Bile stasis. Symptoms and treatment of adults with folk remedies, medications, diet

Cholestasis - a symptom indicating that the bile duct can not cope with the work. The treatment in adults is focused on addressing the factors that are the cause of the disease.

bile function in the human body

Generation of bile in the liver, but most of it is stored in the gall bladder, which can accommodate 30 to 60 ml of bile. Sometimes it concentrates, and its content is increased from 5 to 20 times.

Bile serves as a:

• digestive. It helps full fat digestion, to some extent, proteins and carbohydrates. Bile salts fats cleaved into smaller particles, which creates good conditions for the enzyme lipase which accelerates the digestion process.
• activator. Bile salts act as an accelerator for the soluble enzyme.
• solvent. It provides a good environment for interaction of fat and enzymes splitting fats.
• absorptivity. It helps to absorb various substances through the actions of bile salts.
• absorptive. Fats are made soluble in the aqueous contents of the intestinal canal and are suitable for absorption. Iron, calcium, vitamins, bile salts via quickly digested and absorbed.
• excretive. Use of bile excreted derived heavy metals, bile pigments.
• stimulatory. Bile salts stimulate peristalsis.
• cholagogic. Bile acts as its own promoter. Its salts most powerful cholagogue. They are absorbed from the intestine, transported to the liver and stimulates further secretion of bile.

Bile helps to maintain a suitable pH of the duodenum content to neutralize gastric acidity, prevents the harmful effects of acid on the mucosa.

The reasons for the stagnation of bile

Cholestasis - a phenomenon in which the bile can not get from the liver into the duodenum. The most frequent cause cholestasis - cholelithiasis, at which produced gallstones or ducts.

The second most common reason is an inflection gallbladder. It can be congenital or acquired. Deformed body is not able to perform its functions in full, can not print the entire volume of bile. In third place is a parasitic liver disease. When parasitic infestations, when roundworm enter the bile duct, impaired flow of bile.

Other causes:

• Dyskinesia duodenum. It occurs as a result of violation of a tone of the bile duct or gall bladder.
• Impact stress, neurosis, disturbances in the autonomic nervous system.
• Dyskinesia of the gallbladder.
• Dysfunction of the sphincter of Oddi.
• Pregnancy.
• Overeating.
• Cholangitis.
• Alcoholism.

types of cholestasis

In medicine, allocate 2 types of cholestasis:

• Intrahepatic. The etiology of the disease are within the liver.
• Extrahepatic. The basis of this type are mechanical disturbances extrahepatic duct.

Cholestasis may have an acute stage or taking a chronic form.

Intrahepatic cholestasis has its own characteristics and develops the following reasons:

• acute hepatitis;
• alcoholic liver disease;
• primary biliary cholangitis;
• hepatitis B or C;
• receiving medicines affecting the liver;
• oral contraceptives;
• increase in hormone levels during pregnancy;
  
• cancer that affects the liver.

Extrahepatic development is due to:

• stones in the bile duct;
• narrowing of the bile duct;
• pancreatic cancer;
• cancer of the bile ducts;
• pancreatitis.

How is the development of cholestasis?

Cholestasis - a reduction or cessation of the outflow of bile. When the disease is disturbed movement digestive fluid produced by the liver into the duodenum. When bile flow is stopped, leaving the pigment bilirubin in the bloodstream and accumulates there, and why there is cholestasis development.

In the normal state connects bilirubin in bile by the liver and bile ducts passes through the digestive tract, whence it is excreted. Most of bilirubin through the stool output and a smaller - in the urine.

Features bile stasis in pregnant women

Some women experience during pregnancy itching in the arms, legs. The reason for its occurrence - intrahepatic cholestasis of pregnancy, in which the normal flow of bile to affect a large number of hormones. Cholestasis (symptoms and treatment in adults and pregnant women have their own characteristics) shown in the last trimester, when growth hormone is at its peak.

The gallbladder holds bile required for digestion of fats in the digestive process. bile flow stop causes accumulation of bile acids, which are released into the bloodstream.

This is facilitated by estrogen and progesterone, the hormones of pregnancy. Women who cherish twins had lesions in the liver prior to pregnancy or genetic predisposition of the disease, more prone to cholestasis.

When the disease poses a risk to the unborn child:

• shortfall of oxygen the fetus during pregnancy and childbirth;
• possibility stillborn fetus;
• increased load on the liver of the child.

Women with cholestasis should be closely monitored physicians.

