Bilirubin is one of the most important components of bile, formed as a result of the breakdown of heme-containing proteins (hemoglobin, cytochrome and myoglobin). There are two types of this pigment - indirect and direct (conjugated). The first is formed after the destruction of non-viable erythrocytes. Then, with the blood stream, it enters the liver, where, due to the action of enzymes, it turns into a straight line.
An increase in the level of bilirubin indicates a violation of its elimination from the body or excessive destruction of red blood cells, which can lead to serious malfunctions in the functioning of organs and systems.
- physiological solution (NaCl 0.9%);
- glucose solution 5%;
- reosorbilact.
- Absorbent;
- Enterosgel.
- antiviral;
- enzymatic (pancreatin, Mezim, Festal);
- immunomodulatory (interferon preparations);
- antibacterial (cephalosporins, aminoglycosides, fluoroquinolones);
- hepatoprotectors (Bicyclol, Darsil).
- 1. Infusion of motherwort herb. Take 20 grams of dried leaves and pour 250 milliliters of boiling water. Leave to infuse for a day. Take 3 tablespoons on an empty stomach half an hour before meals.
- 2. Herbal collection. Mix in a large container motherwort grass, chamomile, corn silk, birch leaves in equal parts. Brew 2 tablespoons of the resulting mixture in 200 milliliters of boiling water. Insist for 40-60 minutes. Drink 20 minutes before meals 2 times a day.
- 3. Beet juice. Wash and peel one medium-sized root vegetable. Squeeze out the juice with a juicer. Take in the morning before breakfast.
- 4. St. John's wort decoction. Brew 2 heaped tablespoons of dry herb with 250 milliliters of boiling water. Drink one half in the morning 15 minutes before meals, the other in the evening one hour before bedtime.
- salt - you can use a moderate amount of spices in cooking, but it is strictly forbidden to salt food;
- citrus fruits and berries - you should not eat fruits with a high acid content;
- mushrooms;
- fatty foods - you should limit the use of fried and smoked foods, as they are difficult to digest and lead to liver overload;
- alcohol;
- radishes, hot peppers, mustard;
- canned food and salted caviar;
- high fat dairy products: cream;
- chocolate.
- low-fat dairy products;
- cereals and cereals;
- dietary meat (chicken, turkey, veal);
- vegetables and non-acidic fruits;
- olive and linseed oil;
- seafood;
- green tea, mineral waters.
- 1. Fractional nutrition. It is recommended to eat 4-5 times a day, with a small portion. Thus, it will be possible to reduce the load on organs during the processing of substances and their transport throughout the body.
- 2. Diversity. The intake of a complex of nutrients in the body helps to reduce bilirubin. To do this, you need to eat various foods rich in trace elements, proteins and vitamins.
- 3. Choosing the right cooking method. It is recommended to steam, bake or boil food.
- 4. Drinking fluids. You need to drink 2-2.5 liters of water per day. Plain water can be replaced with tea or compote without added sugar.
- steam chicken cutlets;
- mashed potatoes;
- green tea.
- banana or low-fat cottage cheese;
- glass of water.
- oat bread;
- boiled egg;
- tomato and olive oil salad;
- rosehip broth.
- crackers without salt;
- a glass of low-fat kefir or milk.
- boiled fish (hake, pollock);
- cucumber and Chinese cabbage salad;
- unsweetened dried fruit compote.
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The rate of pigment in the blood
In the body of an adult, the content of total bilirubin should not exceed 20.5 μmol / L: up to 5.1 - indirect and up to 16.5 μmol / L - direct. In children older than one month, this indicator is not more than 19.5 μmol / l: 4.5 - indirect and 15.0 - indirect. If the values deviate from the norm, serious diseases can occur - hepatitis, hemolytic anemia, vasculitis, ischemic disease hearts.
The norm of bilirubin in the blood by age:
Reasons for an increase in the amount of pigment
Most common reasons a sharp increase in the level of total bilirubin in the blood are pathologies of the circulatory system, accelerated destruction or excess content of red blood cells, impaired outflow of bile, blockage of the bile ducts or liver disease, diabetes.
