Bilirubin is a bile pigment that is formed as a result of the breakdown of hemoglobin. It is found in blood and bile. If an increase in this pigment is detected in your body, then it needs to be reduced. This problem is quite dangerous and requires attention.

How can you reduce bilirubin using folk remedies?

The normal bilirubin level is 0.8 mg per 100 ml. First of all, you need to pass necessary tests, undergo an examination and determine the cause of its increase in the blood. Also increased performance bilirubin may be signs cholelithiasis. Stones form in the bladder when they are removed surgically recovery problem is not solved proper operation liver. To treat young children, medications called activators, that is, liver enzymes, are used to reduce bilirubin in the blood.

It is possible to reduce bilirubin with the help of herbs, this will help relieve the load on the liver and help improve its functioning and remove bilirubin and toxic substances from the body.

Use a mixture of herbs that can be purchased at the pharmacy. Pour boiling water over the mixture of mint, motherwort, St. John's wort and chamomile flowers, and let the mixture brew. After straining the infusion, it should be consumed twice a day, before meals. A decoction of birch leaves helps to reduce bilirubin; this decoction also helps normalize intestinal function. Herbs help our body get rid of intoxication.

You can recommend tea infused with motherwort, chamomile, and maybe also St. John's wort. This product has a diuretic effect and will help cleanse other internal organs. You should take it a glass a day, drink half in the morning 20 minutes before meals and drink the other half in the evening before bed.

Treatment can be added to the main treatment folk remedies, decoctions of herbs: chamomile, St. John's wort, motherwort, mint, birch leaf, rose hips, corn silk, Leuzea extract, tincture of ginseng, aralia, lemongrass (which can be purchased at the pharmacy). For effective reduction level of bilirubin, infusions should be taken twice a day before meals.

Folk tips for reducing bilirubin

The most effective and common treatment is phototherapy. Special lamps are used, under which harmful bilirubin passes into another stage.

To reduce bilirubin in the blood, timely bowel cleansing is important. Treat constipation and disorders with medications prescribed by your doctor. If you suffer from gas, use activated charcoal.

Avoid stress and conflict situations. When unstable emotional state bilirubin increases and worsens general state person.

If you follow proper nutrition, healthy image didn't give life positive results, and the bilirubin level has not decreased, then it is necessary hospital treatment where will it be held infusion therapy. Droppers with necessary medications in a short period of time and will effectively restore indicators and cleanse your blood.

It is very important to identify the reason why bilirubin has increased, which will help lower its level. Because taking medications will temporarily remove the symptoms, but the cause of the disease will not be eliminated and a relapse is possible.

How to reduce bilirubin levels with diet?

If you decide first of all to reduce the concentration of bilirubin in the blood, then first let’s look at nutrition, it must be correct and healthy, which is now a very rare occurrence. Eat less fried food, this will ease the work of the liver and facilitate the removal of bilirubin from the body.

Reduce the amount of hot and peppery foods in your diet. Limit your use completely alcoholic drinks, at least for a while, this will also be very useful in reducing the concentration of bilirubin in the blood. In general, if you watch your diet and limit what is said above, this will be a good prevention of increased bilirubin. If you are attentive to your diet, you will not have to deal with the decrease in this pigment. It is best to eat foods that you steam for a while to cleanse your intestines.

If you have already encountered an increase in bilirubin, you can go on a diet. Really remember that quick effect you won't get it. It is better if you eat several times a day, but the portions will be small and will not contain junk food.

To lower bilirubin you need proper nutrition. That is, exclude the consumption of fried, fatty, spicy, salty foods, and do not drink alcohol. Also limit your intake of sweets. It is not necessary to adhere to any specific diet; try not to overload your body with food, give it the opportunity to recover and cleanse itself. Also eliminate carbonated drinks from your diet. To reduce bilirubin in the blood, prefer foods and foods that are steamed or baked in the oven.

It is preferable to eat baked or boiled food. Pickles and marinades should not be eaten. Eat often, but in small portions. It is forbidden to drink coffee and it is advisable to reduce the amount of tea consumed. Fruit drinks (except cranberry) and compotes are useful. Increase your intake of foods that contain high amounts of fiber. Avoid alcoholic and carbonated drinks.

For pregnant women, the bilirubin norm corresponds to normal rate In humans, only small changes in levels are possible in the third trimester, and there is no need to reduce bilirubin levels during this period. If you adhere to what is written above, you will be able to successfully reduce the concentration of bilirubin.

