home Audience 5 How to get rid of gallstones without surgery: methods of treatment and removal by dissolution. Symptoms and treatment of gallstones Removing stones from the gallbladder without surgery

How to get rid of gallstones without surgery: methods of treatment and removal by dissolution. Symptoms and treatment of gallstones Removing stones from the gallbladder without surgery

Identification of stones (calculi) in gallbladder often becomes an unpleasant surprise. After all, their presence indicates the development of cholecystolithiasis or cholelithiasis and raises the question of the advisability of a visit to the surgical clinic.

In recent decades, this disease, characteristic of middle-aged and elderly people, has become significantly younger. A fifth of patients with cholecystolithiasis have not yet celebrated their thirtieth birthday.

The stones formed vary in number (single or multiple), chemical composition(black and brown pigmented, cholesterol, mixed, complex), size and location (they can move from the bladder to the bile ducts).

Symptoms of gallstone disease

In many patients, gallstones become an incidental finding during an ultrasound scan.

In some patients, even large stones in the gall bladder do not manifest themselves; they usually turn out to be an unexpected finding during an X-ray or ultrasound examination for completely different reasons (asymptomatic form). For others, very small stones significantly complicate daily life causing them:

paroxysmal pain of varying severity (from barely perceptible to intense colic, called biliary colic) in the right hypochondrium and epigastric region, sometimes it radiates to right hand, back or right collarbone;
taste of bitterness in oral cavity;
nausea;
belching bitter or airy;
vomiting;
bloating.

Sometimes the disease manifests itself atypically. Instead of the characteristic abdominal pain, pain occurs in the left side chest and behind the sternum, similar to cardiovascular disease – .

Often, patients themselves note a clear connection between the onset of symptoms of the disease and the use of fatty foods, stress, physical strain, or traveling in transport on a bumpy road.

Prolonged presence of stones leads to the fact that they constantly injure the delicate mucous membrane of the gallbladder, causing its inflammation - calculous cholecystitis. Its development is accompanied by the appearance of fever, excessive fatigue, and loss of appetite. The disease is not infectious, so such patients do not pose an epidemiological danger to others.

Causes

Scientists believe that the process of stone formation is triggered by a combination of the following key conditions:

oversaturation of bile with calcium, cholesterol or bile pigment - water-insoluble bilirubin;
the presence of inflammation in the gallbladder;
decreased contractility of the bladder, accompanied by stagnation of bile.

And the emergence of these conditions, in turn, is facilitated by:

female gender (although the number of sick men is now steadily increasing);
frequent childbirth;
taking estrogen - female hormones(including during the IVF procedure);
burdened heredity;
cold climate;
treatment with certain medications (clofibrate, cyclosporine, octreotide, etc.);
high-calorie diet with a lack of fiber;
rapid weight loss;
some diseases ( hemolytic anemia, diabetes, Crohn's disease, liver cirrhosis, Caroli syndrome, etc.);
previous operations (removal of the lower part of the ileum, vagotomy, etc.).

Diagnostic procedures

Having suffered an attack of biliary colic should be a powerful incentive for subsequent examination and an indispensable trip to the doctor. After all, in 70% it is repeated. It is better to know your “enemy” and quickly begin to fight him than to bring the matter to serious complications(empyema - suppuration of the gallbladder, spread of inflammation to nearby organs, blockage of bile ducts with stones, secondary biliary cirrhosis, cicatricial changes in the ducts, gallbladder cancer, etc.), requiring life-saving intervention by a surgeon.

In addition, the described symptoms can occur with more harmless functional disorders(for example, with spasm of the muscular valve - the sphincter of Oddi, located at the very entrance of the common bile duct into the duodenum).

