Gallbladder diseases interfere with the normal functioning of the entire digestive system. In pathological conditions, the ability of this organ to produce and remove bile decreases, the ducts become clogged and tumors form on the tissues. Treatment of the slightest manifestations of gallbladder pathologies should never be delayed, since the secretion of bile is an important factor for the absorption of food. Cholekinetics are drugs that help fight a number of problems that interfere with the excretion of bile. In this article we will discuss in detail the effectiveness of these remedies.

The role of bile in the human body

To understand the effects of drugs, you first need to understand what role the bile fluid plays in the digestive system.

Bile is a secretion secreted by liver cells containing biologically active substances. A yellow-greenish liquid with a bitter taste enters the gallbladder and remains there in reserve until a certain moment. During meals, the duodenum is supplied with a supply of this secretion. With its help, fats are broken down and absorbed. Bile stimulates the digestive processes, facilitating the complete absorption of nutrients.

Under the influence of bile acids, intestinal motility increases, which prevents constipation. Biological fluid does not allow bacteria to penetrate the mucous membranes of this organ and develop infectious diseases.

Together with food elements, bile is partially absorbed in the intestines, and the remaining leaves the body with waste products.

In order for food to be converted into the energy we need, the coordinated work of all digestive organs is required. Proper production of bile occurs only under such conditions. In the event of pathologies, obstacles are created for the normal release, passage and accumulation of secret fluid. This leads to its stagnation and, as a result, disruption of the intestines and absorption of necessary substances.

To eliminate pathological disorders, you need to take medications that promote the discharge of bile and restore normal functioning of the digestive organs. Next, we will generally consider the effect of the drugs mentioned and focus on the list of cholekinetics, since they are the main topic of our article.

General characteristics of choleretic drugs

Choleretic drugs enhance the formation of bile and promote its normal movement towards the duodenum. Thanks to such drugs, bile moves faster through the ducts, and due to this, the likelihood of cholesterol precipitation is reduced, which, in turn, prevents the formation of cholelithiasis. Timely use of choleretic agents protects against infections and relieves inflammation.

Drugs are classified into groups, of which the main ones can be distinguished: cholespasmolytics, cholekinetics, choleretics and drugs that prevent the formation of gallstones.

The classification of drugs is carried out on the basis of several principles: the chemical composition of the drugs, their pharmacological effects and the anatomical organs targeted for treatment with a specific drug are taken into account.

Medicines belonging to the subgroup of cholespasmolytics are prescribed to relieve pain and alleviate pathological conditions. They eliminate spasms, dilate the ducts and facilitate the movement of bile.

The difference between choleretics and cholekinetics is in their mechanism of action. The former, influencing the liver, actively synthesize bile acids, thereby increasing the production of bile. The latter affect the gallbladder, improving the outflow of fluid and relaxing

Means that help reduce the lithogenicity index of biological fluid dissolve formed stones in the gall bladder and also prevent the appearance of new ones. These drugs contain bile acids - chenodeoxycholic and ursodeoxycholic. In addition, they are characterized by the presence of active lipid solvents, one of which is methyl tert-butyl ether.

List of popular drugs

We will try to highlight from the many choleretics and cholekinetics a list of drugs that are the most popular in medical practice.

“Allohol”, “Cholenzim” and “Liobil” are choleretics developed on the basis of natural animal bile.

Synthetic products in this group include: “Osalmid”, “Nicodin” and “Cyqualon”. In addition to the choleretic effect, these drugs have antimicrobial and anti-inflammatory effects.

The following drugs are herbal choleretic agents: “Holosas”, “Hofitol”, “Berberis”, “Febihol”, “Insadol”, “Flamin”.

Agents aimed at diluting biological fluid and normalizing its composition are called hydrocholeretics. They prevent the appearance of stones. Such a medicine is valerian and herbal teas that contain this plant. Mineral water containing alkali has a similar effect. These are “Borjomi”, “Essentuki 17”, “Narzan”, “Slavyanovskaya”, “Arzni”, “Smirnovskaya”.

Cholekinetics include the following drugs: “Xylitol”, “Mannitol”, “Magnesia”, “Sorbitol”, “Holos”, “Cholemax”, “Berberine sulfate”, “Choleritin”.

Cholespasmolytics: “No-shpa”, “Drotaverine”, “Papaverine”, “Eufillin”, “Spazmolitin”, “Besalol”, “Mebeverine”, “Atropine”.

Cholespasmolytics of plant origin are tinctures of calendula, mint, elecampane, arnica, valerian, lemon balm, as well as the drug “Holagol”.

The following list is of drugs that have a litholytic effect. These include: “Ursosan”, “Ursodez”, “Urdoxa”, “Ursofalk”. This group of drugs is conventionally considered choleretic agents.

More about cholekinetics

Cholekinetics are drugs that enhance the tone of the gallbladder. At the same time, they relax the muscles of the biliary tract, which leads to suitable conditions for the movement of biological fluid. In this way, congestion is prevented, the “reservoir organ” is freed from excess bile, and it begins to flow into the duodenum in a timely manner. After using cholekinetics, the functioning of the digestive system is completely improved.

The positive effect of biliary drugs is determined by their effect on the duodenal mucosa, resulting in the release of cholecystokinin. This is a hormone responsible for gallbladder motility and stimulation of pancreatic secretion enzymes. By relaxing the sphincters of Oddi, ideal conditions are created for the breakdown of food. The duodenum very quickly receives bile and pancreatic enzymes, which promote good digestion.

Polyhydric alcohols - xylitol, sorbitol and mannitol - have effects that can cause intense contraction of the gallbladder.

According to the mechanism of action, cholekinetics are presented in two groups: drugs that cause contraction of the gallbladder (hypercipes) and those that eliminate (cholespasmolytics). Many of these drugs combine different types of activity. Based on this, it seems reasonable to conclude that cholekinetics are antispasmodic drugs that enhance the excretion of bile.

Application

There are not many indications for use of cholekinetics, since the treatment of the gallbladder with these drugs is carried out only under certain conditions.

In complex therapy, the drugs are used for diseases of the biliary tract of various types. They are used for such types of examinations as duodenal intubation, X-ray and ultrasound examinations. Cholekinetics are prescribed for problems arising due to disturbances in the outflow of bile. Indications for the use of cholekinetics are:

• chronic hepatitis;
• dyskinesia;
• chronic cholecystitis;
• atony of the gallbladder.

Medicines cannot be used for liver dystrophy, acute hepatitis, and they are also contraindicated in cases of excessively increased gallstone tone and the presence of stones.