The amount of pigment can increase with congenital or acquired anemias, the presence of helminths in the body, poisoning with mushrooms and toxins, and a lack of cyanocobalamin (vitamin B12).
Besides, Negative influence the process of decay of heme-containing proteins is influenced by long-term intake antibiotics wide range actions.
Hyperbilirubinemia is the main manifestation of Gilbert's syndrome. it congenital disease characterized by the accumulation of lipofuscin pigment in hepatocytes, as a result of which the level of unconjugated bilirubin fraction increases.
It is normal for women to increase bilirubin levels during ovulation or during a sharp change in climate. This usually manifests itself in the fact that a woman wants something sweet.
How to quickly lower bilirubin levels at home?
Before you reduce the amount of pigment and take funds to normalize its level, you need to find out the etiology of its increase. For this it is necessary to conduct an additional examination.
Based on the results obtained and the reason why the pigment rises, different schemes treatment. These may include taking medications that support the liver, folk remedies, and diet.
If an excess of bilirubin is detected, you should contact a specialist to develop a therapy regimen. Only thorough medical diagnostics and following the doctor's recommendations will help to normalize the pigment level and stabilize the body's work. If left untreated, the condition can worsen, leading to serious consequences.
Treatment with medication
One of the main links in the treatment of hyperbilirubinemia is the use of medications.
Synthetic drugs
The most commonly prescribed treatment is fluid therapy. It involves the intravenous injection of medical solutions into the bloodstream. Once in the blood, they are able to flush out excess bilirubin, reducing intoxication.
For this purpose, apply:
Effective is the appointment of activated carbon, sorbents and gels, which remove toxins and cleanse the body. These include:
Semi-synthetic drugs
The main components of these preparations are turmeric and field artichoke. The most important properties of these medicines include the ability to improve liver function, stimulate the production and normal outflow of bile, cleanse the body of toxins and remove them.
The following drugs are prescribed:
Preparations based on herbal ingredients
To maintain the functioning of the liver during the period of treatment, agents from natural ingredients are used: milk thistle extract, Karsil.
The following drugs are used:
| Name | Indications and effect |
| Silibinin | When using the drug, the production of bile is normalized, along with it, heavy metals and harmful compounds are excreted from the body. It helps to detoxify the body and reduce the level of bilirubin. |
| Silibor | The drug is used in the treatment of hepatitis and its complications. Promotes the normalization of the liver and biliary tract, has an antioxidant effect, stimulates the synthesis of cellular protein, normalizes the metabolism of hepatic phospholipids |
| Silymarin-Hexal | The agent accelerates the recovery processes in the liver, improves the processes of microcirculation. Flavone molecules that make up the drug act as antagonists of hepatotoxic substances, stimulate the neutralization of indirect bilirubin in the liver |
Complex of drugs for various liver diseases
If the disease is inflammatory, it is advisable to take the following medications:
In the event of a pathology against the background of hepatitis, the main treatment is aimed at combating the virus itself and the complications of the disease. At the same time, the patient is prescribed drugs that protect the liver. If the treatment of the hepatitis itself is successful, the bilirubin level gradually normalizes after the liver has stabilized.
If the cause is a hereditary predisposition, then treatment should include vitamins and medications that lower the level of bilirubin in the blood. In Gilbert's syndrome, phenobarbital and Zixorin are used. The duration of the course is from 15 to 31 days. Also, patients are prescribed Ursosan short courses 7-10 days 3 times a year. The drug has the ability to change the composition of bile, eliminating the risk of stone formation, which is important with regularly increasing bilirubin levels.
To prescribe therapy, you should consult a specialist, since self-treatment medicines can cause a number side effects.
Folk remedies
To normalize the level of bilirubin at home, with a slight increase in it, decoctions from medicinal herbs... Folk remedies should be used only after consulting your doctor and in addition to medication.
