Mineral water from the inflamed gallbladder. The benefits of mineral water for the treatment of pancreatitis and cholecystitis. On the need to comply with the rules

Pancreatitis is inflammation of the pancreas, which is often accompanied by dehydration. In addition to dietary food, which is necessary for the patient, they also need as much liquid as possible. And mineral water in pancreatitis is a necessary element of treatment.

Show all

The main properties of its properties

What is mineral water? It is mined from earthly depths by drilling wells. Being at great depth, she accumulates minerals and salts, literally pulling them out of the ground. This is iron and sodium, magnesium and calcium, fluorine and chlorine, carbon dioxide and potassium. In the content of salts, which have accumulated in water, it is divided into hydrocarbonate, sulfate and chloride.

But this is not all aspects of the water division. The main such aspect is the content of the number of useful minerals and salts in one liter. It is for such an indicator that all mineral water is strictly classified on:

• Dining room drinking. In such water, the content of the beneficial substances is only 1G per liter, which is why it can be used without any restrictions;
• Cutting mineral water. Here the upper limit of the content of the components should not exceed 2g per liter;
• Tableware - therapeutic water. Here, the upper limit of the content of salts and minerals is already 8g per liter. It must be dried, because its uncontrolled use can disrupt the acid-alkaline balance of the body;
• Medical mineral water. Here, the ratio of salts and minerals is much larger, above 8g per liter. Such water can be drunk only for medicinal purposes, to appoint a doctor and strictly dosed.

For use for therapeutic purposes, you can drink only heated water, not lower than the body temperature of a person, a maximum of 40 degrees.



Application in therapy

With these diseases (pancreatitis and cholecystitis), and they often accompany one other, this water is used to unload the pancreas with starvation. This is good especially in the period of exacerbation in chronic pancreatitis or in its acute form. For several days you can drink only heated water - nothing more! Especially good to drink alkaline mineral water - this not only facilitates pain, but also removes inflammation of the gland.



In addition, under pancreatitis, and at cholecystitis, warm mineral water is a bit "rinsing" and frees the ducts. This contributes to the outflow of bile and enzyme juice that fill the gallways. Such "washing" reduces pain and slightly relieves tension from inflamed organs. What kind of mineral water is best to drink when inflammation of the pancreas and cholecystitis?



Alkaline water

When problems arise from the pancreas and the foke of enzyme juice and bile, it is alkaline water from mineral springs that is salvation for many patients. In chronic pancreatitis (as well as in cholecystitis), only a warm liquid with a large alkali content is capable of high-quality bile ducts for a good outflow of juice. Cold alkaline water can trigger the muscular spasm of the valve, which simply turns it. Moreover, drinking such water during the exacerbation period or with acute form of pancreatitis, it is necessary to begin with a quarter of a glass 3 times a day, then gradually add the number of one-time reception.



During the remission, mineral water should not be excluded from the diet, it is necessary to continue to drink it in order to prevent the new exacerbation. In the place of education of the inflammatory process in our pancreas, an acidic medium is constantly present. And from the school curriculum in chemistry, everyone perfectly know that the acid is extinguished only by alkali. It is alkaline medical water that is capable of withstanding the emergence of a new wave of inflammation.



Borjomi

This mineral water in diseases of the pancreas can almost completely fill the lack of vitamins and minerals in the patient's body. She also eliminates spasms, along with this serves as an excellent anti-inflammatory relief of the patient's condition. It helps to adapt the stomach to food, removes the toxins formed during the necrosis of the gland, stimulates the outflow of the internal juices.



Her heightening action for patients with pancreatitis is difficult to overestimate! With the help of Borjomi, you can forget for a long time about the exacerbations of the chronic form of the disease. But it is always necessary to remember that its healing effect is preserved only when it drinks warm, not chilled. From the heated water, Borjomi comes relief, from chilled - a strong attack of pain!

Essentuki

This chloride-gauge mineral water also contains microelements, gases and organic substances. All of its components are so unique that it allows to improve the exchange of nitrogen and stimulate the formation of patient erythrocytes in the blood. Also, it is Essentuki, which is capable of raising the level of hemoglobin.

