What medicines to drink if the gallbladder is removed. What choleretic drugs should be used if the gallbladder is removed

Cholagogue preparations after removal of the gallbladder are an integral part rehabilitation period. Even if this organ is removed, in order to avoid further health problems and to improve the function of the digestive organs in the human body, it is very important to clearly follow all medical recommendations and prescriptions. One of important rules in the postoperative period is the constant intake of choleretic drugs, which are part of complex therapy after cholecystectomy.

Cholagogue preparations after removal of the gallbladder are an integral part of the rehabilitation period

The consequences of removing the gallbladder for the body

After surgery to remove the gallbladder, if cholecystitis was previously diagnosed, the so-called post-cholecystectomy syndrome occurs. Postcholecystectomy syndrome is a series of complications after surgical treatment. By different symptoms can be determined given state health.

Some time after the operation, the following symptoms appear:

• pain in the epigastric region and in the liver;
• frequent diarrhea;
• increased gas formation;
• weakness;
• bouts of nausea or vomiting;
• in some cases, yellowness of the epidermis appears;
• many patients experience bitterness in the oral cavity.

All of these manifestations are directly related to the fact that there is no reservoir for the accumulation of bile in the body. To prevent stomach disease, accelerate the outflow of bile, get rid of unpleasant symptoms, you should strictly follow medical recommendations, adhere to a diet and take choleretic drugs and hepatoprotectors.

How to remove bile if there is no gallbladder

Treatment for a removed gallbladder involves taking a variety of various drugs. It is important to systematically take medications that remove bile, which now has nowhere to accumulate. An important aspect is also the support of the liver after removal of the gallbladder, since now this organ is experiencing an increased load.

A well-formulated diet can also eliminate fluids and cleanse the liver.

How to clean the ducts if there is no gallbladder? The bile ducts are cleaned with medicines, which will help to remove the secretion. Also, cleaning the bile ducts is a prevention of the formation of stones in them. It will help the digestive system to digest food not only medicine (choledochus), but also a folk remedy that cleanses the bile ducts, does not allow secretion to stagnate in the ways.

A well-formulated diet can also eliminate fluids and cleanse the liver.. Proper Diet not only removes and cleanses the organs, if there is no gallbladder, it is also the prevention of the formation of deposits in them. Eating should be fractional - you need to eat it often, every two hours (this will improve digestion), but the portions should be small. You can not overeat, overload the digestive system.

Normally, the products that enter the body must be digested in the stomach and intestines. Bile from the liver enters the bladder, accumulates there and is gradually released into the intestines in order to completely digest food. After cholecystectomy, the fluid no longer accumulates in the reservoir, but stagnates in its ducts, it is excreted into the intestine in in large numbers, due to which bad symptoms appear. In this case, the liver also suffers, because it receives a large load. To unload the hepatic tract, you should turn to hepatoprotectors.

How to prevent liver problems? In this case, cleansing, restoring and phospholipid agents will help.

What medications to take after gallbladder removal

With stagnation of bile, it is necessary to take a choleretic drug. Is it possible to take choleretic drugs in the absence of a gallbladder? In this case, it is necessary to take cholagogue. The drugs taken to eliminate unpleasant symptoms will prevent congestion and secondary formation of stones.

Without a gallbladder, you need to drink antispasmodic pills, take choleretic ones, vitamin therapy and immunostimulating therapy are important. Such drugs must be drunk according to the recommendations of the attending physician in order to eliminate biliary disease. Treatment for a removed gallbladder is prescribed in all cases.

To protect the liver cells from damage, it itself from congestion, choleretic drugs will be an excellent prevention. They will help prevent inflammation, restore full functions. digestive system and intestinal tract. Also, such drugs contribute to the rapid digestion of products.

The herbal preparation is Allochol. It promotes the flow of bile positive influence on the functioning of the liver, helps to get rid of the fermentation of food in intestinal tract, gets rid of increased gas formation and flatulence, dilutes the secretion.