How to take cholekinetics correctly?

Choleretic drugs are taken for a long time. This period can vary from a month to 8 weeks. Several courses of treatment are completed over the course of a year, with an interval of 30-60 days.

For chronic diseases, treatment is carried out for preventive purposes until the symptoms of a particular disease completely disappear.

At the time of exacerbation, cholekinetics are prescribed in large dosages in combination with other medications.

After prescribing an individual dosage, the daily dose is evenly divided into 3-5 times. The distribution of the medicine depends on the amount of food eaten, since all such drugs are taken only before meals. This also applies to taking cholekinetics. How long before meals should you take these medications? Medicines aimed at treating the gallbladder are taken half an hour before meals, washed down with water. If you don't satisfy your hunger in time, it will end in nausea, weakness and intestinal upset.

Effective drugs for bile stagnation

Stagnation of bile in medicine is called cholestasis. This condition comes with many health risks. It leads to metabolic disorders and often becomes the main cause of poor functioning of the digestive system. A number of the following factors can contribute to this pathology: inflammatory processes in the digestive system, helminthic infestations, the formation of gallstones, disorders of the endocrine and nervous systems.

Stagnation of bile may be preceded by an incorrect lifestyle. These are bad habits, taste preferences and irregular nutrition.

Cholekinetics help to cope with congestion; the names of the drugs are listed below:

• "Flamin."
• "Berberis-Homaccord".
• "Holosas."
• "Magnesium sulfate".
• "Cholecystokinin".

The listed drugs are prescribed to people suffering from chronic cholecystitis, hepatitis and difficulties with the outflow of bile.

After the examination has been carried out, the doctor may decide that you need to take medication in tablet form. This form of cholekinetic drugs well stimulates the functioning of organs associated with the production and storage of bile and has a positive effect on the sphincters. Such effects allow bile to move unhindered in the right direction. Proven and long-known medications include the following tablets:

• "Xylitol."
• "Sorbitol".
• "Cormagnesin".
• "Mannitol."

The list of cholekinetic drugs includes some synthetic drugs that have a choleretic effect:

• "Osalmid".
• "Hydroxymethylnicotinamide."
• "Phenipentol."

All mentioned remedies must be prescribed by a doctor. Self-medication in this case can cause great harm to other organs. For patients with diseases such as giardiasis, cholecystitis, pancreatitis and hepatitis, the prescription of drugs included in the same group will be different.

Natural remedies

There is a rich list of cholekinetics of natural origin. These include foods and medicinal herbs.

Oils obtained from medicinal plants contribute to the normal excretion of bile. With proper use of herbal preparations, an excellent therapeutic effect is achieved.

• Oils: juniper, sunflower, coriander, olive and cumin.
• Juices: cranberry, lingonberry.
• Roots of medicinal plants: rhubarb, calamus, dandelion.
• Fruits: rose hips, cumin, coriander, fennel, juniper.
• Flowers: chamomile, cornflower, immortelle, calendula.
• Herbs: shepherd's purse, wormwood, oregano, yarrow, knotweed grass and thyme.

Some of the above natural remedies can be used in their pure form, making infusions and teas from them. Pharmacies have professionally selected collections of medicinal herbs and ready-made extracts from various parts of medicinal plants. Here are some examples of such cholekinetic drugs:

• “Holosas”, “Holos”, “Cholemax” - extracts obtained from rose hips.
• Flamin is an immortelle extract.
• Extracts made from barberry leaves and roots include: “Berberine Sulfate” and “Berberis-Homaccord”.

Some of the herbal medicines belonging to the group of cholekinetics also have a choleretic effect.

For children

For children, drugs that have several effects are usually selected. This takes into account the age and weight of the child.

The doctor may prescribe products that contain valerian, or the following drugs: “Cormagnesin”, “Magnesium sulfate”, “Magnesia”, “Valerianahel”.

Sometimes children are prescribed Magnesium sulfate. A probe is used to introduce the medicine into the duodenum. Under this influence, the gallbladder contracts reflexively, and the sphincter of Oddi relaxes.

If a child needs to take choleretics, then it is better to drink mineral water instead.

For pregnant

There are many manufactured pharmaceuticals that can be taken during pregnancy. having choleretic effects, it is not recommended. Natural cholekinetics are too active, so it is better to avoid them. A good drug in this regard for pregnant women is Berberis-Gomaccord. This is a homeopathic remedy with an antispasmodic effect, which is used for the systematic treatment of bile ducts that arise against the background of various inflammatory processes.

Certain foods will help improve the flow of bile. When preparing regular everyday dishes, you should always add vegetable oils. Vegetable broths and raw fruits are of great benefit. The group of such products includes the following plants:

• turmeric;
• greenery;
• watermelon;
• prunes;
• citrus;
• melons;
• avocado.

Natural cholekinetics are medicinal plants and products that help with bile stagnation. One of the most effective is St. John's wort. Many medicines used to treat the liver and gallbladder are made on its basis. However, you can prepare a decoction from it at home. One tablespoon of dry herb is poured into a glass of boiled water and simmered over low heat. Take 30 minutes before meals, ½ cup.

The correct diet should be selected by your doctor. During treatment, experts advise leading an active lifestyle, not overeating, drinking medicinal teas and regularly taking prescribed medications.

Finally

A review of medications suggests that each of them should be taken only for its intended purpose. Otherwise, you can cause irreparable harm to your health. Pharmacists already took care of their classification when developing drugs. In addition, there are many experienced doctors who will always help you choose the right remedy.

Choleretic drugs- these are substances of plant or synthetic origin that enhance the secretion of bile by stimulating the liver. Medicines either increase the acid content of bile or increase the excretion of bile into the intestines. Some products combine both actions.

All means for regulating the production and secretion of bile are divided according to the mechanism of action into the following groups:

This classification is to a certain extent arbitrary, since each choleretic drug has all of the indicated properties, simply expressed to varying degrees. Based on the predominance of the effect, the drugs were divided into groups.

Choleretics

This group includes:

• true, produced from cattle bile or extracts (concentrated extracts) of herbs that can increase the amount of bile;
• synthetic, copying natural action;
• decoctions and infusions of medicinal plants;
• hydrocholeretics, which increase the volume of bile produced by diluting it with water.