With a painful state associated with a gall-eyed disease, a diet is required. The use of mineral water will help to cope with it in the early stages of development.

Gallgamed disease is the formation of stones in ducts and bubble itself. She, according to statistics, is considered common, and about 15 percent of the population suffers from its manifestations.

There is a pathological condition not immediately, the development process itself is quite long. And the person walks with the congratulations for years and does not suspect that they have it, while they have not achieved large sizes. The elderly people are prone to their formation, but in particular women.

For treatment, many methods are used. Important, of course, there will be food and drink. The water received from natural sources and subjected to mineralization plays the last role.

The main factors that lead to the emergence of dense formations in the organs:

1. obesity;
2. sedentary lifestyle;
3. violations of the hormonal system;
4. irregular food;
5. excess cholesterol;
6. stagnation.

In composition, they are different, but to a greater degree consist of cholesterol masses.

The main symptoms include:

1. Pains are strong in the right hypochondrium, which are given in the back, neck or shoulders. They are especially strengthened with errors in nutrition. This is the use of fried, oily and smoked food.
2. Heartburn.
3. Yellow skin, especially eye sclera - it is manifested in full blockage with dense neoplasms.
4. In the right hypochondrium, heaviness arises, mainly after meals.
5. A sharp increase in body temperature to high values.
6. Stomach upset.

The benefits and harm of mineral water for the liver and gallbladder

Suitable for the proper cleaning of our organism from unnecessary toxins and slags, it is this water that is best. Doctors advise periodically use it in their diet.

Mineralka is used both for prevention and to combat pancreatic pathologies, liver problems.

Benefit

With such diseases, they advise to drink therapeutic water. It contains calcium, bicarbonate and many other important components.

These elements will enhance the removal of bile, improve the processes in the liver, will remove the painful process and prevent spasms. Another plus - when it is regularly used, more hormones are produced, which contribute to better digestion.

Of course, the mineral water will not fully cure. When the first symptoms appear, a specialist consultation is recommended.

In the complex with drugs, the doctor will appoint and use mineral water in pathologies of the organs of the digestive system.

This drink is divided into 3 types:

1. Medical.
2. Medical and table.
3. Table.

The first of them contains a large percentage of minerals and useful to the human body substances. But the mineralization of the liquid does not exceed 1 gram per liter.

To clean the hepatic ducts, doctors advise to consume therapeutic water. Some of the best:

• "Narzan";
• "Essentuki";
• "Borjomi".

Basic Rules for Cleaning Liver

Doctors advise to conduct this procedure on weekends. A person should not be engaged in physical exertion during this period. It is still necessary to take into account that in the sharp period it is better not to use this method.

First you need to prepare and leave fluid overnight, open to remove gases. Because it must be used only warm, it means that it is warm up to about 55 degrees. To do this, you will need to leave a bottle with a mineral water in a saucepan with boiling water for a while, periodically checking its temperature.

Now make a few sips and lie 3 minutes on the right side, putting a pre-warmer under it. It is necessary in order to relax excretory ducts, thus facilitating, thus the outflow of bile.

After an expiration, stand up, continuing to keep the heating, make another 3 throat and take the same position again. It is necessary to drink 0.5 liters, periodically lifting and falling into bed again.

The next time to increase the efficiency of this method, still take a choleretic medical device.

Contraindications and indications for use

The procedure must be taken seriously. A faithful action will go to the reception to a specialist for the consultation.

• cold, flu;
• breastfeeding and pregnancy;
• chronic pathological conditions in the aggravation stage;
• postoperative period;
• menstruation period;
• acute cholecystitis;
• oncology;
• fevers of unexplained etiology;
• diabetes;
• infections of the urogenital system.

Cleaning is used in the following cases:

• if they are often used, as a result of which hepatocytes suffer from toxic poisoning;
• if you take hepatotoxic medical staff for a long time, when cells take part in the splitting and deriving of medicinal metabolites;
• cholecystitis, hepatitis.

