What choleretic tablets should I give to a 4-year-old child? Review of choleretic herbs and herbs that promote the outflow of bile. Indications for blind probing

Choleretic collection- This herbal mixture, used by people suffering from abnormalities of the gallbladder and its ducts. There are 3 types of fees that can be used. In some cases, they use everything at once. Long-term use Taking this decoction without consulting a doctor can provoke the formation of liver pathologies. The drugs have contraindications and side effects. Before use, you should read the instructions.

Indications, types, compositions, pharmacological action

Choleretic collection(Phytohepatol) - a mixture of herbs that is used to combat diseases of the gallbladder and biliary tract. There are 3 types of fees (No. 1, No. 2 and No. 3). Doctors prescribe them if the patient has developed hepatitis, chronic cholecystitis (acute inflammatory process in the gallbladder), poor appetite and digestive disorders, inflammation bile ducts, nausea and postcholecystectomy syndrome ( pathological condition developing after surgery on the gastrointestinal tract).

In accordance with the composition of the choleretic collection, there are 3 types, each of which consists of different plants:

This medicine has the following pharmacological effects:

• choleretic (removal of bile from the body);
• anti-inflammatory (preventing the development of the inflammatory process);
• antispasmodic;
• increased appetite;
• restoration of intestinal motility.

Choleretic collection is releasedin the form of crushedcomponentsin cardboard packages or in filter bags for single use. The product is available in pharmacies without a prescription. There are 25 sachets in boxes.

Side effects, contraindications

Among side effects heartburn and allergic reactions. Sometimes there is a burning sensation in the sternum and belching. The following may also appear:

• diarrhea;
• asthenia;
• headaches;
• nausea and vomiting.

If such reactions occur after any of the preparations, you should consult a doctor or replace the product yourself. If a person has stones in the gallbladder or their ducts, then such drugs cannot be used. They should be used with caution by pregnant women and women who are breastfeeding, as well as hypersensitivity to one of the components of the product.

Collection No. 3 should not be drunk by children under the age of 12 years, with gastritis, cirrhosis of the liver, pancreatitis and ulcers in adults. When conducting studies, no interactions with other medications were found. This means that the preparations can be consumed regardless of whether a person takes medications or not.

Dosage and method of preparation

According to the instructions for use, to properly prepare the first collection, you need 1 tbsp. l. add 200 ml of hot water and heat for 15 minutes. Then you need to infuse the composition for 45 minutes. Before use, you need to strain it through gauze or a bandage and add boiled water to a volume of 200 ml.

Biliary dyskinesia, chronic pancreatitis and cholecystitis are very common diseases in our country, even among children. They do not always manifest noticeable symptoms: most only note a lack of appetite and even nausea in the morning, heaviness in the right hypochondrium, and periodic itching of the skin. However, it turns out that all these are signs of bile stagnation. And, until thick bile begins to turn into stones, it is necessary to take choleretic drugs.

We'll talk about what they are and how they work.

Why and where do you need to drive bile?

Many people mistakenly believe that bile is formed in the gallbladder and for some reason accumulates there. This is not so: bile is produced by liver cells, from the liver it enters gallbladder and it concentrates there - excess water leaves it.

When a person eats food that contains fats, a signal about this reaches the gallbladder, and it, by contracting, removes bile through the bile ducts into the duodenum. The hole through which bile exits is located next to the hole where the pancreas releases its secretions.

Tasks of bile:

• make an emulsion from the incoming fats, which will be easier for pancreatic enzymes to reach;
• create the right conditions for the functioning of pancreatic enzymes - and without them neither proteins, nor fats, nor carbohydrates can be digested normally;
• stimulate intestinal contractions;
• provide suction fat-soluble vitamins: A, D, E, group K;
• prevents microorganisms from attaching to the intestinal walls: then they will not be able to be absorbed into the blood along with food;
• removes substances that have passed through the liver with feces: some hormones, bilirubin, cholesterol.

That is, bile is a very useful substance, and it is imperative that it is formed correctly and correctly delivered to the duodenum. This is what they are aimed at choleretic drugs. But in reality, everything is not so simple.

3 were called choleretic different groups drugs. They affect the biliary tract in different ways, and do not simply “drive” bile along its path:

• some – choleretics – increase bile production;
• others - cholekinetics - accelerate the excretion of bile from the hepatic ducts to the duodenum;
• third - cholespasmolytics - relax the spasmodic bile ducts;
• fourth - cholelitogenic preparations of bile acids - are used to liquefy bile so that stones do not form in it. These same agents have the ability to dissolve very small stones - thanks to the change chemical properties bile.

Each of them has its own point of application and, accordingly, its own indications. Without knowing which drug to take in this situation, you can only harm yourself. For example, relax the bile ducts that are already lacking tone. Or force the already sick liver to “strain” and produce bile (when the liver is already working as hard as it can - in order to at least neutralize dangerous toxins).

How choleretic drugs work, and on what basis one or the other is chosen, is not a mystery at all. Therefore, we tell you what, how and why.

Choleretic drugs and indications for them

To understand what type of drug is needed and when, consider how bile moves:

1. Formed in the liver cells, it enters the intrahepatic bile ducts.
2. From these ducts, bile flows by gravity first into the right or left hepatic duct (from the right lobe of the liver to the right, from the left, respectively, to the left). Then the bile from both of these ducts, also by gravity, is collected into the common hepatic duct. It is a tube in which there are few muscle cells.
3. From the common hepatic duct there is a branch - a “tube” (duct), which leads to the gallbladder. There are almost no muscles in it, so the bile needs to get there somehow. The force that propels it in this direction is the difference in pressure between that created by the liver (when it secreted bile) and the resistance exerted by the sphincter of Oddi. The sphincter of Oddi is a circular muscle that lies where the hepatic duct (more precisely, its continuation - the common bile duct) passes into the duodenum. That is, the sphincter of Oddi is such a faucet. When it is closed, bile flows into the cystic duct, its pressure straightens the folds lying between the bladder and the cystic duct, and accumulates in the gallbladder.
4. As the gallbladder fills, the pressure in it increases, and in the hepatic ducts, accordingly, decreases. And when the sphincter of Oddi “tap” opens (this happens in response to pepsin gastric juice and is a signal that food has entered the gastrointestinal tract), the pressure differences become such that the duodenum first it's already underway prepared, concentrated bile.
5. When the pressure in the gallbladder increases to 250-300 mm of water column, it contracts itself - then the sphincter of Oddi has to open.
6. The common bile duct also has almost no muscle fibers, so it contracts poorly.

