Recently, doctors are increasingly diagnosing patients with cholestasis, which is characterized by thick bile and problems with its secretion. However, this diagnosis is not fatal, and the disease is easily curable. The main thing is to follow a diet and take appropriate foods and medications that dilute the bile in the gallbladder, and then over time, cholestasis will be completely eliminated.
Cholestasis is a disease characterized by stagnation of bile due to its increased density, as a result of which bile is poorly secreted or ceases to be secreted from the gallbladder at all. There are two types of cholestasis: the first occurs due to dysfunction of the liver, and the second due to pathologies of the upper intestines, gallbladder or its ducts. If you have such problems, you should immediately consult a doctor so that he can prescribe a comprehensive treatment for bile stagnation, because otherwise it can lead to serious complications such as osteoporosis, the formation of gallstones, liver failure or cirrhosis.
Causes of bile thickening
Before we begin to understand what dilutes bile and how to cure cholestasis, let's find out what the possible reasons for the development of such a disease may be. After all, knowing what caused it to thicken, it will be easier to return everything to normal.
- Stagnation of bile can be caused by poor nutrition and an abundance of fatty, smoked or spicy foods in the diet.
- Cholestasis occurs in people who lead a sedentary lifestyle and tend to be overweight .
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- Thickening of bile and its stagnation in the gallbladder can be a side effect of taking certain medications .
- Stagnation of bile can be caused by disruption of the endocrine system, as well as gastric ulcer, gastritis or pancreatitis .
- Bile becomes too thick due to underdeveloped gallbladder muscles .
- Thickening of bile can be caused by a person’s unstable emotional background and increased excitability , due to which a spasm occurs in the body, clogging the bile ducts.
Why do you need to liquefy bile?
Stagnation of bile leads to the formation of stones
The human liver produces approximately 500 ml of bile per day. Our body needs it, as it promotes the digestion and absorption of fats and fat-soluble acids. Only thanks to bile are fats able to be emulsified and absorbed by the intestinal walls.
Stagnation and thickening of bile, its untimely outflow is a pathology that cannot disappear on its own. It is important to take this fact into account and take care of the necessary treatment. If this is not done, then more serious complications, such as stones and perforation of the gallbladder, will soon make themselves felt.
Symptoms of cholestasis
It is also very important, before thinking about what foods and drugs dilute bile, to find out whether this is necessary, focusing on whether you have symptoms of cholestasis.
So, such a disease is characterized by the following symptoms:
- feeling of discomfort in the right hypochondrium;
- periodically there is yellowish-green vomiting on an empty stomach;
- there are problems with the throat and neck, which hurt, swell and swell;
- bitterness appears in the mouth;
- during the daytime, burning and itching of the feet may be felt;
- problems with urination begin.
Recommendations for thinning bile
First of all, it is important to remember the general rules on how to liquefy bile in the gallbladder . These will need to be followed every day from the time of diagnosis.
- It is necessary to engage in therapeutic exercises and do breathing exercises that have a positive effect on the abdominal area.
- It's worth going jogging or swimming.
- It is necessary to eat food at least 4-5 times a day, and it must be warm.
- You should follow fractional meals and monitor your daily intake of proteins, fats and carbohydrates, which should be distributed in each meal.
- You should exclude fried and fatty foods, as well as anything spicy and salty from your diet.
- You should not eat excessively hot or cold food.
- It is necessary to drink 1.5-2 liters of regular boiled water every day.
- You need to start leading an active lifestyle and try to be less nervous.
Liquefaction of bile using medicinal methods
Advice! Before taking any measures, you must consult a gastroenterologist, who will clarify the diagnosis by conducting the necessary examination. First, an ultrasound examination of the gallbladder is performed to determine whether there are stones or signs of an inflammatory process.
It is also possible to conduct an X-ray examination of this organ. It is mandatory to undergo a general and biochemical blood test to determine whether there is an inflammatory process in the gallbladder or liver. People suffering from cholecystitis additionally undergo a stool test to identify parasites.