How to reduce the amount of bilirubin in the blood with drugs?

Medicines that are most often prescribed by a doctor:

• Karsil;
• Phenobarbital, the drug contains narcotic substances, so it can only be purchased with a prescription. These drugs help the liver cleanse itself.

There are a lot of methods to lower bilirubin in the blood, the main thing is to determine what exactly is suitable in your case. Remember to avoid serious complications possible with timely consultation with a doctor and proper treatment. Take care of your health!

How to find out the level of bilirubin in the blood?

Few people know what the word “bilirubin” means, but almost everyone knows what “jaundice” is, the symptoms of which are yellowing of the skin and eyeballs and this indicates that some disturbances are occurring in the liver. Bilirubin has a yellow-green color, so when it enters the tissues of the body, it colors it yellow.

Bilirubin is formed when hemoglobin in the blood breaks down. Only the formed bilirubin is very toxic to the human body, especially to the central nervous system. How to reduce bilirubin levels, read further in the article.

A blood test needs to be done. The analysis is done in the morning, on an empty stomach (do not eat 8 hours before the analysis), blood is taken from a vein. Bilirubin norm: 8.5 – 20 µmol/l (total), 17 µmol/l (indirect), 4.3 µmol/l (direct). You can reduce your bilirubin level only after you have determined the reason for its increase. One of the reasons may be anemia (congenital or acquired). Other reasons for its increase may be a disease such as malaria, taking medicines, other liver diseases, as well as hereditary deficiency of liver enzymes, in such situations it is possible to reduce the level of bilirubin only with the help of specialists.

Symptoms of high bilirubin levels:

• the appearance of nausea and shortness of breath;
• bad feeling, reduced performance;
• possible increase in temperature;
• the appearance of discomfort in the area of ​​the left hypochondrium;
• urine becomes darker;
• rapid heartbeat, dizziness;
• the skin and mucous membranes acquire a yellow tint and itching.

By reducing bilirubin in the blood to normal, you can forget about the symptoms, but you should not forget the reason for the increase, so it is important to continue treating the source of the disease so that a relapse does not occur.

Sources increased bilirubin There may be diseases such as:

• pancreas cancer;
• accelerated aging of blood, that is, destruction of red blood cells occurs;
• various diseases biliary tract;
• hepatitis.

- That's what it is increased level bilirubin in human blood. Most often, it is easy to identify by the yellow tint of the eyes and skin; this color is not natural for humans, so it is impossible not to notice it. Bilirubin increases most often due to problems with the human organ – the liver, since it is the liver that is responsible for removing this pigment from the body. However, you should not diagnose yourself and begin treatment; it is important to undergo all the necessary tests in the hospital, and after consulting a doctor, act accordingly.

What is bilirubin?

Bilirubin is a hemoglobinogenic pigment that is formed in the human body due to breakdown in the blood, which also occurs due to the destruction of myoglobin and cytochromes. Accumulation occurs in gallbladder and blood. Most often, the liver very quickly cleanses the blood of all toxins, but if the liver cannot cope and the concentration of bilirubin increases for quite a long period of time, then jaundice develops. This pigment is quite toxic and dangerous for human tissue, so its excess should be disposed of as quickly as possible.

A routine blood test shows exactly what type of pigment is present:

• direct bilirubin - this type is the safest and non-toxic, most often its level remains within normal limits, excess accumulations are immediately neutralized in the liver. Its norm is about 4.5 µmol/l.
• indirect bilirubin– more toxic, quickly destroys heme substances, and is significantly reduced. This condition is extremely dangerous, since human cells stop functioning properly and begin to deteriorate without long-term medical intervention. Norm healthy person– 17 µmol/l.

• plasmapheresis – cleansing the blood of toxins
• infusion therapy - to support the body, the following components are administered by dropper - glucose and albumin
• phototherapy - irradiation of the affected area of ​​skin with ultraviolet light ( this method most often used to treat infants). Thanks to radiation, toxic bilirubin transforms into a direct type state
• drug therapy - taking medications and enzymes to improve liver function or to remove them from the body

Sometimes required surgical intervention when large stones are found in the bile duct.

Special food

In order for the metabolism in the liver and gall bladder to quickly return to normal, you should adhere to a special diet during the treatment period. The main thing is to understand that the diet does not mean fasting; on the contrary, fasting and poor nutrition are completely contraindicated.

