Gastrointestinal tract: health and disease

At least once in our lives, each of us has encountered poisoning, allergies or infections. When harmful substances enter the body from the external environment, they cause a whole range of unpleasant reactions: vomiting, diarrhea, nausea, high fever, weakness. The cause of the disease can be eliminated, as well as the effects of toxic substances removed using sorbents.

The editors of the YaNashla website have prepared a review of modern sorbent drugs, compiled detailed instructions on how to choose a quality medicine, and also selected the TOP best.

What are sorbents

Sorbents are medicines that absorb any substances: gases, breakdown products, allergens, toxins.

According to the method of sorption (absorption), drugs are divided into 4 types:

adsorbents absorb toxins only in the surface layer;
absorbents absorb harmful substances with their entire mass;
ion exchangers - remove toxins, starting ion exchange processes in the gastrointestinal tract;
chemical absorbers neutralize unnecessary substances by reacting with them.

general information

In the process of life, various types of harmful compounds accumulate in our body, for example, toxins or waste products , which should be periodically gotten rid of in order to maintain good health and well-being. For these purposes, special adsorbents or absorbent preparations are used to cleanse the body, which are able to absorb toxic substances and safely remove them.
Such medicines will be indispensable for intestinal poisoning, as well as for alcohol or drug intoxication. They quickly neutralize harmful chemical compounds and alleviate the human condition.

Indications

Sorbents are widely used in medical practice in the treatment of various diseases accompanied by intoxication of the body. We list the most common cases when a patient may be prescribed them.

Food or drug allergies. The sorbent is prescribed in combination with an antihistamine. The first removes allergens from the body, the second suppresses their effect.
Overdose of drugs.
Binge eating.
Alcohol poisoning.
Disruption of the normal functioning of the digestive organs, liver, kidneys.
“Withdrawal” during drug withdrawal.
Intoxication with waste products of helminths.
Burns and damage to a large area of skin.

Prophylactic use of sorbents is also recommended for workers in hazardous industries and residents of environmentally disadvantaged areas.

Phosphalugel

Phosphalugel is produced in the Netherlands and is suitable for the treatment of mild poisoning. The huge advantage of this sorbent is its versatility (stomach protection, neutralization of hydrochloric acid, enveloping effect, absorption and removal of toxic substances). If a child is poisoned, he will easily agree to take Phosphalugel with orange flavor.

This sorbent can be taken in minimal dosages by newborns, as well as nursing mothers and pregnant women. The pharmacy sells two versions of the drug: stick bags and sachets. "Phosphalugel" can be taken in pure form or diluted in half a glass of water.

If you take antibiotics, remember that Phosphalugel interferes with their complete absorption, so you can drink the antibiotic only two hours after the sorbent.

Phosphalugel

Brocades

Peptic ulcer of the stomach and duodenum in the acute phase, chronic gastritis with increased and normal secretory function of the stomach in the acute phase, acute gastritis, acute duodenitis, symptomatic ulcers of various origins, erosion of the gastrointestinal mucosa, reflux esophagitis, hiatal hernia, enterocolitis, sigmoiditis, proctitis, diverticulitis, diarrhea in patients after gastrectomy, dyspeptic symptoms (including neurotic origin, after errors in diet, taking medications, chemotherapy), acute pancreatitis, chronic pancreatitis in the acute phase, poisoning and intoxication.
For the purpose of prevention to reduce the absorption of radioactive elements. from 15

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Contraindications

Sorbents have many positive features, but they still have a number of disadvantages. Thus, the following contraindications for use can be identified:

intestinal obstruction;
intestinal atony;
violations of the integrity of gastrointestinal tissues - ulcers, inflammation, erosion, gastritis, etc.;
allergy to medication components;
bleeding in the stomach or intestines;
bile duct diseases.

Some sorbents may not be recommended for children, pregnant women, or patients with liver or kidney disease.