What follows from all this in relation to drugs? Let's consider it in relation to diseases. As a result, you will understand which particular group of choleretic drugs you need. So.

Choleretic drugs for biliary dyskinesia

The word “dyskinesia” refers to a disturbance in the normal movement of bile. This diagnosis itself necessarily requires decoding, because it is unclear whether the bile will move faster or slower.

So, dyskinesia is characterized by only 2 concepts:

1. What tone do the bile ducts have? He can be:
   • normal (then there is no need to correct it);
   • increased (hypertensive dyskinesia), when bile is released quickly, which will facilitate its reflux into the stomach. In this case, drugs are needed - cholespasmolytics;
   • reduced when bile flows slowly. To correct this condition, cholekinetics are needed.
2. How the biliary tract contracts:

• With high speed– then the bile does not have time to concentrate. This can be relieved with antispasmodics;
• at normal speed;
• at a low speed, which contributes to stagnation of bile. In this case, either choleretics are needed (then more bile will be formed and it will have to be released faster), or cholekinetics - to stimulate the movements of the biliary tract.

Thus, the diagnosis for biliary dyskinesia consists of 2 parts. As a result, it may be:

• hypertonic hyperkinetic. More “strong” cholespasmolytics are needed. Usually these are synthetic drugs;
• hypertensive normokinetic. It is treated with cholespasmolytics, which do not inhibit the peristalsis of the biliary tract itself (usually herbal remedies);
• hypertensive hypokinetic. You need a drug that will relieve the spasm (otherwise the bile will not go away), and a cholekinetic agent;
• hypotonic hypokinetic. Both choleretics and cholekinetics are needed;
• hypotonic normokinetic. Usually one choleretic is enough.

If you do not determine the type of your own dyskinesia and take drugs at random, you can worsen net worth. Most often, choleretics drink it to increase bile production. Now imagine what will happen if dyskinesia is caused by a bend in the gallbladder? Or is it hypokinetic? Then the gallbladder becomes full, and then it has to contract sharply. It will be very painful condition called biliary colic.

There is a second option: uncontrolled use of cholespasmolytics. As a result, the bile stagnates, and salts with cholesterol begin to precipitate, forming stones, or the bile becomes infected: cholecystitis occurs.

Choleretic drugs for bile stagnation

Choleretic drugs for bile stagnation are choleretics and cholekinetics. In addition, it is necessary to check the bile ducts for the presence of stones in them. If they are absent or they are small (up to 3 mm), bile acid preparations are prescribed.

When there is stagnation in the liver, which is accompanied by yellowing and itching of the skin, not only choleretic drugs are prescribed, but also drugs from other groups. In this case, treatment is generally recommended to take place in a hospital - to monitor the effectiveness of therapy and timely diagnosis complications.

Choleretic drugs for inflection of the gallbladder

The inflection of the gallbladder itself already indicates biliary dyskinesia. Most likely, it will be hypokinetic (since bile must overcome a greater obstacle to enter the gallbladder) and hypermotor. And for its treatment, cholespasmolytics, cholekinetics and bile acid preparations will be needed - for prevention cholelithiasis. As with “normal” dyskinesia, drugs are preferred outside of exacerbation plant origin.

Dyskinesia when bending can be both hypokinetic and hypomotor. In this case, cholekinetics and, sometimes, choleretics are needed.

Choleretic agents for cholecystitis

Inflammation of the gallbladder usually requires the following medications:

• choleretics - to “dilute” infected bile with “fresh”;
• cholespasmolytics - since when the gallbladder is inflamed with cholecystitis, its spasm is inevitable;
• cholelithogenic agents in case there are no stones - to prevent their formation.

For this disease, antibiotics are also prescribed - usually 2 groups at once.

Choleretic agents for pancreatitis

Inflammation of the pancreas - pancreatitis - is accompanied by increased production of its enzymes. We remember that bile stimulates the synthesis of these substances, which means in this case she needs to stand out in small portions– no sudden emissions. For this purpose both in acute and pancreatitis chronic course Cholespasmolytics are prescribed. And to prevent the formation of stones - since bile stagnation will inevitably occur here - cholelitogenic drugs will be used.

Pancreatitis is dangerous disease, requiring complex therapy, but in no case self-medication!

How to improve your condition after cholecystectomy

The main problem after removal of the gallbladder is the inability to concentrate bile. That is, it is more liquid and flows faster into the duodenum. However, even in such less concentrated bile, conditions remain for the formation of stones, so taking cholelithogenic drugs is mandatory.

Choleretics are contraindicated in post-cholecystectomy conditions: the liver already begins to compensatoryly produce more bile.

Antispasmodics are needed, which should be taken systematically immediately after surgery and during the first three months. This is explained by the fact that previously the gallbladder and the sphincter of Oddi worked in concert: when the bladder contracted (under the influence of hormone-like substances, gastric and pancreatic juice), the sphincter relaxed. As soon as the gallbladder was gone, the sphincter of Oddi, which is not endowed with such sensitivity, became more difficult to navigate what and when to do. In this situation, it most often spasms. It needs to be relaxed with cholespasmolytics before the spasm becomes stenosis, which will require a new operation.

The condition after surgery may also be accompanied by hypotonicity of the sphincter of Oddi, which occurs already some time after the operation. In this case, cholekinetics are prescribed.

In this condition, drugs that improve liver function, anti-inflammatory drugs and antibiotics are also prescribed.