Modern diagnostic studies Tests needed to detect gallstones may include:

qualified examination by a doctor (when palpating the abdomen in special areas and gall points, pain is detected);
Ultrasound is the main method that detects up to 95% of stones, assesses their location, size, condition of the walls and size of the gallbladder;
X-ray examinations:
- plain radiography (you can see only calcified stones with calcium inclusions);
- cholecystography (allows you to detect radiologically contrasting stones, assess the condition and function of the bladder);
- computer or magnetic resonance imaging (used in unclear situations);
- endoUS (examination with an endoscopic device with an ultrasound attachment clarifies not only the condition of the bladder, but also the ductal system, pancreas, and major duodenal papilla);
- ERCP (excludes stones and other formations in the ducts);
- hemogram (with acute inflammation An increase in leukocytes, their fractions - neutrophils, and an acceleration of ESR are detected in the bladder).

Treatment

In some cases, the patient calculous cholecystitis Drugs that dissolve stones may be prescribed. They should be taken for a long time.

Identifying stones does not always imply mandatory surgery. But uncontrolled self-medication in this case is fraught with blockage bile ducts and an emergency placement on the operating table of the first available surgeon. Therefore, it is better not to drink liters of dubious cocktails from strictly prohibited choleretic herbs and vegetable oil, which are recommended by some “healers” among the people, and make an appointment with a gastroenterologist or surgeon.

Treatment of gallstones can be either conservative or surgical.

To the complex drug therapy may include:

drugs that relieve biliary colic: antispasmodics (no-spa, papaverine, etc.), non-narcotic (analgin, baralgin, etc.) and narcotic (morphine, etc.) analgesics;
antibiotics (for the development of cholecystitis - clarithromycin, etc.);
means for dissolving stones (ursodeoxycholic and chenodeoxycholic acids, but there are strict indications for their use, which can only be determined by a qualified specialist).

Taking litholytic (stone-dissolving) medications can lead to complications, so the patient must be under constant medical supervision throughout this entire period (it can last up to 2 years).

Some patients are prescribed extracorporeal shock wave lithotripsy(crushing stones).

Without surgical treatment can't be avoided with:

frequent biliary colic;
“disabled” (lost contractility) bladder;
large stones;
frequent exacerbations;
complications.

Modern technology helps remove the bladder without a traditional incision abdominal wall(laparotomy) through small punctures (laparoscopic cholecystectomy) in it.

Prevention

Prevention education gallstones comes down to eliminating all possible factors predisposing to the disease (excess weight, unbalanced diet, etc.). To prevent the formation of new stones, litholytic drugs are recommended for most patients after surgery.

Which doctor should I contact?

If you experience pain in the right hypochondrium or accidentally discover stones, you should contact a gastroenterologist. Conservative treatment includes diet, so consultation with a nutritionist will be helpful. In some cases, there are indications for surgery. Approach to each patient cholelithiasis is individual, so there is no point in contacting a specialist remotely; a full personal examination and questioning of the patient is necessary.

If there are stones in the gall bladder, they speak of cholelithiasis. This disease is also called cholelithiasis. The gallbladder has a sac-like shape and is located in front of the liver. It is designed for liquid bile produced by the liver and performs very important function, helping to process fats. But often from microscopic crystals of cholesterol, or from bile salts, stones form in the gall bladder. They can vary greatly in size. Some are very small, others reach the size walnut.

When such a stone blocks the bile duct, preventing the flow of bile to small intestine, biliary colic (cholecystitis) occurs. As experts say, stones begin to form due to an imbalance of the substances that make up bile. In particular, this process provokes high cholesterol in bile. What are the signs of gallstones, how is treatment done, how does surgery help, what medications are used?

Symptoms of gallstone disease

When the stones are small, their number is small, and their location is favorable, the disease does not have significant symptoms. The absence of symptoms is typical for most cases. When will the stones big size, if the bile ducts become clogged during their movement, strong pain(colic). It often goes away on its own as the stone passes through the bile duct. But if it gets stuck there, emergency surgery may be required.

It is also necessary to visit a specialist if the area of the right hypochondrium often hurts. The doctor will conduct a diagnosis and prescribe the treatment method you need.

Treatment of gallstones

Therapeutic methods:

Litholytic therapy. It is a technique for dissolving stones using certain medications, without surgery. It is carried out for small stones.