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What is necessary:

1. Drink water as much and often as possible (a person should drink at least 2 liters per day). Partially the liquid can be replaced with herbal decoctions, however, drinking purified water is the most effective option.
2. Eat only gray bread on the second or third day of production, eat porridges: rice, oatmeal, buckwheat. There are foods that contain large amounts of fiber.
3. Eat at least 5-6 times a day, in small portions, at intervals of every 2.5-3 hours.

• Sweets (sweets, ice cream, cakes, chocolate).
• You should absolutely avoid carbonated and alcoholic drinks.
• You cannot eat spicy or smoked foods (sausages, meat, fish, ketchups, hot sauces and mayonnaise).
• You should consume as little salt as possible; bread and other foods should have a minimum concentration.
• Avoid preparations for a while; marinades of any kind are also unacceptable. sauerkraut and pickles are not acceptable.
• Coffee and strong teas.
• Fatty and fried foods, sweet pastries.
• Avoid eating: sorrel, spinach, radishes and green onions.
• Sour berries and, exclude citrus fruits.
• Oysters and mussels.

From this we can conclude that you should give up those foods that have heavy load on the biliary tract, pancreas and liver. Daily proper diet will allow you to get better quickly.

Folk prevention and home treatment

The next way to reduce bilirubin levels is to use traditional medicine.

The most common method is herbal medicine. You can use various herbal tinctures or drinks brewed with boiling water. The following herbs are suitable:

1. . The herb St. John's wort serves antiseptic and cleanses the body of toxins and other harmful substances. Moreover, St. John's wort tincture strengthens immune system and improves the metabolism of the stomach, intestines and gall bladder. Preparation method: for 1 glass of boiling water – 2 teaspoons of herbs. Infuse for 20 minutes, drink half a glass 2 times a day.
2. Chamomile. Flowers field chamomile are always famous for their beneficial properties, a decoction of them is useful even for children. It is enough to take a few pinches of the plant, pour boiling water and wait half an hour. Drink the infusion during the day in three doses.
3. Mint. Drink as tea throughout the day, brew to taste.
4. motherwort. Reduces bilirubin, serves as a sedative and improves performance digestive tract, nervous system. Preparation method: 2 teaspoons of herb per 250 ml of boiling water, you can buy a ready-made tincture at the pharmacy. Drink 100 milligrams before meals, three times a day.

All of the herbs listed above can be drunk individually or all together. Such herbal tea will always be beneficial, the main thing is not to overuse or exceed the norm during preparation, since some herbs, such as St. John's wort, large quantities are poison.

The next method is sedative therapy. Expose yourself to stress and others as little as possible mental disorders, more positive emotions. You can seek advice from a psychologist or take sedatives.

You will need

• - Aralia tincture;
• - tincture of ginseng;
• - lemongrass tincture;
• - Leuzea extract;
• - decoction of rose hips;
• - decoction of corn silk.

Instructions

The level of bilirubin in the blood, which exceeds 17.1 µmol/l, is considered pathological and has a negative effect on well-being. The first sign of this is yellowing of the sclera of the eyes and skin, darkening of the urine. Other symptoms include nausea, headache, dizziness, increased fatigue, itching, pain in the right hypochondrium after exercise or eating, abdominal pain. If you notice such signs, immediately contact your doctor, who will prescribe tests to determine the exact condition and correctly draw up a treatment regimen.

Eliminate the main cause of the increase in bilirubin levels, without which it will be impossible to reduce it. Most often, this pigment increases in the blood and urine when there is a violation of the outflow of bile into the intestines, jaundice, liver damage of various types, including congenital or acquired anemia, Gilbert's syndrome and hereditary deficiency of liver enzymes. Some drugs also help increase bilirubin levels, for example, individual species antibiotics, Fluraschepam, Deazelam, Phenytoin, etc.

Take the medications prescribed by your doctor based on your test results. Thus, to maintain liver function, hepatoprotectors are usually prescribed first of all: Karsil, LIV52, Essentiale Forte, milk thistle extract. To reduce bilirubin, doctors recommend taking from 0.05 to 0.2 grams of Phenobarbetal and Zixorin per day. The duration of taking these drugs is 14-28 days. To improve digestion and gastric motility, enzyme preparations are prescribed: Festal, Mezim, Pancreatin. They are drunk 1-2 minutes before meals, during meals or after meals three times a day. If high level bilirubin is associated with immune disorders or infections, the patient is also prescribed a course of antiviral, anti-inflammatory or immunomodulatory drugs. In case of intoxication, it is necessary to take sorbents and antioxidants. To cleanse the body of large amounts of pigment and its breakdown products, especially in severe cases, shows the intravenous effects of glucose.

