Gallstone disease ( also zhelchekamennaya, bile-stone and bile-stone, abbreviated - ZHKB) - disease of the gallbladder and bile ducts with the formation of stones. Although, the correct name of the medical term is as "cholelithiasis" - the code for the ICD-10: K80.
The disease is complicated by inferior liver function, hepatic colic, cholecystitis( gallbladder inflammation) and can be mechanically jaundiced with the need for a surgical operation to remove the gallbladder.
Today we will consider the causes, symptoms, signs, exacerbation, treatment of cholelithiasis without surgery by medical and folk remedies, what to do in case of a fit of pain, when surgical intervention is needed.
Especially talk about nutrition of patients( diet), menus, which can and can not be purged in the treatment without surgery and after it.
LCG is a very common disease in middle-aged and elderly people, which can be judged from the results of pathoanatomical( after the opening of dead people) studies: gallstones are found in every eighth person out of ten, although signs and symptoms of cholelithiasis can manifest themselves only in10% of cases out of 100.
The disease occurs mainly in adults, but there are rare cases when it occurs in children.
CONTENTS
Causes of
. The causes of cholelithiasis are varied. First of all, the family predisposition plays a role in the development of the disease, especially on the female line. In addition, the formation of stones in the bile can contribute to diseases such as gout, obesity, kidney stones, etc. A very important factor in the occurrence of cholelithiasis is malnutrition: the disease is more common in people full, leading a sedentary lifestyle.
Symptoms and signs: a bout of pain, what to do?
Symptoms
In general, the main symptom is a sign of cholelithiasis: biliary colic, which is an attack of pain in the right hypochondrium. Attacks of biliary colic can last from several minutes to several hours, sometimes up to 1-2 days, during which they then cease, then resume. Pain occurs in the right hypochondrium and spreads throughout the abdomen.
A bout of pain can begin if you feel well, but from symptoms, it is often preceded by nausea and a feeling of heaviness in the right hypochondrium or epigastric region.
Exacerbation of cholelithiasis
Among the circumstances that provoke the appearance of colic, it is important to have a fat and plentiful supper, the reception of alcoholic beverages. The role of hypothermia, overfatigue, shaking and driving, heavy physical exertion, harsh emotions and so on play a role.
Colic can end with the exit of the stone into the intestine and sometimes it can be found in the excrements 1-3 days after the attack.
What to do if you have a biliary colic: first aid
Remember that during an attack of biliary colic this kind of patients need, in emergency medical care and hospitalization in the surgical department of the hospital.
The operation is always shown when the early clinical symptoms of calculous cholecystitis are layered on the available signs: elevated body temperature, persistent colic, absence of relative remission of the pathological process between attacks.
So call the ambulance team or yourself, if possible, go to the surgery hospital.
All that you can do for the patient at home is:
- Calm the agitated by the pain and fear of the patient.
- Put it on the right side, putting a warmer under the body( the heat will help to eliminate spasms in the smooth muscles).
- Give him an antispasmodic drug: No-shpu( drotaverin).
So can take at home only tablets No-shpov according to the attached instructions for use or solution Noshpy prick intramuscularly, you will not have anything else at hand. The rest will be done by doctors.
Emergency care
In biliary colic, urgent therapeutic treatment starts with a subcutaneous injection of 1 ml of 0.1% atropine sulphate or 1 ml of 0.2% solution of Platyphylline and other strong antispastic agents.
Most patients have to inject, in addition to antispastic drugs, pain killers - Omnupon, Promedol( 2 ml of 1% solution).More often with severe biliary colic, both Atropine and Omnipon are simultaneously administered. Sometimes pain relieves nitroglycerin( under the tongue).
It is useful to use heat: hot common baths, warmers, warming compresses.
Outside the attack, a course of antispastic and cholagogue therapy is conducted.
For gallstones in large sizes, a surgical method is used to treat cholelithiasis, in which the operative removal of stones takes place - cholecystectomy.