True
Allohol	Contains dry bile, garlic and nettle extract, activated charcoal. Strengthens the synthesis of bile and its secretion, while simultaneously suppressing putrefactive processes.
Holenzym	Contains dried bile, dried pancreas and intestinal mucosa of cattle. In addition to natural bile, it also contains digestive enzymes.
Holagol	Contains turmeric root, peppermint oil, eucalyptus oil, olive oil, and magnesium salicylate. Choleretic agent with antispasmodic effect.
Synthetic
Cyqualon	A derivative of cyclohexanone, it has a choleretic and anti-inflammatory effect.
Nikodin	Contains organic acid of synthetic origin, additional antimicrobial effect.
Odeston	Contains the substance hymecromone, which has a choleretic and antispasmodic effect. Relaxes the bile ducts and sphincter of Oddi, reduces bile stasis and the process of cholesterol crystallization, prevents the formation of gallstones.
Herbal preparations
Flamin	Contains flavonoids from immortelle flowers, increases bile production, reduces its viscosity, improves food digestion, and suppresses bacteria.
Tanacehol	Tansy flower extract changes the chemical composition of bile, increases its synthesis and secretion.
Berberine	Barberry root and leaf extract is contraindicated during pregnancy.
Hydrocholeretics
Salicylates (phenylbutazone, ibuprofen, indomethacin and others)	They increase the volume of bile produced and dilute it.
Valerian preparations	Weak choleretic and antispasmodic effect, improves the condition of the mucous membrane of the digestive canal.
Alkaline mineral waters – Essentuki, Naftusya, Arzni, Jermuk	It has a complex effect on the digestive system and excretory organs.

Cholekinetics

The substances accelerate the secretion of bile and have an antispasmodic effect. These are the drugs:

• Platiphylline – normalizes the tone of the gallbladder, especially effective for dyskinesia;
• Papaverine – reduces the tone of all smooth muscles, improves blood supply to internal organs;
• Drotaverine (No-shpa) – exceeds the effectiveness of papaverine, relieves all spastic conditions;
• (Cormagnesin) – a natural calcium antagonist, relaxes smooth muscles;
• Sugar substitutes - Sorbitol, Xylitol, accelerate the process of bile expulsion;
• Rosehip-based preparations - Holosas, Holemaks and others.

Cholespasmolytics

These drugs eliminate spasms and relax the bile ducts. Medicines can be of chemical or herbal origin. These include:

Medicines to prevent the formation of gallstones

These are medications based on ursodeoxycholic and similar acids. This is bile acid, a natural hepatoprotector. Reduces cholesterol content in bile, reduces the production of inflammatory mediators. Helps dissolve gallstones and prevents the formation of new stones. These are the drugs:

• Urdoxa;
• Ursolite;
• Ursofalk and the like.

There are many dietary supplements sold in the pharmacy chain, but you need to be wary of them, since their pharmacokinetics have not been studied a priori.

Choleretic drugs for children

To treat children, you can only use drugs based on natural animal bile or synthetic drugs, the pharmacokinetics of which have been well studied. Medicines based on herbal raw materials, which contain several herbs, are not recommended for children under 12 years of age, since plants have a variety of effects that cannot be taken into account.

In all cases, consultation with a pediatrician or pediatric gastroenterologist is required; no medications should be given to children without a doctor’s permission.

The following medications are considered harmless for children:

The doctor calculates the dose of medication based on the child’s weight and the severity of his condition. On the recommendation of the attending physician, children can be given alkaline mineral waters in an age-appropriate dosage. After 12 years, you can use all other medications that are recommended for adults.

Which choleretic drug is better to choose?

For different diseases, the choice of medications will be different.

It is better not to make independent decisions, but to follow the recommendations of a gastroenterologist. These recommendations are general and cannot be used for self-medication.

Biliary dyskinesia

For hypertensive type:

• Any cholespasmolytics that quickly relieve pain - Drotaverine, No-shpa, Odeston, Duspatalin;
• Cholekinetics to improve outflow - Magnesia, Holosas, Sorbitol.

Choleretic and hydrocholeretic drugs are not recommended; when taken, the condition becomes more severe. Mineral waters are also not needed (unless otherwise recommended by the doctor).

Antispasmodics are taken for several days until the pain subsides. Cholekinetics are taken for a long time, sometimes several weeks, until the outflow of bile is normalized.

For hypotonic dyskinesia:

• Choleretics, which are taken almost constantly or with short breaks - Allohol, Nikodin, Tanacechol;
• Myotropic antispasmodics – Odeston, Duspatalin;
• Alkaline mineral waters, which, when consumed regularly, resist exacerbation.

With this form of dyskinesia, cholekinetics are undesirable. Antispasmodics are taken for about a week, and mineral water is drunk as often as possible, preferably daily.

Cholecystitis

First of all, you need to know whether there are stones in the gall bladder. If they are, then take means to dissolve them - Urdox, Ursofalk and the like.

If there are no stones, then antispasmodics (for pain) and choleretics are used, preferably synthetic ones - Odeston, Oxafenamide and others. Antibacterial drugs are almost always required, but they will be prescribed by a doctor after an examination.

Pancreatitis

Gastroenterologists know that the pancreas becomes inflamed after the gallbladder. These diseases always go hand in hand. If there are stones in the gallbladder, pancreatitis is likely to be severe and long-lasting. Acute pancreatitis and exacerbation of chronic pancreatitis are surgical diseases, so choosing medications on your own is unlikely to be possible.

In case of mild exacerbation, you can use the following medications:

• Allohol;
• Ursosan;
• Holosas;
• Chophytol;
• Nikodin.

Contraindications

Contraindications to the use of choleretic drugs can be relatively divided into absolute and relative. In a specific clinical situation, these circumstances may change places.

Other methods to improve bile flow

You can’t rely only on medications; the basis of recovery is a lifestyle that matches the disease.

Nutrition

This is the basis without which normal well-being is impossible. Used. You need to eat every 3 hours, the portion should be the size of your palm. Such fractional nutrition allows the gallbladder to produce bile evenly, avoiding stagnation and stone formation.

Experimenting with the use of prohibited foods always leads to aggravation.

A bonus with proper nutrition is healthy, uniform weight loss and vigor, which is unattainable in other ways.

Gymnastics

Exercise provides benefits at any age and in virtually any underlying health condition. Increasing physical activity improves digestion, blood flow and metabolism, which always improves overall health.

We offer several simple exercises that need to be performed gradually and slowly, stopping when belching or pain occurs. It’s better to start with 2-3 repetitions, gradually increasing the practice time:

It is advisable to lie on your back in the middle of the complex so that the muscles can completely relax.

Summary

The main thing that people with liver and pancreas diseases need to understand is that one-time treatment and health promotions bring one-time results. You can live well and long with these diseases if you change all your eating and behavioral habits so much that exacerbations almost never occur.