Having established an accurate diagnosis, the doctor prescribes treatment, depending on the stage of the disease. If there is an exacerbation of chronic cholecystitis, the patient should remain in bed for 3-5 days. During the first 3 days, adhere to a strict diet, and the daily diet must include 5-6 glasses of any sweetened liquid (tea, compote, etc.) and several crackers.
Depending on the patient’s condition, the diet can be gradually expanded, allowing porridge cooked in water, boiled fish and low-fat cottage cheese. At the same time, it is necessary to eat food in small portions, slowly.
There are many drugs to thin bile
Once the exacerbation has passed, you should adhere to a certain diet that excludes the consumption of fatty, salty, fried and spicy foods. You should generally forget about fresh baked goods, alcohol and carbonated drinks.
Gallbladder drainage
If you consult a gastroenterologist with a question about how to thin thick bile, he may refer you to a gallbladder drainage procedure. This procedure will improve the flow of bile and eliminate obstructive jaundice caused by its stagnation.
Drainage can be carried out in two ways.
- In the first case , you will need to insert a tube into the gallbladder that will connect it to a receiver where bile will accumulate, which will allow you to monitor the process and assess the patency of the bile ducts.
- In the second case, a similar tube will connect the intestines and the gallbladder, which will improve the performance of the organ, which will begin to distill bile faster. Usually in such a case, a positive result will be noticeable as soon as possible, and after a couple of days the tube is removed.
What threatens you with increased bile density?
An increase in bile viscosity triggers a chain of various pathologies. Increased pressure in the bile ducts – “biliary hypertension” syndrome. The movement of secretions through the hepatobiliary system slows down. As a result, the health of many body systems suffers.
Gallstones
Almost all patients with cholelithiasis have a predominance of cholesterol and a deficiency of bile acids in the bile. Cholesterol sediment becomes the basis for stone formation.
Intrahepatic bile stagnation
The pathology is associated with slow passage of bile through the intrahepatic bile ducts and increased pressure in them. Gradually, this leads to disruption of the tone of the liver drainage system. The sphincters, which normally prevent the reverse flow of bile, begin to fail to cope with their work. The secretion goes back into the liver cells. Hepatitis develops first, then cirrhosis of the liver.
Pancreatitis
The work of the liver, gallbladder and pancreas are closely related. Gallstones, which are a consequence of thickening of bile, occur in 40-80% of cases of acute pancreatitis. The pancreatic duct exits into the lumen of the duodenum along with the bile duct. Thick bile creates conditions for its reflux into the pancreas, which causes inflammation.
Reflux
It is known that bile is one of the “regulators” of intestinal motor function. With its increased viscosity, this well-coordinated mechanism becomes “unbalanced” - insufficiency of the pylori sphincter appears, and bile is thrown into the stomach.
Digestive disorder
In the body, no process occurs in isolation. One pathology leads to a failure of all systems. Thick bile affects not only the liver and gallbladder, but also the entire digestion in general. Moreover, at stage 1 of cholelithiasis, cavity digestion in the small intestine is disrupted, and at stage 2, all stages of breakdown and absorption of nutrients are already affected.
Folk remedies that dilute bile
If the patient is an opponent of traditional medicine, he can use folk remedies that will also help him recover from cholestasis.
The first step is to saturate the body with fluid to increase pressure in the digestive system. Then half of the liquid will enter the gallbladder and dilute the thickness of the bile there. To do this, it is better to drink not just water, but a decoction of birch leaves .
You can also prepare a special choleretic decoction , which will affect the muscular structure of the gallbladder, expelling bile into the intestines. This decoction can be prepared from dandelion .
But from celandine, cap and agrimony, you can make a decoction that not only dilutes bile, but also improves its composition.
When choleretic drugs can be dangerous
Herbal decoctions can also help
People suffering from pancreatitis, hepatitis, cirrhosis of the liver, irritable bowel syndrome with symptoms of diarrhea should not be stimulated. If you take such drugs, the load on the liver cells increases significantly, in particular, the amount of antioxidants in it decreases.