Pharmacological group - Adsorbents

Subgroup drugs excluded

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Criterias of choice

The pharmaceutical industry offers many drugs to cleanse the body. In any online store you can order dozens of sorbents online, even without a prescription, with different compositions and in different release formats.

The main thing you should pay attention to when choosing a sorbent is its composition. For the manufacture of these medications, fairly simple natural or synthetic materials are used, to which food allergies rarely occur. But at the same time, the materials themselves interact with the body differently.

Thus, some medications have a gentle effect on mucous tissues without causing harm to them. Others act aggressively, even to the point of microtrauma. All medicinal formulations differ in the degree and speed of toxin sorption.

Based on their composition, sorbents are divided into:

Silicon of natural origin. The main component is medical clay or smectite. The most famous representative is “Smecta”.
Silicon synthetic. Best for poisoning. Not recommended for ulcers or gastrointestinal erosions. Popular models are “White Coal”, “Polysorb”, “Enterosgel”.
Carbon. Not as effective as flint ones. They have a very harsh effect on the mucous tissues of the gastrointestinal tract. The most famous representative is “Activated carbon”.
Plant based on lignin. The product consists of wood cells. The most famous is Filtrum.
Natural based on pectin. The most popular is “Pektovit”.

Strictly speaking, medications with pectin are less effective in their sorbing properties than others. They will not relieve severe intoxication. But they can be taken much longer than conventional sorbents. They do not disrupt the microflora of the gastrointestinal tract, but, on the contrary, restore it. The use of such drugs helps restore normal tone to the intestinal muscles.

Pectin-containing dietary supplements are used for weight loss. The effect is, of course, insignificant. But you can remove a couple of kilos in the form of liquid and get rid of unpleasant swelling.

Preparations with pectin or cellulose are also often prescribed for constipation. But if you don’t want to spend money on medicine, you can get the same pectin from fruits or vegetables in the form of fiber. A lot of pectin is found in ordinary apples, citrus fruits, plums, apricots, beets, and cabbage.

Once in the body, fiber swells, increasing the volume of feces, and coarse fibers improve intestinal motility. These two factors rid the gastrointestinal tract of rotting products, which usually linger inside for a long time.

Errors in selection

Release form. Medicines are available in the form of tablets, gels, capsules, and powder. Which form is more effective and better? It all depends on where the toxin is located and how quickly you need to get results.

Tablets act the slowest of all. If the harmful substance is still in the stomach, then it is better to drink the medicine in powder form. If toxins are already in the intestines, then you can’t do without sorbents in capsules.

Diseases and age of the patient. The second important factor, often overlooked in the treatment of poisoning. The effect of an aggressive sorbent (“Activated carbon”) on the inflamed intestines is comparable to sandpaper. Therefore, when choosing a medicine, you should give preference to softer, more gentle options.

The best manufacturers of drugs for colon cleansing

When planning to buy a sorbent, many people think about which company should be preferred. A lot depends on the brand: the quality of raw materials, personnel qualifications, production conditions, and, ultimately, the quality of the product. Which manufacturers should you pay attention to? According to doctors and numerous patients, the best brands are:

Astellas/Pharmatis (Japan);
Lainco (Spain);
Vneshnetorg Pharma (Russia);
PJSC "AVVA RUS" (Russia);
Polysorb (Russia);
TNK SILMA (Russia);
Pharmatis (France);
PharmVILAR (Russia);
Pharmstandard-Leksredstva (Russia).

Rating of high-quality sorbents for cleansing the body for 2022

We offer you an overview of the most popular models of sorbents for adults and children. The rating contains detailed descriptions of the properties of the drugs, as well as the pros and cons of each of them.

Activated carbon

The oldest and most popular remedy for food poisoning, diarrhea, and various types of intoxication. Available in every pharmacy, affordable. Quickly removes harmful substances and toxins from the body. Do not use for ulcers or gastrointestinal bleeding.

Average price: 25 rub.

Activated carbon

Advantages:

budget;
guaranteed result;
is not addictive;
can be taken for up to two weeks;
safe for children.

Flaws:

It is inconvenient to drink - you need to take several tablets at once. An alternative option - taking the drug in dissolved form requires crushing the medicine, mixing it with water and drinking it before the suspension settles.
Many side effects - constipation, nausea. With prolonged use, hypovitaminosis appears.

Smecta

An effective drug based on medicinal clay fights bloating, heartburn and diarrhea. Do not use if you have intestinal obstruction or allergies to the ingredients of the drug.

Average price: 120 rub.

Smecta

Advantages:

budget;
convenient release form;
indicated for children;
suitable for pregnant women and breastfeeding;
There are several flavors on sale - raspberry, vanilla-cocoa, strawberry, caramel-cocoa;
has a gentle effect on the mucous tissues of the gastrointestinal tract.

Flaws:

fragrances can cause allergies;
acts slowly due to low sorption;
high therapeutic effect.

Polysorb-MP 12g can

The synthetic silicon enterosorbent model eliminates the consequences of acute or chronic poisoning of various origins and facilitates the treatment of food or drug allergies.

Average price: 109 rub.

Polysorb-MP 12g can

Advantages:

acts quickly;
high suction capacity;
Can be drunk by pregnant or breastfeeding women;
safe for children.

Flaws:

high cost per gram;
inconvenient to take - the medicine must be diluted in water and drunk quickly before the suspension settles;
long-term use can cause calcium deficiency and hypovitaminosis;
may cause constipation and allergies.

Ultra-adsorb caps. 200 mg No. 30

Sorbent based on activated carbon, but in a more quickly absorbed form. The medicine is available in the form of gelatin capsules with black charcoal powder inside. Dissolves quickly and absorbs harmful substances well. It is used in the complex treatment of infectious diseases.

Effective for allergic reactions and poisoning.

Do not use for ulcers or internal bleeding of the gastrointestinal tract.

Average price: 442 rub.

Ultra-adsorb caps. 200 mg No. 30

Advantages:

can be given to children from three years old;
convenient release form;
is not addictive;
reduces gas formation.

Flaws:

high cost of one package;
may cause constipation, nausea, calcium deficiency.

Phosphalugel gel internal. 20% 16g No.6

The medicine reduces the level of acidity in the stomach, carefully envelops the tissues of the gastrointestinal tract, forming a protective layer on them. The gel can be used for ulcers, inflammation, gastritis and other diseases that cause disruption of the integrity of gastrointestinal tissues. The product gently cleanses the body of toxins and waste caused by poisoning, drug or alcohol overdose, or allergies.

Average price: 156 rub.

Phosphalugel gel internal. 20% 16g No.6

Advantages:

budget;
does not disturb the pH balance in the stomach;
reduces gas formation.

Flaws:

Do not drink if you have liver disease or heart failure;
Contraindicated during pregnancy, as well as during breastfeeding.

Enterosgel paste internal. 225g No. 1

The gel is used to bind and remove toxins from the gastrointestinal tract. An effective detox remedy for any type of intoxication. Able to reduce the symptoms of poisoning with potent substances, poisons, drugs, salts of heavy metals.

Effective for infections, including purulent-septic ones, as well as allergies of various origins.

For preventive purposes of chronic intoxication, the drug is taken by workers in hazardous industries.

Average price: 383 rub.

Enterosgel paste internal. 225g No. 1

Advantages:

can be given to children;
according to customers, it is characterized by fast action and high efficiency;
can be used for preventive purposes;
does not remove beneficial intestinal microflora;
improves intestinal motility;
increases immunity.

Flaws:

high price;
may cause constipation.

Filtrum-STI tab. 400 mg No. 50

A natural lignin-based product works well.

It is not recommended to take the medicine for intestinal atony, as well as ulcers or inflammation of the gastrointestinal tract. Contraindicated if you are allergic to the components of the drug.