List of choleretic drugs

Let's look at what types of representatives there are various groups these medications. Let's start our list of choleretic drugs with the largest group - choleretics.

Choleretics

Choleretics are divided into 2 large groups:

1. True choleretics, which increase the amount of bile by increasing its formation. They, in turn, are divided into 3 groups - depending on the raw materials from which they are made - into:
   • containing bile acids (from animal bile);
   • synthetic drugs that activate the mechanisms of bile formation;
   • medicinal herbs that affect the mechanisms of bile formation.
2. Hydrocholeretics are drugs that increase the volume of the gallbladder by diluting bile with water.

In this section we will consider only animal preparations and synthetic origin, as well as hydrocholeretics. All herbal preparations– we will consider both choleretics and cholekinetics separately.

Hydrocholeretics include mineral water with alkaline pH:

• Borjomi;
• Essentuki 4 and 17;
• Jermuk;
• Naftusya;
• Slavyanovskaya.

Cholekinetics

The following synthetic drugs promote contractions of the biliary tract:

Cholespasmolytics

Cholelytics

Drugs that reduce the saturation of bile with cholesterol and, accordingly, are used to prevent the formation and dissolution of small stones are drugs based on ursodeoxycholic acid:

• Ursosan;
• Ursofalk;
• Ursodeoxycholic acid;
• Ursodez;
• Grinterol;
• Urdoxa.

The cheapest of them is Ursodeoxycholic acid: 600 rubles/50 tablets, the most expensive is Ursofalk: 915 rubles/50 tablets.

These drugs are available in the form of 250 mg capsules. The daily dose is calculated depending on body weight and the presence of stones, and is 2-6 caps/day.

Ursodeoxycholic acid preparations are contraindicated in acute inflammation of the liver, gallbladder and biliary tract, during pregnancy/lactation, in the presence of calcium stones, and frequent biliary colic.

Herbal choleretic drugs

Plant choleretics

Plant cholekinetics

Berberis gommacord and its analogue, discussed in the section of plant choleretics, are complex drugs, which have both an antispasmodic and an improving peristalsis of the biliary tract effect.

In addition, the following have a cholekinetic effect:

• almost any vegetable oil, especially olive, cumin, sunflower;
• barberry leaves;
• roots and rhizomes of calamus;
• fennel fruit;
• caraway fruits.

Herbal cholespasmolytics

These are drugs such as Cholagol, valerian tablets.

As antispasmodics of plant origin, decoctions and tinctures are prepared from various herbs, which are best purchased at the pharmacy:

• tansy;
• arnica;
• turmeric root.

What choleretic drugs can be used for children

If you can experiment with yourself on your own - at your own peril and risk, then choleretic drugs for children should be prescribed by a doctor, based on the disease and the type of contraction of the biliary tract.

The following choleretic drugs are used for children:

• “Papaverine” and “Atropine” in the form of injections, in strict dosages and only under medical supervision - from 6 months;
• “Holosas” - from 3 years;
• "Urolesan" - from 7 years;
• "Hofitol" - from 6 years;
• "Eufillin" - from 6 years;
• "Duspatalin" - from 10 years;
• "Flamin" - from 6 years old.

What drugs can be called the best?

It is very difficult to average which choleretic drugs are the best, since each organism is individual. But some patterns can still be identified.

So, among choleretics, the following work best: “Nikodin”, “Holosas”, “Urolesan”, “Tanacehol”.

It is better to choose their cholekinetics: “Magnesium sulfate” or “Sorbitol”, using them for “blind probing”.

As for cholespasmolytics, synthetic drugs all work well and act quite quickly. Optimal for the biliary tract are Buscopan and Duspatalin. “No-shpa” and “Papaverine” have a relaxing effect on all smooth muscles, without selectively affecting the bile ducts.

Instructions for use:

Choleretic collection is a collection of plants that help with diseases of the biliary tract and gallbladder.

pharmachologic effect

Choleretic herbal collection promotes the removal of bile, has an anti-inflammatory effect, relieves spasms, restores intestinal motility and improves appetite. There are three collections of different compositions, which include plants with similar effects.

Collection No. 1 includes mint and trifoliate leaves, coriander fruits, and immortelle flowers.

Mint is known for its sedative effect, but the herb is also effective for gallstone disease - it helps remove stones. It is also known that the bitterness of mint stimulates the functioning of the gallbladder and liver.

Trefoil trefoil is also called water trefoil; it stimulates digestion and has anti-inflammatory properties.

Coriander seeds have a choleretic and analgesic effect.

Immortelle is traditionally used for pathologies of the liver and gallbladder. The flowers of the plant relieve inflammation and spasms, relieve pain, increase the tone of the gallbladder and liver, affect the viscosity of bile and its chemical composition, reduce the level of cholesterol and bilirubin.

The composition of choleretic collection No. 2 includes yarrow herb, mint, coriander fruits, immortelle flowers (on the packaging of the collection it is often indicated as sandy cumin).

Traditional medicine traditionally recommends using yarrow for diseases of the gallbladder. The herb helps reduce inflammation, relieves spasms and improves bile excretion.

Collection for removing bile No. 3 includes tansy, calendula and chamomile flowers, mint leaves, and yarrow herb.

Tansy is included in the collection because has a choleretic effect, antimicrobial effect, relieves inflammation. Chamomile also promotes the removal of bile, relieves spasms, and has a sedative effect.

Release form

Choleretic mixtures No. 1, 2, 3 are produced in the form of crushed plant materials in cardboard packages and in filter bags for one-time use.

Indications for use

The fees are prescribed to be taken for chronic reactive hepatitis; chronic cholecystitis – acute inflammation gallbladder; at poor appetite and digestive disorders; biliary dyskinesia; cholangitis – inflammation of the bile ducts of an infectious nature; attacks of nausea; postcholecystectomy syndrome - a condition in which the sphincter of Oddi is disrupted and, as a result, the patency of bile and pancreatic juice deteriorates.