Treatment with mineral water

Water extracted from natural sources is useful, and is capable of not only thorough thirst, but also cure from many pathologies. Most often, it is recommended for stones that are formed in bile-name pathology.

Drinking up to 2 liters per day, but with incorrect motorcycle organs, its number is reduced to 2 glasses per day. Therefore, self-medication does not need to do at home.

With the help of a doctor, a dose of fluid intake per day is selected. Each person is individual. With large dense tumors, it is dangerous to drink a large amount of liquid. This leads to blockage of ducts and, as a result, will need immediate surgical intervention.

In order to obtain the desired effect when using such a fluid, the following rules should be followed:

1. Water intake to carry out small sip.
2. Drink it only in warm form.
3. Use it for an hour before eating.

During this therapy, it is important not to forget to observe the routine of the day, and again:

1. Enrich food with vitamins and minerals.
2. Walks in the open air.
3. Do exercises.

It is still necessary to drink it with care with a remote gallbladder. This is required in order not to cause inflammation from other organs.

Mineral water diet

If a person has stones in bile ducts, then the diet is simply necessary. Error in it provoke the formation of new concrections and an increase in existing ones.

At the Board, the NO5 diet is prescribed. It includes consumption in sufficient amounts of proteins, fats and carbohydrates. From salt, it is necessary to completely abandon or reduce its consumption up to 10 grams per day. Products Everyone must be cooked for a pair.

It is still necessary to include mineral water in the diet. It will help enrich the body with minerals and improve bile outflow. Thus, the patient will improve their own well-being.

It is not necessary to forget that in the presence of large concrections, it is categorically contraindicated. A large stone overlaps the duct, and this is a dangerous situation and requires immediate surgery.

Prevention for warning boards

Principles of prevention:

1. Refuse alcohol and smoking.
2. Normalize your weight to acceptable indicators.
3. Balanced diet.
4. Optimal physical exertion.

The prevention will still perform fractional food no more than five times a day. If there are chronic diseases, such as diabetes mellitus or other liver pathologies, then it is necessary to pay special attention to this problem.

Since this is reflected in the organs of the digestive system. Folk medicine is still welcome with the concrevents. Before using herbs requires a consultation of a health worker.

Gallgamed disease is a serious illness and requires dynamic treatment.

It is proved that water helps with a painful state. It is selected for each patient individually. It depends on the stage of the disease.

With small concretions, it improves their exhaustion and prevents the emergence of new ones. Cleaning for the liver is still needed to prevent stones.

Doctors recommend leading a healthy lifestyle and abandon bad habits. Often due to improper nutrition and serious diseases appear. And they are difficult to treat them. Therefore, the use of water will serve as an excellent preventive measure to prevent the appearance of dense tumors.

In terms of cost, it is economical and the budget does not impose special costs.

It not only quenching thirst in the hot season, but also is considered a good method of preventing severe diseases. Using her body is saturated with minerals.

The diseases of the gallbladder and biliary tract require the purpose of alkaline mineral waters, since their chemical composition is optimal to achieve the necessary effects in the treatment of cholecystitis.

Many people suffer from diseases of the gastrointestinal tract, in particular, cholecystitis. The disease delivers patients with tangible discomfort, significantly reduces the quality of life. In Gastroenterology, mineral water during cholecystitis is successfully applied for many years. The drink has a large number of beneficial properties and effects.

There are several basic types of mineral waters, so the appointment of a particular drink produces the attending physician. Mineral water is applied not only during the period of sanatorium-resort treatment, it is prescribed with outpatient therapy for diseases of the gastrointestinal tract. In addition to "minerals," mineral baths are successfully used in sanatoriums, which have a specific list of indications and contraindications to the appointment.

It is important to understand what mineral waters are. They are at great depths are mined by drilling wells. In the ground depths, the water is enriched with a variety of salts and minerals.

The main microelements that determine the mineral composition of water include such:

• calcium;
• sodium;
• potassium;
• chlorine;
• magnesium and others.

In addition to these elements, the deep liquid contains salts:

• bicarbonates;
• sulfate;
• chlorides.