Other commonly used medicines are Cholenzym, Holosas. They contribute to the outflow of secretions, cleanse the organs, help break down food, and eliminate unpleasant symptoms.

Hepatoprotectors for remote gallbladder

This is a group of drugs that restore the structure of the liver, stimulate the production of fluid, and help to remove it from the organs. The most common drugs in this group are:

When the gallbladder is removed, hepatoprotectors are prescribed

• Karsil;
• Essentiale;
• Urdox;
• Ursofalk;
• Gepabene;
• Enerliv.

The body must adapt to new conditions. Thanks to this, various negative consequences can be prevented.

Antispasmodics

To relax the smooth muscles in the intestinal tract, doctors prescribe antispasmodics - No-shpa, Drotaverin, Meverberin, Duspalatin.

Such medicines help to get rid of spasms, colic, eliminate discomfort in the stomach and intestinal disorders.

Cholagogue herbs

To eliminate dyspeptic manifestations, it is recommended to use the following phytotherapeutic collection: pour chamomile, immortelle, valerian, St. John's wort, calendula with boiling water, insist, strain and drink.

Cholagogue products

Via proper nutrition you can help the body cope with the outflow of bile, restore digestive functions.

What vitamins to drink

In parallel, it is recommended to take a course multivitamin preparations. In every specific case they are selected by the attending physician. To enhance natural protective functions body, doctors prescribe immunostimulating drugs.

A properly prescribed course of therapy will help prevent the development of negative consequences after cholecystectomy.

Video

Peculiarities recovery period after cholecystectomy.

Bile and gallbladder are components of the human digestive system. The secret constantly secreted by the liver cells enters the reservoir - the bladder. There is an accumulation of the volume of bile necessary for digestion, its composition changes.

When food moves from the stomach to the duodenum, the secret is released into the intestine and is involved in the processing of the food mass.

One of the most common surgical interventions. Cholagogue drugs prescribed by a doctor after removal of the gallbladder help the body adapt to changes in digestion.

Why are choleretic agents used?

When diagnosing calculous cholecystitis and some other pathologies, it is removed, the body needs to get used to the changed digestion pattern. takes up to six months, during this period the patient may:

• stomach ache;
• nausea;
• flatulence;
• pain in the liver;
• intestinal disorders.

The postoperative syndrome is more pronounced in patients long time living with formations in the gallbladder. They exacerbate all the diseases that were provoked by this pathology. This is due to a dysfunction of the sphincter - bile, overflowing the bile ducts, pours directly into the duodenum, becomes less concentrated and sufficient only for small volumes of food mass. At the same time, an imbalance in the work of the digestive system leads to stagnation of bile in the liver, it becomes thicker.

The main problem for postoperative patients is spasm of the sphincter of Oddi. After removal of the gallbladder, the work of the sphincter is disrupted, as a result, bile stagnates in the ducts, presses on the walls, causing pain. In order to facilitate its release in this condition, in combination with choleretic drugs, antispasmodics are prescribed, which relax the walls of the biliary tract.

To relieve postoperative syndrome and prevent diseases of the liver and digestive organs:

• prescribe choleretic agents;
• change the menu;
• prescribed antispasmodics.

Fractional nutrition in small portions 6-7 times a day stimulates the outflow of bile, allows it to completely process a small amount of food, accustoms the liver to the frequency of excretion. Cholagogue preparations with a removed gallbladder increase the amount of secretion produced and make it less viscous, which is important for patients with impaired metabolism.

The movement of bile through the hepatic ducts after removal of the gallbladder

The appointment of choleretic drugs is made by a doctor and is a supportive therapy, the main attention is paid to the diet and physiotherapy exercises. Uncontrolled use of funds can exacerbate diseases of the pancreas and intestines.

Cholagogue preparations

When taking choleretic drugs, you should adhere to the following rules:

• take half an hour before meals; preparations containing bile (Allochol) are taken at the end of a meal or immediately after a meal;
• prescribed daily dosage divided by the number of meals;
• choleretic drugs are washed down with water, after them you definitely need to eat, otherwise it is possible sharp deterioration well-being;
• the duration of admission is determined by the doctor, but usually these are courses of treatment up to 4 times a year with mandatory breaks, if there is a group of diseases - are part of complex therapy.