Follow a strict diet, as it is important for successful reduction of bilirubin A complex approach. Drink more plain water, forgetting about juices and sweet soda. Avoid everything fatty, spicy and fried. Strictly prohibited. In no case should you eat marinades or pickles if you have elevated bilirubin, so as not to injure your kidneys and digestive system. Limit your salt intake. Eat often, but in small portions. Replace brown bread with gray bread made from wholemeal flour; eat porridge: buckwheat, oatmeal, rice, but not wheat. You can't fill them with anything. Drink any compotes and fruit drinks, except cranberry. Strictly coffee, also limit the consumption of black tea, giving preference to herbal tea. At the same time, do not starve yourself or adhere to any other diets.

After consulting with your doctor, take herbal decoctions several times a day: St. John's wort, mint, oak bark, rose hips. Also, when diagnosing problems with the outflow of bile, drugs such as tincture of aralia, ginseng, lemongrass, Leuzea extract, and motherwort are prescribed. Just brew a couple of teaspoons of crushed herbs with a glass of boiling water, cover with a lid, let it brew, then strain and take half an hour before meals and between meals.

Patients suffering from biliary dyskinesia with the formation of stones are recommended to take the drug "Ursosan", which has the property of removing small stones from bile ducts. Before purchasing a medicine, consult your doctor, who will determine whether there are any contraindications for taking it, calculate the right dosage.

Watch your lifestyle. Besides drug treatment and following a strict diet, it is recommended to limit excessive physical exercise, but do not forget about light daily gymnastics and walks on fresh air. Support your immunity to prevent the development of viral and infectious diseases. Avoid whenever possible stressful situations And nervous breakdowns, which also have Negative influence on the functioning of internal organs.

Forget about drinking any alcoholic beverages, which are not only strictly contraindicated when taking medications, but also destroy the already damaged liver, which has long been a proven fact. Quit smoking and other bad habits.

Reducing the level of bilirubin in the body should only be carried out under the strict supervision of a doctor. At long absence effect of the treatment listed above and with acute currents surgical intervention is indicated for the disease. However, even if your condition improves and stabilizes, do not forget to monitor your diet and tests.

note

Elevated bilirubin often occurs in newborns. This may be due to the appearance of some pathology, for example, underdevelopment of the bile ducts. However, usually a slight jaundice - normal condition in infants and goes away during the first two weeks of the baby’s life. Nevertheless, this cannot be ignored.

Related article

Biliary dyskinesia ways(JVP) is an incomplete, untimely or excessive contraction of the muscles of the biliary sphincters ways or gallbladder, which in turn leads to disruption of the outflow of bile. The following variants (types) of JVP are distinguished: hypertonic and hypotonic; hyperkinetic and hypokinetic.

Instructions

Treatment of ADHD must begin with normalization of nutrition, rest and work schedule. In case of hypertensive variant, it is recommended with the exception of acute, fried foods, various seasonings, smoked meats, . Food intake is carried out in small portions, often. With the hypokinetic type of JVP, the diet is somewhat different.

From the first days, correction is carried out on the part of the patient’s autonomic nervous system. At hypertensive type JVP must be appointed sedatives: infusion of valerian, motherwort, bromides. For hypotonic type of JVP, it is recommended to take tonic drugs: ginseng tincture, Eleutherococcus extract, Leuzea, Schisandra, Aralia.

At pain syndrome are appointed antispasmodics, possible fees medicinal herbs, having sedative effect. In case of severe pain syndrome, it is necessary to spend in a hospital for two weeks, and then in a specialized local sanatorium. To relieve bile, duodenal sounding. In the presence of intrahepatic cholestasis, tubing is recommended up to 2 times a week. At the same time, tonics, cholekinetics and choleretics are used. Choleretics are not prescribed for elevated ALT or liver enzyme.