How are gallstones treated? Drugs

For dissolving stones, for conservative treatment cholelithiasis, the following drugs are prescribed: Ursosan (ursodeoxycholic acid) and Henofalk (chenodeoxycholic acid). These medications lower cholesterol and bile acid levels. The dosage regimen and duration of taking the drugs are determined by the attending physician, based on the results of the ultrasound.

Crushing stones:

Extracorporeal lithotripsy. This technique assumes strong pressure on the stone, which is created by ultrasound. Under its influence, stones are destroyed and crushed into small particles. They are then dissolved using drugs. The technique is not a surgical operation and is effective for small cholesterol stones.

How else to treat gallstones? Will surgery help?

Cholecystectomy (removal of the gallbladder). Surgery to remove the gallbladder - the most radical, but also the most effective method treatment. Cholecystectomy is performed when the stones are large or in a dangerous location. The operation is indicated if there is inflammatory process, with frequent, painful attacks of hepatic colic, or with the development of complications of cholelithiasis.

Laparoscopic cholecystectomy:

This is the most common method of treating gallstone disease. The technique involves making small incisions through which a laparoscope is inserted. The gallbladder is removed using laparoscopy. This method has clear advantages over cholecystectomy, as it is performed in a gentle manner. In this case, the patient recovers quickly, and there are no scars left after the operation.

Traditional treatment

In the initial stages of the disease, traditional methods of treatment can be used. On the advice of a doctor, they can be used as an addition to drug treatment. Here are some recipes that may be useful to you:

Forest rowan (red)

Red rowan berries are very effective in treating gallstone disease. Pick fresh berries according to the season, eat two glasses a day. You can grind them and mix them with honey. Eat small meals throughout the day.

Birch leaves

Dried leaves Birch trees are also used as an additional remedy for drug treatment(dissolving) stones. To prepare the medicine, pour 1 tbsp into a small saucepan. l. leaves. Pour a glass of boiling water over them. Boil again, reduce temperature to low. Simmer for 20 minutes. Then remove it from the stove and insulate it. Wait 1 hour. Drink a glass of the strained broth before meals.

Sauerkraut

A very good remedy. To dissolve small stones, drink a glass of brine every day from sauerkraut, before meals.

Preventive measures

Everyone understands that it is easier to prevent any illness than to treat it persistently and for a long time. Therefore, to prevent gallstones from appearing, you need to take some preventive measures. Then you won’t have to worry about treatment, surgery, or medications for gallstone disease.

Just limit your diet to fatty, fried foods rich in cholesterol. In the presence of excess weight take measures to reduce it - engage in feasible physical activity, switch to a low-calorie diet.

If stones are found in the gallbladder, avoid taking medications containing estrogens. They promote the active formation of gallstones.
Monitor your health, visit your doctor periodically for preventive purposes and be healthy!

If necessary, the doctor will definitely tell the patient how to get rid of gallstones without surgery. The main thing is that your health condition allows you to do without surgery.

On initial stage formation of hard stones, there is still the opportunity to use conservative methods.

But if there are many of them and they have big sizes, then surgery will be scheduled.

Removal using special preparations is a common phenomenon. But under the influence of drugs, only cholesterol stones with a small diameter dissolve.

Dissolution of limestone and pigment formations carried out in a different way. Therefore, before using conservative methods, the type of stones is first determined.

The drugs containing ursodeoxycholic and chenodeoxycholic acid (Ursohol, Ursosan, Henosan, Henochol, etc.) are mainly prescribed. With their help, cholesterol levels are lowered and the level of substances whose action is aimed at dissolving stones is normalized.

Since there are several types of bile acids in the body, the drugs must be taken simultaneously for a certain period of time. During intake, some acids combine with cholesterol, due to which its structure becomes liquid. Other acids, dissolving in bile, help remove unwanted dense formations.

Similar treatment may take two years, but its effectiveness has been repeatedly proven. The condition of the body must be monitored. For this purpose, the patient undergoes an ultrasound scan twice a year.