Cholagogues with a removed gallbladder are prescribed to reduce discomfort after surgery, to eliminate a specific problem. With normal health, treatment is not prescribed.

The postoperative syndrome is characterized by pain, which provokes bile, overflowing the ducts. To alleviate the condition, antispasmodics are prescribed.

• No-shpa - a drug that relieves pain due to the expansion of blood vessels, relaxing their walls;
• Drotaverine is a drug that affects the smooth muscles of the walls bile ducts, reduces pain and spasms;
• Mebeverine is a drug that relaxes the muscles of the ducts and has a selective effect on the sphincter of Oddi. Similar in action is Duspatalin.

To improve digestion, prevent specific diarrhea, and correct secretions secreted by the liver, choleretic drugs with bile in the composition are prescribed. These include:

Cholagogue in the form of tablets with natural ingredients. Acts as a biliary enhancer, making bile more liquid.

Due activated carbon eliminates putrefactive processes in the intestines, prevents constipation and bloating. Ingredients - 3 ⁄4 pork bile, extracts of nettle and garlic, activated charcoal.

Take 1-2 tablets up to 4 times a day for 3-4 weeks. Take after a meal - just eat a banana or a sandwich.

• Holenzim

A choleretic preparation containing dry bile of cows, sheep, goats, dried pancreas and intestinal mucosa of these animals. The components of the remedy help digestion, eliminate flatulence, constipation and heaviness in the abdomen.

• Oxaphenamide

Synthetic drug complex action, stimulating the production and separation of bile, as an antispasmodic - reduces spasm of the muscles (paths of bile drainage) and the sphincter of Oddi. Applied inside 250-500 mg up to three times a day.

The course of therapy is up to 20 days, the medicine is taken after meals. Cholagogue tablets after removal of the gallbladder with natural biocomponents are proven products, well tolerated by patients, and have a complex effect on the digestive system.

To prevent thickening of bile and eliminate the recurrence of stones, the following drugs are used:

• Ursosan

Hepatoprotector, stabilizing and protecting liver cells, increasing the period of their full-fledged work, the main component is ursodeoxycholic acid. Improves the outflow of bile, prevents the formation of new stones in the bile ducts.

Available in the form of capsules of 250 mg, which are taken in the evening at the rate of 10 mg per kilogram of body weight, unless otherwise prescribed by a doctor. Wash down the drug clean water. Cholagogue drug a similar action is Ursofalk.

• Gepabene

Combined hepatoprotector plant origin with fume extract and milk thistle. Scheme of administration - one capsule 3 times a day. The fumarin alkaloid contained in fumarine normalizes the separation of bile, relieves spasms of the biliary ducts.

Cholagogue herbs after removal of the gallbladder are no less effective than medications. They should be used only after consulting a doctor. Recommended to drink herbal infusions not earlier than 6 months after the operation.

For treatment, decoctions and tinctures are used, taking them in courses. From time to time, the agent should be changed. For therapy use:

• coltsfoot grass;
• Birch buds;
• immortelle grass;
• barberry berries;
• dog-rose fruit.

Ready-made choleretic mixtures are available for free sale in pharmacies.

Several decoction recipes:

• From immortelle:

The flowers of the plant are used, for this 3 tbsp. l. dry raw materials are poured with boiling water (250 g) and kept on a steam bath for 30 minutes. Take 100 g 15-20 minutes before each meal. Acts as a choleretic, cleanses the liver.

• From corn silk:

To liquefy bile. To prepare a decoction 1 tbsp. a spoonful of raw materials is steamed with 250 g of boiling water. After 2 hours the liquid is filtered. Drink 1 tbsp. spoon before meals.