For the hypertensive type of DVT, nicodine, oxafenamide, and low-mineralization mineral waters (Smirnovskaya, Slavyanovskaya, Narzan, Essentuki 20.4 heated or hot 5 times a day) are prescribed. For herbal medicine, peppermint, chamomile flowers, licorice root, motherwort herb, rose hips, valerian root are used. For the hypotonic type, magnesium sulfate, flamin, pancreozymin, cholecystokinin, highly mineralized mineral waters (Arzni, Essentuki 17, etc., slightly heated) are used or room temperature 30 minutes before meals). Herbal medicine used: immortelle flowers, chamomile, corn silk, nettle leaves, St. John's wort, rose hips.

At hyperkinetic type JVPs are appointed antispasmodics short course, magnesium and potassium preparations, slightly mineralized mineral waters in heated form 5 times a day. Medicinal herbs: licorice root, peppermint, chamomile flowers, valerian root, dill fruits. For the hypokinetic type, it is recommended to take sorbitol, xylitol, cholecystokinin, magnesium sulfate, as well as mineral waters high mineralization slightly warmed or at room temperature 30 minutes before meals. Herbal medicine as for hypotonic type.
When identifying helminthic infestation, giardiasis, anthelmintic therapy is required (pyrantel, vermox and other drugs).

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• biliary dyskinesia how to treat in 2019

Bilirubin is a red-yellow bile pigment that is a product of the breakdown of hemoglobin. The breakdown process is carried out by reticuloendothelial cells located in the liver, spleen and bone marrow. Bound and thereby neutralized by other substances, it is excreted by the liver as part of bile and leaves the body with feces, and its presence is explained by its dark color.

Instructions

In blood serum, bilirubin is presented in two fractions: direct and indirect, bound and unbound. In total they amount to total bilirubin. Immediately after the breakdown of hemoglobin, indirect, free bilirubin is formed, which is very toxic to the body (and especially to the central nervous system). Next, it binds in the liver and into direct, conjugated bilirubin, which is less toxic and ready for excretion from the body.

The blood normally contains a small amount of bilirubin, reflecting the processes of formation and excretion of this substance. The concentration should be in the range of 5.1-17.0 µmol/liter, direct - no more than 1.0-5.1 µmol/liter. Normal values ​​may vary from laboratory to laboratory.

A pathological increase in bilirubin levels leads to the development of jaundice, which is characterized by yellowing of the skin, sclera and mucous membranes. At the same time, an increase to 85 µmol/liter indicates mild form jaundice, 86-169 – moderate, over 170 – severe.

An increase in bilirubin levels is caused by three main reasons: increased or accelerated destruction of red blood cells, impaired processing of bilirubin in the liver, and bile disorders. Hemolytic, which can be congenital or acquired, most often leads to increased destruction of red blood cells. At the same time, indirect bilirubin increases.

In case of liver - hepatitis, cancer and others - indirect bilirubin cannot be neutralized by liver cells. Bilirubin metabolism is also impaired due to a hereditary deficiency of glucuronyl transferase, a liver enzyme. If there is a violation of the outflow of bile from the liver or bladder, possibly due to cholelithiasis, pancreatic or gall bladder cancer, increased bilirubin is also detected.

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note

In the first week of life, newborns often experience physiological jaundice, since at this time fetal hemoglobin is actively destroyed, and the conjugating system is not yet fully formed.

Tip 4: How to eat with biliary dyskinesia

Biliary dyskinesia is a disorder of the gallbladder function associated with disturbances in the constant outflow of secretions. It can manifest itself as stagnation of bile, slow or accelerated excretion. To normalize the function of this internal organ must be observed special diet.

What foods should you not eat if you have biliary dyskinesia?

Biliary dyskinesia does not pose a threat to, but significantly reduces its quality and creates conditions for the appearance of more serious disorders. The reasons for this may be nutritional disorders, excess weight resulting from consumption of large quantities simple refined carbohydrates and animal fats.

Dyskinetic disorders are aggravated by coffee, strong tea, alcoholic and carbonated drinks, so you should exclude them from the diet or sharply reduce consumption.

Therefore, in case of dyskinesia, it is recommended to exclude or sharply limit the use of following products: sugar, confectionery, fatty meats, pork, beef, lamb fat, goose, duck, oily fish, sour cream, butter. Hot spices (horseradish, pepper, mustard), fast food, ice cream, chocolate, nuts, mushrooms, legumes, all broths, pickles and smoked meats (since its dense shells are digested) should be excluded from the diet. The consumption of semolina and rice cereals should be limited. You cannot eat fried foods; foods must be boiled, steamed or baked. Dishes should not be too cold or too hot.