Updated: 10/23/2018 11:22:05

Expert: Boris Kaganovich

Digestion is a complete process, but it is divided into parts that seem opposite and incompatible. So, the stomach has a very acidic environment, and the duodenum is already alkaline. In order to reduce the acidity of gastric juice that enters the intestines, and neutralize the activity of gastric enzymes, and transfer the change of phases of digestion from acidic to alkaline (intestinal), a special liquid is produced in the liver, which is called bile.

Every day, approximately a liter of this fluid is formed and excreted from the body of an adult. The bile of a healthy person is greenish or yellow in color and tastes extremely bitter. Once formed, it is transported through its own ducts to the vesica fellea, or gall bladder, where it is stored. After contraction of the smooth muscles of the gallbladder, it is released into the intestinal lumen as needed, taking part in digestion.

Bile also helps emulsify, or dissolve, fats in the intestines and prepare them for digestion. It improves intestinal motility and increases the production of digestive hormones. Its role in binding and removing cholesterol from the body and the breakdown product of hemoglobin contained in the blood is very important. It's called bilirubin. Since this substance is not able to be filtered through the glomeruli, bilirubin is excreted through bile and leaves the body with feces.

Most often in clinical practice, conditions arise associated with the delayed formation of this fluid, with the difficulty of its entry into the small intestine, due to the development of cholelithiasis - stone disease, chronic inflammation of the bladder - cholecystitis and other pathologies of the pathways that excrete bile. The resulting chemical or mechanical obstacles to the normal passage of bile into the intestines cause a number of painful symptoms.

This is discomfort in the abdomen on the right, bitterness, nausea; in severe cases, obstructive jaundice, bloating, and discoloration of stool may occur. In order to normalize the passage of this important fluid, choleretic medications are used. This rating included the most effective and frequently prescribed drugs from this list. Choleretic drugs differ in their mechanism and indications for their use. The review begins with the so-called choleretics.

Rating of the best choleretic agents

The best choleretic drugs are choleretics: stimulants of education

Agents that stimulate the formation of bile from its precursors can be natural, or true, synthetic, as well as herbal choleretic agents that have a bile-forming effect. True choleretics are often products of animal origin. The most popular choleretic drugs from all subgroups will be listed below. Of these, Allochol is a true choleretic, Odeston is a synthetic drug, and Holosas is a choleretic drug consisting of one herbal component.

Allochol is perhaps the most popular and accessible “folk” choleretic medicine. This is a combined remedy, and Allochol contains dry cattle bile, dry nettle and garlic, as well as activated carbon. All these components together give a stronger choleretic effect than just bile alone. Allochol is able to increase contractions (peristalsis) of the intestines, and due to the presence of activated carbon, which has an antimicrobial and sorption effect, it reduces the processes of putrefaction and fermentation that can occur in the intestines.

Allochol is indicated in the complex therapy of chronic cholecystitis, cholangitis, and atonic constipation. It is usually taken in two tablets, after meals, so that it has the maximum choleretic effect. If the patient is prescribed fractional meals, then the drug should be taken no more than 4 times. This intake must be followed for a month, and then the dosage is halved. The course can be repeated, but between them it is necessary to take breaks of at least 2 months.

Allochol is produced by the domestic company Pharmstandard, and a large package containing 50 film-coated tablets costs only 42 rubles. In some pharmacies you can find it for 33 rubles, and the smallest package of 10 tablets costs only 12 rubles.

Advantages and disadvantages

Allochol works, “choleretic” quite mildly, unlike synthetic drugs. After all, it contains natural bile. But, nevertheless, at a sufficiently high dosage, it can cause diarrhea and abdominal flatulence, and Allochol is contraindicated in acute ulcers, mechanical (obstructive) jaundice, and if there are stones in the gallbladder. This leads to a sharp increase in secretion, and if there is nowhere for it to go, then the bladder may expand and even rupture with the development of peritonitis. Allochol is contraindicated in acute and subacute hepatitis - inflammation of the liver, and in its progressive dystrophy. But this choleretic drug, taken according to indications, acts gently and helps improve digestion and normalize stool in a wide variety of groups of patients.

Odeston belongs to the group of infrequently used synthetic choleretics, and it has a fairly pronounced choleretic effect. This product contains hymecromone in the form of an active substance, and is available in the form of tablets weighing 200 mg each.

Odeston reduces the phenomenon of stagnation, reduces the processes leading to the formation of cholesterol stones, that is, reduces the loss of cholesterol in the form of crystals, and is indicated in the treatment of diseases such as biliary dyskinesia of the hyperkinetic type, chronic cholecystitis and cholangitis. It is prescribed after surgery on the gallbladder, and due to a chronic decrease in bile secretion.

Odeston is used half an hour before meals, 1 or 2 tablets, three times a day. The daily dose should not exceed 6 tablets. The course of treatment is about 2 weeks. It is not recommended to skip a dose, but you should not make up for it later by taking a double dose at once. Odeston is produced by the Polish company Polfa, and you can purchase a package of 50 tablets in the fall of 2018 in large cities of the Russian Federation for an average price of 550 rubles.

Advantages and disadvantages

Like all choleretic drugs, Odeston has contraindications. These include obstruction formed in the bile ducts, the phenomenon of renal and liver failure, gastric ulcers, bleeding disorders and childhood. The drug has side effects due to its rather strong choleretic effect. This can lead to bloating, diarrhea, allergic reactions and abdominal pain. Since the product is synthetic, many doctors note, along with its strong effect, that it is somewhat rough: Odeston is not intended for gentle stimulation.

Perhaps, Holosas is one of the most delicious and pleasant medicines in general, since it is a concentrated syrup of rose hips with sugar. In some cases, if it is not hidden from small children, they may drink the entire bottle, and after that they will suffer from profuse diarrhea due to an overdose, but still, nothing bad will happen to them anymore.

Holosas is indicated for various viral hepatitis, for inflammation of the bile ducts and bladder, for poisoning with various drugs, medications that are metabolized, secreted into bile, it is indicated for poisoning with alcoholic beverages. Holosas can be prescribed as a general tonic and for vitamin C deficiency.

It should be used 2 to 3 times a day, adults - 1 teaspoon per dose, and children - half a teaspoon, or even less. Holosas is produced by the domestic company Altaivitamins CJSC, and the cost of one 140 ml bottle averages 86 rubles.