Treatment with drugs containing bile acids is prescribed if:

stones have a diameter of no more than 15-20 mm;
the ducts are free;
stones occupy no more than half the volume of the gall bladder;
normal contraction of the organ is observed.

In this case, the use of:

hormonal contraceptives that contain estrogen;
drugs that help the body get rid of cholesterol;
medications that reduce acidity.

In addition, it is impossible to treat with these drugs if:

pregnancy and breastfeeding;
stomach ulcer and duodenum;
inflammation in the bile ducts and ducts;
liver diseases.

If the ratio of acids is violated, they crystallize. A similar situation can often arise when a person suffers from a failure of material metabolism, from some kind of chronic or acute illness, from lack motor activity, as well as during the period of bearing a child.

The herbal dietary supplement “Ziflan” contains immortelle extract. Thanks to it, the production of bile is stimulated, while the ratio of acids will be normal.

One course of treatment lasts 30 days. Then a break is taken for 10-15 days. There may be 2-3 such courses per year. Everything will depend on how it develops cholelithiasis.

At positive results the product can be used for two years. The action of Ziflan is so effective that even after stopping taking it, there are no problems with the production of bile. The drug is used as a prophylactic agent by those people who have previously been diagnosed with gallstone disease.

Of course, there are contraindications.

Treatment with Ziflan is prohibited:

pregnant and lactating breast milk;
people with individual intolerance to immortelle extract;
children under 12 years old;
patients with jaundice;
people suffering from high blood pressure.

Chemical removal of stones can often have a negative impact on health. Therefore, self-medication is dangerous. Only the doctor prescribes dosages.

Using Ultrasound

Stone removal can be done using ultrasound. Such non-surgical treatment involves influencing dense formations using high pressure. Under the influence of ultrasound, the stone is crushed, after which it is removed. There is no need for surgery here. The main thing is that the conditions are met.

Ultrasound lithotripsy is appropriate if few solid formations are found (no more than four), if their diameter does not exceed 3 cm, and there are no lime additives in their structure.

Ultrasound removal is prohibited when:

problems with blood clotting;
inflammatory diseases of the gastrointestinal tract chronic(pancreatitis, ulcers, cholecystitis;
pregnancy.

When removing stones in this way, it is possible that the process may lead to blockage of the ducts. In addition, the walls of the gallbladder can be damaged by the sharp edges of crushed stones.

The method will only be effective if initial stage diseases, and should be used chemicals. The patient may react negatively to the removal of stone formations. Sometimes quite unpleasant pain is felt. But, despite this, patients often agree to the procedure with ultrasound.

Solving the problem with a laser

Often used in clinics laser removal stones. But this method can also have Negative consequences.

The laser turns dense formations into small particles, which then come out on their own. Although the process may be accompanied by painful discomfort, as in the previous case.

The treatment will take about 20 minutes. After the procedure, the patient can return to his daily activities, that is, the number of visits to the clinic will depend on how many stones have accumulated at the moment.

Such non-surgical treatment has its disadvantages.

It's about O:

possible burn of the mucous membrane, which, it is possible, will provoke an ulcer;
injury to the walls of the gallbladder due to crushed stones.

Patients over 60 years of age are not allowed to attend the session. The procedure is also contraindicated for people weighing more than 120 kg, as well as those whose general state is heavy.

Doctors consider the method effective because it allows you to save the diseased organ. In addition, you do not need to be in the hospital all the time. It is enough to show up on time.

The patient should know about likely consequences this type of treatment. After all, he may not even be informed about it. The patient has the right to choose whether to agree to the proposed procedure or not.

Traditional methods

It is quite possible to treat the disease folk remedies. The main thing is to ask your doctor for permission first, so as not to harm yourself further.

Exist effective means, treatment of which will help to avoid the appearance of new stones and improve the functioning of the organ.

Using an oil-lemon mixture, rocky formations are removed. It is advisable to prepare olive oil(0.5 l) and a large lemon (or two small ones).

It is better not to eat any food 10-12 hours before taking the mixture. Dosage: lemon juice (1 tbsp) washed down with oil (4 tbsp). The mixture is taken continuously after 15 minutes until the oil runs out. You should also drink the juice.