What to include in the diet for biliary dyskinesia

Patients with biliary dyskinesia will benefit from porridge (buckwheat, pearl barley, oatmeal) - they contain complex carbohydrates And alimentary fiber. It is necessary to include any fruits in the diet (except radishes, radishes, onions, garlic), it is advisable to consume dishes from them during the day. At accelerated elimination bile, to reduce smooth muscle tone, you need to eat foods rich in magnesium (buckwheat and wheat cereals, bran or grain bread, vegetables).

Sweets allowed include honey, marshmallows, marmalade, marshmallows, caramel, and jam.

You should definitely eat beets, carrots, zucchini, pumpkin, cucumbers, tomatoes, cauliflower and Brussels sprouts. Some patients do not tolerate rough food well, so they are not recommended to use white cabbage a lot. The menu should include vegetarian soups, milk cereal soups, low-fat varieties meat, poultry, fish, low-fat dairy and dairy products, steam omelette, soft-boiled eggs, vegetable oil, white stale bread, biscuits, dry biscuits, ripe sweet fruits, weak tea, dried fruit compotes, juices diluted with water.

Bilirubin is formed in the liver during the process of hemolysis (destruction of old red blood cells). It is a yellow pigment that gives urine its characteristic hue. Normally, it is contained in urine in very small quantities, so reagents do not detect it. With the development of pathologies, the concentration of bilirubin increases.

How is bilirubin detected in urine?

In human blood there are red cells - erythrocytes, some of which die off all the time and are replaced by new cells. When they break down, they release hemoglobin, which breaks down into heme molecules and globin chains. Heme is exposed to enzymes and converted into indirect bilirubin, which is fat soluble toxic substance. Indirect bilirubin in the liver is converted into direct (water-soluble), then it is excreted simultaneously with bile into duodenum. When the function is impaired, direct bilirubin is released into the blood from bile, enters the kidneys and is found in the urine. The indirect fraction cannot penetrate into them because it is not water-soluble.

Bilirubin in urine is detected by several methods: Rosin's test and Fouche's test. When performing the Rosin test, layer 2-3 ml of urine alcohol solution iodine (1%). If a green ring appears at the border of the two liquids, this means that there is increased bilirubin in the urine. The Fouche test is performed using a barium chloride solution (15%). It is added to urine, mixed and passed through a filter. Fouche's reagent is then dropped onto the filter. The appearance of green crystals indicates the presence of bilirubin in the urine.

Reasons for increased bilirubin in urine

The appearance of bilirubin in the urine (bilirubinuria) is a symptom of liver problems. In particular, this happens when obstructive jaundice when the duct through which bile is discharged into the small intestine. This is usually caused by inflammation of the pancreas. Bilirubin in the urine increases due to liver inflammation (hepatitis) of a bacterial, viral or toxic nature, due to cirrhosis, trauma, metastases in the liver. In these cases, a urine test reveals only direct bilirubin that has entered the blood and kidneys. Its content in the blood also turns out to be higher than normal. There are disorders in which there is an excess of indirect bilirubin (for example, with hemolytic anemia), in which case a blood test shows it, but a urine test does not.

A symptom of bilirubinuria is jaundice: the patient has sclera of the eyes, mucous membranes and skin become yellowish. This is visible to the naked eye. Liver diseases are also accompanied by heaviness in the hypochondrium, increased body temperature, nausea, and bitter belching. Urine becomes dark and stool becomes light. Itching of the skin appears, and sometimes hepatic colic occurs. If one or more symptoms appear, you should immediately consult a doctor, as bilirubinuria is a sign of serious illness. Depending on the root cause of the increase in bilirubin in the urine, appropriate treatment is prescribed.

Bilirubin is formed from the breakdown of red blood cells in the spleen. This is a normal stage in the life of red blood cells. Bilirubin is bound by protein, transported to the liver and excreted from the body, giving color to stool. If it does not come out, the skin becomes pale yellow and the urine darkens. Let's look at how to lower bilirubin in the blood.

What is bilirubin?

Bilirubin is a brownish-yellow pigment that is a product of the natural breakdown of red blood cells that are too old - red blood cells. This is a normal process, since our blood cells are periodically renewed. For example, the lifespan of red blood cells is usually about 120 days.