The most common recipes are as follows:
You can add mint, rose hips, ginseng tincture, aralia leaves, lemongrass to these recipes.
Diet to lower the level of bilirubin in the blood
In addition to medicines and alternative medicine It is possible to quickly lower the level of bilirubin in the blood with the help of proper nutrition. Healthy food can have a positive effect on the functioning of the liver, removing unnecessary stress from it and normalizing metabolic processes. During treatment, it is necessary to limit or exclude foods that may cause disruption of her work. To do this, you need to follow a specially designed diet.
Prohibited foods
You should stop eating such foods:
It is necessary to refuse products containing preservatives, food additives, dyes and leavening agents.
Healthy foods
The use of some foods is limited and depends on the way they are prepared:
| Product name | Recommended | Not recommended |
| Meat products and meat | Boiled or baked meat (veal, chicken), steamed cutlets, meatballs, diet sausages | Fatty meat (pork, lamb), smoked sausages, stew |
| A fish | Baked, jellied fish | Smoked fish, canned food, cod liver |
| Eggs | Boiled eggs | Raw eggs |
| Dairy and fermented milk products | Low-fat cottage cheese, kefir and milk, hard mild cheese, sour cream | Cream, butter, spicy cheeses |
| Vegetables | Carrots, greens, zucchini, cucumbers, cabbage, potatoes, pumpkin, beets - fresh, as well as boiled or steamed | Garlic, radish, fresh onion, sorrel, sauerkraut, pickles |
| Soups | Unavailable, on vegetable or fish broths | Rich meat broths, okroshka, hodgepodge |
| Fruits and berries | Apples, pears, melons, bananas, peaches, non-acidic berries, watermelon, dried apricots, prunes, raisins | Acidic and unripe fruits and berries, nuts in large quantities |
| Sweets | Honey, jam, marshmallow, marmalade, marshmallow | Ice cream, chocolate, confectionery |
General diet rules
To facilitate the body's work and reduce the levels of bilirubin in the blood, you should carefully plan your diet. To do this, you must follow some principles of a balanced diet:
Simplify the diet by using blanks. You can freeze some food or make preforms in order to simplify the cooking process.
Indicative menu for one day
Breakfast:
Lunch:
Dinner:
Afternoon snack:
Dinner:
Features of the treatment of different categories of people
Throughout life, the level of bilirubin in the blood may change slightly. Each age has its own specificity in the formation and accumulation of this pigment.
Based on this, it is necessary to choose a specific treatment strategy to eliminate hyperbilirubinemia.
Children
In newborns, this indicator is increased several times. This is due to the increased destruction of fetal hemoglobin in the first days after birth. However, already at the end of the first month, it decreases and becomes close to the norm of an adult. That is why, at first, doctors recommend monitoring the physiological decrease in the level of bilirubin in the body. In the absence of normalization of pigment indicators by the end of the first month of life, it is necessary to prescribe treatment.
In the case of hyperbilirubinemia in children from one month of age, it is required to reduce the level of pigment by prescribing drugs, excluding antibiotics and hepatotoxic substances. To do this, you must use products containing natural ingredients, decoctions medicinal herbs and vitamins prescribed by your doctor.
Women during pregnancy
A slight increase in this indicator may occur in women in the last trimester. However, this is not a sign of a disorder and does not affect the fetus and the mother's body. This is due to the increased stress experienced by the liver of the expectant mother.
When prescribing treatment to reduce the level of pigment in pregnant women, preference should be given to herbs that do not adversely affect the fetus, abandoning synthetic drugs. The treatment regimen is determined by the doctor.
Second important aspect is adherence to a diet.
Adults
Treatment of adult men and women suffering from disorders of bilirubin metabolism in the body should be complex: etiological, pathogenetic and symptomatic.
Etiological includes the detection of the cause of violations and their elimination. The goal of pathogenetic treatment is to influence pathological processes and inflammatory reactions leading to pathology. Symptomatic therapy involves the elimination of individual signs of the disease. For this purpose, a complex of medicines and a balanced diet is used. This will remove excess bilirubin from the body and normalize its conversion in the liver.