• dining rooms (contain up to 1 g per liter);
• mineral tableware (maximum concentration of trace elements and salts 2 g per liter);
• therapeutic and tables (include up to 8 g per liter);
• therapeutic (the amount of substance in the volume of one liter is 8 grams or more).

It is worth noting that the independent use of therapeutic and canteen and therapeutic water can lead to a violation of the acid-base equilibrium and the imbalance of trace elements. These changes provoke essential metabolic disorders in the human body and require infusion therapy.

Use of cholecystitis

When cholecistics, the bile is stirred (cholestasis), which is a favorable medium to attach infection, the occurrence of the inflammatory response. Reducing the selection of bile in the intestine leads to the development of dyspeptic syndrome: constipation, bloating, poor appetite. It happens that with the dysfunction of the Patest nipple, it falls in the duct of the exercise part of the pancreas - it causes acute pancreatitis.

Mineral waters at cholecystitis are able to help the human body cope with a violation of bile outflow from biliary tract, improve its fluidity.

Improving rheological properties occurs due to the fact that the drink contributes to the production of enzyme juice and increases the content of the liquid fraction, due to this, it is easier to eliminate. This suppresses the intensity of the inflammatory reaction, contributes to the elimination of dyspeptic manifestations, and the patient feels better.

Water type in case of gallbladder inflammation

Alkaline mineral waters also indirectly affect the tone of the smooth muscles of the biliary tract, increasing it. It costs to note that it is permissible to drink exclusively heated fluid. Chilled mineral waters are able to cause muscle sphincter spasms, which is even greater from a greater degree to violation of the outflow of bile. The gallbladder is even more stretched, causing expressed discomfort in the patient.

The contraindication to the use of alkaline waters is to reduce the acidity of the stomach, the stones in the bustling bubble, reaching the size of 3-5 mm and more.

The diseases of the gallbladder and biliary tract require the purpose of alkaline mineral waters, since their chemical composition is optimal to achieve the necessary effects in the treatment of cholecystitis. They are best suited to stimulate the separation of the liquid fraction of bile with ducts, and indirectly helps to remove inflammation.

Borjomi

Refers to a group of hydrocarbonate-sodium mineral waters. It has a beneficial effect on the digestive tract due to anti-inflammatory, biliary, weak antispasmodic effects. Fighting Borjomi for the prevention of exacerbations of chronic diseases, including the pathologies of the hepatobiliary system:, cholecystitis ,.

Essentuki

This drink consists in a group of chloride-sodium mineral waters. There are about 10 species of this mineral water, each of which is characterized by its level of trace elements and salts. Essentukov's number selection, reception multiplicity determines the specialist. Drink this mineral water, like all alkaline, should be in warm form.

Other waters

Among other water brands for daily use, peaceful (chloride sodium water) is distinguished. Also recommend the Luzhanskaya (hydrocarbonate), but the fluorine and silicic acid contained in it make it unsuitable to use by persons with hypothyroidism, hypoacid gastritis. The Shayanskaya water is gasped by nature, successfully applies in diseases of the hepatobiliary system.

The use of any physiotherapeutic procedures during an acute process or exacerbation of chronic disease is not shown. They are prescribed during remission for the prevention of relapses.

Among the main general contraindications are distinguished:

• hypertension;
• renal failure;
• subcompensated and decompensated flow of diabetes;
• pregnancy;
• thrombophlebitis deep, superficial veins;
• epilepsy;
• other problems - a complete list of contraindications should be clarified by the attending physician.

For the complex therapy of cholecystitis at the stage of sanatorium-resort treatment, mineral-pearl baths can be prescribed. This type of procedure is one of the most popular in sanatoriums. Mineral pearl baths have an painful, sedative effect, improve the work of the entire gastrointestinal tract - the choice of bath, the number of procedures determines the attending physician before leaving the sanatorium.

Output

The use of warm alkaline mineral waters is shown. It is worth remembering that independent reception is capable of leading to the imbalance of trace elements, so before the start of therapy is required to consult a specialist doctor.