Treatment cannot be carried out in the presence of large stones.

If they get stuck in the duct, they will need immediate hospitalization.

You can treat the disease with fresh strawberries, from which juice is obtained. Drinking strawberry juice is recommended 30 minutes before meals. Take 2-3 tbsp at a time. l. If you regularly drink juice, stones will form much less frequently, and their size will be small.
Removing rock formations using barberry juice: dissolve a tablespoon of barberry juice in boiled water (100 g) and drink 1 tbsp three times a day. l.
Treatment with lingonberry juice, which prevents the formation of suspensions and thanks to which removal occurs, occurs as follows: in boiled water you need to add 3 tbsp. l. juice, and then drink half an hour before each meal.
If you use forest rowan, it should only be fresh. In another form, its effectiveness is reduced. To remove stones, you need to eat at least two glasses of berries a day. If desired, they are mixed with sugar or honey.
Treatment aimed at removing stones involves drinking sauerkraut juice. One glass should be drunk before breakfast, lunch and dinner.
You should take dried birch leaves. A tablespoon of leaves is poured with boiling water (1 tbsp), placed on the fire and boiled for 15-20 minutes. The product is infused for an hour and then filtered. The decoction is taken in the same way as in previous cases.

Removing solid formations will be effective if you prepare herbal infusions.

Gallstone disease is a pathology associated with obstruction of the processes of production and secretion of bile, in which hard, dense particles (stones) are formed from lime salts, low-density cholesterol and bile pigments (bilirubin). The size and number of increments are different - than larger number particles, the smaller they are. Elderly and middle-aged people are more susceptible to the disease; women are more likely to suffer from stones. Let's take a closer look at the reasons why gallstones appear, symptoms, treatment without surgery using traditional and traditional medicine, as well as disease prevention.

Gallstone disease is a consequence of a violation of the neurotrophic regulation of the secretory-metabolic-evacuatory function of the liver and gall bladder. Mostly dense formations are located in the gallbladder, in more in rare cases- in the intrahepatic tracts. People with chronic diseases Gastrointestinal tract: gastritis, peptic ulcer, duodenitis, enteritis, colitis, constipation, and, of course - cholecystitis.

Causes

The process of stone formation begins with metabolic disorders, disorders of the mechanisms of bile secretions, pathological changes liver ducts caused by inflammatory reactions, stagnation of bile, penetration of infection into the body.

Factors that provoke the formation of stones:

physical inactivity, lack of sufficient physical activity;
wearing corsets and waist belts;
systematic violation of the diet, in particular, long breaks between meals, large dinners, abuse of fatty foods, the presence of trans fats in the diet (margarine, fast food), deficiency of vitamins, microelements and fiber in food;
use of a number of medications, for example, estrogen contraceptives;
heredity.

Gallstone disease often occurs in patients with the following pathologies:

Gallstones - symptoms, treatment without surgery

A characteristic feature the presence of stones in the gall bladder is considered biliary/hepatic colic, in which cutting intense pain arise in the right hypochondrium with possible radius to the area of the right scapula and shoulder. Painful sensations pass in attacks and last up to several hours.

Colic is accompanied by nausea, vomiting, a bitter taste in the mouth, dry mouth, itching, symptoms of jaundice (dark urine, yellow sclera). An associated infection can provoke an increase in temperature. In the right hypochondrium during palpation there are sharp pains.

Sometimes the patient has a feeling of heaviness in the epigastric region, flatulence, diarrhea, shortness of breath. An attack can be triggered by external factors: alcohol abuse, consumption of peppery, fatty, fried, smoked foods, stress, physical overload, nervous breakdown, hypothermia of the body.

Complications

Sometimes stones do not reveal themselves for many years. In cases where the bile duct is blocked by the increment, attacks with fainting and convulsions occur. A stone or fragment blocks the cystic duct, which can lead to the development dropsy, peritonitis, fistulas, infection of the biliary tract.