Treatment of cholelithiasis
Treatment of cardiovascular system without surgery by folk and medical means
Immediately I will warn that treatment of cholelithiasis in an adult, and especially in a child, should be prescribed by physicians and pediatricians, including folk herbal medicine. Do not expect that everything "will resolve", go first to the doctor, and then grab for herbs and medicinal plants.
Advice of folk medicine with LCD
6-12 flowers marigold pour a liter of steep boiling water and cook for 3 minutes. Decoct the broth, drain and save it. Flowers again pour 800 ml of boiling water, cook for 6 minutes. First and second decoctions combine, take 1 glass each morning and evening.
In case of cholelithiasis, as well as with stones in the kidneys, a strong broth of parsley ( together with the root) is beneficial.
Three times a day after meals, drink a glass mixed in equal proportions cabbage brine and tomato juice ( fresh vegetables).
Prepare collection 1 :
- the wormwood of the wormwood;
- buckthorn bark;
- the root of madder dyeing;
- flowers of the immortelle;
- root of a dandelion.
All take in equal parts.2 tablespoons of the mixture, boil a glass of boiling water. Insist 1 hour, strain. Drink in the morning and evening for 1 glass.
Take in equal parts the leaves peppermint and the herb celandine .2 tablespoons of the mixture pour a glass of boiling water, insist 1 hour, strain. Drink in the morning and evening for 1 glass.
Beetroot Syrup .Take a few beet heads, peel, cut and cook them for a long time until the broth thickens and becomes like a syrup. Take this broth for a quarter cup 3 times daily before meals. To drink such syrup healers recommend for a long time, then dissolution of stones in the gallbladder will occur gradually and painlessly.Horseradish infusion in milk. Grate 4 tablespoons of horseradish on a grater, mix with a glass of milk, heat almost to a boil( but do not boil) and leave in a warm place for 10 minutes. Then strain, wring out the thick and drink a little during the day.
Drink immediately 10 glasses very hot tea for 15 minutes. This greatly softens the stones, turns them into sand and facilitates the exit.
Decoction of dandelion roots of medicinal .A teaspoon of chopped roots, pour 1 cup of water, boil for 20 minutes. Drink one quarter of the glass 4 times a day.
Decoction of the birch leaf
Option 1 .A tablespoon with the top of birch leaves pour a glass of boiling water, boil for 20 minutes, insist for 1 hour, strain. Drink a long time in a glass of broth 2 times a day for half an hour before meals.
Option 2 .Collect and dry the spring birch leaf the size of a penny.2 tablespoons dry sheet pour a glass of boiling water, boil on low heat, until the volume is reduced by half, when it cools down - strain. Take 1 dessert spoon 3 times daily before meals. The course of treatment is 3 months. It is good to take with small stones. When the stones are released, pain, nausea, and rei are possible.
Infusion of birch leaves Drink 3 cups daily.
Olive oil .Take butter for half an hour before meals, starting at half a teaspoon, and go to half a glass. Treatment lasts 2-3 weeks.
Infusion of corn stigmas .A tablespoon of stigma on 600 ml of boiling water. Brew, insist and drink one-quarter of the glass 3-4 times a day.
Rowan red .From stones in the liver and ducts, it is necessary to have a forest( not sweet) mountain ash for a month and a half. Eat with everything: with bread, tea, sugar. During the day, eat 2 cups of fresh mountain ash.
infusion of immortal flowers. Spoon a tablespoon of flowers in a glass of boiling water, insist 1 hour, strain. Take one third of the glass 3 times a day.
Herb infusion geranium meadow .2 teaspoons of herbs pour 2 cups of cold boiled water, leave for 8 hours. Drink sips throughout the day. The remedy is used as a dissolving stone in the kidneys and liver.
Mixture of olive oil with grapefruit juice .Mix one fourth of a glass of olive oil with the same amount of grapefruit juice, drink at night, but not earlier than an hour after eating. Before taking the mixture, make a cleansing enema. After that, lie down in bed on your right side, laying under it a warm water bottle. In the morning, repeat the enema. It is used for stagnation of bile and cholelithiasis.