Cholestasis after gallbladder removal

If the gallbladder is sick or away, it will not absorb fat and excrete cholesterol in the necessary volume. The liver will produce bile, but instead of sending it to the gallbladder for storage, will be sent directly through a duct into the small intestine.

Over time, the body will adapt to the loss of bladder, but initially there are problems:

• postcholecystectomical diarrhea. About 20% of people who removed the bubble, there is diarrhea. This is because a large flow of bile, which passes through the small intestine. Over time, the process is restored and normalized.
• Dysfunction of the sphincter of Oddi. After the operation, there is pain in the upper abdomen, often after a meal. The reason is the sphincter of Oddi, a valve located in the small intestine, which regulates the flow of bile and pancreatic juice. Dysfunction occurs due to the fact that he does not relax properly. Over time, subject to changes in eating habits, the pain passes, the passage of bile is normalized.

Symptoms of cholestasis where it hurts?

In cholestasis have symptoms:

• dark urine;
• light chair with an unpleasant odor;
• general itching.

Cholestasis (Symptoms and Treatment in Adults require special attention) affects the excess bilirubin deposited in the skin. Change the color of the skin indicates jaundice and dark urine occurs due to excess bilirubin excreted by the kidneys. Itching causes bile products that accumulate in the skin.

Stool becomes bright due to the fact that the passage is blocked bilirubin into the intestine. In him accumulate a lot of fat, so that bile can not get into the intestine to help digest it. Fat deposits in the stool create an unpleasant odor.

The symptoms of cholestasis arising causes disturbances in liver:

• visible in the altered skin blood vessels in the form of sprockets, the web;
• fluid collection in the abdominal cavity.

The symptoms of cholestasis arising from causes that lie outside the liver:

• intermittent pain in the upper right abdomen, sometimes radiating to the right shoulder;
  
• an enlarged gall bladder.

Cholestasis in adults determines other symptoms: loss of appetite, fever.

Consequences and complications

Disorders of bile flow leads to chronic liver disease, which complicates its treatment. Cholesteric disease can complicate osteoporosis, bone fracture, there is a deficiency of fat-soluble vitamins. Stagnation of bile leads to abnormally elevated levels of lipids, and it increases the risk of cardiovascular disease.

Increased risk of portal hypertension, which leads to esophageal varices, stomach, liver cirrhosis, increase in spleen.

To which the doctor ask?

When started pains in the right hypochondrium, dryness and bitterness in the mouth, yellowing in the sclera, consult a physician. After an initial examination, he will send to the hepatologist or gastroenterologist.

Diagnostics and inspection

Diagnosing cholestasis in humans, the doctor is trying to determine whether the cause is in the liver or outside on the basis of symptoms and physical examination.

diagnosing steps:

• Evaluation of the doctor.
• Blood analysis.
• Visual test by means of ultrasound (in the case of blood analysis results detected abnormality).
• Liver biopsy (where appropriate).

Elevated levels of bilirubin, cholesterol, fatty acids indicates the presence of the disease, but not the reason for its occurrence. US study done in the event that the results of the blood abnormality detected, and can be carried out computer, magnetic resonance imaging, in addition to or instead of ultrasound.

If cholestasis of the reason lies in the liver, it is proposed to do a biopsy. When blockage of the bile duct requires their current image.

To do this, execute a sequence of actions:

• endoscopic retrogradecholangiopancreatography. During the procedure through the mouth into the small intestine introduced a flexible viewing tube through which the contrast agent is delivered into the bile, pancreas, ducts. Then X-rays are done.

  

• Magnetic resonance cholangiopancreatography. MRI Biliary performed by a special method, wherein the liquid in the ducts looks bright, and the surrounding tissue - dark.
• endoscopic ultrasonography. With the help of an ultrasound probe, conducted through the mouth into the small intestine, receive a full picture of the interior.

Treatment of cholestasis in adults

Therapy is prescribed depending on the type of cholestasis:

1. When blockage of the bile ducts is assigned endoscopy or surgery.
2. When locked in liver bile assigned different treatments depending on the underlying cause.
3. To remove itching prescribed cholestyramine.

If the cause of disease is hepatitis, cholestasis that disappears after treatment of hepatitis B antivirals. If the alleged cause is drugs, their repeal. People with cholestasis is recommended to avoid use of toxic substances to the liver, such as alcohol, drugs.

If the liver is damaged it is not strong, the proposed appointment of vitamin K, which improves blood clotting. In cholestasis often prescribed calcium and vitamin D. The drug is the first line with cholestatic itch - Kolestiramin.