Reception of mineral water is one of the oldest ways of treating gastrointestinal diseases. But in order for it only to benefit, it is important to choose the proper composition and comply with the drinking mode in accordance with a specific disease. What mineral water to drink with pancreatitis and cholecystitis?

1 Application in treatment

With pancreatitis, alkaline mineral water is useful. It neutralizes hydrochloric acid in the stomach, which, with excessive selection, provokes inflammation.

For the pancreas, weakly and medium-mineralized water containing sulfate ions, bicarbonate ions, sulfur, calcium are useful. These substances can stimulate or, on the contrary, reduce the production of pancreatic juice.

It is hampered by its development when taking an hour before meals. When admission, during meals, the production of pancreatic juice is stimulated, as well as the production of gastric juice.

Therefore, mineral water in pancreatitis is most often taken 1.5 hours before meals, since with pancreatitis, it is usually necessary to reduce the production of ferllar enzymes.

The temperature of the liquid is important - too cold can provoke spasm of the sphincter and stagnation of pancreatic juice, which will lead to exacerbation, and too hot - cause swelling of the inflamed organ.

Therapeutic properties of mineral water are based on the fact that it reduces stagnation in pancreatic ducts, the bile duct and biliary tract, contributes to the outflow of the pancreas juice, bile and mucus and thereby warns cholecystitis, which often accompany each other.

• Borjomi

Borjomi refers to carbon dioxide hydrocarbonate, has an alkaline reaction. Borjomi with pancreatitite drink in the remission. It is also prescribed with other diseases: diseases of the stomach, intestines, gallbladder and biliary tract.

• Essentuki

There are many varieties of Essentuki water, differing in chemical composition and exposure to the body. Essentuki in different ratios contains chlorine, sodium, boron, calcium, silicon, fluorine, potassium, iodine, magnesium, sulfur.

Essentuki can stimulate pancreatic secretion (No. 17), which is suitable for developing pancreatitis with insufficient developing enzymes, and reduce secretion (No. 4), this is suitable in the case when it is necessary to reduce the destructive effect of activated enzymes on the pancreas. Some doctors recommend Essentuki No. 4, even with acute pancreatitis or in the period of a sacrificing exacerbation of chronic disease. In the Remissance phase, Essentuki №4 can be used without restrictions like a medical dining room.

Essentuki №17 refers to therapeutic, it is used only by appointing a doctor. The uncontrolled her reception can provoke an exacerbation of the disease. Yessentuki No. 20 refers to the table, it can be drunk without restrictions.

• Narzan

Narzan refers to sulphate-hydrocarbonate magnesium-calcium. There are three types: general, dolomite and sulphate. General Narzan refers to the table, it is sold in bottles everywhere. Treatment by dolomite and sulphate narragan is carried out at the resorts. Alkaline Narzan is sometimes prescribed with acute pancreatitis - it neutralizes the acid of the gastric juice.

2 Important rules

In order for drinking treatment only to benefit, and did not harm, with chronic it is important to comply with the following rules:

• In the home conditions, only therapeutic and table alkaline species, such as Essentuki 4 and 20, Borjomi take place.
• A specific species chooses a doctor based on the patient's condition.
• Drinking treatment is carried out in the remission. In the acute period, only the doctor can assign water intake.
• The temperature of the fluid must be within 37-42 degrees.
• It is impossible to use a carbonated mineral water. From the bottled gas should be released, leaving it for a long time open in a warm place.
• At the beginning of treatment, they drink at once no more than ¼ cup. If such a number of fluid does not cause discomfort, then the resulting quantity is gradually adjusted.

3 drinking therapy cholecystitis

Cholecystitis often accompanies chronic pancreatitis. At cholecystitis, mineral water without gas, along with physiotherapy, it is used to treat chronic cholecystitis both at home and in resorts and in sanatoriums. For treatment, you can use the bottle "mineral water". A specific appearance appoints a doctor based on the features of the course of the disease and the patient's condition.

Treatment is carried out several times a year to 3-4 weeks. They usually drink 1/2 - 3/4 glasses three times a day. With cholecystitis, Essentuki No. 4 and No. 17, Slavyanovskaya, Smirnovskaya, Mirgorodskaya, Naftua are appointed.