Before starting treatment, you need to fast for 24 hours, drink only water. Then put an enema, and after an hour, drink a glass of olive oil and grapefruit juice, one by one. Usually after that there is a strong vomiting to avoid it, it is necessary to suck a lemon. You can not drink water. With a very strong thirst, you can drink a sip of salt water.
15 minutes after taking olive oil with juice, you should drink a glass of laxative( English salt).And after 15 minutes you can drink water. It is necessary to continue to starve. In a day, repeat the treatment.
When the stomach clears, you need to see if the stones are coming out. Usually they float in water and have a greenish, brownish, cream color, after a while settle on the bottom. It is necessary to repeat the treatment until all the stones come out.
Before the treatment, it is necessary to take an X-ray to know the size of the stones, and after the treatment the picture must be repeated to make sure that they disappear completely.
Medications: drugs, medicines, funds
Treatment of a disease in traditional medicine is conservative , that is without surgery and with surgical with operation , which we will consider below.
The therapeutic method of includes:
- diet,
- extracorporeal wave shock lithotripsy - stone destruction by shock wave created by specialized equipment - stones are crushed to the size of 1-2 mm and independently leave the body,
- dissolution of stones in the gallbladder with the help of special medications.
Drugs, dissolving stones
This is Henofalk( Henodiol, Henochol) and Ursofalk.
These drugs help dissolve only gallstones of a certain chemical composition, namely - cholesterol gallstones( not calcified), single, small diameter( up to 2 cm).
Cholesterol stones are seen with ultrasound, but are not detectable in a routine X-ray examination( X-ray non-contrast stones).The effectiveness of drugs is noted in a small percentage of cases, and then subject to long-term use( from 1.5 months to a year or more).After their cancellation, relapses are possible.
Periodic x-ray and repeated ultrasound examinations are performed to monitor and after treatment.
The daily dose of chenofalk for an adult is 15 mg per 1 kg of body weight( average 0.75 g).Assign 1 capsule( 250 mg) in the morning and 2 capsules( 0.5 g) in the evening. The maximum daily dose is 1.5 g( 6 capsules).
Ursofalk appoint from 2 to 5 capsules per day( depending on the body weight - 10 mg / kg).Take the entire dose daily before bedtime, without chewing.
If the stones in the gallbladder are small, cholesteric, and if a person does not have pain in the right upper quadrant( asymptomatic stones) and besides he has the opportunity to buy and take these drugs for a long time, then it is worthwhile trying to conduct a course of such medication. Chances to get rid of stones are, but there are not many of them.
It should be remembered that when pain occurs, it makes no sense to increase the dose of drugs - they do not relieve pain.
In such situations, urgent examination of the surgeon is necessary. These drugs can also be taken when surgery is contraindicated because of high operational risk in elderly patients and patients with severe concomitant diseases. In other cases, it is risky to expect such treatment.
Conservative treatment methods for also include:
- The use of alkaline salts, mineral waters to facilitate the evacuation of bile from the gallbladder and its dilution( Carlsbad salt, burnt magnesia, Essentuki-20 and other mineral waters).
- Compliance with a diet restricting foods containing cholesterol, fats and animal proteins.
- Regulation of food intake;it is necessary to advise patients to eat moderately, regularly and often, since eating is a natural remedy that contributes to the outflow of bile.
- Purpose of antispasmodic and analgesic agents, as well as preparations that dissolve stones.
- The purpose of thermal procedures: warmers, diathermy, compresses, etc.
Surgical treatment of
ASM Surgical treatment is expedient and necessary not only for acute disease of SCI, but also for minor symptoms of chronic calculous cholecystitis.
Large stones - more than 30 mm create the risk of pressure ulcers, and small stones - 5 mm or less can enter the bile duct and clog them, which also leads to the need for a surgical procedure to remove the stones or the entire gallbladder as a whole.
Remember that the planned operation should be carried out until repeated biliary colic attacks, in the absence of complications of the CSF and concomitant pathology.
Laparoscopic cholecystectomy
This is a promising method that relieves the patient from a prolonged stay in a hospital bed in the postoperative period. Also minimal cosmetic defect. At a usual cavitary operation the postoperative scar is very large.
It should be understood that the removal of the gallbladder in calculous cholecystitis does not relieve patients of metabolic disorders, including hepatic cell dyscholia, which persists after the operation.
In many patients, laboratory lithogenous bile is detected, which disrupts the digestion and absorption of fat and other lipid substances. Bactericidal bile is reduced, which leads to microbial contamination of the duodenum, weakening the growth and functioning of the natural intestinal microflora.
There are a lot of patients who, after resection of the gallbladder, have pain in the right upper quadrant and dyspeptic disorders.
The state of stable compensation and adaptation in patients who have undergone cholecystectomy is achieved by observing the diet and using medicines.
Nutrition: a diet without surgery for cholelithiasis
There is a special therapeutic diet number 5, which details the menu of products that can be eaten and which can not be used for diseases of the liver and biliary tract.
Technology of cooking: the dishes are cooked with boiled, baked, the food is salted normally. The temperature of the food intake is warm. Take food at least 4 times a day, and preferably 5-6 times.
What products can be eaten:
- bread Bread of yesterday's baking or dried wheaten, rye, "doctor's" and other types of bread, biscuits from uncomfortable dough.
- Soups - different, from vegetables, cereals, pasta on vegetable broth or dairy, fruit soups.
- Dishes from meat and poultry - from lean beef, poultry in boiled form or baked after boiling, a piece or chopped. Frankfurters.
- Dishes from fish - various low-fat varieties of fish( cod, pike-perch, navaga, pike, carp, silver hake) in boiled or steam form.
- Vegetables - various kinds of vegetables and greens, non-acidic sauerkraut, canned green peas, ripe tomatoes.
- Dishes from flour, cereals, legumes and pasta - crumbly semi-viscous cereals, puddings, casseroles, especially recommended dishes of oatmeal, buckwheat porridge.
- Eggs - no more than one per day in the form of adding to the dishes, a protein omelet.
- Fruits, berries, sweet dishes are different, except for very acidic, fruit canned food, compotes, jelly, lemon( with tea), sugar, jam, honey.
- Milk, milk products - milk with tea, condensed, dry, curd fat-free, sour cream in small quantities, cheeses are not sharp( Dutch, etc.).Cottage cheese and curd products are especially recommended.
- Fats - butter, vegetable oil( up to 50 g per day).Snacks - soaked herring, salted caviar, salads and vinaigrettes, jellied fish.
- Drinks - tea and soft coffee with milk, non-acidic fruit and berry juices, tomato juice, broth of wild rose.
What can not be eaten: it is prohibited
- Lamb and pork smoked products, sausages, fatty fried foods;lamb, pork, goose fat, spicy sauces, margarine, meat, fish, mushroom rich soups.
- Horseradish, onion, garlic, pepper, mustard, sorrel, peas, beans, radish, radish, mushrooms, salted foods.
- Chocolate, chocolate sweets, natural coffee, cocoa, carbonated drinks, chewing gum can negatively affect.
- Do not eat food or drink from the refrigerator.
Nutrition: diet after removal of the gallbladder
To avoid complications after the operation to remove the gallbladder( cholecystectomy) - the term "postcholecystectomy syndrome" developed a diet menu - a treatment table number 5, which you have already read above. Most important: fractional food and restriction of fatty, smoked and spicy dishes.
Postoperative strategy is aimed at the regular opening of the sphincter for the exit of bile from the ducts in order to avoid increasing the pressure of bile in them, because there is no gallbladder.
Rehabilitation lasts about one year, so that the organism of the operated person could adapt to new changes in his physiology.
I set out the rules for feeding on time after surgery - six meals:
- Breakfast: cereal - carbohydrate dish, protein omelette and tea.
- The second breakfast in three hours: juice with crackers( low-calorie cookies or bran).To regularly open the sphincter to exit the bile and not increase its pressure in the ducts, you need to change the composition of the bile, thereby negating the risk of the formation of new stones - bran is just what you need.
- Lunch, after another three hours: the first vegetable dish - soup, chicken( boiled chicken breast) with boiled carrots and kissel( compote).
- Snack, also after three hours: an apple.
- Dinner: fish boiled with mashed potatoes, carrot salad with apples, tea with milk. Last meal 4 hours before bedtime.
- 1 hour before sleep: a glass of kefir.
Alcohol intake is prohibited, it increases the load on the liver.
Therapeutic diet number 5: Nutritional value consists of: 100 gr. Proteins, 100 gr. Fat and 400 gr. Carbohydrates. Caloric content is 3200. Do not eat too much hot and cold food.
Related videos
Diet after removal of the gallbladder
Diet - table 5: what you can eat and what you can not.
So, what can you eat for people who have been given the "Table No. 5" diet, and what should you abandon for a while? Do not forget that depending on how correctly you adhere to the diet table 5, depends on the recovery and general condition of the body.
Diet No. 5 is prescribed for acute hepatitis and cholecystitis in the recovery stage;chronic hepatitis without exacerbation;cirrhosis of the liver without its insufficiency;chronic cholecystitis and cholelithiasis without exacerbation( in all cases - without severe diseases of the stomach and intestines).
Therefore, be extremely careful and disciplined.
How to get rid of stones in the gallbladder: endorphin therapy
How to get rid of gallstones without surgery!
How to get rid of gallstones without surgery! Bay leaf. Be careful!
The main reason for the formation of gallstones is the violation of cholesterol, bile acid and bilirubin metabolism, inflammation in the gallbladder and stagnation of bile in it. Most often this disease affects women. The way of life also affects the appearance of cholelithiasis: overeating, low mobility, especially with sedentary work, irregular eating, obesity.
See video how to remove gallstones without surgery, where it is told how to remove stones from the gall bladder without penny-free operation.
Before use, always consult a physician!
Gallbladder: how to remove stones without surgery
Video author: Peichev Nikolay.
Review of the patient on the treatment of cholelithiasis
On the treatment of cholelithiasis and urolithiasis Wicredol.
LCD: features of conservative treatment
In this clip we will consider the conditions for successful conservative therapy of cholelithiasis.
Problems with the gallbladder in children: the school of Dr. Komarovsky
It turns out that the well-known expression "work up an appetite" has a great semantic load with regard to the resolution of children's problems with the gallbladder and pancreas. Want to feed the baby correctly, wait until he says "Mom, I want to eat."
LCB: symptoms and treatment
Record a doctor's conference on the topic "Gallstone disease."Where Mikova Vera Sergeevna tells in detail about the causes of the illness, the serious consequences that can occur, about prevention and treatment, about which diet is better to adhere to. Gallstone disease: A.N.Alimenko
Lecture of May 18, 2016.
Highlights:
- How is the assimilation of fats.
- For what a gallbladder is needed and how stones form in it.
- What is bile used for and how does it make it possible to metabolize fats.
- Why it is harmful not to have breakfast.
- The process of crystallization of cholesterol in the gallstones.
- Chemical and mineral composition of stones in the gallbladder and kidneys.
- Benefits of products for the prevention of cholelithiasis( beer, wine, coffee, etc.).
- Harm specific products on the liver, digestive tract and kidney.
- How much you need to consume dietary fiber every day.
- How not to give sugar cause gallstone disease.
- How to reduce the risk of stone formation.
- The problem and causes of stones in the bladder.
- Necessary proteins( plant and animal) for prevention.
- Harm of oxalic and oxalic acid.
- How to remove the risk of stones or withdraw them when they are already there.
Terms used:
- Hepotobiliary system( Liver, Pancreas, Gallbladder).
- Lithotripsy( apparatus for crushing stones).
- Gallbladder.
- Pancreas.
- Vitamin B6( group B).
- Laparoscopy.
- Oxalic acid.
- Moisture protection.
- Hepatoprotector.
Recommended preparations:
- Fervital.
- Baction.
- Floroid.
- Wheat germ oil.
- Tylenol.
- Selegerz.
- Selecor.
- Yantarite.
- Solyanka hill.
- Trofovites( №14, №15, etc.).
Source: Iligov GN Official and traditional medicine. The most detailed encyclopedia.- Moscow: Izd-vo Eksmo, 2012.