If the state of hyperbilirubinemia is not critical and is dangerous for the patient, then the doctor may prescribe treatment, which consists of two phases: medication and dietary.
The pigment index is a reflection of the work of the whole organism. If the processes of cleansing and ridding the body of toxins cannot proceed at the proper level, then this can lead to serious consequences. A timely examination and identification of deviations will allow you to start timely treatment... Therefore, if you have symptoms of an increase in bilirubin levels, it is recommended to see a doctor immediately.
Bilirubin is a yellow-brown pigment found in bile. It is a product of the exchange of erythrocytes and is formed when they are destroyed in the liver. It circulates in the blood in two fractions. The first is indirect bilirubin, which does not dissolve in water and, when it enters the liver with blood, turns into soluble. The second is the direct form, soluble in water, resulting from the conversion of indirect bilirubin in the liver. If its concentration in the blood is high, yellowness of the sclera is observed and skin... Before lowering the bilirubin in the blood, you need to find out the reasons for its increase.
How is bilirubin formed?
This pigment is constantly formed in the body. healthy person as a result of the breakdown of red blood cells and complex processes of conversion of hemoglobin. The pigment formed in this way is called unbound, or indirect. It then travels to the liver, where it reacts with glucuronic acid and turns into a bound, or straight, form. It is excreted from the body along with feces, which, thanks to it, have a brown color.
Thus, for a healthy person, the formation of 300 mg of this pigment per day is the norm. The blood content should be between 3.4 and 17 mmol per liter. If the liver is functioning normally, the pigment is constantly excreted in the bile. If the output of bilirubin is disrupted, it begins to accumulate in the body, penetrates into the tissues, staining them in yellow... This condition in medicine is called jaundice. Hyperbilirubinemia is not a disease, but a symptom of another pathology.
A pigment that is not eliminated from the body is dangerous due to its toxicity. Therefore, it is so important to reduce the bilirubin in the blood when it accumulates.
Reasons for the increase
There are several main reasons for elevated total bilirubin:
- The outflow of bile into the intestine from the biliary tract is impaired. This occurs with gallstone disease, inflammation of the pancreas, accompanied by edema, changes in the mucous membrane and tumor processes in the duodenum.
- Deterioration of liver function (damage to the parenchyma).
- Violation of the synthesis of glucuronoids in the absence of the necessary enzymes. This is typical for diseases such as cirrhosis, hepatitis, hepatosis.
- Intensive destruction of red blood cells with the release of hemoglobin occurs with hemolytic anemias, which are most often congenital. This process also occurs with significant breakdown of muscle tissue during oncological diseases and with injuries.
- Violation of the conversion in the liver of a direct fraction into bile.
- Taking medications. These can be antibiotics, diazepam, indomethacin, flurazepam, phenytoin.
The increase in indirect bilirubin may be due to liver failure or due to a condition such as Gilbert's syndrome, in which there is a deficiency of an essential liver enzyme.
An increase in direct bilirubin is usually associated with diseases of the biliary tract and impaired outflow of bile.
Treatment
To lower the bilirubin level, complex treatment is required. First of all, it is necessary to treat primary pathologies. If the increase in bilirubin is associated with heredity and congenital liver diseases, and its level does not differ significantly from the norm, symptomatic treatment is carried out with the help of drugs, proper nutrition and folk remedies.
Medications
In case of violation of the outflow of bile, choleretic drugs are indicated. At hereditary diseases symptomatic treatment is carried out, in this case sorbents, vitamins, choleretic agents, medications that reduce bilirubin in the blood are prescribed.
If a high level of pigment is associated with infections, inflammatory processes in the liver, immune disorders, hepatoprotectors, antiviral, antibacterial, anti-inflammatory, immunomodulatory drugs are indicated. Hepatoprotectors are usually prescribed first. They improve the condition of the liver and normalize its work.