We are talking, first of all, about mixtures containing more than 2 components from medicinal herbs, in particular, choleretic, laxative, and sedative herbs. That is why the use of any choleretic drugs should be agreed with the doctor.
Through tests, he will determine whether there are pathologies in the activity of liver cells. In case of a noticeable increase in enzymes of this organ, choleretic drugs are not prescribed. There is a misconception that with the help of choleretic agents it is possible to remove small stones from the gallbladder.
Cleansing the body
An important point in terms of how to liquefy bile in the bile ducts and bladder is cleansing the body, which allows you to simultaneously reduce the thickness of bile and remove harmful substances from the body along with it, thereby contributing to the overall improvement of your health.
The easiest way to do this is with olive oil , which will promote the flow of bile and normalize the balance of lipoproteins in the body. And all you need to do is take one spoonful of unrefined extra-virgin olive oil every day on an empty stomach .
In addition, beetroot decoction , for the preparation of which you need:
- take peeled large beets, throw them whole into a saucepan with three liters of water and cook them over medium heat until only a liter of water remains in the container,
- after this, the vegetable will need to be grated on a fine grater, added to the broth, and cooked for another 15-20 minutes,
- cool down
- take a glass every 4 hours.
On this day, eat only fruits and vegetables, get plenty of rest, and apply a heating pad to your liver.
Liquefying bile using traditional methods
Olive oil to thin bile
There are many ways to solve the problem of stagnant bile:
- Liquefaction can be done with olive oil;
- Cleaning with herbal complexes is allowed;
- Liquefaction using beet broth.
Olive oil is the most harmless and gentle method, but at the same time quite effective. To achieve the expected effect, you need to drink 1 large spoon of this remedy every day in the morning on an empty stomach.
It is better to use unfiltered, Extra Virgin. The spectrum of effects of olive oil is explained by the content of monounsaturated fatty acids, which ensure the body maintains the balance of lipoprotein cholesterol.
It is possible to use herbal preparations that can dilute bile. A collection that includes wormwood, dandelion, plantain, chicory and corn silk is especially useful. Beetroot decoction is also widely used to thin bile. To prepare it, you need to boil the beets in 3 liters of water until the liquid boils down to 1 liter. After this, the beets are pulled out, grated and added to the remaining liquid.
Cook the resulting mushy consistency for another 15-20 minutes. Strain the drug and take the resulting composition 1 glass every 4 hours. On the day of this procedure, it is recommended to abstain from any food other than fruit. You should lie down more, placing a heating pad in the liver area.
Advice! People who suffer from cholelithiasis are not recommended to clean their gallbladder. Before performing such a procedure, it is necessary to dissolve the stones in the gall bladder, and only after that perform liquefaction and cleaning.
Therapeutic physical training is completely justified. By performing a set of simple exercises such as “bicycle”, “scissors”, bending, turning, swinging arms and legs, you can improve blood flow and the activity of the gallbladder, changing muscle tone and thereby promoting the timely outflow of bile.
Diet for cholestasis
There is nothing better that dilutes bile than the correct diet for cholestasis .
In order to henceforth forget about the stagnation of bile in the body, you should forget about eating infrequently and start eating at least 4-5 times a day, and it is better to do it even more often. Let these portions be smaller than usual when you ate rarely, but the process of eating should ideally occur every 3-4 hours.
Moreover, you should not eat mindlessly; it is important to exclude fatty, fried and spicy foods from your diet, replacing them with boiled, baked or stewed foods and steamed dishes.
All these dishes should be easily absorbed by the body, quickly digested and not be heavy on the stomach.
And, most importantly, you need to drink more , and regular non-carbonated clean water, which will facilitate the rapid outflow of bile.
What depends on lifestyle and what on other organs?