Mode of application

Collection No. 1 is brewed as follows: 1 tablespoon of crushed medicinal raw materials is poured hot water(200 ml), heat for 15 minutes, leave for at least 45 minutes. Before use, it is advisable to strain the broth and then bring it to boiled water up to 200 ml. Take the collection 300 ml per day in 3 divided doses half an hour before meals. Therapy, judging by the reviews of choleretic collection No. 1, is recommended to continue for 2-4 weeks to obtain an effect.

It is advisable to shake the broth before use; it is not recommended to store it for more than two days.

Collection No. 2 is brewed in the same way as collection No. 1. Adults are recommended to drink it in 3 doses half an hour before meals - only 1.5 glasses per day. Children are recommended to give no more than 150 ml per day, in three divided doses.

Two filter bags with choleretic collection contain 200 ml of boiling water: pour them in and leave for 15 minutes. Take the decoction in the same way as the one prepared from medicinal raw materials.

To prepare a herbal decoction from collection No. 3, pour 200 ml of boiling water into one or two disposable bags and leave for 15 minutes. It is recommended to take the product 1.5-3 glasses. It is also not recommended to store ready-made decoctions from collections No. 2 and 3 for more than two days.

In most cases, herbal collections No. 2, 3 for removing bile are also recommended to be taken for 2-4 weeks, but consultation with a doctor is required.

Side effects

There are reviews of choleretic preparations indicating that they can cause heartburn and allergies.

Contraindications

It is not recommended to use choleretic preparations if you are allergic to the plants that are part of them and if you have cholelithiasis, a disease in which there are stones in the bile ducts and bladder that prevent the flow of bile into the intestines.

Pregnant and lactating women are prescribed bile removal fees in exceptional cases.

Instructions for use:

1. Pharmacological action

2. Release form

3. Indications for use

4. Method of application

5. Side effects

6. Contraindications

Prices in online pharmacies:

pharmachologic effect

Choleretic herbal collection promotes the removal of bile, has an anti-inflammatory effect, relieves spasms, restores intestinal motility and improves appetite. There are three collections of different compositions, which include plants with similar effects.

Collection No. 1 includes mint and trifoliate leaves, coriander fruits, and immortelle flowers.

Mint is known for its sedative effect, but the herb is also effective for gallstone disease - it helps remove stones. It is also known that the bitterness of mint stimulates the functioning of the gallbladder and liver.

Trefoil trefoil is also called water trefoil; it stimulates digestion and has anti-inflammatory properties.

Coriander seeds have a choleretic and analgesic effect.

Immortelle is traditionally used for pathologies of the liver and gallbladder. The flowers of the plant relieve inflammation and spasms, relieve pain, increase the tone of the gallbladder and liver, affect the viscosity of bile and its chemical composition, reduce the level of cholesterol and bilirubin.

The composition of choleretic collection No. 2 includes yarrow herb, mint, coriander fruits, immortelle flowers (on the packaging of the collection it is often indicated as sandy cumin).

Traditional medicine traditionally recommends using yarrow for diseases of the gallbladder. The herb helps reduce inflammation, relieves spasms and improves bile excretion.

Collection for removing bile No. 3 includes tansy, calendula and chamomile flowers, mint leaves, and yarrow herb.

Tansy is included in the collection because has a choleretic, antimicrobial effect, relieves inflammation. Chamomile also promotes the removal of bile, relieves spasms, and has a sedative effect.

Release form

Choleretic mixtures No. 1, 2, 3 are produced in the form of crushed plant materials in cardboard packages and in filter bags for one-time use.

Indications for use

The preparations are prescribed to be taken for chronic reactive hepatitis; chronic cholecystitis - acute inflammation of the gallbladder; with poor appetite and digestive disorders; biliary dyskinesia; cholangitis – inflammation of the bile ducts of an infectious nature; attacks of nausea; postcholecystectomy syndrome - a condition in which the sphincter of Oddi is disrupted and, as a result, the patency of bile and pancreatic juice deteriorates.

Mode of application

Collection No. 1 is brewed as follows: 1 tablespoon of crushed medicinal raw materials is poured with hot water (200 ml), heated for 15 minutes, infused for at least 45 minutes. Before use, it is advisable to strain the broth and then bring it to 200 ml with boiled water. Take the collection 300 ml per day in 3 divided doses half an hour before meals. Therapy, judging by the reviews of choleretic collection No. 1, is recommended to continue for 2-4 weeks to obtain an effect.

It is advisable to shake the broth before use; it is not recommended to store it for more than two days.

Collection No. 2 is brewed in the same way as collection No. 1. Adults are recommended to drink it in 3 doses half an hour before meals - only 1.5 glasses per day. Children are recommended to give no more than 150 ml per day, in three divided doses.

Two filter bags with choleretic collection contain 200 ml of boiling water: pour them in and leave for 15 minutes. Take the decoction in the same way as the one prepared from medicinal raw materials.

To prepare a herbal decoction from collection No. 3, pour 200 ml of boiling water into one or two disposable bags and leave for 15 minutes. It is recommended to take the product 1.5-3 glasses. It is also not recommended to store ready-made decoctions from collections No. 2 and 3 for more than two days.

In most cases, herbal collections No. 2, 3 for removing bile are also recommended to be taken for 2-4 weeks, but consultation with a doctor is required.

Side effects

There are reviews of choleretic preparations indicating that they can cause heartburn and allergies.

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Why does bile stagnation occur and how does it manifest?

The causes of the disease include the following factors:

• Fasting or dieting;
• Alcohol abuse;
• Sedentary lifestyle;
• Poor nutrition.

Some diseases can also lead to stagnation, which include:

• Gallstones;
• Removal of the gallbladder;
• Hormonal disorders during pregnancy;
• Stress and nervous tension;
• Infections;
• Stomach ulcer;
• Weakened pelvic muscles;
• Gastritis;
• Disturbance in the functioning of the biliary tract;
• Pancreatitis;
• Diseases digestive tract infectious nature;
• The components of bile are poorly broken down.

Stagnation may be manifested by the following symptoms:

• Apathy and fatigue, which is felt even after rest;
• Constant desire to sleep;
• Bitterness in the mouth;
• Bad breath;
• upset stomach or constipation;
• Pain in the liver area;
• The liver becomes larger and this becomes noticeable visually or after palpation;
• Nausea and vomiting;
• The whites of the eyes and skin acquire a yellow tint;
• The feces become light in color;
• Urine becomes very dark;
• Constant burping.

Chemical composition of collection 1, 2, 3

• Silicon;
• Tannins;
• Magnesium salts;
• Flavonoids.

• Saponins;
• Flavonoids;
• Bitterness;
• Sterols;
• Vitamin groups: B, E, C, K;
• Essential oils;
• Carotene;
• Organic acids;
• Alkoloids.

• Tannins;
• Essential oils;
• Organic acids;
• Saponins;
• Bitterness;
• Flavonoids.

Healing and healing properties

Choleretic collection helps in the following cases:

• Helps remove bile;
• Relieves spasms;
• Increases appetite;
• Relieves inflammation;
• Improves intestinal motility.

• Mint helps in the fight against gallstones. The bitterness of this plant stimulates the gallbladder and liver.
• The three-leaf watch makes the digestive tract work much better, which leads to complete digestion. Also helps with inflammation.
• Coriander seeds improve the excretion of bile and relieve pain syndrome.
• Immortelle, this is one of the best means from all abnormalities in the functioning of the liver and gall bladder. It is effective in inflammatory processes, has a positive effect on the viscosity of bile, and lowers the level of cholesterol and bilirubin in the blood. This plant also helps cope with painful sensations, improve the condition of the gallbladder.

• Yarrow has been used since ancient times as excellent remedy from diseases of the liver and gall bladder. This plant has a good effect on the rapid excretion of bile, relieves inflammation and spasms.
• Coriander.
• Immortelle.

• Tansy flowers, which promote the removal of bile, help relieve inflammation and fight germs.
• Yarrow.
• Chamomile is also a good remedy for getting rid of excess bile and spasms. Chamomile is also known for its positive sedative qualities.
• Calendula, an anti-inflammatory plant, is also good for liver and gallbladder diseases.

Useful information about choleretic herbs on video

What else you should definitely read:

The best use pattern

What do the instructions for use recommend? It is recommended to use choleretic preparations in combination with diet No. 5.

It is necessary to exclude from the diet:

• Alcoholic drinks;
• Fatty, smoked, fried;
• Raw vegetables;
• Fatty meats;
• Carbonated drinks;
• Baked goods;
• Mayonnaise.

Any choleretic collection can be purchased in two forms:

1. Regular chopped herb, which is in a cardboard box;
2. In an individual filter package, which, of course, is much more convenient to use for many.

1. The finished infusion is taken 300 ml per day, this dose is divided into three doses.
2. Drink thirty minutes before the main meal. The course lasts a month, after which the same break is taken.
3. This collection will help remove excess bile, relieve inflammation from the liver and get rid of pain.

1. This fee is accepted at finished form an hour before meals three times a day. The daily dose should be one and a half glasses, it turns out that each dose should be half a glass of the medicinal drink.
2. The course lasts two weeks, with a break at the same time.

Collection No. 2 is a good remedy for stagnation of bile, during inflammatory processes, as a method of prevention after removal of the gallbladder, it provides good pain relief and soothes the irritated organ.

1. This collection is taken in a glass before each main meal. The course lasts about a month.
2. Collection No. 3 will help relieve inflammation of the liver and gallbladder, relieve pain, and improve the flow of bile. Good remedy for prevention.

Proper preparation of the product

So that the collection brings maximum benefit, you need to know how to cook it correctly.

1. A tablespoon of the collection is boiled with a glass of boiling water for about twenty minutes over low heat. After the decoction is ready, it is left to infuse for about an hour, only after which it can be consumed.
2. Before drinking to increase healing qualities of this drink and improve its effect, the decoction can be brought to a boil and strained.
3. The medicine should not be stored for more than two days. After this period, it is best to make a fresh decoction.

Collections No. 2 and 3 are prepared in a similar way. You can also use the same method to brew the collection in individual filter bags. Use as described above.

Harm and contraindications for use

• Allergic reactions to the components of the collection;
• Diarrhea and diarrhea;
• If stones can be observed in the ducts and gallbladder using ultrasound, which create obstacles to the outflow of bile;
• Pregnant and lactating women are advised not to use such fees if possible;
• Also, those who have personal intolerance should not take decoctions from the collection;
• Cirrhosis;
• Severe liver diseases;
• Hepatitis, in all its manifestations;
• Diarrhea and other digestive tract disorders;
• Appendicitis;
• Obstruction of the bile ducts.

Possible side effects

• Rash and itching in case of an allergic reaction;
• Diarrhea;
• Pain in the area of ​​the liver and gallbladder, if there are stones there and there is no full patency in the bile ducts;
• Nausea and vomiting;
• Heartburn and belching;
• Swelling of the liver, which can be observed visually or by palpation;
• Fatigue and sickness;
• Dizziness.

Such effects can be observed in cases where you are in the area of ​​contraindications or abuse the drug without controlling the dosage.

Effective choleretic agent Phytohepatol

Sold in pharmacy chains in the form:

• crushed mixture of herbs in a cardboard box;
• filter bags of 2 gamma No. 10 or No. 20 per package.

It contains medicinal herbs:

• immortelle flowers;
• yarrow herb;
• peppermint leaves;
• coriander fruits.

Therapeutic effect:

• anti-inflammatory;
• helps relieve spasm;
• increases appetite;
• choleretic;
• stimulates the digestion process and intestinal function.

Application area.

Prescribed as part of complex therapy for diseases of the digestive system:

1. Hepatitis B chronic form.
2. Cholecystitis.
3. Conditions after surgery to remove the gallbladder.

The herbal collection is used to prepare a decoction. To do this, four grams of a mixture of herbs, which corresponds to one tablespoon, is poured into an enamel bowl with boiling water in an amount of 200 ml, and then placed on water bath and heat for 15 minutes. The resulting broth is left to infuse for 45 minutes, drained and the rest of the herb is squeezed out. The resulting volume is adjusted to 200 ml by adding boiled water. Prescribe half a glass three times a day, half an hour before meals. The course of treatment is from two to four weeks.

There are no contraindications. It should not be used by people with individual intolerance or allergic reactions to the components of the herbal collection.

Sold in pharmacies in the form:

• crushed mixture of herbs;
• filter bags of 2 grams No. 10 or No. 20 per package.

• chamomile flowers;
• peppermint leaves;
• marigold flowers;
• yarrow herb;
• tansy flowers.

Effect on the body:

• choleretic;
• relieves inflammation;
• has an antispasmodic effect.

Application area.

Used as an addition to a complex of basic treatment methods for diseases of the digestive system:

1. Chronic hepatitis.
2. Non-calculous cholecystitis in chronic form.
3. Dyskenesia and inflammatory processes of the biliary tract.

1. Approximately 8 grams of the collection, equivalent to two tablespoons, are placed in an enamel bowl and 200 ml of boiling water is added, and put on fire in a water bath under a lid for 15 minutes. After 45 minutes, filter and squeeze out the remainder. The total volume of the decoction is adjusted to 200 ml by adding boiled water. Before use, shake the infusion and take a third of a glass before breakfast, lunch and dinner.
2. 2 filter bags are filled with 100 ml of boiling water and left for 15 minutes. The package is squeezed out, the resulting volume is brought to 100 ml, take half a glass three times a day.

The course of treatment is from two to four weeks.

Contraindications:

1. Individual intolerance and allergic reactions.
2. Cholelithiasis. Calculous cholecystitis.
3. During pregnancy and breastfeeding.
4. Children under twelve years of age.

Methods and means of traditional medicine in the treatment of cholestasis

1. Half a glass unrefined vegetable oil Warm up and drink on an empty stomach. Lie on the heating pad on your right side until the heating pad cools down. Over the next three days, drink drinks made with rose hips in unlimited quantities.
2. Instead of sunflower oil can be used lard with garlic without bread. It is eaten in the morning before meals and placed on a heating pad on the right side until it cools down. Over the next three days, they drink decoctions and compotes from rose hips.
3. Beet juice homemade. The beets, cooked until half cooked, are grated and squeezed through cheesecloth. The juice is drunk in sips half an hour before meals.
4. Unroasted pumpkin seeds, purchased in stores or dried yourself. There are no restrictions on quantity. Caution is required during exacerbations of stomach diseases.
5. Including parsley in any form in your diet. These can be tinctures and juices, additives to salads, first or second courses. Medicinal properties preserved during heat treatment.
6. Drinking a regular hot drink before meals will help with the passage of bile. drinking water. The mechanism of action is based on relieving spasm of the pylorus and sphincter of Oddi.
7. Sokolechenie. For cooking healing drink take equal volumes of juice from radish and beets. Drink a glass once a day for three months before meals.
8. A drink made from dry birch leaves. They are brewed with boiling water and kept on low heat for half an hour. After removing from heat, leave for another ten minutes and drain. Prescribe 1/3 glass before meals.

Complications and consequences of bile stagnation

1. Difficulty in the digestion process.
2. Impaired breakdown and absorption of carbohydrates, which subsequently leads to the development of diabetes mellitus
3. With cholestasis, the removal of excess cholesterol from the human body slows down and hypercholesterolemia develops, which accelerates the development of atherosclerotic processes.
4. With prolonged stagnation in the gallbladder, an inflammatory process may occur, which leads to the development of acute or chronic cholecystitis.
5. Gastritis.
6. Sclerosing cholangitis.
7. Violation fat metabolism as a result of slowing down the absorption of fats.
8. Vitamin deficiencies resulting from decreased absorption of fat-soluble vitamins:

• Vitamin A deficiency manifests itself in decreased twilight vision;
• lack of vitamin D leads to the development of osteoporosis and bone fragility;
• Vitamin K deficiency affects the coagulation system and is dangerous hemorrhagic diathesis and bleeding.

1. Damage to hepatocytes and impaired liver function.
2. Hormonal disorders resulting from decreased hormone synthesis.

Prevention of cholestasis

1. Timely diagnosis of diseases of the gallbladder and bile ducts. Properly prescribed and started on time complex therapy identified pathology.
2. Promotes the functioning of the gallbladder physical activity. It is advisable to include walks in your daily routine fresh air, jogging, swimming in the pool, physical education and sports.
3. Compliance with diet. You need to have breakfast, lunch and dinner every day.
4. Avoiding the abuse of sweets, fatty, spicy and fried food, pickles.
5. Refusal bad habits, especially from alcoholic drinks of questionable quality or in excessive quantities.
6. Elimination of overeating. It is better to take food more often, but in smaller quantities.
7. Prevention stressful situations. Correct mode. Rational alternation of work and rest. Creating a comfortable psychological environment at work and in the family.

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pharmachologic effect

The herbs included in this collection promote the removal of bile and also have an anti-inflammatory effect. In addition, they are able to relieve spasms, improve appetite and normalize intestinal motility. There are three fees in total different compositions, but the plants included in their composition have a similar effect.

The composition of choleretic collection No. 1 includes peppermint and trefoil mint, as well as immortelle flowers and coriander fruits. Mint, which has long been known as an excellent sedative, also helps remove stones from gallstone disease, in addition, it stimulates the functioning of the liver and gallbladder. Trefoil or water trefoil has an anti-inflammatory effect and also stimulates digestion. Coriander seeds provide pain relief and choleretic effect. Immortelle effectively fights pathologies of the liver and gall bladder, it helps relieve inflammation and spasm, has an analgesic effect and increases the tone of the liver and gall bladder. In addition, the flowers of this plant can affect the chemical composition and viscosity of bile, bilirubin and cholesterol levels.

Collection No. 2 included plants such as yarrow, mint, coriander and immortelle or sandy caraway. Yarrow has been used for centuries in folk medicine in the treatment of numerous gallbladder diseases. Yarrow herb helps reduce inflammation, relieve spasms, and improves bile excretion.

Choleretic collection No. 3 includes tansy, chamomile and calendula flowers, as well as mint leaves and yarrow herb. Tansy was included in this collection due to its antimicrobial and choleretic effect; it also helps relieve inflammation. Chamomile improves the excretion of bile, relieves spasms and has a mild sedative effect.

Indications

Since the composition of choleretic preparations is rich in plants that can improve the condition of numerous diseases of the biliary tract and gallbladder, their scope of application is quite wide. Usually like this herbal teas prescribed for chronic reactive hepatitis and acute inflammation of the gallbladder (cholecystitis). They are also often used for biliary dyskinesia and inflammation of the bile ducts caused by infectious causes.

These preparations are also effective for postcholecystectomy syndrome. This is a condition in which disturbances in the functioning of the sphincter of Oddi appear. The consequence of this disorder is a deterioration in the passage of bile and pancreatic juice. In addition, the instructions for the choleretic preparation suggest its use for decreased appetite, digestive disorders and frequent nausea.

Instructions for use (method and dosage)

All types of choleretic preparations are produced in two forms: in the form of crushed plant materials in cardboard boxes or in more convenient filter bags. Methods for preparing and consuming different preparations may differ slightly, so before using them you should carefully study the instructions.

To prepare collection No. 1, take one tablespoon of crushed raw materials and pour a glass of hot water, then heat for 15 minutes and leave for at least 45 minutes. Before use, the decoction must be filtered and brought to a volume of 200 ml with boiled water. Take the collection 100 ml three times a day half an hour before meals. Noticeable effect from treatment is achieved in 2-4 weeks regular use drug. It is advisable to shake or stir the broth before use, and storing it for more than two days is not recommended.

The method for preparing collection No. 2 is almost identical. Adults also need to take it in the amount of 300 ml per day, and children are usually prescribed no more than 150 ml. If you need to prepare a drink from filter bags, it is usually recommended to take two bags per 200 ml of boiling water. The collection in bagged form can simply be poured with boiling water and left for 15 minutes, after which the drink can be consumed. The method of using such a decoction does not differ from that prepared from raw materials. The method of preparing and using choleretic collection No. 3 does not differ from the previous ones.

According to the instructions for choleretic preparations, they must be taken for 2 to 4 weeks. But self-medication in this situation is unacceptable. Uncontrolled treatment with these drugs can cause unpleasant side effects.

Contraindications

The choleretic collection may contain plants that cause allergic reactions in the patient. If the plants included in the composition have caused allergic reactions in the past, you should refrain from consuming it. Also, according to the instructions for the choleretic collection, its use is not recommended during pregnancy and lactation. Therefore, this drug can be prescribed to pregnant and lactating women only in extreme cases after a thorough analysis of possible negative consequences for the fetus or child.

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Instructions for use

pharmachologic effect

Choleretic collection has an anti-inflammatory effect, promotes the removal of bile, relieves spasms, improves appetite, and restores intestinal motility. The choleretic collection is available in three types, each of which contains different but similar plants in their effects.

Collection No. 1

The composition of this collection includes leaves of three-leaf watch and mint, immortelle flowers, coriander fruits.

Mint is known for its sedative effect and ability to remove stones, which makes it possible to use it for gallstone disease. The bitterness of mint improves (stimulates) the functioning of the liver and gall bladder.

Coriander seeds relieve pain and have a choleretic effect.

Three-leaf watch (water trefoil) has anti-inflammatory properties and stimulates digestion.

Immortelle is used for pathologies of the gall bladder and liver. The flowers of this plant relieve pain, relieve spasms and inflammation, increase the tone of the liver and gallbladder, reduce the level of bilirubin and cholesterol, and affect the chemical composition of bile and its viscosity.

Collection No. 2

Consists of mint, yarrow herb, coriander fruits, immortelle flowers.

Collection No. 3

Includes yarrow herb, mint leaves, chamomile flowers, calendula and tansy.

Tansy relieves inflammation, has an antimicrobial and choleretic effect. Chamomile has a sedative effect.

Indications for use

The composition of choleretic collections No. 1, 2, 3 is rich in components that can improve a person’s condition with diseases of the gallbladder and biliary tract, so the scope of application of the preparations is quite wide.

• acute inflammation of the gallbladder (chronic cholecystitis);
• chronic reactive hepatitis;
• biliary dyskinesia;
• attacks of nausea;
• digestive disorders and poor appetite;
• infectious inflammation of the bile ducts (cholangitis);
• postcholecystectomy syndrome (a condition characterized by disruption of the sphincter of Oddi, deterioration of the patency of pancreatic juice and bile).

Mode of application

To brew brew No. 1, 1 tbsp. crushed raw materials, pour 200 ml of hot water and leave for at least 45 minutes. After this time, the broth is filtered and brought to the original volume with boiled water (200 ml). It is recommended to take the collection three times a day, 300 ml, thirty minutes before meals. The duration of therapy is two to four weeks. Please note: the broth is stirred or shaken before use.

Collection No. 2 is brewed in a similar way.. The daily dose for adult patients is one and a half glasses (this dose is divided into three doses, the collection is taken 30 minutes before meals). Maximum daily dose in pediatrics – 150 ml (also taken in three doses). If the collection is sold in filter bags, then pour 200 ml of boiling water into two filter bags and leave for a quarter of an hour. The decoction is taken in the same way as the one prepared from medicinal raw materials.

To prepare herbal decoction from collection No. 3, you need to pour 200 ml of boiling water into 1-2 disposable filter bags and leave for 15 minutes. The product is taken one and a half to three glasses. Ready-made decoctions from collection No. 2 and collection No. 3 are stored for no more than two days.

You should take collections No. 3 and 2 to remove bile for two to four weeks, but it would be a good idea to discuss this issue with your doctor.

Shake the decoction before use. It is not advisable to store the prepared decoction for more than two days.

Release form, composition

All choleretic preparations are produced in the form of crushed plant materials. This raw material can be in cardboard boxes or filter bags packaged in cardboard boxes. Filter bags are intended for one-time use. Insert leaflets with information on use are included in each package.

Interaction with other drugs

Interactions of choleretic preparations with others medicines was not identified.

Side effects

There are reviews on the Internet that choleretic preparations can cause allergies and heartburn. If any adverse reactions You should contact a specialist or change the collection to another, if possible.

Overdose

There is no information about overdose.

Contraindications

Choleretic preparations are not prescribed to people with:

• allergies to plants included in the preparations;
• cholelithiasis - a disease in which there are stones in the gallbladder and ducts that prevent the flow of bile into the intestines.

During pregnancy

The official instructions for choleretic preparations do not recommend using them during periods of lactation and pregnancy. Therefore, doctors try not to prescribe these drugs to pregnant and lactating women.

The use of such drugs is permissible after careful analysis of the potential benefits for the patient and possible consequences for the child/fetus.

Storage conditions and periods

The shelf life of the prepared decoction is two days. Children should not be allowed near the storage area.

Price

Average price in Russia

In ordinary pharmacies, the cost of a package of choleretic collection does not exceed 90 rubles.

Average cost in Ukraine

Patients from Ukraine can purchase the collection at a price of 9 hryvnia per package.

Video on the topic: Choleretic herbal collection

Analogs

Analogs of choleretic preparations include the following medications:

• Celandine grass;
• Calendula flowers;
• Holosas;
• Curepar;
• Holagol;
• Flamin;
• Dog-rose fruit;
• Gepabene;
• Corn silk;
• Holagogum;
• Fumetere.

Children often suffer from malfunctions of the biliary system. If a child complains of abdominal pain, vomiting, constipation, or a feeling of nausea, it is probably worth checking his gallbladder and bile ducts. When diagnosing a particular disease, the doctor will develop a treatment regimen and prescribe effective medications.

If a child complains of abdominal pain, it makes sense to check his gallbladder and bile ducts

Choleretics, cholekinetics, cholespasmolytics and their differences

Choleretic agents are divided into 3 types according to their mechanism of action and composition:

1. Choleretics;
2. Cholekinetics;
3. Cholespasmolytics.

Choleretics are made from animal raw materials, but they can also be synthetic. Medicines of animal origin contain natural bile, extracts of animal liver and pancreas. Synthetic drugs- a product of modern pharmacology.

The main function of choleretics is the synthesis of bile and its dilution. They relieve inflammation in the biliary tract and gallbladder.

Cholekinetics increase the tone of the gallbladder and relax the muscles of the ducts. As a result, the outflow of bile is more active, and it flows through the ducts without resistance.

Cholespasmolytics eliminate spasms that cause pain. They relax the bile ducts, which normalizes the flow of bile. Cholespasmolytics are divided into synthetic (No-shpa, Mebeverine, Papaverine) and herbal (Holagol, herbal infusions - mint, St. John's wort, lemon balm, arnica, valerian) agents (we recommend reading:). Cholespasmolytics are taken in short courses.

The best medicines of plant, animal and synthetic origin for children

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Not all choleretic medications are indicated for children. Most often, gastroenterologists prescribe the following choleretic drugs for the treatment of children: Holaflux, Holagogum, Allochol, Cholenzym, Flamin, Berberine, Nikodin, Odeston.

• Holagogum stimulates the formation and outflow of bile and prevents its stagnation. Indications: biliary dyskinesia, cholecystitis, chronic pancreatitis. The basis of the drug is plant substances. Used to maintain and prolong the therapeutic effect.
• Allohol contains animal bile. Prescribed for children over 7 years of age. It has proven its effectiveness in treating schoolchildren. Improves bile flow, regulates liver function. The dosage of Allochol is selected by the doctor individually. Depends on the age and body weight of the child.

• Cholenzym is used in the treatment of patients over 12 years of age. This is a choleretic agent containing enzymes.
• Flamin is not recommended for children under 5 years of age. Stimulates the functioning of the biliary system and is an antispasmodic. The flow of bile becomes uniform, it does not accumulate. The base is immortelle flower extract.

With stagnation of bile

Stagnation of bile in a child is quickly and effectively eliminated by Holaflux. It is used in the treatment of dyskinesia and chronic cholecystitis. Holaflux improves the flow of bile, stimulating its production. Additionally, it has an antispasmodic effect and restores damaged liver cells. The composition of the drug includes plant elements: extracts of celandine, dandelion and thistle. Also, for stagnation of bile in children, use:

• Holosas,
• Hofitol,
• Flamin.

When the gallbladder is bent

A bend in the gallbladder is one of the forms of dyskinesia (we recommend reading:). Treatment of the disease should be comprehensive and combine medication, physiotherapy, diet, and mineral hydrotherapy. When the gallbladder is bent in children, use:

• Cyqualon,
• Odeston,
• Allohol,
• Flamin et al.

The pain that occurs is relieved with the help of cholespasmolytics (Drotaverine, Papaverine).

For biliary dyskinesia

There are 2 types of gallbladder dyskinesia: hypomotor and hypermotor. IN childhood hypomotor dyskinesia practically does not occur, but if it does exist, the following are indicated:

• Allohol,
• Holenzim,
• Holagogum,
• Cyclalon (over 7 years old).

For the treatment of hypermotor dyskinesia the following is used:

• Flamin,
• Odeston (over 12 years old),
• Papaverine,
• Drotaverine,
• Sorbitol.

Herbal remedies and other folk remedies

Traditional medicine knows a lot choleretic drugs based medicinal plants(immortelle, yarrow, coriander, thistle, etc.). Pharmacies sell special choleretic preparations. However, the herbs are not recommended for use by children under 12 years of age. If a child is prone to allergies, carefully select herbal medicine; it is not recommended to use herbal teas.