If the increase in bilirubin is based on intoxication, antioxidants and sorbents are shown to improve metabolism and reduce the concentration of toxins.
In addition, intravenous infusions of detoxification drugs and glucose may be prescribed. Usually this procedure is used in severe cases to cleanse the body of bilirubin, as well as its decay products.
Nutrition
To facilitate the work of the gallbladder, liver and reduce bilirubin, it is necessary to exclude from the diet all carbonated drinks, alcohol, fried, spicy, fatty, smoked, pickled, cold foods. Food should be boiled or steamed. It is recommended to eat often and in small portions. It is advisable to give up foods that are poorly digested. The diet should be rich in fiber and pectin. Increase your fluid intake. With high bilirubin, it is recommended to drink less coffee and tea, and reduce salt intake. You can lower the level of the direct fraction with the help of cereals: buckwheat, oatmeal, rice.
At home, bilirubin is reduced by traditional medicine.
Reduce bilirubin following products:
- lean meat;
- milk products;
- fruits are sweet;
- egg white;
- milk and vegetable soups;
- herbal teas.
Folk remedies
At home, you can use products prepared according to folk recipes, including:
- Decoctions of chamomile, rose hips, mint, oak bark, St. John's wort, birch leaves. Take daily several times a day.
- Tincture of herbs: St. John's wort, chamomile, motherwort. Pour the chopped herb (two teaspoons) with a glass of boiling water, let it brew. Drink twice a day: half in the morning before meals (20 minutes), the rest before the evening meal.
- Take a decoction of calendula throughout the day.
- Drink fresh beet juice before every meal.
Increased bilirubin in pregnant women and newborns
Quite often, an increased bilirubin is found in pregnant women. This is usually observed in the third trimester and is associated with impaired outflow of bile. Typically, the correction is done through diet.
This is a common occurrence and in newborns it most often goes away on its own. In severe cases, blood transfusions and phototherapy are prescribed. Drugs may be indicated.
Finally
If high bilirubin is found when donating blood, you should not self-medicate, since this condition is just a symptom of some pathology. It is necessary to be examined and determine the primary disease.
If, according to the results of the analysis, bilirubin is increased in the blood, it is necessary to find out the reason for such a change in the composition of the blood. Elevated bilirubin is a signal for examination and intensified treatment. There are many drugs available to lower bilirubin levels. of different nature origin, they can only be prescribed by a doctor after establishing the cause of the changes.
Plant-based liver preparations
Bilirubin is toxic and freely enters the cells. There is an acceptable rate for it in the body. When its level changes, the doctor may prescribe certain means to normalize the data.
There is a group of drugs for plant based which contains natural or semi-natural milk thistle flavonoids. They are very good antioxidants and improve protein production in damaged liver cells. At the same time, their further destruction will stop. Harmful substances do not penetrate the liver cells. Milk thistle is able to neutralize even alcoholic effects on the body and relieve it of intoxication. Excretion of harmful substances occurs along with bile. This helps to reduce the level of bilirubin in the body.
Many drugs have been developed according to this principle. They are prescribed for elevated bilirubin. The medicine helps to reduce the intoxication of the body. But you need to drink it as directed.
What funds can be used at a high level:
- Silibinin. It is prescribed for patients with liver disease. The drug is used in the form of tablets and capsules. The dose is chosen taking into account individual characteristics. On average, in adults, it is 70 to 140 milligrams, 2 or 3 times a day. This drug is used for alcohol intoxication, heavy metals, hepatitis, liver cirrhosis. As a side effect, the patient may experience intestinal dysfunction or allergies.
- Silibor. It will be effective for hepatitis, liver cirrhosis. Take it with meals, three times a day. You need to be treated for a period of 30 to 60 days. Sometimes there is allergic reaction on the skin.
- Silymarin-Hexal. Used in capsule form. It will be useful for toxic liver damage and chronic liver diseases. The patient takes it up to 2 times a day, one capsule at a time. The course of treatment will last for about 90 days. Application by individual indicators is not recommended. It is also undesirable for patients under 12 years of age to take it. There may be side effects in the presence of infection, disruption of the intestines.
