in the gall bladder. 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, pancreatic pathology lead to disorders. Cholestasis can develop due to the toxic effects of drugs, hepatitis, or alcohol abuse. If bile congestion occurs in a child, the cause is most likely a parasitic infection. Only after conducting an examination and revealing the true nature of the cholestatic syndrome, therapy is prescribed.
Bile stasis: symptoms, treatment
Cholestasis is manifested by slight yellowing of the skin, itching of the skin, lightening feces and darkening of urine, enlarged liver (mild). Also, a person may experience 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 for bile stasis should be comprehensive. Often, it includes measures to eliminate itching, diet and therapy for developing osteopenia.
Itching
For this purpose, antihistamines, cholestyramine, phenobarbital, naloxone may be prescribed. But in most cases, urosodeoxycholic acid is used (in short - UDCA). As a result of its use, toxic bile acids begin to be forced out of the enterohepatic circulation , which prevents damage to the membranes. Due to the cholepatic 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 stagnation of bile should be strictly observed. Perhaps this is a key moment contributing 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 to 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, meat can be boiled or baked (veal, beef, chicken, turkey are allowed).
Diet with stagnation of bile implies the mandatory inclusion of dairy and dairy products in the diet: they are useful because they contain animal fats. In general, the 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 constipation is a concern, the amount of product mentioned in the daily diet should be increased.
It is strictly forbidden to use chocolate, cocoa, canned food, alcohol. Also excluded are all legumes, any mushrooms, radish and radish, onions, spinach, sorrel, garlic, egg yolk. In the form of an omelet, it is allowed to eat egg white. Duck, goose, lamb, and pork meat must also be discarded. Buckwheat and oatmeal are very useful. For a change, pasta can be added to milk porridges and casseroles, but do not abuse them.
Any fresh bread in the diet is prohibited, you can use only yesterday (dried) rye or wheat. Lean baking is allowed , but on condition that no butter is 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, from the diet you need to remove all acidic fruits (both fresh and in the form of juices) and vegetables that contain a lot of starch. Sweet confectionery is strictly prohibited.
Drug therapy
An important part of complex therapy is the use of drugs with choleretic, hepatoprotective, hypocholesterolemic actions. Treatment of stagnation of bile often involves the use of medicines such as Heptral, Silimar, Hofitol, Hepatosan. We will tell you more about them.
1. The drug "Heptral"
This medicine is involved in trans-sulfidation 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. The drug "Silimar"
Treatment of bile stasis with this drug also gives good results. The drug includes, as an active ingredient, the extract of the fruit of the spotted milk thistle. The said plant is known to contain flavolignans such as silidanin, silybin and others. Taking the medication can increase the activity of cytochromes, restore the permeability of the membranes. Take the drug three times a day, 100 milligrams at a time for 4 weeks. If the effect is insufficient, you can extend the course of therapy to two to three months.
3. Means "Hofitol"
The medicine 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, sequiterpelactone, cinnarin, kaffeolichinic acids, vitamins, trace elements. These components produce hepatoprotective and choleretic effects, increase the secretion of bile salts, improve the filtration capacity of the kidneys, which makes it possible to eliminate stagnation of bile. Treatment in children is also successful: when taking the medication, metabolic processes are optimized, pain is stopped, flatulence, discomfort are eliminated, stool is normalized.
4. The medicine "Hepatosan"
This is a domestic drug, 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 intestinal level as hepatocytes. Then the medicine begins to act already at the level of liver cells. This remedy will be most effective for people who have cholestasis caused by a liver disease such as cirrhosis.
Stagnation of bile: treatment with folk remedies
Here are some well-proven recipes for traditional healers.
1. Peel and chop the beets into small pieces, and then cook until the consistency of the broth becomes thick as syrup. Take the drug every four hours in a tablespoon.
2. Pour boiling water over one tablespoon of the herb of the ducha and let it brew for an hour. After this, strain and drink half a cup of infusion in the morning and evening.
3. Add one tablespoon of St. John's wort herb to a glass of boiling water and boil over low heat, then strain. Drink a healing broth before meals (per hour) in half a glass in small sips.
Treatment of stagnation of bile can also be carried out by taking a dry extract of Helichrysum, tea from tansy, mummy solution, tincture from the fruits of barberry. In addition, you must regularly perform special gymnastics, take walks in the fresh air. This will enrich the blood with oxygen, activate the liver and bile secretion. Be healthy!