• Complex fee:

3 art. l. immortelle sandy (flowers), 1 tbsp. l chamomile, 1 tbsp. l. valerian root, two tablespoons of St. John's wort, two tablespoons of calendula (flowers). 1 st. l. the mixture is steamed with 250 g of boiling water and after 20 minutes. drink all the liquid. This decoction has an antimicrobial and anti-inflammatory effect, which is important for the intestines with a removed gallbladder and a small amount of bile secreted.

To improve the condition after removal of the gallbladder, apply mineral water Jermuk and Essentuki 17, Izhevskaya. For treatment, water should be heated in a water bath and drunk 125 ml before meals.

Exist pharmaceutical preparations based on herbs that can replace decoctions:

• - based on immortelle flowers;
• , Holemaks - based on wild rose;
• Berberis - based on barberry leaves;
• Holagol, Urolesan - based on a complex of medicinal herbs.

Useful video

Additional information about choleretic herbs see the following video:

Conclusion

1. Cholagogue preparations, which are used for rehabilitation therapy after removal of the gallbladder, aim to regulate the production and transport of bile in the body, adapt it to the changed digestive scheme.
2. In the future, normal digestion will be regulated only by diet and physical activity.
3. Maintenance therapy will be needed every six months or more often as prescribed by the doctor.

The gallbladder is an organ that is involved in the process of digestion. Some outwardly compare it with a pear. It is located just below the liver, connected to it by the bile ducts.

The main task of this organ is the accumulation and excretion of bile, which is necessary to improve the absorption of fats and the movement of food in the intestines. It is noteworthy that about 2 liters are formed in the body within one day.

Often the gallbladder is removed during inflammation due to the presence of stones in it that cannot be removed by dissolution or in another way. This must be done to avoid complications that may be caused by an unhealthy organ.

The remedy is herbal and is considered combination drug, which helps to effectively establish the digestion process, normalize the gastrointestinal tract and has a choleretic effect.

The tool is available in the form of tablets. The composition of the tool includes:

• dry bile;
• dry mucous membranes small intestines livestock;
• desiccated pancreas.

The drug must not be used for acute pancreatitis, obstructive jaundice. Possible appearance skin rash, sneezing, lacrimation and others adverse reactions. Acceptance during pregnancy is allowed.

Among the positive reviews note the speed, availability of funds. Some do not like the duration of the course of treatment and the composition of the shell.

The tool promotes the outflow of bile, improves the secretion of the pancreas, enhances peristalsis. Available in tablets, which are coated, soluble in the intestine. Liobil contains cattle liver extract, stored for no more than 24 months.

It is forbidden to use with obstructive jaundice and acute pancreatitis.

After administration, some patients experienced the appearance of heartburn and diarrhea, while others did not show such side effects.

Prices

Alternative choleretic agents

Herbs used by our ancestors even before the advent of special tablets can also be used as choleretic agents.

Corn silk

Is one of the most valuable in terms of efficiency herbal remedies helping to increase the outflow of bile. At the same time, if stones have already formed in the body, then it is forbidden to use decoctions based on corn stigmas.

The tool is prepared as follows:

• Pour 3 teaspoons of stigmas with boiling water;
• we put the dishes into which boiling water was poured into a larger saucepan and turn on a slow fire on the stove, make sure that the liquid does not boil;
• waiting for 30 minutes;
• remove from fire, add boiled water in a ratio of 1 to 1.

Take ¼ cup before meals.

Attention! The decoction has contraindications, for example, varicose veins or pregnancy. Before use, it is better to consult a doctor.

Dandelion

Dandelion roots have a good choleretic effect. To prepare a decoction you need:

• prepare the roots of a dandelion that has not yet faded;
• grind them well;
• pour one tablespoon of roots with one glass of boiling water;
• keep the mixture on low heat for 15 minutes;
• remove from heat and cool for 45 minutes;
• strain.

Take a decoction of half a cup 15 minutes before meals. The drink is allowed up to three times a day.

Immortelle

This plant is also widely used in folk medicine with problems with stagnation of bile. In addition to the choleretic effect, immortelle has anti-inflammatory and antibacterial effects.

To prepare a decoction you need:

• pour one tablespoon of immortelle leaves with two hot water boiling water;
• boil for 10 minutes.