For the treatment of cholestasis gepatoproektory use animal and vegetable origin:

name of product	Mode of application
Progepar	It is used on 1-2 Valium. 3 times per day
Hepatosan	The dosage regimen prescribed by doctors, depending on the disease
ornithine	Appointed in hepatitis, cirrhosis, the dosage prescribed by the doctor
Phosphogliv	The wide spectrum of action, appointed to 2 capsules 3 times a day, the treatment lasts up to 6 months.
Kars, herbal preparation, the active ingredient - milk thistle	Assign 3 times a day for 4 pills.

When treating pregnant women, all drugs should be administered only as directed by a physician. For the treatment of bone mineral density, which is broken in cholestasis, successfully used bisphosphonates.

Diet

When impaired liver function fractional power is required. From the diet should exclude fats, especially refractory, smoked meats, sausages, semi-finished products, canned products.

Products to be included in the diet:

• Yogurt.
• Spinach
• Blueberries, cherries, tomatoes, peppers, pumpkin.
• Sea kale, green leafy vegetables.
• Red wine and red grapes.

An example of a diet for 1 day

Breakfast:

• 3/4 cup oatmeal.
• 1 medium size banana.
• 1 cup of skim milk.
• Freshly brewed coffee.

Dinner:

• 2 slices of whole-wheat bread.
• 85 g turkey breast.
• 30 g of low-fat cheese.
• Slice tomatoes and green lettuce.
• 1 apple.

Dinner:

• 100 g tilapia.
  
• 150 g of brown rice 1 h. spoon of oil.
• A handful of spinach.
• 2 crackers.
• 1/2 cup low-fat yogurt with fruit to choose from.

Snack:

• 28 g of almond.
• 1 cup nonfat (1%) cheese
• 10 low-fat crackers.

Exercises with stagnation of bile

When the stagnation of bile help to reduce cholesterol swimming, gymnastics, jogging, tennis, walking. To benefit the exercise they should be carried out daily and for a long time.

Massage

Massage is contraindicated in the acute form of the disease, pancreatitis. Should start massaging from the back. The basic techniques: rubbing, stroking, kneading the body. Spin is massaged for at least 15 min., Then transferred to the surface of the chest.

Movements should be soft and gentle. Massaged this portion is not less than 5 min., And then proceeds to epigastrium. The basic techniques: stroking, tidy, gentle rubbing. massage the abdominal muscles can be carried out in the absence of pain.

There are several special massage techniques:

• Methodology for Ogulovu.
  
• Massage Dubrovsky.
• Visceral massage.

Tyubazh mineral water

The procedure is not recommended with cholelithiasis, hepatic colic, severe liver damage. The procedure is done in the morning on an empty stomach.

The methodology of the:

• Drink 250 mL of still mineral water. To enhance the effect, you can add 1 tbsp. l. vegetable oil.
• Filled with warm water to lie on the right side, a heating pad placed under the belly.
• After 1.5 hours should turn over, leaving the heating pad in the initial position.
• Empty the bowel and return to the supine position, so that the water has cleared before the end of the small intestine.

Tyubazh held no more than 1 time per week. On this day after the procedure should not have a heavy, greasy, spicy foods, drinking alcohol.

Bile products

Cholestasis (Symptoms and Treatment in Adults suggest the use Cholagogue) treated with drugs that increase bile formation, helping to release bile into the duodenum. Depending on their mechanism of action, drug zhenlchegonnye into two groups, enhances the formation of bile and promote its excretion.

allohol

Choleretic drug action, as part of the bile has dry, dry garlic and nettle leaves, activated carbon. Contraindicated for people having intolerance to individual components ulcerative disease, liver dystrophy. During pregnancy and lactation only used on doctor's advice.

The drug is taken 3-4 times a day after meals. The dose is calculated by the attending physician. It is no longer recommended to take 3 months.

Nicodin

Choleretic drug, increases the secretion of bile and facilitates its release into the intestine. Action of active substances - gidroksimetilnikotinamid. It is recommended for dyskinesia, cholecystitis, hepatitis jet. Be used with caution in patients with cholestasis. Daily reception from 500 to 1000 mg is divided into 3-4 times.

Hofitol

Herbal drug that has a part of the artichoke leaves. Recommended hepatitis, cirrhosis of the liver, cholecystitis, biliary dyskinesia.

It has many contraindications to various kinds of diseases. The dose depends on the patient's age. During pregnancy, the drug is given strictly as directed by your doctor.