For the treatment of chronic cholecystitis, chloride sulphide and sodium-magnesium species are used.

It normalizes the function of the gallbladder, has a choleretic effect, relaxes the sphincters of the ducts and tones the smooth muscles of the gallbladder, eliminates which can lead to the formation of gallstones.

With inflammation of the gallbladder and ducts, the bile reaction shifts into the acidic side, so they choose alkaline species - they neutralize the acid and contribute to the decrease in inflammation.

In chronic fine-blind cholecystitis, Arzni, Borjomi, Jermuk, Essentuki, Water of Truskavets, Pyatigorsk, Druskininkai, Java, Izhevsk and Berezovskiy are shown.

4 Features of reception of mineral water

For the successful treatment of cholecystitis, some rules must be followed:

• It is important when treating at home to observe a diet and routine of the day. This will help create conditions approximate to the resort conditions or the prejudice and increase the effectiveness of treatment.
• If the secretory function of the stomach is reduced or normal, then the water is drunk in half an hour before eating, if promoted - after an hour and a half after.
• It is necessary to drink it in a warm form - it contributes to the removal of spasms.
• In acute cholecystitis, the non-carbonated mineral water is drunk from the first days, in this case they are bred in half boiled.

5 Common Contraindications

Despite all the benefits of drinking treatment, there are conditions under which it is contraindicated:

• The aggravation of inflammation in the stomach or intestines, accompanied by vomiting, diarrhea, severe pain, bleeding.
• Acute purulent processes in biliary tract, blockage of ducts.
• Serious diseases of the cardiovascular system.
• Diseases of the kidneys
• For alkaline species - alkaline urine reaction.
• Disorders of the gastrointestinal tract.

The use of mineral water has a beneficial effect on the gastrointestinal organs, helps in the treatment of diseases such as pancreatitis and cholecystitis, warns exacerbations. For home treatment, you can use bottled water, selected on the recommendation of the doctor.

Chronic cholecystitis can not be defeated by one blow. Its treatment does not require expensive medicines, but must be a systematic, thoughtful and timely. Launched chronic cholecystitis does not provide another selection, except for the operation.

Chronic cholecystitis

Without exaggeration, we can say that a properly organized diet with chronic cholecystitis solves everything. Without a carefully observed diet, treatment with any other means loses any meaning.

Medical treatment of chronic cholecystitis

Medical treatment is usually necessary during periods of exacerbation of chronic cholecystitis.

Antispasmodic tools Reduce the increased tone of the horizontal bubble and the yellow ways:

Vicious circle: spasm causes pain, and pain enhances spasm. Combined drugs "Safasmolitik + analgesic" are particularly effective due to their effect on both elements of the vicious pain.

• Preparations of Beauty (BelaDonna)containing atropine, relax the smooth muscles of the wagge bubble walls and raging paths, taking pain in their spasme. The negative point is the oppression of the secretion of all digestive glands (pancreas, salivary) and secretion of gastric juice.
• Papaverin as well as atropine, has a direct relaxing effect on the smooth muscles of the walls of the horizontal bubble and the yellow ways. Unlike atropine, papaverine is deprived of the oppressive effect on the secretion of digestive juices.
• Platifillain, DroTaver (but-shpa, but-shpa forte, share, nicospan), diticovmerin, Pitophenon According to the chemical structure and the mechanism of action is similar to papaver, but significantly exceed the last force and duration of action.
• Combined drugscontaining antispasmodics and painkillers are most effective:
  • dicyclovery + analgesics: kombism, Sigan, Trigan;
  • pitoophenon + analgesics: spasgan, Baratgin, Maksigan, Renalgang, Spasmalgon;
  • atropine + analgesics: bellalgin, Bellatesin;

Non-steroidal anti-inflammatory means Remote anti-inflammatory, anesthetic and antipyretic effect. As a current start, contain analgin, Pyroxikov, Ibuprofen, Paracetamol and others. NSAIDs are part of the combined drugs together with spasmolitics and other components, which significantly increases their effectiveness: barallgin, Spasgan and etc.