Advantages and disadvantages

Holosas is a natural herbal monomedicine, and the only contraindications will be individual intolerance, as well as severe diabetes mellitus, since Holosas contains sugar. The drug has no side effects, again with the exception of individual intolerance. Few people will experience unpleasant side symptoms from the delicious rosehip syrup. This remedy is inexpensive, Holosas can be added to boiling water and drunk for general strengthening purposes. Taking one teaspoon of Holosas completely satisfies the daily need for ascorbic acid.

About hydrocholeretics

Some table medicinal mineral waters are called hydrocholeretics. They simply reduce the thickness and viscosity of bile, and make it more fluid. Unlike ordinary water, when mineral water is absorbed in the intestinal lumen and penetrates into the portal bloodstream, it is absorbed by liver cells first and increases the pressure in the bile ducts by osmosis. If it is necessary to increase the secretion of bile, then you need to choose water such as Essentuki No. 4 (low mineralization) and No. 17 (rich mineralization), Jermuk. They must be consumed 30 minutes before meals, preferably warm and with gas released, if any.

The best choleretic-kinetics: stimulators of bile removal

Choleretic drugs on this list are divided into two types of opposite effects. If the bladder is hypotonic, its smooth muscles are flabby and weak, then it is necessary to increase its tone and enhance its ability to contract. At the same time, these drugs reduce tonic tension and increase the lumen of the structures of the common bile duct. They simply irritate the intestines by activating a cascade of gastrointestinal hormones (cholecystokinin). An example of such a choleretic drug would be magnesium sulfate, or magnesium.

These drugs are prescribed mainly for hypotonic biliary dyskinesia, congestion in the gallbladder with a decrease in its tone. These drugs are indicated for gastritis with low acidity, as well as cholekinetics, which contract the gallbladder, are indicated during duodenal intubation in a healthy person.

The second group of drugs includes antispasmodics, which relax the excessively contracted gallbladder, reduce its spasm, and at the same time relax the bile ducts. This allows you to improve the removal of bile, and an example of such cholekinetics is No-shpa, Papaverine, or the stronger atropine and platiphylline, which are used in medical institutions and when calling an ambulance.

These drugs are necessary for hypertensive forms of dyskinesia, in the presence of stones in the gall bladder and bile ducts. They are able to reduce pain, which often occurs against the background of spasm of the biliary tract and in the presence of cholelithiasis.

Let's look at the most popular and effective cholekinetics, which are sold in pharmacies and included in the rating.

Magnesia is the simplest and most accessible choleretic and laxative. This colorless powder, easily soluble in water, has an intense bitter-salty taste, and magnesia is unpleasant to drink. But in addition to the choleretic effect, it also has an anticonvulsant effect, helps normalize heart rhythm, has a hypotensive effect and can fight constipation. Magnesia is used for cholecystitis and cholangitis, to obtain a cystic portion of bile during duodenal intubation, for hypotonic dyskinesia of the gallbladder, and to cleanse the intestines. It is necessary to apply magnesium by dissolving one packet (25 g) in one glass of warm water and drinking between meals 3 times a day, before meals. In this case, after an average of one or two hours, the drug will have the necessary choleretic effect, which will last for 4 or even 6 hours. Usually, after this, a certain loosening of the stool occurs, since the osmotically active magnesium solution will promote an intensive influx of water into the intestinal lumen.

Magnesium sulfate is produced by the Moscow Pharmaceutical Factory, and one 25 g package costs an average of 32 rubles.

Advantages and disadvantages

The advantages of magnesia include its universal availability and low cost, the onset of a quick effect, and a simple and understandable mode of application. But this drug also has contraindications. You should not take magnesia if the patient has loose stools, symptoms of renal failure, low blood pressure and slow heart rate (bradycardia). Magnesia is contraindicated in patients with various cardiac arrhythmias, since it can significantly worsen their condition, especially in the case of complete atrioventricular block, when impulses from the atria are disconnected from ventricular contractions.

Sorbitol, or more precisely, sorbitol, is a polyhydric alcohol, and in addition to being a choleretic agent, it has an osmotic and laxative effect. Sorbitol is also used in some cases to reduce the symptoms of intoxication: it removes the toxic substance into the intestinal lumen.

Sorbitol is produced in the form of a powder for oral administration, in sachets of 5 g, sometimes in powder, packaged in 200, 300, 500 g. Sorbitol is indicated for use in cases of biliary dyskinesia of the hypotonic type, in chronic hepatitis in complex therapy, tendency to constipation.

It is necessary to use sorbitol for choleretic purposes by dissolving 5 g of the drug in half a glass (100 ml) of slightly warmed water. You need to take this sweet solution 10 minutes before meals twice a day. The course of treatment is 1 month. Sorbitol is produced by the domestic company Sladky Mir, and you can purchase the largest package weighing 500 g for an average price of 122 rubles.

Advantages and disadvantages

The advantage of sorbitol is its low cost and wide range of applications, since it can be prescribed not only for dyskinesia and cholecystitis, but also for the treatment of constipation. However, sorbitol is contraindicated in all acute conditions, with intolerance to fructose, which is part of it, and if you exceed the required amount, and make the solution either too strong or drink too much, intense diarrhea, dry mouth, nausea, and symptoms of dehydration may occur . But sorbitol can be safely used by diabetics, since it does not contain glucose.

No-shpa (drotaverine)

The most famous antispasmodic tablets No-shpa, or drotaverine hydrochloride, are produced by the Hungarian pharmaceutical company Hinoin. No-spa is a remedy that reduces spasms of smooth muscles not only of the gallbladder and bile ducts, but also of the smooth muscles of the urinary tract, therefore this drug is indicated for renal colic.

No-spa allows you to reduce severe pain in hypertensive forms of biliary dyskinesia, cholangitis, and cholecystitis. No-spa is available not only in tablets, but also in solutions, so very often it is administered intramuscularly. Only antispasmodics are indicated for pain in the abdominal cavity, in the condition of “acute abdomen”. The fact is that if you use strong painkillers, you can relieve pain and miss the condition when urgent surgery is required, for example, in acute appendicitis. Antispasmodic drugs do not have an analgesic effect, and all it can do is relax the muscles.

Therefore, if there is a focus of progressive inflammation in the abdominal cavity, for example, with the same calculous cholecystitis, then No-Spa will not help, but if the pain is caused by a spasm in the neck of the gallbladder, then the desired effect will be achieved, the spasm will be resolved, the bile will be released into the intestines, and the patient's condition will improve.

To use No-shpa in tablets it is necessary from 1 tablet of 40 mg to 6 tablets per day, that is, no more than 2 tablets three times a day, it is advisable to take it before meals, so that during the meal it manifests its effect and relaxes smooth muscles of the biliary tract. One package of No-shpa in the amount of 24 tablets costs about 100 rubles.

