In the future - stones?
– When diagnosing cholecystitis (inflammation of the gallbladder), various research methods are used. Which ones are more informative?
– Is the wall of the bladder thickened due to inflammation, are there kinks, constrictions, deformation, impaired motor activity, the presence of stones - all this can be revealed by ultrasound. If necessary, duodenal intubation is used to assess the motor function of the gallbladder and its sphincter and to conduct a biochemical study of the collected bile. In difficult cases, computed tomography is used.
– If there is cholecystitis, will gallstone disease inevitably develop over time?
– The formation of stones is primarily caused by disturbances in the motor activity of the gallbladder, leading to stagnation of bile, as well as infection, disruption of the secretion of cholesterol, bile acids, and phospholipids by the liver. But 85-90% of stones that form in the gallbladder are cholesterol.
To prevent bile stagnation, you need to move more, eat 5-6 times a day at the same time. This is important: every meal stimulates the secretion of bile.
Diet No. 5 is recommended, including dairy and plant products, vegetarian soups - vegetable, cereal, lean meat and poultry dishes, vegetable oil. You should limit foods rich in cholesterol. You will have to give up rich broths (meat, chicken, fish, mushroom), fatty meats, poultry and fish, and lard. Fried, smoked, rich, spicy, seasonings and spices will have to be excluded, alcohol too.
What substances in mineral water especially affect the functioning of the organ?
Substances in mineral water that have a particularly beneficial effect on liver function:
Hydrogen sulfide ion - weakens the toxic effect of heavy metals that damage the liver and promotes their rapid removal from the body.
Reduces gastric secretion, has a mild laxative and choleretic effect.- Chlorine anions – enhance metabolism and excretion of bile. In combination with calcium ions, they can suppress inflammatory processes.
- Hydrocarbonate ion - plays a key role in maintaining acid-salt balance. In turn, it stimulates the functioning of the liver and improves the condition of the gallbladder and bile ducts.
- Sulfates - reduce the activity of gastric secretion, normalize stools and help cleanse the intestines.
Once the intestines are functioning properly, the liver is also restored. They cleanse the body, in particular the liver, of waste and toxic accumulations. Sulfate waters, along with their choleretic effect, can suppress inflammation in the gallbladder and prevent the formation of stones. - Cations – participate in all vital processes of the body. Even a slight deviation from the norm in their content in tissues and blood leads to a sharp disruption in all physiological processes.
- Sodium – stimulates the formation and flow of bile.
- Arsenic is present in arsenic carbon dioxide waters as arsenic acid. Helps restore the liver after serious damage. Also useful for impaired functioning of the biliary tract.
Broths – to eat or not to eat?
– Do you need to limit yourself constantly, or at least sometimes you can allow yourself something tasty?
– You will have to stick to the diet constantly, nothing can be done about it, but during the period of remission (improvement) it can be expanded a little. Fatty, smoked, and spicy foods remain prohibited, but you can afford boiled and then slightly fried meat and baked goods made from poor dough.
– The doctor does not advise some people with chronic cholecystitis to eat sour cream, butter, eggs, while others, on the contrary, advise them. Why is this happening?
– Dietary recommendations may vary depending on whether the tone and motility of the gallbladder are decreased or increased. In the first case, i.e., with hypomotor dyskinesia of the gallbladder, products are recommended that promote its contraction - soft-boiled eggs, sour cream, cream, weak meat or fish broths, oil, especially vegetable oil. In the second case, with hypermotor dyskinesia, on the contrary, all of the listed products must be limited.
About herbs and waters
– Is it possible to do without medications in the initial stage of cholecystitis, with the help of diet and herbal medicine alone?
– Diet and herbal medicine in many cases help to improve well-being. Immortelle flowers, corn silk, peppermint leaves, dill seeds, rose hips, and barberry root have a choleretic effect. They can be used individually or in a mixture in a 1:1 ratio. 1 tbsp. Pour a glass of boiling water over a spoonful of crushed raw materials, let it brew, squeeze, strain and take 1/3 glass warm 3-4 times a day.
Pharmacies sell immortelle extract in tablets; it is prescribed 1-2 tablets 3 times a day, half an hour before meals. Another natural preparation, Cholasas, is made from rose hips. It should be taken 1-2 tbsp. spoons 3 times a day, can be dissolved in 1/2 glass of warm water. All of the herbal preparations listed should be taken half an hour before meals. The course of treatment is 3-4 weeks. For hypomotor dyskinesia, tubazhi can be done.
– What mineral waters are good to drink for cholecystitis?
– Healing mineral waters stimulate the formation and secretion of bile. For cholecystitis, waters such as “Essentuki” No. 4 and No. 17, “Smirnovskaya”, “Slavyanovskaya”, “Narzan sulfate” (Kislovodsk) and others are recommended. They should be drunk warm 3 times a day 1-1.5 hours before meals for 14-21 days. It is not recommended to drink mineral water during an exacerbation, but during remission it is highly advisable.
During the period of remission, it is good to go to the resorts of the Caucasian Mineral Waters (Essentuki, Zheleznovodsk).
How to choose?
When choosing mineral water, study the information on the label. Mineralized water comes in the following types:
- Dining room – suitable for regular use. You can drink up to 4 glasses a day as a preventive measure.
- Medicinal canteen – taken as a preventive or therapeutic agent. It contains a high content of biologically active elements, so selection is required in accordance with its intended purpose.
- Medicinal - prescribed exclusively by a doctor in the case of a specific disease. Here it is important to choose the right composition and determine the time of administration and dosage.
In addition, mineral water is divided into classes. It is indicated on the label.
For problems with the liver, gall bladder and biliary tract, sulfate mineral waters are indicated.
