1 Application in the treatment of

In pancreatitis, alkaline mineral water is useful. It neutralizes hydrochloric acid in the stomach, which, if overproduced, provokes inflammation.

In the period of remission, therapeutic and table water is recommended. You can drink medicinal types only as directed by the doctor. During a period of exacerbation or with acute inflammation, their stimulating effect can be dangerous.

For the pancreas, weakly and moderately mineralized water containing sulfate ions, hydrocarbonate ions, sulfur, and calcium is useful. These substances can stimulate or, conversely, reduce the production of pancreatic juice.

Its production is inhibited when taken one hour before a meal. At reception during meal development of a pancreatic juice is stimulated, as well as development of gastric juice.

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

Species with zinc content slightly increase the production of insulin, which will be useful for patients with pancreatitis with its insufficiency.

Important and the temperature of the liquid - too cold can trigger spasm of the sphincter and stagnation of pancreatic juice, which will exacerbate, and too hot - cause swelling of the inflamed organ.

The healing properties of mineral water are based on the fact that it reduces stagnation in the ducts of the pancreas, bile duct and bile ducts, promotes the outflow of pancreatic, bile and mucus juice and thereby prevents exacerbations of chronic pancreatitis and cholecystitis that often accompany each other.

Recommended Smirnovskaya, Luzhanskaya, Borjomi, Slavyanovskaya, Essentuki No. 4 and No. 20, Jermuk, Naftusya, Arkhyz, Druskininkai, Morshinskaya.

• Borjomi

Borjomi refers to carbonic hydrocarbonate, has an alkaline reaction. Borjomi with pancreatitis drink in the remission phase. It is also prescribed for other diseases: diseases of the stomach, intestines, gallbladder and bile ducts.

• Essentuki

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

Essentuki can both stimulate pancreatic secretion( # 17), which is suitable for developing pancreatitis with insufficient enzyme production, and reduce secretion( # 4), this is appropriate in cases when it is necessary to reduce the destructive effect of activated enzymes on the pancreas. Some doctors recommend Essentuki №4 even with acute pancreatitis or during the period of subsiding exacerbation of a chronic disease. In the remission phase of Essentuki No. 4 can be used without restrictions as a medical-dining room.

Essentuki №17 refers to medical, it is used only for the doctor's prescription. Uncontrolled use of it can provoke an exacerbation of the disease. Essentuki №20 refers to the dining room, it can be drunk without restrictions.

• Narzan

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

2 Important rules

To ensure that drinking treatment only benefits and does not harm, with chronic inflammation of the pancreas it is important to observe the following rules:

• At home, only therapeutic and table alkaline types are taken, such as Essentuki 4 and 20, Borjomi.
• The doctor selects the specific type based on the patient's condition.
• Drinking treatment is carried out in remission. In an acute period, the appointment of water can only be done by a doctor.
• The liquid temperature should be within 37-42 degrees.
• You can not drink carbonated mineral water. From bottled it is necessary to release the gas, leaving it for a long time open in a warm place.
• At the beginning of treatment, drink at most one-fourth cup at a time. If this amount of liquid does not cause discomfort, then gradually bring the quantity drunk to a whole glass.

3 Drinking therapy for cholecystitis

Cholecystitis often accompanies chronic pancreatitis. When cholecystitis also drink mineral water without gas, along with physiotherapy it is used to treat chronic cholecystitis both at home, and at resorts and sanatoriums. For treatment, you can use a bottle of mineral water. Specific type appoints the doctor based on the characteristics of the course of the disease and the patient's condition.

Treatment is carried out several times a year for 3-4 weeks. Drink usually 1/2 - 3/4 cup three times a day. With cholecystitis, Essentuki No. 4 and No. 17, Slavyanovskaya, Smirnovskaya, Mirgorodskaya, and Naftusya are appointed.

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

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

In the inflammation of the gallbladder and ducts, the bile reaction shifts to the acidic side, so alkaline species are chosen - they neutralize the acid and help reduce inflammation.

In chronic gallbladder cholecystitis Arzni, Borzhomi, Jermuk, Essentuki, Truskavets, Pyatigorsk, Druskininkai, Java, Izhevsk and Berezovsky are shown.

4 Features of mineral water intake

For successful treatment of cholecystitis, it is necessary to observe some rules:

• It is important when treating at home to follow a diet and daily routine. This will help create conditions that are close to the conditions of the resort or dispensary and improve the effectiveness of treatment.
• If the secretory function of the stomach is reduced or normal, then drink water half an hour before meals, if increased - an hour and a half after.
• You need to drink it in a warm form - it helps to relieve spasms.
• In acute cholecystitis, non-carbonated mineral water is drunk already from the first days, in this case brewed in half boiled.

5 General contraindications

Despite the benefits of drinking, there are conditions in which it is contraindicated:

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

The use of mineral water has a beneficial effect on the organs of the digestive tract, it helps in the treatment of diseases such as pancreatitis and cholecystitis, prevents exacerbations. For home treatment, you can use bottled water, selected by the doctor's recommendation.