The infusion is taken in half or ¼ cup three times a day. In this case, you need to drink it warm.

If you have hypertension or acid deficiency gastric juice, then the use of this folk remedy is contraindicated for you. Consult your doctor before using immortelle infusion.

Conclusion

Actually medical preparations and folk remedies There are so many that it would be impossible to list them all in one article. We have tried to collect the most proven tools that have in most cases positive reviews from both patients and doctors.

Let's summarize the article:

1. When the gallbladder is removed, the production of bile in the body is disrupted, it becomes less efficient, meals are more difficult to digest, especially fatty foods.

Minov Alexey Leonidovich

Gastroenterologist, Hepatologist, Infectionist

Engaged in diagnostics, prevention and treatment of stomach ulcers, gastritis, hepatitis, dysbacteriosis, diarrhea, esophagitis, pancreatitis, flatulence, constipation, colitis and other diseases of the gastrointestinal tract.

In a person who has undergone cholecystectomy, life is divided into two stages. The first refers to the preoperative period, the second - after it. The operation is not prescribed from scratch, therefore, The final stage the first period of life was a certain kind of physical and psychological suffering associated with periodic pain, regular visits to the attending physician, doubts and worries about the upcoming surgical intervention. The postoperative period begins with the fact that “everything is already behind”, and ahead is a period of rehabilitation filled with some uncertainties. However, life after removal continues. The main task at this stage, which worries the patient, is the question of changes in the process of digestion.

The gallbladder, as an organ, is endowed with certain functions. In it, as in a reservoir, bile accumulates and concentrates. It tends to maintain optimal pressure in the bile ducts. But when diagnosed calculous cholecystitis, or cholelithiasis, the functions of the gallbladder are already limited, and it practically does not take part in the digestive process.

Throughout the course of the disease, the body independently removes the gallbladder from the digestive process. Using compensatory mechanisms, he fully adapts to new conditions in which the function of the gallbladder is already disabled. The function of bile secretion is assumed by other organs. Therefore, deleting already displayed them life cycle organ, does not cause a serious blow to the body, since adaptation has already occurred. Through the operation, the organ that contributes to the spread of infection, generating inflammatory process hearth. In this case, only relief can come for the patient.

Prompt decision-making on the part of the patient about the upcoming operation largely contributes to the successful outcome of the surgical intervention and a short period of rehabilitation. With timely decision-making, the patient protects himself from complications that may occur as a result of delaying the timing of surgical intervention, calling into question satisfactory condition patient in the postoperative period.

Discharged from the hospital former patient, and now a person undergoing rehabilitation is protected from constant visits to manipulation rooms and constant guardianship of the attending physician. Duodenal sounding and dubazh remained in the life that was before the operation.

True, there are exceptions when the patient long time does not agree to surgical intervention, allowing the disease to affect the body for a long time. An inflammatory process spreading from the walls of the gallbladder can affect neighboring organs, causing complications that develop into concomitant diseases. As a rule, problems arise in the background in the form peptic ulcer stomach and duodenum, inflammation of the head of the pancreas, gastritis or colitis.

Patients with complications after gallbladder surgery need additional treatment after discharge from the hospital. The nature of the treatment and the duration of the procedures are prescribed by the leading patient's doctor. The main issue facing both the group of operated patients without obvious signs complications, and before patients with complications, is the process of nutrition. The diet in the postoperative period is not strict, but excludes animal fats that are difficult to digest by the body:

• pork fat
• lamb fried
• brisket.

Subject to a strict diet in the preoperative period, patients are allowed to gradually introduce new foods into the diet, excluding spicy canned food, strong tea, coffee, and the use of alcoholic beverages is strictly prohibited.

The occurrence of a relapse

Surgery does not affect the composition of bile produced by the body. The production of hepatocytes by stone-forming bile may continue. This phenomenon in medicine is called "Biliary insufficiency". It consists in breaking physiological norms in an increase in the amount of bile produced by the body and its increasing pressure in the bile ducts. Under the influence of excess pressure, the toxic fluid changes the structure of the mucous membranes of the stomach and intestines.