Peristaltics stimulants (missing) : metoklopramid (Cerukal), Domperidon, stimulating the intestinal motorcycle, raging bubble and raging pathways, enhance the heating release. Showing at a low tone of raging paths, which manifests itself with a feeling of gravity and overflow in the abdomen, swelling of the abdomen, a decrease in appetite, nausea, belching.

The hornets are divided by the mechanism of action for two main groups: choleretics stimulate the release of yellow-haired cells; holecinetics Stimulate the emission of yellow due to the strengthening of the horizontal bubble and raging pathways. Vegetable horns, as a rule, possess the properties and those and others.

HEALCHONE FACILITIES According to the mechanism, the action is divided into several types:

• choleretics: stimulate the selection of yellow-haired cells;
• halpiecakers: stimulate the emission of yellow due to the strengthening of the horizontal bubble and raging pathways;
• halchegonal means of mixed action, conventional properties and choleretics, and cholesterotics: preparations from vegetable raw materials and greyhone herbs;

Choleretics are useful with a reduced yellow liver function (chronic hepatitis, cirrhosis of the liver), which leads to an intra-hearth cholestasis syndrome (delay of yellow in intrahedral handwriters). Chronic cholecystitis itself is not a reason for the use of potent choleretics. On the contrary, excessive stimulation of the booster against the background of spasm of external gall ducts may worsen the state. Classic choleretics:

• preparations containing horizons and handicap acids: allohol, Halezim);
• some synthetic substances: oxafenamide, Cycvalon, Nicode;

Halfairics are advisable to use with a reduced tone of the biliary tract:

• salt preparations: magnesium sulfate or so-called. Magnesia, Karlovyskaya Salt and etc.
• polymatomic alcohols: sorbitol, xylitol, mannitol
• vegetable oils ( castor, Olive et al.), unlike saline drugs and polyatomic alcohols, have a softer horgistic and laxative effect, which makes them indispensable with a tendency to constipate. Conventional sunflower and olive oil is advisable in such cases to use in an amount up to 100-120 g per day as a component of the diet, adding to salads and others.

Herbal Raw Gear (holosas, Hofitol, Cinaarix, Holyagol, Kolaugogum, Chogeius, et al.) like halchegon herbs ( , Coriander Fruits, corn storks, Big, Barbaris Ordinary, Thyrtoid et al.), usually combine properties and choleretics and cholesis. From the above-mentioned horns, they are distinguished by the softness of action. In addition, many of them have antispasmodic, anti-inflammatory and antimicrobial effects. The listed advantages make it possible to successfully and safely take vegetable hens both in exacerbations and in a quiet period.

In the treatment of chronic cholecystitis, the status of the tone of raging paths should be taken into account. Thus, with a low tone, the reception of but-shops and other spasmolitics will not bring any benefit, but peristaltics stimulants (methoclopramide) and cholecinetic refinery (magnesia) will help.

On the contrary, the spasmodes spasmodes spasmolytics are very effective, but the irrational use of yellow tools can lead to a deterioration (see drawing on the right).

JUXTRA-Tablet asks:

And how to find out whether the yellow bubble is resuming or is excessively relaxed?

For an atonic yellow bubble, weak stupid pain, a feeling of gravity and overflow in the stomach, a decrease in appetite, nausea, belching. In the spa of the raging paths there are more intense pains, often acquiring a grapple-shaped character. But these signs are quite unreliable. Ultrasound and other instrumental studies give an accurate answer, but spasm and atony can often replace each other.
It is best to spend careful trial treatment: if the half-tablet is no-shop and the heated side helped - undoubtedly, it was a spasm and we are on the right track.

Preparations of ursodeoxycholic acid (ursosan, Ursofalk, UrsocholIt is used in calculatory chronic cholecystitis outside the exacerbations, as well as in the cholestatic syndrome (the difficulty discharge in the liver), cholangitis (inflammation of intravenous raging pathways). Ursodeoxycholic acid is able to respond cholesterol stones in the horizontal bubble and prevents the formation of new ones. In addition, it acts as a cholerastic yellow remedy, reinforcing the production of yellow, normalizes the exchange of cholesterol, has a protective effect on liver cells (hepatoprotective effect).