The basic mechanism of bile thickening is a change in the ratio of bile acids and cholesterol. Normally, in liver bile, cholesterol molecules are completely “surrounded” by bile acid molecules, which makes them soluble in water. This prevents agglomeration. If there is too much cholesterol, or hepatocytes “do not have time” to synthesize bile acids, a precipitate occurs. This scenario occurs in the following cases:
- Dietary defects with a predominance of fatty foods and a small amount of plant fibers, which naturally regulate the absorption of cholesterol in the intestines.
- Fluid deficiency in the body (insufficient intake or large loss due to various diseases).
- Intestinal dysbiosis, enhancing cholesterol absorption.
These reasons depend only on the person’s lifestyle. Even a violation of the intestinal microflora most often occurs due to poor nutrition or uncontrolled use of antibiotics.
What not to eat if you have thick bile
Before we begin to find out which foods dilute bile, let's look at those foods that should never be eaten with cholestasis . As we have already found out, you should not eat fried, fatty or spicy foods , but besides this, it is also not recommended to eat any dishes that will then lead to heaviness in the stomach or bloating.
These include:
- pork, lamb, goose and duck, as well as canned meat;
- bread, as well as flour and confectionery products;
- any alcoholic drinks;
- black coffee, but if it is absolutely impossible to do without it, you can drink it in small quantities with the addition of low-fat milk or cream;
- store-bought juices and sour fruit drinks;
- any types of mushrooms;
- all kinds of preservation - from vegetables to salads;
- legume products, radishes, sorrel and garlic.
Products that dilute bile in the gallbladder
However, just as there are foods that cannot be eaten with cholestasis, there are foods that simply need to be eaten in order to get rid of the stagnation of thick bile in the gallbladder. These products include:
- buckwheat and oatmeal; you can also eat pasta made from durum wheat, but it is better to eat it only as a complement to the main dish;
- Lenten pastries and stale day-old bread;
- turkey, chicken, tender veal and beef;
- olive and sunflower oil, as well as avocado oil: you need to eat it either pure or season it with various dishes;
- corn, oat or rye bran;
- vegetable broths and vegetable soups;
- fruit and vegetable juices and baby food mixtures, among which the most useful are mixtures of beets with citrus fruits, broccoli with prunes and cauliflower with lingonberries;
- turmeric and chicory; beets and dishes made from them;
- milk and fermented milk products with a small percentage of fat content.
Choleretic products on your table
Spices have been proven to thin bile
Vegetable fats have an excellent choleretic effect. The following oils promote the flow of bile:
- Olive
- Peanut
- Avocado oil
- Corn
- Sunflower.
They should be eaten raw and used as a salad dressing. Some products, in addition to having a choleretic effect, can also boast the ability to prevent the formation of gallstones. This is about:
- Bran (corn, oat)
- Celery
- Spinach
- Cabbage
- Tomatoes
- Carrots
But, perhaps, the most choleretic products are recognized:
- Fresh cabbage and black radish juice
- Cowberry
- Beetroot and grape juice.
In addition, many choleretic herbs are known. These include:
- Dog-rose fruit
- Peppermint leaves
- Barberry root
- Sand immortelle flowers
They should be taken 3-4 times a day, half an hour before meals, for 2-3 weeks. How much to take is indicated on the package. Only those patients who have no stones in the bile ducts or in the bladder itself are allowed to take choleretic herbs.
To prevent thickening of bile and its stagnation, it is recommended to drink enough fluid, approximately 1.5 liters per day. It is advisable to give preference to rosehip decoction or warm unsweetened juices. In addition, the proper rhythm of nutrition contributes to the dilution and outflow of bile. In particular, for the gallbladder to function normally, you need to eat small portions, but more often.
Table No. 5 for bile stagnation
Now that we know everything about bile-thinning foods, we can start creating a menu for every day to eat only the right foods. And for this it is best to focus on a special therapeutic diet, called “Table No. 5 ,” which will tell you how best to have breakfast, lunch and dinner, so that cholestasis goes away without a trace.