Homeopathy

Homeopathic medicines are improvised means for the treatment of cholestasis.

These include cholagogue, for the treatment of chronic hepatitis B, anti-inflammatory herbal remedies:

• Kumivit.
• Galstena.
• Hepel.
• Polifitohol.

In the treatment of used vegetable preparations containing: peppermint, nettle, licorice bare. Combination elecampane root, rose hips and hawthorn, tansy flowers affects the metabolic processes in the liver, increases choleretic effect.

operative therapy

Surgical resolution of cholestasis is carried out using cholecystectomy. Traditional open surgery is performed manner. She was exposed to no more than 5-8% of patients.

The rest of the patients is performed using the laparoscopic surgery technique which provides minor trauma, good cosmetic effect and after it rarely occur postoperative complications. For the treatment of patients with obstructive jaundice held endobilliarnye percutaneous intervention under the control of ultrasound, fluoroscopy.

Traditional recipes from the stagnation of bile

Bile stasis, symptoms and treatment which involves the use of vegetable herbs, can be treated with choleretic plants.

Dandelion

Dandelion root is a safe natural remedy. It increases the production of urine is a natural laxative, detoxifies the liver. The greatest healing power have young leaves. But also in dried form it is useful.

Recipe:

• The roots of plants 1 tbsp brewed in hot water, boiled in 250 g of water for 5 minutes.
  
• Cool, strain, take 3 times a day for ¼ cup, diluted with water.

tutsan

Tincture of St. John's wort flowers helps with biliary dyskinesia, hepatitis, bile stasis.

How to cook:

• 1 tbsp. l. grass pour 200 ml of water, boiled for 10-15 min.
• The supernatant solution was filtered and diluted with water and drunk during the day 1/3 cup for 30 min. before meals.

A decoction of St. John's wort and Immortelle

To prepare the broth should:

• Take 4 parts of St. John's wort, and 4 parts of inflorescences immortelle. Pour hot water.
• Boil for 15 minutes. Then cool and strain.
• Take ¼ cup, diluted with water, 2-3 times a day before meals.

Peppermint

When hepatic colic should drink the tea made in the leaves of peppermint. Selected, washed leaves are brewed fresh or dried. You can drink throughout the day, 4-5 times.

Corn silk

Have a marked choleretic effect. Appointed by cholecystitis, cholestasis. Applied orally in the form of broth, which is prepared from 10 g of raw material and 200 ml of water. Accepted by 40 ml every 4 h.

Infusion of oats

Purification oats liver known since ancient times.

To do this, prepare a broth:

• Whole grains are not flakes, oat washed poured 1.5 liters of boiled water, boiled for 30 min.
  
• Defend then used as a medicine. Should drink 1 tbsp. half an hour before meals for 1 month.

Camomile tea

Enhances bile formation, used for cholecystitis, cholestasis. A decoction of chamomile flowers is made from the calculation 1 tbsp. l. 200 ml of water. Drink ½ or 1/3 cup 3 times a day after meals.

briar

Decoction of rosehip berries prepared as follows:

• 100 g of berries is poured 400 ml of water, boiled for 2-3 min., And then insist 2-3 hours. Drink broth instead of water throughout the day. not recommended to drink a decoction of pancreatitis.

Rosehip extract can be bought at the pharmacy, it is sold under the name holosas. Good help with dyskinesia of the bile ducts.

Wild strawberry

The plant helps the body get rid of the stagnation of bile. From the leaves, the roots of preparing the infusion. The plant is filled with boiling water and brewed as a tea. You can use dry forest strawberries. Tea can infuse it in a thermos and drink during the day several times.

Beet

Beet juice prevents gallstones. To this end, the beet juice is diluted with carrot in a ratio of 1: 2. Nachinayui drink with a small dose, 1 hr. l., gradually increasing the amount of alcohol consumed juice to 120 ml per day.

Sauerkraut juice

Vitamin-rich juice has a choleretic effect. It is taken in the acute phase and for the prevention of cholestasis. Start drinking juice 1 tbsp. l. per day, gradually increasing the dose to 300 ml. Should drink before meals for 2-3 months.

Most adults who do not disregard the symptoms and treated at an early stage, get rid of the stagnation of bile. In the future, support the liver in good condition will help prevention and a healthy lifestyle.

Author: Anna Belyaeva

Registration of the article: Lozinski Oleg

Video of the stagnation of bile

How to get rid of the stagnation of bile natural remedies: