What is chronic cholecystitis and how to treat it? Cholecystitis: acute and chronic. Causes, symptoms, treatment, diet

An attack of cholecystitis can be manifested by symptoms of varying intensity, it all depends on the form and stage of development of the disease. As you know, this is an inflammation of the gallbladder. It can be acute and chronic, acalculous and calculous (with the formation of stones). And if exacerbation of chronic cholecystitis does not pose a direct threat to health, then an acute attack accompanied by biliary colic is dangerous condition requiring urgent medical attention.

Attack of cholecystitis: causes

With cholecystitis, an exacerbation of the disease occurs when bile stagnates and its outflow from the gallbladder is disrupted, accompanied by the addition of an inflammatory process. The following factors can provoke an attack of the disease:

• violation of diet, overeating, consumption of fatty, fried, spicy foods, carbonated drinks or alcohol;
• fasting, strict diets;
• anatomical features of the structure of the gallbladder, its deformation (kinking, compression of the bile ducts);
• dysfunction of the gallbladder due to biliary dyskinesia.
• presence of stones in gallbladder(cholelithiasis);
• sedentary lifestyle, excess weight;
• stress factors.

The formation of gallstones complicates the situation, aggravates unpleasant symptoms and threatens to block the bile ducts during exacerbation of the inflammatory process, which poses a serious threat to the life and health of the patient.

Symptoms of an attack of cholecystitis

Exacerbations that occur with chronic cholecystitis usually develop when the diet is disrupted. An attack of illness occurs due to the use of alcoholic drinks, a rich feast with a predominance of fatty and spicy dishes. Characteristic symptoms may appear after a plate of fried potatoes, dry snacks, or fast food and sweet carbonated drinks. In this case, there are following signs– periodic dull pain in the right hypochondrium, feeling of heaviness in the stomach, lack of appetite, nausea, dyspeptic disorders. The consequence of the inflammatory process may be an increase in temperature to subfebrile levels (37-38°C.)

An attack of acute cholecystitis manifests itself with more pronounced symptoms:

• strong ones suddenly arise, sharp pains in the right hypochondrium, the intensity of which increases every minute;
• the pain radiates to the shoulder, right shoulder blade and lumbar region;
• the condition is worsened by a feeling of nausea, vomiting mixed with bile;
• chills appear, the temperature rises sharply;
• are developing dyspeptic symptoms(belching, bloating, bitterness in the mouth, stool disorders);
• yellowness of the skin and sclera is noted;
• the color of stool and urine changes.

The pain syndrome intensifies when pressing on the center of the epigastric zone or the area of ​​the right hypochondrium. More frequent heartbeat, and the worse the patient’s condition, the faster the pulse and the higher the temperature. Painful vomiting does not bring relief and only exhausts the patient.

But an attack of calculous cholecystitis, which is caused by the migration of stones in the gall bladder, is especially dangerous. In this case, a hard calculus blocks the bile ducts and prevents the outflow of bile, which provokes severe biliary colic and other characteristic symptoms listed above. This condition can lead to the development of destructive and perforated cholecystitis, which pose a direct threat to the patient’s life.

The movement of stones can damage the lining of the gallbladder; as a result of its perforation, the infected contents enter the abdominal cavity, which threatens the development of peritonitis. During an attack, the patient cannot find a place for himself due to severe pain, his health worsens and is accompanied by sharp drop pressure, severe weakness, pallor skin. Such conditions require emergency medical care and hospitalization of the patient.

Experts identify several forms of acute calculous cholecystitis:

1. The catarrhal stage is the most light form calculous cholecystitis, with the most favorable prognosis. Accompanied by an increase in the size of the gallbladder and thickening of its walls. The mucous membrane of the organ becomes inflamed, red and swollen. A constant appears pain syndrome in the area of ​​the right hypochondrium, sometimes after eating there are attacks of vomiting. If you consult a doctor in a timely manner catarrhal form cholecystitis responds well to drug treatment.
2. The phlegmous stage is characterized by the formation of pus in the cavity of the gallbladder and is accompanied by increased pain. The pain is pronounced, intensifies when bending the body, coughing and radiates to the collarbone and under the shoulder blade. In addition to weakness and lack of appetite, this form is accompanied by nausea, vomiting mixed with bile, fever, and chills.
3. The gangrenous form is the most dangerous, since it is complicated by necrotic changes in the walls of the organ, which threatens perforation of the gallbladder and the development of peritonitis.

An acute attack of calculous cholecystitis differs from the chronic form of the disease in the sudden appearance of bright severe symptoms. In this case, biliary colic does not go away for several hours, whereas with chronic course Diseases, these symptoms are more subdued.

How to relieve an attack of cholecystitis?

For chronic cholecystitis painful sensations occur periodically, due to consumption of too fatty, salty, spicy foods, smoked foods or alcohol. The nature of the pain is dull, bursting, lasts no more than an hour, it can be relieved by taking painkillers or antispasmodics.

Treatment of attacks of chronic cholecystitis is carried out with medication. The treatment regimen includes drugs that improve the flow of bile, antibacterial agents to relieve the inflammatory process and antispasmodics, which help relieve spasm of the biliary tract and eliminate pain. The patient is prescribed a diet, and subsequently, as the inflammatory process subsides, treatment is prescribed to prevent repeated relapses of the disease. If necessary, the doctor may prescribe medications to promote dissolution gallstones(Ursofalk, Ursosan).

What to do if you have an attack of cholecystitis if it strikes you at home or at work? How to provide first aid during an attack of cholecystitis at home? First of all, you need to call your local therapist. The patient needs to be put to bed, provided with rest and a cold compress applied to the right side. If nausea occurs, you can drink warm still mineral water or green tea with mint. To relieve pain before the doctor arrives, you can take a pill but-shpy or papaverine.

At acute attack cholecystitis cannot be delayed, you must immediately call an emergency medical care and send the patient to the hospital. If during an ultrasound examination no stones are found in the gallbladder, after pain relief the patient will be sent home with recommendations for treatment. Otherwise, the issue of performing a surgical operation will be decided.

Treatment methods

In a hospital setting, an attack of non-calculous cholecystitis can be relieved in 3 days, and to completely eliminate the symptoms and inflammatory process it will take 10-12 days. With calculous cholecystitis, a decision is usually made to surgical intervention. IN severe cases When the gallbladder is completely clogged with stones, they resort to cholecystectomy (removal of the organ).

If it is possible to preserve the bladder and its functions, use endoscopic methods, which are easier to tolerate by patients, cause fewer complications and do not require long-term recovery period. The intervention is carried out through a small puncture in the abdomen. The progress of the operation is monitored using ultrasound; the surgeon monitors all manipulations on the monitor of a special device. Using laparoscopy, it is possible to remove the stone from the bile ducts and thus avoid removing the gallbladder.

Diet after an attack of cholecystitis

As the patient’s condition improves, weak broths are recommended, puree soups, pureed food, boiled viscous porridge. You need to eat small portions every three hours. Food should be gentle, raw vegetables with coarse fiber are prohibited during this period (cabbage, radish, radish, turnip, bell pepper). Dishes are steamed, boiled or baked.

In the future, fats and “fast” carbohydrates are excluded from the diet; pickles, marinades, smoked foods, baked goods, sweet carbonated drinks, spices and seasonings, and alcohol remain prohibited. The basis of the diet is dietary meat in pureed or boiled form, boiled lean fish, steam omelettes, viscous porridges, salads from fresh vegetables With vegetable oil, low-fat fermented milk drinks, sweet fruits and berries. Warm drinks are recommended mineral water still, non-acidic juices, half diluted with water, compotes, fruit drinks, rosehip decoction, herbal and green tea.

Chronic cholecystitis- sluggish current inflammatory disease gallbladder, found in residents of predominantly economically developed countries.

- one of the most common pathologies digestive system. The chronic form of the disease progresses slowly and can be detected by chance during examination of organs abdominal cavity, if untreated, in half of the cases it becomes the reason for removal of the gallbladder.

Causes of chronic cholecystitis

The development of sluggish inflammatory processes in the gallbladder is primarily caused by stagnation of bile, caused by a violation motor function organ. The reason for this may be endocrine diseases, dietary errors, frequent use fatty foods, excess weight, hormonal disorders, severe stress.

Chronic cholecystitis can be caused by bacterial infection, penetrated into the gallbladder from other organs of the digestive system. Inflammation of its walls is caused by streptococci, E. coli and other representatives of the pathogenic microflora of the human body.

Dysfunction of the gallbladder, stagnation of bile and, as a consequence, inflammatory process in some people it is caused congenital anomalies this organ. Such anomalies occur during the uterine development of the fetus, in the process of its formation. internal organs. IN such a case The disease first appears in early childhood. Thus, improper development of the gallbladder is the main cause of chronic cholecystitis in children.

Another cause of a slowly progressing disease is stones. Concretions injure the walls of the organ, causing inflammation and the occurrence of certain symptoms. Stones can be located both in the gallbladder itself and in its ducts.

In addition, acute cholecystitis without timely treatment can become chronic, almost imperceptible to the patient and remind of itself with rare attacks.

Symptoms of chronic cholecystitis

Chronic cholecystitis occurs with periods of remissions and exacerbations. An exacerbation is the transition of a disease to its acute form with all the ensuing consequences.

Signs of chronic cholecystitis include:

• pain in right side. At acute cholecystitis the pain is pronounced, in in this case this symptom does not cause any particular inconvenience to the patient. Sluggish inflammation in the gallbladder is accompanied by a mild, aching, dull pain radiating to the shoulder blade and lower back. Such pain occurs for no particular reason, can last for days, then gradually subsides, intensifies with overeating or drinking alcohol;
• disruption of the digestive process. Bile – important element digestion. If this fluid does not enter the duodenum or is supplied in insufficient quantities, a person may experience abdominal heaviness, bloating, nausea, constipation or diarrhea;
• dry mouth, especially in the morning;
• bitter belching. The appearance of a bitter taste in the mouth clearly indicates problems with the gallbladder. This symptom appears during or after eating, on an empty stomach;
• low-grade body temperature. This is the main sign of an inflammatory process occurring in the body. This symptom in chronic cholecystitis is observed quite often than more inflammation– the longer it lasts;
• chronic fatigue, increased fatigue, weakness of the body, lack of appetite.

During the period of remission, inflammation of the gallbladder practically does not appear. Its symptoms are also characteristic of many pathologies of the digestive system.

Treatment of chronic cholecystitis

Preference is given conservative therapy. Chronic cholecystitis, unlike acute form does not require illness urgent measures, since in the remission stage it does not pose a great danger to the body.

As the main treatment, the patient is prescribed:

• enzymes that help restore digestion;
• antibiotics, since the disease is often associated with the presence of a chronic bacterial infection in the body;
• non-steroidal anti-inflammatory drugs;
• choleretic drugs.

In the treatment of chronic cholecystitis folk remedies are actively used healing herbs– peppermint, wild rosemary, yarrow, calendula, chamomile, rose hips, red rowan. Decoctions of these herbs and fruits are drunk before meals, 100 ml 3-4 times a day. Their regular intake improves appetite, helps restore digestion, and has a choleretic and anti-inflammatory effect on the body.

Exacerbation of chronic cholecystitis

In case of exacerbation of the disease, it is necessary immediate appeal to a specialist. Patients with suspected acute cholecystitis are subject to hospitalization. Treatment is prescribed taking into account the patient’s condition, whether he has indications for taking certain medicines, surgical intervention.

First of all indicates an exacerbation of cholecystitis strong pain in the area of ​​the gallbladder, sharp deterioration feeling unwell, nausea and vomiting. The main indication for organ removal (cholecystectomy) is cholelithiasis and the presence of a threat of complications (perforation, gallbladder abscess, peritonitis).

Nutrition for chronic cholecystitis

If the disease is present, a diet that is gentle on the digestive system is indicated. This diet suggests eating small portions at least 5 times a day, eating only moderately warm food, and drinking as much mineral water as possible.

IN daily diet for chronic cholecystitis should be included boiled vegetables, preferably pureed, soups and porridges from cereals, low-fat dairy products, tea, dried Rye bread. If you suspect the presence of the disease, you should not drink alcohol, salty, smoked foods, sausages, fatty meat, fish, sweets, or baked goods.

Proper nutrition helps avoid exacerbation of chronic cholecystitis and helps improve the patient’s well-being.

Chronic cholecystitis is the most common chronic illness affecting the biliary tract and gallbladder. Inflammation affects the walls of the gallbladder, in which stones sometimes form, and motor-tonic disorders of the biliary (biliary) system occur.

Currently, 10-20% of the adult population suffers from cholecystitis, and this disease tends to further increase.

This is due to in a sedentary manner life, the nature of nutrition (excessive consumption of foods rich in animal fats - fatty meat, eggs, butter), growth endocrine disorders(obesity, diabetes). Women get sick 4 times more often than men, this is due to taking oral contraceptives, pregnancy.

In this material we will tell you everything about chronic cholecystitis, symptoms and aspects of treatment of this disease. In addition, we will consider diet and some folk remedies.

Chronic calculous cholecystitis

Chronic calculous cholecystitis is characterized by the formation of stones in the gall bladder and most often affects women, especially those who are overweight. Reason of this disease phenomena of bile stagnation and high content salts, which leads to disruption of metabolic processes.

The formation of stones leads to disruption of the functioning of the gallbladder and bile ducts and the development of the inflammatory process, which subsequently spreads to the stomach and duodenum. In the acute phase of the disease, the patient experiences hepatic colic, which manifests itself in the form of acute pain in the upper abdomen and in the area of ​​the right hypochondrium.

The attack may last from a few moments to several days and be accompanied by nausea or vomiting, bloating, general condition weakness, a bitter taste in the mouth.

Chronic noncalculous cholecystitis

Non-calculous (calculous) chronic cholecystitis, as a rule, is a consequence of conditionally pathogenic microflora. It can be caused by Escherichia coli, staphylococcus, streptococcus, and somewhat less commonly by Proteus, enterococcus, and Pseudomonas aeruginosa.

In some cases, non-calculous cholecystitis occurs, which is caused by pathogenic microflora(typhoid bacilli, Shigella), protozoan and viral infection. Microbes can enter the gallbladder through the blood (hematogenous route), through lymph (lymphogenous route), from the intestines (contact route).

Causes

Why does chronic cholecystitis occur, and what is it? The disease may appear after an acute episode, but more often develops independently and gradually. In the occurrence of a chronic form highest value have various infections, in particular coli, typhoid and paratyphoid bacilli, streptococci, staphylococci and enterococci.

Cholecystitis always begins with disturbances in the outflow of bile. It stagnates, and as a result, phlebitis may develop, which are the immediate precursors of chronic cholecystitis. But there is also a reverse movement of this process. Due to chronic cholecystitis, pancreatic motility slows down, bile stagnation develops, and stone formation increases.

In the development of this pathology, nutritional disorders play an important role. If a person eats large portions with significant intervals between meals, if he gorges himself at night, eats fatty, spicy foods, or eats a lot of meat, then he is at risk for developing cholecystitis. He may develop a spasm of the sphincter of Oddi, and bile stagnation may occur.

Symptoms of chronic cholecystitis

When chronic cholecystitis occurs, the main symptom is pain. Adults feel a dull aching sensation that usually occurs 1-3 hours after taking a large dose, especially fatty foods and fried foods.

The pain radiates to the top, to the area of ​​the right shoulder, neck, shoulder blade, sometimes to the left hypochondrium. It intensifies when physical activity, shaking, after eating spicy snacks, wine and beer. When cholecystitis is combined with cholelithiasis Sharp pain like biliary colic may appear.

• Along with pain, dyspeptic symptoms occur: a feeling of bitterness and a metallic taste in the mouth, belching of air, nausea, alternating constipation and diarrhea.

Chronic cholecystitis does not occur suddenly, it develops over a long period of time, and after exacerbations, against the background of treatment and diet, periods of remission begin; the more carefully you follow the diet and supportive therapy, the more longer period absence of symptoms.

Why does the exacerbation occur?

The main causes of exacerbation are:

1. Incorrect or untimely treatment chronic cholecystitis;
2. Acute disease not related to the gallbladder.
3. Hypothermia, infectious process.
4. A general decrease in immunity associated with insufficient intake of nutrients.
5. Pregnancy.
6. Diet violations, alcohol consumption.

Diagnostics

To make a diagnosis, the most informative methods are the following:

• Ultrasound of the abdominal organs;
• Cholegraphy;
• Duodenal sounding;
• Cholecystography;
• Scintigraphy;
• Diagnostic laparoscopy and bacteriological examination are the most modern and available methods diagnostics;
• shows - GGTP, alkaline phosphatase, AsT, AlT.

Of course, any disease is easier to prevent than to treat, and early research can reveal early disorders, deviations chemical composition bile.

Treatment of chronic cholecystitis

If you have signs of chronic cholecystitis, treatment includes diet (table No. 5 according to Pevzner) and drug therapy. During an exacerbation, exclude from the diet spicy food, fried and fatty, smoked, alcohol. You should eat small portions 4 times a day.