Traditional treatment

After examining the patient using ultrasound and cholecystography, which reveals the presence of increments, and taking tests (blood, urine, gallbladder bile), the doctor prescribes treatment. Radical method - surgical removal stones, is indicated when complications occur and frequent attacks diseases.

In addition to surgical intervention, there are other therapeutic methods treatment. Antispasmodics can relieve colic and relieve the patient from pain (dibazol, papaverine, platifilin, no-spa, euphyllin). The most commonly administered painkillers are baralgin intramuscularly or novocaine intravenously.

Therapy is carried out in a hospital setting. In some cases, the patient is prescribed drugs that help dissolve stones (drug litholysis - chenodioxycholic or ursodioxycholic acid). If there is an infection, the gastroenterologist prescribes antibiotics, sulfa drugs(5 – 10 days).

Prevention

By regulating your metabolism by normalizing your diet, avoiding fatty foods, frequent walks and sports, you can significantly improve your health in general and the gallbladder in particular.

Enrich your diet with fresh fruits, rich in antioxidants, vitamins, mineral compounds and dietary fiber. It is useful to include parsley, celery, legumes, carrots, pumpkin, and bran in your menu every day.

At the first symptoms of trouble in the gastrointestinal tract, seek advice from a gastroenterologist. Timely treatment of underlying diseases will help prevent the formation of increments.

Folkmethods for treating gallstone disease

Traditional medicine recipes should be used only under the supervision of a specialist and after ultrasound examination, which aims to identify the size of the stones and their location. Herbal infusions and decoctions allow you to soften the increments, crush them and remove them in the form of sand or small fragments. However, without knowing what is happening inside the body, it is difficult to predict what consequences will be from taking this or that. medicinal composition. You cannot get rid of large stones at home, but when removing small ones, there is a high probability of blockage of the cystic ducts.

Apple vinegar. The acids in the product prevent the liver from producing low-density cholesterol, which in many cases causes the formation of stones. Add a glass of freshly squeezed apple juice 15 ml natural apple cider vinegar. Take medicine for colic. In the morning, drink warm boiled water (200 ml) on an empty stomach with the addition of 5 ml lemon juice and 10 ml of apple cider vinegar for several weeks, then do a control ultrasound.

Peppermint. Due to the presence in the leaves of the plant of special substances that dissolve increments - terpenes, it is useful to take Mint tea. Take a teaspoon of dried raw material per glass of boiling water, leave for 10 minutes, filter, dissolve a spoonful of bee honey and take it twice a day for 1.5 months between meals.

Juice therapy. Using a juicer, extract the juice from 1 beet, 1 cucumber and 4 carrots. Drink the resulting cocktail in the morning for 14-17 days.

Mix 100 ml of sauerkraut brine (can be replaced with freshly squeezed cabbage juice) and tomato juice without salt. Drink on an empty stomach for several months.

Strawberry juice helps dissolve stones and prevent them from forming again. Take 80 ml three times a day half an hour before main meals.

Juice black radish mix half and half with honey. Take 10 ml of the composition a quarter of an hour before breakfast for six months.

Chicory. Grind dried chicory root, 2 tables. spoons pour 300 ml of boiling water, leave to infuse for 20 minutes, filter, divide into 5-6 doses, drink after meals.

Dill. Dill water improves the functioning of the gallbladder. 2 tables. Steam spoons of dill seeds with 0.4 liters of hot water, simmer in a water bath for 20 minutes, let it brew for 90 minutes, filter and take ½ cup warmed four times a day.

Rose hip.

1 recipe) Mix crushed fruits and dried flowers of the bush in equal proportions. 2 tsp. spoons of the mixture pour 250 ml of hot water and simmer for a quarter of an hour over low heat, leave for 2 hours, filter, add to taste Bee Honey, drink instead of tea two to three times a day.

2 recipe) 2 tables. tablespoons of rhizomes, chopped using a knife or blender rosehip, collected in late autumn, boil in 250 ml of water under the lid for about 20 minutes, let it brew, covering the container with the decoction, for several hours, filter and take ½ glass four times a day before meals for 15 days. The product breaks up stones in the urinary and gall bladder and removes small grains of sand.