In this diet, it is recommended to focus on cereals, and you can cook them with both water and milk in order to diversify your diet.
You should also include a plate of warm, low-fat soup at lunch, eat more omelets made from steamed egg whites, and don’t forget to include fruits, vegetables and dairy products in the menu.
Occasionally you can treat yourself to marmalade, caramel, honey and marshmallows.
In general, when creating a menu (it’s imperative to know what thins bile), you can use the example from the “Table No. 5” diet as a guide.
- For breakfast , eat buckwheat porridge, eat a couple of cheesecakes and wash it all down with jelly.
- For lunch you can try rice porridge with stewed cabbage and wash it all down with kefir.
- For lunch , beetroot soup, steamed meat cutlets, and fruit juice are best.
- For an afternoon snack , you can use a blender to make puree from a sweet apple and carrots.
- For dinner , baked meat, a salad of fresh vegetables, dressed with olive oil, and not too strong tea are ideal.
The trial period for implementing such a diet is a period of 5 days, during which you can try to eat in accordance with the proposed menu. And if the body responds well to such nutrition, then in the future it will be possible to be treated with a similar diet for from 5 weeks to 2 years, depending on the severity of cholestasis.
Chronic cholecystitis - symptoms and treatment
Treatment of chronic cholecystitis can be either conservative or surgical.
Due to the fact that 85-95% of patients with chronic cholecystitis have a calculous (stone form) of the disease, which is associated with the development of serious complications, removal of the gallbladder is the only possible and most effective way to prevent the latter.
Surgery for cholecystitis
Surgical treatment of chronic cholecystitis (cholecystectomy) is a planned operation, and in case of severe exacerbation - an emergency or even a “life-saving” operation. Depending on the severity of the disease, its duration, the number of relapses, their intensity and the patient’s condition, removal of the gallbladder can be carried out using several methods:
- classic cholecystotomy (through an incision of the anterior abdominal wall about 15 cm long in the right hypochondrium);
- mini-cholecystectomy (incision in the right hypochondrium 4-6 cm long);
- laparoscopic cholecystectomy (using laparoscopic instruments, i.e. through “punctures” - four incisions 5-10 mm in size);
- mini-laparoscopic cholecystectomy (three punctures 3-5 mm in size) - used in rare cases when it is absolutely necessary to achieve maximum cosmetic effect.
Rehabilitation after cholecystectomy
After removal of the gallbladder, the patient must regularly visit the doctor over the next three months; at 3–6–12 months, he must undergo blood tests and undergo an ultrasound of the abdominal organs. You should also take choleretic drugs, eat small portions 3-5 times a day and avoid fatty foods. If you do not adjust your diet, aggressive bile that flows into the intestines increases the risk of colorectal cancer.
Ultrasound lithotripsy
If there are contraindications to surgery or if the patient does not want to undergo surgery, you can use a non-surgical method of crushing stones - ultrasonic lithotripsy. However, crushing and removing stones is not a cure, and in 95-100% of cases the stones form again after some time.
Drug therapy
During an exacerbation, painkillers (non-steroidal anti-inflammatory drugs - NSAIDs) and antispasmodics are used to relieve spasm of the muscles of the gallbladder and its ducts.
Prevention of infection and sanitation of the lesion is carried out with antibiotic therapy (cephalosporins). Detoxification is carried out using solutions of glucose and sodium chloride. Treatment of dyspeptic syndrome is also necessary: enzyme preparations are usually used for this.[10]
Diet
When the disease is in remission, it is necessary to strictly follow a diet: avoid spicy, fatty and fried foods.
Physiotherapy and traditional methods of treatment
Patients suffering from chronic acalculous cholecystitis are treated by a gastroenterologist. It is possible to carry out physiotherapy (electrophoresis, mud therapy, reflexology, stay at balneological resorts) and herbal medicine (taking decoctions of yarrow, tansy, buckthorn).