Approximate treatment plan:

1. For pain relief and inflammation relief, antispasmodics are used to relieve spasms of the smooth muscles of the bladder and ducts.
2. Antibacterial therapy when symptoms of inflammation appear (ampicillin, erythromycin, Ciprox).
3. To eliminate bile stagnation, drugs are used that enhance the peristalsis of the biliary tract ( olive oil, sea buckthorn, magnesia) Choleretics (drugs that increase bile secretion) are used with caution so as not to cause increased pain and worsening congestion.
4. When the exacerbation subsides, physiotherapy is prescribed - UHF therapy, acupuncture and other procedures.
5. Spa treatment.

At home, treatment of chronic cholecystitis is possible in case of mild course illness, however, during periods of severe exacerbations, the patient should be in the hospital. First of all, the goal is to relieve pain and relieve the inflammatory process. After achieving the desired effect to normalize the functions of formation, secretion of bile and its promotion through biliary tract The doctor prescribes choleretic and antispasmodic drugs.

Operation

For chronic calculous cholecystitis it is indicated surgical removal the gallbladder is the source of stone formation.

Unlike the treatment of acute calculous cholecystitis, surgery to remove the gallbladder (laparoscopic or open cholecystotomy) for chronic cholecystitis is not emergency measure, is scheduled.

The same applies surgical techniques, as in acute cholecystitis - laparoscopic surgery to remove the gallbladder, cholecystectomy from a mini-access. For weakened and elderly patients - percutaneous cholecystostomy to form alternative path outflow of bile.

Nutrition

The diet for chronic cholecystitis according to table No. 5 helps reduce symptoms during repeated attacks of pain.

TO prohibited products relate:

• butter, puff pastry, fresh and rye bread;
• fatty meats;
• offal;
• cold and carbonated drinks;
• coffee, cocoa;
• ice cream, cream products;
• chocolate;
• pasta, beans, millet, crumbly porridge;
• spicy, salty and fatty cheese;
• broths (mushroom, meat, fish);
• fatty fish, fish roe and canned fish;
• high fat dairy products;
• pickled, salted and pickled vegetables;
• radish, radish, cabbage, spinach, mushrooms, garlic, onion, sorrel;
• spices;
• smoked meats;
• fried foods;
• sour fruits.

Exacerbation of cholecystitis, which brings significant trouble to the gallbladder, is characterized by pain in the right side, belching. Often, the listed phenomena are experienced by the body after hearty lunch, with the presence of fatty foods.

Many of us give a fairly simple explanation for this condition - do not overindulge in food, in other words, do not overeat. However, the medical response to such a state of the body implies that such actions create all the prerequisites for exacerbation of cholecystitis.

Its development this disease receives under the condition of a cardinal violation of the bile composition.

This creates excellent conditions for the appearance of stones - which are insoluble substances that have the ability to crystallize and grow over time, like stalactite growths in caves.

A fairly common cause is considered to be a bacterial infection.

Its pathogens are carried in the blood from inflamed organs.

Classification of the disease

The two main forms of this disease, like many others, are called acute and chronic. Speaking about the acute phase of inflammation, we can say that it starts with lightning speed with pain in the area of ​​the right hypochondrium. For a couple next hours its strength gradually increases. In addition, constipation, nausea, vomiting, and fever create certain concerns.

The situation is completely different when they talk about permanent cholecystitis, that is, chronic. In this case, the pain is aching, dull, systematically appearing several hours after eating a large meal. It can be localized in the area of ​​the right shoulder, shoulder blade, and the muscles of the neck can also feel its influence.

Symptoms are quite varied: frequent belching, nausea, alternating diarrhea with constipation, a feeling of bitterness in the mouth. Naturally, a person becomes extremely irritable and sleeps poorly.

Herself chronic form The disease is directly divided into acalculous and with the formation of stones in the gall bladder, called calculous. Without the formation of stones, inflammation of the gallbladder is extremely rare, approximately every tenth case. For the majority of patients, the formation of stones in the gall bladder or another option is a violation of the mobility of the biliary tract.

Disturbances in the bile composition are involved in the formation of stones, namely the percentage increase in cholesterol in it and the quantitative decrease bile acids. The blame for such changes falls on obesity, accelerated weight loss, alcohol, excessive love of food, rich in fats, carbohydrates, pregnancy.

It happens that the reason is accompanied by a whole bunch of various diseases: stomach, liver, pancreas, duodenum, systematic stress.

Reasons for the development of cholecystitis

1. Genetic connection - family predisposition

2. Demographic reason: advanced age, female gender, white race, place of residence with a hot climate.

3. Gastronomic: diet enriched with carbohydrates, animal protein foods, deprived of products with plant fibers, proteins, artificial fasting.