With a negative prognosis up to the formation of a low-quality tumor. Therefore, the main task in the postoperative period is a biochemical study of the composition of bile, carried out at regular intervals. As a rule, a duodenal examination of the duodenum is performed. It can't be replaced ultrasound, because ultrasound is unable to give the appropriate result.

A clear indicator of the occurrence of relapse, or secondary formation of stones, is the placement in the refrigerator of a 5 ml sample of fluid for analysis for a 12-hour period. If sedimentation is observed in the liquid within the allotted time, bile is capable of forming new stones. In this case, drug treatment is prescribed with drugs containing bile acids and bile, being stimulants of bile production:

1. lyobil
2. cholenzim
3. allahol
4. cyclovalone
5. osalmid.

All are used as replacement therapy for biliary insufficiency. Mandatory appointment in such cases, ursodeoxycholic acid is used, which does not cause intoxication and is harmless to the mucous membranes of the intestines and stomach. It is taken, depending on the prescription, from 250 to 500 mg, once a day, preferably at night. Preparations containing ursodeoxycholic acid:

• Ursosan
• Hepatosan
• Enterosan
• Ursofalk.

Stones can be re-formed, but not in the gallbladder, but in the bile ducts. An exclusion from the diet of foods containing high cholesterol in large quantities can serve as a reducing factor for relapse:

1. fried and spicy foods
2. concentrated broths
3. egg yolks
4. brain
5. fatty fish and meats
6. alcohol
7. beer.

All of the above products are a significant complication for the pancreas and liver.

Dietary nutrition in the postoperative period

Proper nutrition is the key to health after cholecysectomy

Nutrition during the rehabilitation period after removal of the gallbladder is given Special attention. The main point is its regularity. The volume of food should be small, and the frequency of meals should be from 4 to 6 times a day. Food, as a stimulant of the bile-forming process, in this case is an irritant for digestive organs thus preventing the stagnation of bile. As a natural irritant, food contributes not only to the formation, but also to the excretion of bile from the bile ducts into the intestines.

The most powerful product that promotes bile distillation is. In general, all vegetable fats have a strong choleretic effect. Patients who are prone to fullness, it is desirable to limit or minimize the use of foods with great content carbohydrates:

• sugar
• potato
• confectionery and pasta
• muffin.

Not recommended for patients undergoing gallbladder surgery Spa treatment, with the exception of patients with complicated cholecystitis or other concomitant diseases. Depending on the severity of the surgery, patients are not recommended for severe physical exercise, or physical labor giving voltage to abdominal Press, within 6 to 12 months after surgery. Severe physical activity can lead to education incisional hernias. Full, and especially obese patients, it is recommended to wear a bandage during this period.

Great importance after the patient is discharged from the hospital, medical specialists give physiotherapy exercises. Specially designed exercises stimulate the organs abdominal cavity to the formation and removal of bile. Such a “massage” with the help of physical exercises allows you to speed up the process of restoring the functions of damaged tissues of the abdominal region.

Possible consequences of surgery

As a rule, in patients in life after removal of the gallbladder, no negative consequences occur. This is ideal, but real world, a person who has undergone surgery is subject to a whole range of symptoms, in particular psychological ones, called "Postcholecystectomy syndrome".
The sensations accumulated over the years of the disease do not let the patient go even after such a fait accompli as an operation to remove the gallbladder. The former patient is also tormented by dryness and pain in the right hypochondrium, and the appearance of fatty foods also causes intolerance and nausea.

All of these symptoms are psychological state sick and little associated with internal processes flowing inside the patient, like a bad tooth that has already been removed, but it continues to give painful sensation. But if such symptoms continue for a long time, and the operation was not performed in a timely manner, therefore, the causes may be hidden in the development of concomitant diseases. The main reasons leading to negative consequences after removal of the gallbladder:

• Diseases of the gastrointestinal tract
• Reflux
• Pathological changes in the bile ducts
• Poorly performed operation
• Exacerbated diseases of the pancreas and liver
• chronic hepatitis
• Dysfunction of the sphincter of Oddi.