Enzyme preparations containing pancreas enzymes ( pancreatin, Mezim et al.), as well as the components of yellow ( festal) Showing in chronic pancreatitis, often accompanying chronic cholecycles.

Homeopathic drugs (holegran, cholecinal And others), obviously, are not deprived of a favorable influence. Their action is apparently due to the modulation of cellular immunity, closely associated with the operation of the liver.

Antibiotics It is advisable to take with pronounced exacerbations of chronic cholecystitis. Preferred antibiotics, purposefully affecting intestinal microorganisms: tetracycline, Levomycetin, Doxycycline. At elevated temperature and severe pains resort to intramuscular and intravenous administration of penicillin and cephalosporinic antibiotics with a wide range of action.

Antibacterial drugs fluoroquinolone row ( levofloxacin, Opleloxacin, Ciprofloxacin et al.), Sulfanimonds ( sulfadimetoxin, Biseptol.), nitrofurans ( furadonin), metronidazole ( trichopol, metragil) and others are most effective in relation to anaerobic pathogens.
Metronidazole, Delady Also shown in giardial invasion, although the role of giardia in the origin of chronic cholecystitis is greatly exaggerated.

JUXTRA-Tablet decided to insert her mind:

Yes, antibiotics are already a treatment, and then all the diet, herbs ... Levomycetin together with the metronidazole instantly burn out all infection. Checked more than once!

Pretty naive to think so. In fact, antibiotics and other antibacterial drugs play only an auxiliary role. Correspondence: "You need to kill the infection, and everything will pass" in the root incorrect. Microorganisms always settle there, and only where favorable conditions are found. If they once be expelled, they will be returned very soon. But there is a way out. Do not allow stagnation of yellow, we can deprive them of a favorable habitat. In the mountain stream, the water is always clean, unlike the stagnant puddles.

Treatment of chronic cholecystitis mineral waters

The healing effect of mineral waters for chronic cholecystitis is noticed for a long time.

Sulphate and chloride sulphate mineral waters are useful: Essentuki №4 and №17, Slavyanovskaya, Morshinskaya, Narzan, Naftus, and others. Take them in warm form for 200-300 ml 2-3 times a day 1 hour before meals.

In hypotonic states, strong-hydrohazed water with a temperature of 25-28 ⁰, with spastic - middle-range, heated to 38-40⁰ are taken.

Treatment of chronic cholecystitis thermal and physiotherapy procedures

In spastic phenomena of raging pathways, thermal and antispasmodic effects have thermal procedures:

• the easiest way: to lie on the right side and attach to the area of \u200b\u200bthe horizontal bubble warm height of 20-30 minutes;
• the effect is significantly better if instead of the heating of paraffin or ozoeberite for 20-30 minutes;
• deep heating of the area of \u200b\u200bthe rash bubble infrared emitter of the type "Soluxe", etc.

With a low tone of the gulb bubble, it stimulates its motorcy with diadinamic currents per Boaas point (it's on the neck), where the diaphragmal nerve is superficially listed.

And, of course, move more: walks, physical charging, cottage, etc. In active people, cholecystitis happens much less frequently.

About tubaz

Tuba., a fairly fashionable procedure, is not really so harmless, as many people think. Conducted by the admission of magnesia, sorbitol, xylitol and other substances, a sharp gain of the horizontal bubble can lead to a stone migration into the overall handbag and to overlapping his lumen. The consequences of such a situation are unpleasant: complete cessation of the outflow of yellow, mechanical jaundice and the need for an urgent operation. Therefore, the tubaz can be carried out only with complete confidence in the absence of stones.

Surgical treatment of chronic cholecystitis

Surgical treatment is shown in chronic calculatory cholecystitis flowing with frequent exacerbations. The main operation in chronic cholecystitis is cholecystectomy, or removal of the gulb bubble.