Various pharmaceutical companies produce milk thistle-based preparations under various names.
They will be similar in their qualities:
Semi-synthetic drugs
The most popular among them:
- Artichoke extract "Health". Together with artichoke extract, it contains the phenolic compound cynarin. With the help of this drug, the functioning of the liver and gallbladder is normalized. The body is cleansed, cholesterol levels are reduced. The amount of urine excreted increases.
- Hofitol. With its help, you can increase the outflow of bile, improve liver function and cleanse the body of toxins. It is used in tablet form. Experts prescribe a remedy for liver diseases, with poor excretion of bile, and kidney disease. It can be used for treatment and prevention.
- Solar. When applied, there is a greater formation of bile and its secretion, the liver is cleansed, and the work of the digestive organs improves. You can buy a liquid extract at the pharmacy.
- Holyver. Normalizes liver function and bile production. Due to the presence of medical bile in the preparation, it is able to improve and normalize metabolic processes in the body. Able to have antiulcer effect. Prescribed for diseases of the liver, gallbladder, stomach ulcer.
There are also analogues of these drugs that a doctor can prescribe. The process of lowering bilirubin in the blood should be under the supervision of a doctor in order to be able to adjust the treatment. You cannot choose and take medications on your own. They must be drunk strictly according to the recommended dosage.
Means of animal origin and based on phospholipids
Drugs in this group are able to restore liver tissue and cleanse the body.
They are used to lower bilirubin:
- Sirepar. Restores the tissue structure of the liver. It is used as an injection. It is used for cirrhosis, hepatitis, liver intoxication. Be sure to make tests for portability.
- Erbisol Ultrapharm. It helps to improve immunity and restore destroyed cells, remove the virus from cells. Used for viral hepatitis intravenously and intramuscularly.
- Hepatosan. It is based on animal liver cells. It helps in the treatment of cirrhosis, improves protein production. Promotes the restoration of damaged cells.
- Phospholip. When using this drug, it dissolves in water. Full effect occurs 6 or 8 hours after ingestion. It restores metabolic processes, immunity and the production of lymphocytes, which could be damaged by infection or harmful substances... It is released in capsules. Prescribed for liver diseases, intoxication of the body.
- Essentiale. In pharmacology, it is used in capsules. He is able to get into liver cells and restore them. Use it for cirrhosis, liver intoxication drugs, toxicosis, diseases of the gallbladder. He is able to normalize lipid metabolism during ischemia of the heart.
Synthetic-based preparations can also be added to these groups:
They have similar properties. Frequent advice: drink them with big amount water.
With regard to side effects and contraindications, it is necessary to study in detail each specific case. But there are several unifying points for all drugs. It is necessary to conduct a tolerance test, after administration, the patient may experience a disruption in the functioning of the intestines. With the help of such drugs, it is possible to reduce the level of bilirubin in the blood, but the cause of the increase must also be treated.
How to lower bilirubin in the blood with folk remedies
Many of us have come across in the test results with such a concept as bilirubin. Everyone knows that high levels of bilirubin in the blood can be dangerous. But what kind of enzyme is this? What is bilirubin and what functions does it perform?
Bilirubin is one of the main components of bile, the result of the breakdown of proteins that is formed in the liver. Normally, bilirubin is produced in a volume of 300 mg per day in an adult. Bilirubin, together with bile, is excreted through the intestines, which is why the feces of a healthy person have brown tint... If suddenly the feces become colorless, this may indicate a violation of the liver.
When there is too much bilirubin, bile enters the tissues, staining them with a yellow pigment. First, the sclera turn yellow, and then the skin. By itself, an increase in bilirubin is not a disease, but only a symptom of another malfunction in the body. However, bilirubin, getting into the tissues of the body, has toxic effect... That is why, in addition to treating the underlying disease, it is important to reduce the level of yellow pigment in the blood.