To prevent postcholecystectomy syndrome, a thorough examination of the patient is carried out, both before surgery and in the postoperative period. Great importance is given general condition patient and the presence of concomitant or chronic diseases. direct contraindication to surgical intervention to remove the gallbladder, the presence of pathologies in the patient's body may become.

Basic diet in the postoperative period

Gallbladder removal is not a death sentence!

The possibility of certain nutritional problems associated with the removal of the gallbladder can be solved by an individual diet for the patient, avoiding the methods of drug exposure to the body. Such an approach to the patient can completely neutralize the postcholecystectomy syndrome that occurs after surgery.

The main point is not the products allowed for use during the rehabilitation period of post-surgical intervention, but the mode of the nutrition process. Food should be divided into small portions and taken frequently at regular intervals. If the patient before the operation ate food 2-3 times a day, then in the period after the operation, he needs to receive from 5 to 6 servings a day. Such nutrition is called fractional and is designed specifically for patients of this profile.

Excludes products with high content animal fats, fried and spicy food. The focus is on the temperature of the cooked food. For patients, the use of highly chilled or highly heated food is not recommended. The use of carbonated drinks is strictly not recommended. Such recommendations are associated solely with the absence of the gallbladder. To special recommendations should be attributed frequent use drinking water. Before each meal, the patient is instructed to drink a glass of water, or 30 ml per kilogram of body weight. Water relieves the aggression of bile acids produced by the ducts and is the main source of protection for the mucous membranes of the duodenum and gastrointestinal tract.

In addition, water stops the passage of bile that occurs at the initial moment after the operation, when a change in duodenal motility can occur and bile can return to the stomach. At such times, the patient may experience heartburn or bitterness in the mouth. Water resists this process, being a natural neutralizer. Dyspeptic disorders - flatulence, bloating, rumbling, constipation, diarrhea, can also be stopped by taking a glass. Visiting swimming pools, open reservoirs is very useful, because water is a source of soft natural massage for the muscles and internal organs of the abdominal cavity. Water procedures shown after 1-1.5 months after surgery.

In addition to swimming, for patients who have undergone gallbladder removal, it is very useful hiking. A daily walk for 30-40 minutes helps to remove bile from the body and prevents its stagnation. Morning light is also recommended physical exercise in the form of charging. Press exercises are unacceptable, which can be started only a year after surgery.

• Bread. Yesterday's baking coarse grinding, gray or rye. It is not recommended to eat muffins, pancakes, pancakes, puff pastries.
• Cereals. Buckwheat, oatmeal. Grains should be well boiled.
• Meat, fish, poultry. Low-fat varieties. The cooking process is boiled, steamed or stewed.
• The fish is baked. The use of broths is excluded. Soups are prepared on vegetable broths.
• Spices, spices, seasonings, sauces are not recommended.
• Eggs. Only in the form of a protein omelet. The yolk must be excluded.
• except for whole milk. Sour cream - no more than 15% fat.
• Fats. Fats used in food should not be of animal origin.
• Vegetables. Fresh, boiled or baked. Particular preference is given to pumpkin and carrots. It is not recommended to use legumes, garlic, onions, radishes, sorrel.
• Berries and fruits. Preference is given to sweet varieties. Cranberries and Antonovka apples are not recommended for use.
• Sweets. Honey, molasses, natural marmalade on agar-agar, preserves, jams. It is necessary to completely abandon cocoa products, confectionery, ice cream.
• The drinks. The diet should not include carbonated, hot or cold drinks. Rosehip decoction, sweet juices, dried fruit compote are recommended.

In conclusion, it should be noted that prevention after surgery to remove the gallbladder consists in complex physiotherapy, which includes ozone therapy. Ozone, being natural antibiotic, enhances immunity, destroys colonies of bacteria, viruses and fungal diseases. Ozone helps to correct the functioning of hepatocytes, which are responsible for the formation of bile.