Advantages and disadvantages

The big advantage of No-shpa is its fairly high activity and speed. Symptoms of overdose such as arrhythmia are quite rare, but for this to happen, the patient must initially have severe heart disease. No-spa is a universal drug; it not only helps to increase the outflow of bile, but it also helps to normalize the outflow of urine, since the same smooth muscle elements exist in both the ureters and the bile ducts. Few side effects were noted. Rare symptoms include tachycardia, headache and nausea, allergic reactions. But, despite all the minor disadvantages, No-Spa is quite in demand, and has long existed in every home medicine cabinet as a remedy of choice for abdominal pain, since only taking antispasmodics will avoid serious complications if surgical intervention is necessary.

Attention! This rating is subjective in nature, is not an advertisement and does not serve as a purchase guide. Before purchasing, consultation with a specialist is required.

Bile is a liver secretion that is stored in the gallbladder between meals and, if necessary, is released in a certain amount into the duodenum to ensure the digestion process. According to medical statistics, every fifth person suffers from stagnation of this secretion in its “temporary storage,” that is, in the gallbladder. This condition is called cholestasis and it is quite dangerous for human health, as it leads to serious disturbances in metabolic processes and can cause dangerous disruptions in the functioning of the entire digestive tract. It is important to know exactly what factors can provoke such a condition, and what measures will be most effective in eliminating it.

What does a choleretic agent mean?

Choleretic drugs today are quite widely used both as part of the treatment of a number of diseases and as a prophylactic agent. They are medications that normalize bile production and promote its complete and timely excretion from the duodenum. According to the type of their action, drugs of this type are classified as follows:

• choleretics - their mechanism of action allows you to increase the volume of secretion production;
• cholekinetics - increase the tone of the bladder, while simultaneously relaxing the excretory channels, thereby ensuring the active outflow of bile;
• Cholespasmolytics – have a relaxing effect on both the excretory tract and the bladder itself.

The use of this group of drugs helps to alleviate the course of the disease, partially reduce discomfort, and in addition prevent the development of complications due to the occurrence.

Causes of bile stagnation in the gallbladder

There are quite a lot of factors that could provoke such a condition, and they have different directions. Thus, the greatest importance in the development of cholestasis is poor nutrition and the possession of a number of bad habits, namely:

• frequent consumption of large quantities of fatty and fried foods;
• excessive “love” for spicy dishes;
• violation of the diet, the presence of irregular meals and large time intervals between them;
• abuse of alcoholic beverages.

Stagnation can also be caused by a lack of physical activity and a sedentary lifestyle. In addition, cholestasis can be a consequence of the following conditions:

The use of means to normalize the outflow of bile allows you to achieve many useful effects, including: increasing secretion production, restoring its normal composition, normalizing flow through the channels, preventing the appearance of stones, neutralizing developing signs of the inflammatory process, etc. Choleretic drugs are prescribed for the following problems:

• stagnation of bile due to disruption of the contraction processes of the muscles of the bladder and ducts (dyskinesia);
  cholecystitis;
• chronic hepatitis
• the presence of lamblia in the liver and biliary tract;
• cirrhosis;
• the presence of stones in the gall bladder;
• increased accumulation of fat in liver cells;
• disruption of the biliary system after surgery to remove the gallbladder or other surgical interventions in this area.

Contraindications to treatment

There are a number of situations in which the use of choleretic drugs is impossible, and the restrictions apply only to certain groups of drugs. So, if the product contains any acids other than ursodeoxycholic acid, then it cannot be used either for active hepatitis, or for peptic ulcers, or for pancreatitis. Herbal remedies are not recommended for use in forms of pancreatitis that are accompanied by pain, as well as in cirrhosis with signs of liver cell failure.

The most effective remedy for treating illness is diet

As already mentioned, a violation of the basic principles of proper nutrition often becomes the reason that provokes stagnation. It is not surprising that diet comes first when it comes to treatment. Its main principles include:

• the number of meals per day should reach 4-5;
• most of the food consumed should be warm;
• fatty and fried foods are completely excluded from the diet;
• soups and cold foods should also be avoided;
• preferred cooking methods are baking, boiling and steaming;
• the amount of oils must be kept to a minimum;
• all food should be easily digestible;
• radishes, sorrel, sweets, baked goods, preserves, coffee - all these items should be completely excluded.

List of choleretic foods

• dill;
• celery;
• cauliflower;
• beet;
• olives;
• oat and corn bran;
• citrus;
• figs;
• whole grain cereals.

Herbs and herbs with choleretic effect

The use of herbal medicine in the treatment of cholestasis is a popular technique that allows you to achieve good results with minimal risks. Undoubtedly, even the prescription of herbs should be done by a professional, otherwise, instead of a positive effect, you may get a deterioration in the condition. So, for a choleretic effect the following may be prescribed:

• to stimulate secretion production, calamus root, birch leaf, tall elecampane, wild strawberry, coltsfoot, dandelion, burdock root, chamomile, yarrow inflorescences, brown rose hips are suitable;
• To improve the excretion of bile, the use of common dope, godson and belladonna will be relevant.

A truly powerful effect is produced by herbal mixtures composed of choleretic and cholekinetic herbs - they allow you to achieve a comprehensive effect on the problem.

Folk remedies that improve bile flow

Not only herbs can improve the condition of cholestasis; other folk recipes are also effective, the most popular of which we suggest considering:

• you need to take a teaspoon of honey and add 2-3 drops of mint oil to it, the resulting composition is consumed for a month three times a day;
• You should add a drop of lemon oil to your tea in the morning and evening;
• Mix 100 ml of black radish juice and beet juice and drink a glass of the resulting mixture every day.

It is worth understanding that relying only on folk recipes and ignoring traditional medicine is not the right decision. If you decide to resort to unconventional methods, then let your doctor confirm that they will not interfere with the main treatment.

Herbal medicines

Considering the fact that the positive effect of herbal remedies on cholestasis has been proven by a number of studies, on the shelves of pharmacies you can easily find tablets and powders that have exclusively natural ingredients. This is about:

• berberine bisulfate (barberry extract);
• tanacechol (tansy tablets);
• flamin (immortelle extract, presented in tablets and granules);
• Holosas syrup, based on aqueous rosehip extract;
• Holaflux (collection of herbs for making tea), etc.

Synthetic drugs with choleretic effect

Drugs of synthetic origin are usually acids that have the most effective choleretic effect. In addition to increasing bile secretion, some of them have additional “functions”: increasing bladder tone, anti-inflammatory and antimicrobial effects. The most popular drugs in this group include:

• oxafenamide (a strong drug that can increase bile secretion threefold in 5 hours);
• nicodin;
• cyclone (a distinctive feature is a pronounced general anti-inflammatory effect).