Since in this case there is insufficient or excessive secretion of bile, digestion is inhibited. Thus, retention of bile in the liver leads to its poisoning. And sulfate water promotes its outflow. Waters with a magnesium composition have a particularly stimulating effect.
If, along with liver disease, there is decreased gastric secretion, you should stop at water, which contains sodium chlorides in addition to sulfates.
Alkaline mineral waters are not contraindicated, although they have a less pronounced choleretic effect . They help digest food better and speed up liver metabolism. In addition, such water washes away mucus, salts and leukocytes from the bile ducts.
You cannot diagnose yourself and prescribe treatment with mineral water. Your doctor will help you choose the right water.
What to drink: list of mineral water brands
For liver diseases, the following brands of mineral water are recommended:
- Essentuki No. 4 and 17;
- Slavyanovskaya;
- Jemruk;
- Java;
- Essentuki.
For people who have recently suffered from acute hepatitis or cholecystitis, low- and medium-mineralized water with a predominance of chlorine, sulfate, sodium and calcium, but without radon ions and sulfides, is prescribed. These include: Borjomi, Slavyanochka and Mirgorodskaya.
At the beginning of the course, take half a glass of water once a day before meals. After a week, increase the consumption of mineral water to two glasses, after another 7 days - up to 3 glasses per day.
Suitable for the liver and pancreas:
- Bilinska kiselka;
- Zayechinskaya bitter.
In case of malfunction of the gallbladder, the following brands are recommended, depending on the type of disorder:
- with increased motor skills - Borjomi, Essentuki No. 4, Mirgorodskaya (hydrocarbonate sodium chloride waters);
- in case of inhibited motor skills - Izhevsk and Batalinskaya (sulfate-magnesium and sodium waters).
The video will tell you what other mineral water can be used in the treatment of liver diseases:
It is not forbidden to give birth
– How to alleviate the condition during an attack of cholecystitis, what medications to take?
– The attack is usually manifested by acute pain in the right hypochondrium (pain can radiate to the right shoulder blade, right shoulder, neck), nausea, and a feeling of bitterness in the mouth. You can take 1-2 tablets of no-shpa or papaverine. If within an hour the pain does not subside, but increases, it is necessary to call an ambulance. An attack associated with cholecystitis can be alleviated by a heating pad, but it is better not to use it until the cause of the attack is determined precisely, since acute pain in the right hypochondrium can be caused by for example, acute appendicitis, and in this condition heat, on the contrary, is contraindicated.
– Many women suffering from chronic cholecystitis are concerned about the question: is it possible to avoid exacerbation during pregnancy?
– As a rule, this disease does not serve as an obstacle to the onset or continuation of pregnancy. I will say more: even after operations to remove the gallbladder, you can safely carry and give birth to a child. If you undergo a course of preventive treatment before pregnancy, are under the supervision of a doctor and follow all recommendations during pregnancy, exacerbation of the disease can certainly be avoided.
Contraindications for use
Obvious contraindications to the use of mineral water are:
- Any disease in the acute stage.
- Complex form of urolithiasis.
- Conditions that require surgical intervention.
- Cirrhosis of the liver.
It is not advisable to drink mineral water for those who, along with liver diseases, suffer from angina pectoris, cardiac ischemia, hypertension or diabetes.
By the way
How to make tubage
Tubage improves the contractile function of the gallbladder and stimulates bile secretion, but it cannot be done without a doctor’s prescription. In case of cholelithiasis, for example, this procedure can cause a sharp deterioration.
It’s better to set aside a day off for tubing so you can rest later. In the evening, uncork a bottle of mineral water - “Smirnovskaya”, “Slavyanovskaya”, “Essentuki” No. 4 or No. 17. In the morning on an empty stomach, drink 200 ml of warm mineral water in one go, then within 10-15 minutes - another 200-300 ml and Lie on your right side, applying a heating pad to your right hypochondrium. Stay in this position for 2-3 hours.
For hypomotor dyskinesia, stronger choleretic agents are prescribed. Dissolve half a tablespoon of Epsom salt (magnesia) or a tablespoon of sorbitol or xylitol in half a glass of warm water (regular or mineral - without gas) and drink in small sips. Then lie down for 2-3 hours on your right side with a heating pad.
After tubing, it is recommended to stay in bed for 40 minutes.
On the day of the procedure, many people have loose stools - this is a normal reaction of the body, indicating the effectiveness of the tube.
The course of treatment is usually 7-10 tubes at weekly intervals. After this, your health usually improves, and the dull aching pain disappears. Then you can take a break for several months, and if a feeling of discomfort appears in the right hypochondrium, perform another 1-2 tubes.
Benefits and harms
The healing effect of mineral water is due to its properties:
restores the cellular structure of tissues;- normalizes the acid-base balance in the body;
- saturates with minerals and vital ions;
- stabilizes free radicals;
- restores enzymes and regulates their functionality;
- stabilizes the rheological properties of bile and improves its excretion.
Its systematic use is important in the complex treatment of the following diseases:
- pancreatitis;
- hepatitis;
- cirrhosis,
- cholecystitis;
- biliary dyskinesia.
Taking mineral water leads to the restoration of organ tissue, and it begins to work in a healthy mode. Along with this, cell resistance to negative external factors increases.
If, together with taking mineral water, you establish a general drinking regime, then the content of salts, ions and mineral components in the body is restored. And this helps improve metabolism.
As a result, a person’s well-being improves: fatigue goes away, pain and other obvious symptoms disappear.
Only taking mineral water should be agreed with your doctor. Spontaneous consumption of medicinal drinks in unlimited quantities can be harmful to health.
The patient experiences the following side effects:
- bloating;
- belching;
- colic;
- increased gas formation;
- digestive disorders.