In case of cholelithiasis, it is forbidden to eat vegetable oil from flax seeds And fish fat. Flour products, heavy protein and fatty meals are also contraindicated. Herbal preparations and medicinal products have different effects on the body, so all healing methods must be agreed upon with the attending physician. Be healthy!

Only a doctor can choose a method for removing gallstones based on tests and the patient’s health condition. Before you get rid of gallstones without surgery, you should know the main causes of their occurrence. Addiction to high-calorie foods containing a lot of cholesterol, sedentary lifestyle life, chronic disorders digestion, in which the release of bile into the intestines slows down, and hormonal imbalances in the fairer sex (during pregnancy, menopause) often contribute to the thickening of the contents of the gallbladder. Over time, stones form in it - dense formations consisting of bile enzymes. The person begins to feel heaviness in the right hypochondrium and other accompanying symptoms.

The most popular way to cure these formations is surgical, which involves cholecystectomy - removal of the entire gallbladder (GB) along with its contents. However, you should not immediately get scared and prepare for surgery. Under certain conditions, it is possible to get rid of mineral deposits using conservative methods.

Delay of contents in the HDD along with high level animal fats in food first lead to the appearance of grains of sand. In fact, these are the smallest stones. At the same time, the disease still practically does not manifest itself in any way. Mild symptoms typical of cholecystitis (malaise, heaviness in the right hypochondrium) may be disturbing. If a person does not change his lifestyle and does not start treatment for at this stage, the grains of sand become larger, stick together and turn into large stones. As a rule, stone formation is a rather long process that lasts for decades.

However a large number of negative factors, accession concomitant diseases can speed it up a lot. The rapid progression of cholelithiasis is indicated by sharp stabbing pains, which appear after eating foods high in animal fat. Colic can occur when shaking in transport. Sometimes the pain increases, starting with discomfort in the epigastrium, gradually intensifying, radiating to the neck, under the scapula. The attack of pain goes away within 6 hours. When removing a large stone, blockage of the bile duct may occur, accompanied by severe pain.

The presence of severe stabbing or cutting pain may indicate the presence of fairly large stones in the gallbladder. If you have these symptoms, you should definitely contact a gastroenterologist or surgeon.

When pain appears in the epigastric region and suspicions of the presence of stones, many patients immediately begin to independently search for and use various recipes and medications. This is strictly not recommended. Before you start getting rid of stones in the gallbladder, you should contact medical institution and undergo examination. First of all, you need to do an ultrasound to verify the presence of stones, their size and specific location.

In some cases, when ultrasound results are not enough to diagnose accurate diagnosis, your doctor may prescribe an oral cholecystography. This - special type examination of the gallbladder, during which the patient swallows substances that contrast the contents of the gallbladder. The images show the entire bladder and its ducts in more detail; even small stones can be detected.

Methods of drug therapy

The stones can either be cut out (surgical removal) or dissolved using special medications. The latter method is called oral cholelitholytic therapy, which uses agents containing chenodeoxycholic or ursodeoxycholic acid. They help reduce the absorption of cholesterol in the intestines and its entry into bile.

You can treat with this method in the following cases:

the stones must have a cholesterol composition, which is determined during the analysis of the contents of the gallbladder, isolated during the duodenal intubation procedure;
the size of all detected objects should not exceed 1.5 cm, the ideal size is 5 mm; mineral formations larger sizes are difficult to respond to drugs;
The gastrointestinal tract is filled with stones to a maximum of half;
the contractility of the gallbladder walls is normal, and the patency of the bile ducts is good;
body weight does not exceed average values;
The patient’s health allows him to take these medications long enough and regularly.

During the treatment period, you should avoid taking other medications that may promote stone formation (including estrogen-containing contraceptives) or prevent the full penetration of chenodeoxycholic and ursodeoxycholic acids into the gallbladder (various antacids, Activated carbon and etc.). At chronic diseases liver, stomach or intestines, it is generally not recommended to remove mineral deposits in the gallbladder using the above-described drugs.