4. Medication: diabetes, intestinal inflammation, infectious lesion biliary tract, brain injury, back injury, obesity, anemia.

As you can see, the range of reasons is simply very wide, and many can fall into the risk group. You should not rely on fate, thinking that you are lucky and will not have the problem of gallstone formation. The best option will “insure” body health from such troubles, and this is achieved by leading healthy image life, paying close attention to your diet.

Tell the attack to stop!

Insidious is perfectly capable of masquerading as other diseases. Painful sensations, as such in pure form, very rarely make themselves felt.

The most common scenario of events is patient complaints of belching, nausea, frequently occurring discomfort V oral cavity, poor appetite.

In addition to these misfortunes, there is a dull pain in the right side, radiating to the corresponding shoulder and shoulder blade.

However, if exacerbation of cholecystitis passes in the background high temperature, use of funds traditional medicine not appropriate.

It is recommended to consult a doctor independently, by calling an ambulance, since high values temperatures may indicate the possible onset of complications. With persistent cholecystitis, the mucous membrane is subject to changes that are irreversible. The appearance of scars, thickening, erosion - such marks remain forever.

Forget about fasting

Gallbladder problems are not compatible. Bile ceases to be released and is only stored, creating conditions for the formation of stones. Another thing proper nutrition, herbal medicine, which can significantly improve the patient’s condition. As for herbal infusions, it is better to discuss their composition and dosage with your doctor, since this is still a medicine.

To avoid formation stones recommended 4-5 one meal, preferably at the same time, but it is important to remember the key condition - do not overeat. Each meal has its own portion of a stimulating effect on the secretion of a certain amount of bile.

It is worth completely falling out of love with rich broths on any basis (mushrooms, fish, meat). Avoid fried, smoked foods, hot seasonings, spices, any confectionery. In addition, radishes, turnips, sorrel, and horseradish are prohibited. Let me remind you once again that drinking any alcohol is contraindicated.

In contrast to this, peach and apricot juices, a vegetable cocktail made from cucumber and carrot juices are recommended, the main thing is that the intake is systematic. The nutritious diet must be diversified with porridges based on pumpkin, millet, and berries. For example, barberry has a strong diuretic effect. An infusion of berries and wild strawberry foliage has similar qualities. To be taken on an empty stomach, 4-5 spoons are recommended fresh juice. An infusion of rose hips is no less useful.

Preventive measures for cholecystitis come down to preventing excess body weight gain, limiting fatty foods, maintaining active image life. There are methods for dissolving stones and crushing them, but the final decision must always be made exclusively by a doctor. Amateur activity in this case is not encouraged.

A few words are worth mentioning about medicinal tubage, the effectiveness of which is higher when decreased tone gallbladder. A well-carried out cleaning procedure is expressed by intense “stool” throughout the day, slightly liquefied or heavily colored with bile. These are necessary systematically, every day, at least seven procedures per course. Exacerbation of cholecystitis and stomach ulcers are direct contraindications for washing the bile ducts.

I would like to draw your close attention to the fact that before using home recipes, have an appropriate conversation with your doctor about this.

1. Ten grams of cumin fruits, root medicinal marshmallow, thirty grams of buckthorn bark, sage leaves, peppermint. The infusion is recommended for use in the evening, a quarter of an hour before meals, in a glass. At chronic constipation it is permissible to increase the dose to 400 ml.

2. 30 grams each: lemon balm leaf, peppermint leaf, chamomile color. A quarter of an hour before meals, drink 200 ml of infusion in two doses.

All infusions are prepared in the same way: two teaspoons of raw material are poured with half a liter hot water, then simmer for a quarter of an hour, allow to cool, and filter.

3. 20 grams of yarrow herb are brewed in 200 ml boiling water. Let it sit for an hour, then strain. The recommended dose is 50 ml before meals, no more than four times.

4. Plantain grass, about a tablespoon, is poured with 200 ml of boiling water, allowed to brew, and filtered. Received daily norm drink in small sips an hour before.

5. Combine the herbs St. John's wort, motherwort, and peppermint leaves. Eighty grams of the mixture are combined with a liter of hot water, let it brew for 120 minutes, filter. You need to take 1/2 cup three times.

Take care of your gallbladder health by avoiding exacerbation of cholecystitis, visit your body, get checked by a doctor on time, then you will most likely avoid the problem of gallstones.