What medications are prescribed for children to treat the disease?

If the problem of bile stagnation occurs in childhood, then to eliminate it, the doctor may prescribe the following drugs:

• products with natural bile components (for example, allochol);
• preparations of natural origin in the absence of individual intolerance;
• synthetic drugs if a more powerful effect is needed.

A more important aspect is the dosage of the prescribed drugs - it is often calculated based on the patient’s weight and his current condition.

How to make dubazh correctly at home

Dubazh (tubage) of the liver is a procedure to cleanse the organ of harmful sediments that remain in it after daily filtering of blood in the body. Such an event can be carried out in different ways: using mineral water, herbal infusions, vegetable oils, etc. Most often, an active method is used using mineral water or a solution of magnesium sulfate (a tablespoon per glass of clean water). First of all, you need to drink a glass of the chosen liquid, and then ensure the liver area is heated for two hours. The result of the procedure is usually cleansing of the intestines.

Video: how to care for your gallbladder

When faced with cholestasis, each person experiences a number of unpleasant symptoms, including:

• a feeling of bitterness in the mouth;
• yellowing of the skin and sclera of the eyes;
• pain in the right hypochondrium;
• signs of chronic fatigue.

This condition seriously impairs the quality of life and forces a person to look for a remedy that helps improve the flow of bile, get rid of the unpleasant symptoms of the disease and normalize his own condition.

Modern medicine has developed many drugs that, when introduced into the body, improve bile flow and cleanse the liver of toxic “waste.” In this article we will consider the most suitable medications for this action.

It is only important to understand that the medications listed below should be prescribed by specialists only after examination. All of the above medications can be taken only if there are no stones in the gallbladder. And to make sure of this, you need to undergo an ultrasound diagnostic procedure.

The best choleretic agents

The list of the most effective choleretic agents that help improve the functioning of the liver and gallbladder includes:

1. Medications.
2. Folk remedies.
3. Diet food.

Medications for bile stagnation

Choleretics (Allohol, Hologon, Cholenzym and Liobil)

These drugs help the liver more actively produce bile, thereby activating the movement of this biological fluid. The preparations are usually based on extracts of animal or plant origin.

Synthetic choleretics (Cyqualon, Nicodin and Osalmid)

These are high-quality choleretic drugs obtained through organic synthesis. In addition to improving the flow of bile, they tidy up the functioning of the stomach, eliminating flatulence and fermentation processes in the intestines.

Cholekinetics (Holosas, Flamin, Magnesia)

These drugs, which are based on herbal components, increase the tone of the gallbladder and at the same time relax the ducts, promoting the excretion of bile.

Cholespasmolytics (Infusion of arnica, valerian, elecampane, No-shpa, Euffilin, Papaverine)

These remedies come to the rescue in cases where bile stagnation is caused by spasm of the gallbladder. The drugs relieve spasm and promote dilation of the bile ducts, thereby improving the outflow of bile. In addition, these remedies help eliminate pain.

Hydrocholekinetics (mineral water Borjomi, Essentuki or Kvasova Polyana)

The property of mineral waters to increase the amount of bile and at the same time reduce its viscosity in many cases helps to solve the problem of cholestasis without the use of medications.

Rules for taking choleretic drugs

According to doctors, there are general rules for taking drugs that improve bile flow:

• Regardless of the medication prescribed, it should be taken an hour before meals and washed down with still water.
• The daily dosage is divided into 2–4 parts, depending on how many times a day a person eats.
• Eating after taking the medication should be mandatory. Otherwise, the patient may develop side effects such as stomach upset, nausea and vomiting.
• Prescribed medications are taken in long courses of 20–60 days, depending on the severity of cholestasis.
• After a course of treatment, the patient needs a month's break and a second course of therapy. Up to 4 such courses are allowed per year.

Traditional medicine for bile stagnation

In the arsenal of traditional medicine fans there are many plants and herbs that help quickly cope with bile stagnation. The advantage of these drugs is their minimal cost, as well as fairly high efficiency, comparable to the use of pharmaceutical drugs.

Choleretic juices

Dandelion juice

To prepare this powerful means of stimulating bile formation, you need to collect dandelions along with the roots, rinse everything thoroughly, grind in a blender and squeeze out the plant juice. You should drink this healing liquid for a month, 2 times a day, 20 ml.

Rowan juice

To prepare the medicine, you need to collect ripe rowan berries after the first frost, grind them in a blender, and then squeeze out the juice using gauze. To improve the flow of bile, drink this healing moisture for 3 weeks, 3 times a day, 20 ml.

Black radish juice

This plant improves the flow of bile, and also stimulates the intestines in case of low acidity of gastric juice. You need to drink this remedy for 30 days, 3 times a day, 20 ml. However, it should be remembered that such a medicine is not prescribed for gastritis with high acidity, peptic ulcers and intestinal inflammation.

Pear juice

A good preventive and therapeutic remedy that improves bile flow is pear juice. It should be consumed in the morning, on an empty stomach, 100 ml daily. The period of use of such a natural medicine is not limited.

Rules for preparing healing juices

It is necessary to prepare juices for the treatment of cholestasis immediately before consumption. To do this, you need to wash the plant, remove moisture with a paper towel, and then chop it and pass it through a meat grinder or blender. The resulting pulp should be squeezed out using gauze and the juice should be drunk immediately.

Choleretic decoctions

Decoctions of medicinal plants cope with stagnation of bile no worse than freshly prepared juices.

Decoction No. 1. Mix 1 part each of milk thistle, nettle, corn silk and knotweed seeds. 1 tbsp. Pour 400 ml of cold water into this mixture and leave for 6 hours. After the allotted time, bring the liquid to a boil and cook for 5 minutes. Cover the pan with a lid, let the product cool, then strain it and take 300 ml per day, divided into several doses. Duration of treatment – ​​2 weeks.

Decoction No. 2. Combine 2 parts of immortelle flowers and 1 part of St. John's wort. Taking 3 tbsp. such a mixture, fill it with 1 liter of water and let it brew for 10 hours. After waiting time, boil the composition for 7 minutes, then cool and filter. You need to take the medicine 100 ml an hour after each meal. It is necessary to treat with this remedy for 3 weeks, after which you will need a week's break and a second course of therapy.