Causes of elevated bilirubin
Before you start fighting high bilirubin, you need to understand what could cause such a state of the body. Eliminating the cause will help to quickly cope with the symptom.
- One of the main reasons for an increase in bilirubin is a deterioration in liver function. Most often this is associated with hepatitis A, B or C. Also, the liver may begin to work poorly due to infectious diseases, cirrhosis, hepatosis.
- With gallstone disease and inflammation of the pancreas, the outflow of bile into the intestines is disturbed. That is why, bile, finding no outlet, is absorbed into the tissue.
- Bilirubin often rises with severe intestinal poisoning, with salmonellosis.
- Sometimes the yellow pigment can be the result of chemical poisoning, taking a lot of drugs - for example, antibiotics.
- Sometimes increased bilirubin is observed in pregnant women in the third trimester of pregnancy with a violation of the outflow of bile.
- "Jaundice of newborns" - this is the name of the increased content of bilirubin in the blood of young children immediately after birth. This is due to imperfect functioning of the gastrointestinal tract. Usually, this jaundice lasts for several weeks and does not require special treatment. It lasts longer in premature, low birth weight babies. However, if the yellowness of the integument does not go away for a very long time, this requires special therapy, since prolonged bilirubin poisoning can lead to changes in the subcortex of the brain.
First of all, you need to deal with the very reason for the increase in bilirubin, a doctor will help you with this. And only then the question arises of how to quickly remove intoxication and remove this bilirubin from the body.
Diet with elevated bilirubin
The liver is known to be a self-healing organ. Most liver diseases are not treated with drugs and medicines, but a strict diet. The diet implies the maximum reduction in the load on this important organ. In order not to overload the liver, you need to eat fractional, very modest portions. Better 5-6 light meals than 3 large meals. With increased bilirubin, you need to adhere to the following dietary rules.
- All fatty, fried, smoked, spicy foods are excluded, any alcoholic drinks, marinades, canned foods, mayonnaise, ketchup, soda are strictly prohibited.
- Better to eat lean beef, poultry, fish. It is better to refuse lamb and pork. It is better to boil or steam the meat.
- All meals should be lean. There is no need to burden the liver with fatty meat broths; it is better to give preference to vegetable and milk soups.
- Drink more green tea various decoctions herbs.
- You can use any dairy products, except for the fattest ones - sour cream, cream.
- Egg whites, fruits, vegetables, cereals - no restrictions.
- You cannot eat fresh bread, baked goods. It is better to consume crackers, yesterday's dried bread.
- Salt and coffee increase the amount of bilirubin produced, so their intake should be kept to a minimum.
- Drink more water to remove the hated pigment from the blood - at least three liters per day.
In addition, it is necessary to minimize physical activity- it is also a burden for the liver. Try to avoid stress and nervous strain. Get more rest, give preference to proper nutrition always, and not only in the midst of certain diseases.
Drug-induced reduction in bilirubin
But is it possible to reduce the level of yellow pigment with medication? Of course you can. First of all, the therapy of the underlying disease is carried out, that is, the cause of the increase in bilirubin is eliminated. In addition, in case of a violation of the outflow of bile, the patient is prescribed choleretic drugs, such as Allochol, Hofitol, Carsil, Cholenzym.
To clear bile from the blood, gastrointestinal tract, liver and lymph, simple sorbents such as activated carbon or Polysorb are often prescribed. If liver damage is caused by herpes, give antiviral agents e.g. Acyclovir. In addition, special attention is paid to immunomodulatory and vitamin complexes which help to keep the immune system at the proper level.
If the amount of bilirubin is very high, your doctor will give you an intravenous infusion of glucose. This helps to relieve the intoxication of the body and wash out some of the yellow pigment. The patient is also necessarily prescribed hepaprotectors - a group of drugs that help restore liver function. Among them are Ursosan, Essenciale, Hepatrin.
In addition to basic therapy, newborns are kept under an ultraviolet lamp to reduce yellow pigment levels.