If during treatment the patient begins to experience pain of varying degrees of intensity with a gradual increase, it is necessary to stop taking the medications and consult a doctor.

When choosing this method therapy, the doctor prescribes a course of medication from six months to two years with mandatory periodic monitoring and testing. The duration of treatment and dosage of medications will depend on the size and number of stones, the age of the patient, and the stage of gallstone disease. Efficiency can reach 80%. The dissolution of solid particles will be complete or partial.

This treatment for gallstones without surgery has side effects. These include a fairly large number of relapses after the end of the therapeutic course (up to 70%). If the factors that influenced the appearance of cholesterol deposits are not eliminated (sedentary lifestyle, poor nutrition), the quality of bile will deteriorate, which will again provoke stone formation.

Extracorporeal shock wave lithotripsy method

This method means crushing petrified pieces of bile using external influence shock wave (the main thing is to precisely focus the impulse) and their subsequent natural removal from the body. The method can be used for patients with a small number (1–4 pieces) of cholesterol stones, each no more than 3 mm in size.

The main types of lithotripsy:

the impulse is created by a spark discharge (through an elastic membrane);
the shock pulse is generated using an electromagnetic field;
piezoelectric pulse generation.

Several sessions are performed. First, primary fragmentation of the formations (cracking) occurs. Next, the stones are fragmented into small particles, which are independently excreted through the bile ducts into the intestines. This method can be combined with medication.

Shock wave lithotripsy is not suitable for diseases associated with blood incoagulability, with installed cardiac pacemakers, peptic ulcer stomach, etc. Pregnant patients cannot be treated with this method.

TO side effects this method treatment should be attributed high probability blockage of the bile ducts with large particles of destroyed stones. Due to the vibration of stones caused by exposure to ultrasound, the walls of the gallbladder can be damaged, followed by their inflammation.

Homeopathy, herbal medicine and alternative treatment

How effective homeopathic methods in the treatment of gallstone disease, it is difficult to say, since homeopathy causes too much controversy in the medical community. Individual representatives of this alternative medicine, promising the natural removal of mineral deposits, even recommend urine intake to their patients. Such procedures should be treated with great doubt. The risk of harm to health far exceeds the likelihood of positive dynamics when taking suspicious homeopathic medicines.

Drugs plant origin They are generally not able to get rid of stones once they have already formed. Moreover, choleretic infusions and decoctions can provoke the removal of stones. If the size of the stones exceeds the diameter of the ducts, this can lead to partial or complete blockage of the latter. For this reason, herbal medicine can only be used as an auxiliary method and only with the permission and under the supervision of the attending physician.

There are others unconventional methods getting rid of gallstone disease. For example, treatment according to Boltov-Naumov, when chicken bile is taken orally, and it is necessary to adhere to a strict diet. It is assumed that the supply of bile from the outside will contribute to the softening and subsequent removal of stones from the body. GB should be treated in this way from several days to several weeks.

Patients are also encouraged to take black radish juice. It is believed that it is capable of dissolving mineral deposits in the gallbladder. The effectiveness of these techniques has also not been proven. Having decided to independently take these substances, the patient does so at his own peril and risk!

If a patient is afraid of any surgical procedures and hopes to remove cholesterol deposits in the gallbladder without any incisions, he should adhere to clear nutritional principles, without which the effectiveness of therapy will be low and the risk of relapses will be high.

Non-surgical treatment of gallstone disease involves following a strict diet. It is better to eat often, in small portions 5-6 times a day. Lard, fatty meat, smoked, salted or spicy food. Alcohol is strictly prohibited in any form!

Should eat more products containing fiber (porridge, vegetable salads). From meat dishes Boiled or baked poultry, rabbit, lean beef, fish are better suited different varieties. Taking broths is not recommended. Olive oil can be used as a fat substitute in reasonable quantities.

Moderate physical activity will also have a positive effect on the patient’s condition. Walking in the fresh air and light exercise will help maintain the tone of the gallbladder and improve general health person. And you must follow the recommendations of your doctor.