Decoction No. 3. Mix 2 parts of corn silk, 1 part each of knotweed, anise, dandelion root, St. John's wort and celandine. Pour a tablespoon of the mixture into 500 ml of water and boil for 5 minutes. Strain the cooled broth and take 100 ml 3 times a day for 3 weeks.

Infusions for gallbladder spasms

In cases where cholestasis has developed as a result of spasms of the gallbladder, it can be eliminated without medication by taking infusions of medicinal herbs.

Infusion No. 1. Mix cinquefoil grass, peppermint leaves and celandine in equal proportions. 1 tsp For this collection, pour 200 ml of boiling water and let cool slightly. You should take this product as tea, warm, 1 glass 2 times a day. Duration of therapy is 2 weeks.

Infusion No. 2. Mix equal parts of immortelle and corn silk. 1 tsp pour 300 ml of boiling water over the mixture and leave, covered, for 2 hours. Drink the finished product throughout the day, taking it before each meal.

Infusion No. 3. Mix wormwood, immortelle, nettle foliage and hop cones. Place a teaspoon of the mixture into a thermos and pour 300 ml of boiling water. After closing the lid, infuse the liquid for at least 4 hours, then filter the medicine and drink it 50 ml 3 times a day before each meal.

Vegetable oils for bile flow

Some virgin vegetable oils, in particular sunflower, flaxseed or olive, are also effective in the fight against cholestasis. In case of this problem, they should be taken every morning, on an empty stomach, 1 tbsp. If you carry out this procedure for a month, you can not only eliminate congestion in the gallbladder, but also improve digestion.

Flaxseed oil copes best with this problem. It can be consumed in its pure form, as described above, or a medicine can be prepared based on it. To do this, grind 100 g of flaxseed in a coffee grinder, fill a liter jar with the resulting flour and fill it to the top with sunflower or olive oil. After letting the product sit for a week, you can begin treatment. To do this, start every morning by drinking 1 tbsp. funds, and after half an hour you can start breakfast. Continue treatment until relief occurs.

There is another interesting recipe using butter. If bile stagnation occurs, start every morning with a cup of natural ground coffee, while eating 10 g of butter.

Milk thistle for bile stagnation

We’ll tell you separately about milk thistle, a plant that has been the best folk remedy with a choleretic effect since time immemorial. Milk thistle oil has excellent choleretic properties and supports the health of the liver, stomach and intestines. In addition, it has a beneficial effect on the condition of the skin and supports the functioning of the cardiovascular system.

You can also use meal. To improve the flow of bile, you should purchase milk thistle meal at the pharmacy - the cake that remains after pressing the oil. This remedy must be taken 1 tbsp. 3 times a day half an hour before meals, washing down the meal with water.

Flaxseed for bile stagnation

In the absence of milk thistle, meal can be prepared independently from flaxseed. To do this, you just need to grind it in a coffee grinder. But if you have flax seeds on hand, it is better to prepare a special decoction. For this, 1 tbsp. seeds, pour 250 ml of water and, bringing to a boil, cook for 5 minutes. After removing from the heat, let the broth brew, then strain it and take 100 ml 2 times a day before meals.

Gallbladder tubing

In essence, tubage is washing the gallbladder and bile ducts. Carrying out this procedure allows you to improve the health of the entire body, but primarily the gallbladder and liver, eliminating congestion and promoting a better outflow of bile.

Three days before the tubage, it is important to switch to a dietary diet, minimizing meat consumption, and also giving up fatty and fried foods. You should eat plant foods, and boil or steam foods.

Cleanse the gallbladder in the morning. To carry out tubage, you need to drink one of the following solutions:

• 250 ml of water in which 1 tsp is diluted. Magnesium sulfate;
• 500 ml of still mineral water (Borjomi or Essentuki), heated to 40 C.
• 200 ml of mineral water with 2 tbsp diluted in it. Holosasa.
• 200 ml of water, with a spoonful of Sorbitol diluted in it.

After taking the medicinal mixture, you need to lie on your right side on a warm heating pad and lie there for 2 hours. After some time, the urge to have a bowel movement will appear, and the stool that comes out will be black and contain bile. This process may be accompanied by colic in the abdomen. Just remember that tubing can be performed after an ultrasound scan of the gallbladder and only with the permission of a doctor, and no more than 2 times a year. Contraindications to this procedure are cholelithiasis and cholecystitis.

Treatment of cholestasis in childhood

In case of congestion in the child’s gall bladder, the doctor may prescribe one of the following medications:

• Allohol;
• Holosas;
• Flamin;
• Nikodin;
• Magnesium sulfate;
• Valerian.

In this case, the dosage of medications and the duration of treatment should be prescribed exclusively by a specialist. In addition, mineral water and natural juices can be added to the child’s diet to improve the flow of bile. But children under 12 years of age are prohibited from taking infusions and decoctions!

Diet for bile stagnation

In fact, congestion in the gallbladder can be prevented if you watch your diet. And even if this problem has already appeared, it is not too late to start following a special diet. It will contribute to the speedy normalization of the liver and gall bladder.

Speaking about nutrition for cholestasis, first of all, you should remember that the main enemies of liver health are alcohol, spicy and salty foods. This list can include all spices, smoked meats, sweets and baked goods.

Split meals 4–6 times a day will help cope with the problem. Moreover, it is forbidden to overeat, because in this case, a patient with cholestasis will experience heaviness in the stomach and pain in the right hypochondrium.

To help treat this unpleasant disease, the diet should be varied with foods with a choleretic effect. These products enhance the functioning of the digestive tract, relieve spasms and activate the release of bile into the intestines, thereby eliminating congestion.

Useful choleretic products:

Vegetable oils. They increase the production of the hormone cholecystokinin, which stimulates the synthesis of bile and promotes its release into the stomach.

Fresh vegetables and fruits. They improve motility of the gastrointestinal tract, gently cleansing the intestines and liver, and therefore helping to eliminate congestion.

Fresh vegetable juices. Fresh juices from beets, cabbage and carrots, juices from lingonberries and cranberries, as well as sauerkraut juice.

First meal. The flow of bile is enhanced by vegetable soups, as well as broths made from lean meats and fish.

Oat or wheat bran. These products are rich in fiber, which means they simply need to be consumed by people suffering from bile stagnation.

Various greens. Rosemary and parsley, cilantro and celery, spinach and dill. All of the products listed have choleretic properties.

Finally, let’s say that treatment of cholestasis is impossible without full physical activity. In this regard, a person with this problem is recommended to start their day with gymnastics, play sports (swimming pool, bicycle, fitness, aerobics), and try to move more, taking walks in the fresh air for 40–60 minutes daily.
Good health to you!