It is used in the complex treatment of allergic reactions and poisonings of various types. Prescribed for diseases of the liver and gall bladder.

To increase the effect, the manufacturer recommends crushing the tablet before use.

Average price: 302 rub.

Filtrum-STI tab. 400 mg No. 50

Advantages:

natural ingredients of plant origin;
various forms of release - lozenges for children, tablets for adults;
high efficiency;
does not disturb the intestinal microflora;
can be given to children.

Flaws:

not found.

Lactofiltrum tab. No. 60

A plant enterosorbent that does two things at once: it removes toxins from the intestines and at the same time restores the microflora. Lignin absorbs and removes pathogens, waste and toxins of any origin well from the body, and lactulose serves as a breeding ground for beneficial lacto- and bifidobacteria.

Effective for liver diseases, irritable bowel syndrome.

Do not use for internal bleeding, ulcers, or allergies to the ingredients of the medicine.

Average price: 388 rub.

Lactofiltrum tab. No. 60

Advantages:

can be drunk during pregnancy and breastfeeding;
can be given to children;
normalizes intestinal microflora;
stimulates the immune system.

Flaws:

in rare cases causes allergies, diarrhea, gases;
with prolonged use, constipation and colitis are possible.

Coal white asset tab. 700 mg No. 10

A product based on cellulose and silicon dioxide easily copes with the consequences of overeating, alcoholic libations, and intestinal infections.

The mixture removes helminth waste products from the intestines within half an hour and alleviates allergy symptoms.

Average price: 142 rub.

Coal white asset tab. 700 mg No. 10

Advantages:

acts quickly;
is not addictive;
does not lead to constipation.

Flaws:

can only be taken from 14 years of age;
contraindicated during pregnancy, as well as during lactation;
cannot be used for ulcers or erosions, gastrointestinal bleeding.

Whitesorb

Domestic medicine based on silicon quickly removes toxins, poisons, waste, and heavy metal salts from the gastrointestinal tract. The tablets relieve allergy symptoms and alleviate alcohol poisoning.

Indicated for patients with kidney disease, because can remove excess metabolic products from these diseased organs.

Average price: 134 rub.

Whitesorb[

Advantages:

inexpensive;
acts quickly;
makes up for the lack of silicon.

Flaws:

cannot be used during pregnancy or lactation;
It is not recommended to drink for children under 14 years of age;
not for ulcers, inflammation, internal bleeding of the gastrointestinal tract.

Errors when taking sorbents

Without a doctor's prescription, sorbents should not be taken for more than two weeks. Most drugs do not understand who is “good” and who is “bad” and remove both harmful and beneficial substances from the body, including essential micro- and macroelements, vitamins, and nutrients.
There should be 2-3 hours between taking any medication and taking the sorbent. If you break this rule, the sorbent will absorb the drug you need, and it will not have any effect on the body. Repeated use of the drug is also fraught with negative consequences - you can never say exactly what part of the drug entered the blood and what part was collected by the sorbent.

How to choose a laxative to cleanse the intestines

- Of course, anyone can choose a laxative themselves - after all, prescriptions are not required. But it’s better to entrust this to a specialist,” emphasizes Liliya Sagdutdinova. – Only a doctor, taking into account his education and experience, can select the most effective medicine for a particular patient from a number of good drugs.

If you dare to solve the problem yourself, it is very important to first study the list of contraindications specified in the instructions. Ignoring this has serious consequences. What if laxatives don't help?

— For patients in whom the use of laxatives is not effective enough, it is recommended to prescribe prokinetics from the group of 5-HT4 receptor agonists. The only drug of this class available in Russia today is Prucalopride (Rezolor), notes the gastroenterologist. – In general, to avoid problems with constipation, you need to move more (at least walk - at least 60 minutes a day), drink more water (30 ml per 1 kg of body weight), and add foods consisting of insoluble dietary fiber to your diet – for example, wheat bran.