The process of breakdown of aged blood cells occurs in the spleen, then bilirubin is transported to the liver, where it gives its color to bile. The latter is released into the digestive system and gives the stool that natural color to which we are all accustomed.

When performing a blood test, free unconjugated bilirubin, produced by the spleen, and direct bilirubin, which is formed in the liver, are isolated. Total bilirubin is obtained by summing these two values.

The indicators presented in the analysis may vary slightly in different laboratories and depending on the research technique. In adults, total bilirubin should usually be less than 12 mg/L. In this case, the level of free bilirubin is less than 10 mg/l, and direct bilirubin is below 2 mg/l.

For babies normal values are more important during the first four weeks of life:

• total bilirubin can reach up to 120 mg/l during the first week;
• 110 mg/l - in the second week;
• 30 mg/l - on the third;
• 15 mg/l - on the fourth.

A month later normal indicators bilirubin levels in children are similar to those in adults.

Why does bilirubin increase?

In newborns, high bilirubin levels are most often associated with jaundice early age. This benign jaundice occurs especially in premature babies due to temporary dysfunction liver because it simply hasn't developed enough. This pathology usually manifests itself spontaneously towards the end of the second week of life.

Among older children and adults possible reasons increases in bilirubin are very diverse. This is usually associated with liver diseases such as:

• Benign Gilbert's disease. This genetic pathology associated with liver enzyme dysfunction.
• Hepatitis A-biliary obstruction.
• Less common are more serious diseases of the liver and gallbladder - hepatitis B, C, cirrhosis or cancer.

Finally, abnormally high bilirubin levels may also be associated with excessive hemolysis. This is the name given to the process of destruction of red blood cells. This disorder can have many causes, the main ones being:

• certain drug therapies;
• poisoning;
• various infections;
• some hereditary diseases, for example, hemolytic-uremic syndrome.

Can bilirubin be too low?

Usually no, except in exceptional cases. For example, the reason low bilirubin You may be taking certain groups of medications that affect your blood, as well as pregnancy. For the first or second trimester of pregnancy low bilirubin- This normal phenomenon. It should be noted that such values ​​in this case do not pose a health hazard.

Methods for reducing bilirubin levels

As you may have already seen, the reasons for the increase in this pigment in the human body are quite serious, so it will not be possible to achieve a simple decrease in the level of bilirubin in the blood. Moreover, its high level is not the cause of the disease, but, on the contrary, is its consequence or symptom, indicating pathological processes occurring in the body.

An integrated approach is required to eliminate this problem, and first of all it is necessary to pay attention to the treatment of the underlying disease that caused the increase in bilirubin. Thus, to normalize its level, you should adhere to the following strategy:

• Since the main reason for the increase in bilirubin is hepatitis or hemolytic anemia, then, of course, recovery will be facilitated by taking medications to treat these particular diseases.
• Considering that when bilirubin in the blood increases, the liver is the first to be damaged, then, first of all, its functioning should be normalized. Drugs that lower bilirubin in the blood and restore liver function include the so-called hepatoprotectors, as well as “Essentiale” or the dietary supplement “Gepatrin” and others medicines similar action.
• It is necessary to stimulate the production of bile and its removal from the body. And when bile is excreted, the body will also be freed from excess bilirubin. Choleretic agents are suitable for this purpose.
• Diet and proper nutrition are of no small importance, and you should completely abstain from alcohol.
• It would be useful to cleanse the biliary system and gastrointestinal tract.

How to lower bilirubin in the blood using folk remedies? Almost all traditional medicine methods are aimed at cleansing the liver, biliary tract and bladder, as well as intestines, which allows them to be restored normal functioning and ensure timely removal of bilirubin. For example, a mixture of medicinal herbs: chamomile, mint, corn silk and motherwort is good for cleansing the liver. Milk thistle extract and birch leaf decoction are also considered quite effective.

How to quickly reduce bilirubin in the blood of newborns? For this purpose, light treatment is used. The child is placed in a special chamber under a lamp, where, under the influence of its light, indirect bilirubin is transformed and excreted from the body after 10-12 hours.

Based on the results of numerous scientific research it turned out that bilirubin plays important role in the human body.

It is involved in the utilization of hemoglobin. This pigment is formed due to the breakdown of hemoglobin and can be found in bile and blood serum.

If a substance deviates from the norm, there is a high risk of developing serious illnesses such as hepatitis, hemolytic anemia, cancer, etc.