Therapeutic exercises for cholecystitis
There is no convincing evidence about the benefits of special exercises in the treatment or prevention of cholecystitis. Moreover, the use of therapeutic exercises can be dangerous. More often, the disease occurs in the form of chronic calculous cholecystitis; physical activity in this case can lead to complications, such as obstructive jaundice. It is quite enough for the patient to lose weight and engage in regular physical therapy.
Prevention of cholestasis
We found out what thins bile. Now we need to try to prevent its stagnation in the body . And all you need to do is follow a few simple rules .
- Try to lead an active lifestyle and move more, going for daily walks, running, swimming, dancing and any other types of physical activity.
- Be sure to eat breakfast, lunch and dinner every day, preferably at the same time.
- You should moderate your consumption of excessively sweet, spicy, salty or fatty foods, and also avoid or minimize alcohol intake.
- You should avoid overeating, which can cause a feeling of heaviness in the stomach, since even healthy foods should be eaten in moderation.
- You need to try not to get angry for no particular reason and control yourself, since hot temper and stress lead to stomach cramps, and then to stagnation of bile. Published by econet.ru.
Galina Fil
PS And remember, just by changing your consumption, we are changing the world together! © econet
Three natural remedies that are most likely to improve its structure
The first thing that usually comes to mind is to take choleretic herbs or medications or make a tube. This is the wrong idea!
Because tubing is a one-time event. It's the same as going to the toilet with an enema.
Even natural choleretics affect quantity, not quality. If you drink them constantly, then you simply strain your liver.
There are other, more natural ways:
- Help bile to be released on time. Eat at least three times a day, do not forget to have breakfast, thereby avoiding long breaks when it should accumulate in the bladder. Because the “liver” produces it for 24 hours, but the gallbladder stores it. But during the day, food must additionally contain certain substances that help protect against biliary dyskinesia. These are plant fibers. For example, porridge for breakfast, vegetables for lunch, vegetables for dinner (read about Redi Fiber if you don’t have time to cook vegetables every night).
But there is also a special product - active psyllium fiber , which you can get as part of the NutriDetox “green smoothie”. Thus, you will easily receive vitamins and microelements of natural origin and fiber and protect yourself from biliary dyskinesia. You should definitely read more about NutriDetox. Because it is very convenient for use in the health promotion system.
Help the liver release more bile acids and lower density cholesterol. Read about Ziflan. Export formula based on immortelle extract. It has such a profound effect on the structure of bile that it is used as part of our programs for the correction of cholesterol and stones.
At the same time, influence the causes of increased absorption of high-density cholesterol in the intestines. To do this, you need to again increase the amount of plant fiber and be sure to “reboot” the intestinal microflora, making it friendly. Today it is a well-established fact that disturbed microflora significantly affects not only digestion, but also the risk of stone formation, the state of the immune system, skin, mood, concentration of memory and attention, the rate of atherosclerosis, weight gain, and the risk of developing age-related diseases. The mechanism of this effect in most cases is an increased load on the liver when the balance of beneficial and unhealthy bacteria in the intestines is disturbed.
The Sokolinsky System uses Unibacter to reboot the microflora. Special Series (which is produced specifically only for the Sokolinsky Center).
How to combine all this into a system? Very simple!
The body will not immediately begin to work differently. Therefore, it takes time to support the liver and bile ducts. You can apply this scheme for three months.
In the first month, to improve the structure and normalize digestion in general, you can use 1/3 teaspoon of NutriDetox spoon of powder in a glass of water or vegetable juice, stir, drink immediately + Ziflan. Export formula 1 cap. 2 times a day before meals + add Unibacter to it . A special series of 2 capsules in the evening.
In the second month, continue taking NutriDetox and Unibacter. Special series
Next, regularly add plant fiber to food in the form of Redi Fiber, 1 tablespoon in juice or fermented milk drink a couple of times a day.
If the severity of the problem is high, you can use Complex-Active for gallstones for 4 months
If there are enough various health problems, then start with the most universal basic Complex for deep cleansing and nutrition with NutriDetox + normalization of microflora . About him - below!