For this reason, many are interested in how to lower bilirubin in the blood at home.. In this article we will examine this issue in more detail.

Bilirubin is a yellowish-brown pigment found in bile. It appears when red blood cells are destroyed in the liver.

There are 2 types of bilirubin:

1. Straight. It dissolves perfectly in water, making it easily excreted from the body. Excretion occurs along with bile through the liver into the intestines, which is why feces have a brown color.
2. Indirect. It is a toxic pigment, soluble only in fats and therefore accumulates mainly in fatty tissues. It can be removed from the body by transforming it into a straight line.

The normal level of bilirubin in the blood of adults is 4.6-20 µmol/l, in a child – 15.4, and in a newborn – 150.

In the case of newborn babies, this is called jaundice. Physiological jaundice goes away on its own within a month of life, it does not pose any danger. But you still need to be under the supervision of a doctor. There is a risk that the disease may develop into a severe form.

Pathological jaundice must be treated, as it can cause serious harm baby's health.

Increased bilirubin in the blood must be reduced due to its toxicity to the body. But to do this, you first need to find out the reasons for its formation.

The most common include:

An increase in the amount of indirect pigment can be observed in Gilbert's syndrome or liver failure. An increase in direct is associated with impaired bile outflow and diseases of the biliary tract.

Increased bilirubin is characterized by frequent headaches, flatulence, yellow discoloration of the skin, itching, lethargy, poor appetite, increased heart rate, yellowing of the whites of the eyes, etc. to install correct diagnosis, you need to see a doctor.

Many people are concerned about how to lower bilirubin in the blood quickly and effectively.

Unfortunately, this cannot be done at home. You will have to resort to medical help.

Drugs used to reduce bilirubin must be prescribed by a doctor. Otherwise, complications and severe disorders may develop.

The process of reducing pigment itself is long. Treatment is aimed at increasing the flow of bile and supporting the liver from negative impact at her. A doctor's consultation is required.

He may prescribe medications such as:

1. "Karsil". It promotes restoration of damaged liver cells, proper flow of bile and production of enzymes.
2. Absorbent drugs designed to bind and remove bilirubin.
3. Activated carbon which will relieve bloating.
4. Barbiturates. Prescribed if the above drugs have shown little effectiveness.

Other methods of treating high bilirubin at home include folk remedies and diet. Let's look at each of them in more detail.

How can you reduce bilirubin in the blood using folk remedies? Herbal medicine will help with this.

Natural components have a positive effect on the functioning of vascular and circulatory systems. You can reduce bilirubin in adults and children using the following recipes:

A proper diet will help with the problem of reducing pigment. Following a diet is the first step towards recovery from the disease.

It is necessary to completely exclude from the diet junk food. Banned flour products, sweets, smoked foods, coffee, alcohol, mushrooms, citrus fruits, radishes, fatty and salty dishes, marinades, hot seasonings.

At high bilirubin You can eat the following foods:

• sweet varieties of fruit;
• vegetable soups;
• lean meats and fish;
• porridge (rice, rolled oatmeal and buckwheat);
• dairy products;
• jelly, natural juices, compotes;
• herbal decoctions.

The method of nutrition should be fractional. That is, it is recommended to eat food in small portions, but 4-6 times a day.

A sample menu might look like this:

1. Breakfast– boiled buckwheat, apple.
2. Lunch– banana, glass of compote.
3. Dinner- easy vegetable soup, boiled turkey, carrot pancakes.
4. Afternoon snack- cottage cheese casserole.
5. Dinner– baked fish, homemade noodles.
6. Before bedtime– a glass of kefir, persimmon.

Prevention

As preventive measures directed against an increase in bilirubin in the blood, act simple rules maintaining a healthy lifestyle.

You need to engage in at least light sports, walk a lot in the fresh air and monitor your health.

Prevention measures are:

• giving up cigarettes and drinking alcohol;
• prevention of stressful situations;
• maintaining a fractional and balanced diet;
• treatment of gallbladder and liver diseases in a timely manner;
• active lifestyle.

These simple rules will help you avoid increasing bilirubin levels.

An increased level of bilirubin in the blood is just a sign of a disease. To eliminate it, it is necessary, first of all, to identify and begin treatment of the underlying disease.

To do this, you must definitely consult a doctor. He will appoint correct treatment and will tell you how to carry out therapy at home using folk remedies.

Therapy should be comprehensive, that is, include medications and alternative ways treatment.