Folk remedies for lowering bilirubin
In addition, there are many herbal, vegetable and fruit recipes to help you speed up the process of removing bilirubin from your body.
- Chamomile, St. John's wort, motherwort. Make a concentrated decoction of these herbs. Mix one tablespoon of each herb and pour over the collection with a liter of boiling water. Let it brew for an hour, and then strain and drink the broth throughout the day.
- Beet juice. Beet juice will help improve liver function. Dilute the juice in half with water and drink one third of a glass before each meal.
- Birch leaves. Enhance diuretic effect a decoction of birch leaves will help. Collect the leaves and rinse and dry thoroughly. On liter jar you need a handful of these leaves. Pour boiling water over the birch leaves and wrap tightly. Let it brew, then drink a glass of the prepared broth every 4 hours.
Traditional recipes for treating the liver and lowering the level of bilirubin are good because they do not give such a toxic effect as many drugs. In addition, they are easy to prepare and absolutely accessible to everyone.
Elevated bilirubin in the blood is a serious symptom that cannot be ignored. If yellowness is found on the skin and sclera, you need urgent hospitalization and finding out the reason for this state of the body. Remember - bilirubin is very toxic, and you need to remove it from body tissues as soon as possible!
Treatment of elevated bilirubin
The amount of bilirubin: norm and deviation
Due to the peculiarities of the passage of all stages of the transformation of a substance, indirect and direct bilirubin are distinguished.
- Direct acid-bound bilirubin is produced in the liver. It is not dangerous and is ready to be eliminated from the body. The quantitative content is not more than 4.5 μmol / l.
- Indirect bilirubin increased in cases where its content exceeds 16.4 μmol / l. This kind bilirubin is toxic, it is he who does not bind to the albumin protein and can penetrate the liver.
- The total bilirubin content should remain within the range of up to 20.5 μmol / L.
The reasons for the development of violations
The reasons for the increase in bilirubin in the blood are associated with the influence of the following factors:
- The rapid acceleration of the destruction of red blood cells - a similar deviation is often observed when hemolytic anemia.
- Disturbances in the conversion of bilirubin in the liver.
- Violations of the excretion of bile from the body.
- Taking some groups of medicines.
- Infection with worms.
Hyperbilirubinemia can cause staining of the skin and tissues:
- The sclera of the eyes acquire a yellowish tint.
- There is a staining of the oral mucosa.
- In an advanced case, the patient's skin (feet, palms) also becomes yellow.
Hyperbilirubinemia manifestations
Increased bilirubin in the blood in the case of the development of hemolytic anemia is manifested as follows:
- The patient is worried discomfort in the area of the left hypochondrium (enlargement of the spleen).
- The body temperature rises.
- The urine turns dark (black or dark brown). This may indicate the destruction of red blood cells.
- The patient complains of feeling tired, headache, the development of tachycardia. This is due to a violation of the supply of oxygen to the body.
Symptoms of hyperbilirubinemia in liver diseases and cholelithiasis
- Liver enlargement and development pain syndrome in the area of the right hypochondrium.
- Development of nausea after eating, belching with bitterness.
- Increased fatigue and weakness.
- The patient's feces may become discolored and the urine may take on a dark color (strong tea or dark beer).
- In the case of the development of viral hepatitis, an increase in body temperature is observed.
With gallstone disease and a violation of the outflow of bile, the following symptoms occur:
Severe itching of the skin.
Complaints about belching bitterness, nausea, lack of appetite.
The development of flatulence and stool disorders (diarrhea and constipation).
Complete discoloration of feces.
Pronounced dark staining of urine.
Disease therapy
Treatment increased level bilirubin is carried out in several stages. First of all, it is required to carry out infusion treatment using glucose preparations and detoxification agents. This allows you to cleanse the body of the level of breakdown of red blood cells. Such therapy is carried out in the event of a serious condition.
Proper nutrition
Diet plays an important role in the treatment of elevated bilirubin. Patients with hyperbilirubinemia are advised to cut back on salt, white bread, butter, cholesterol-rich foods, and foods high in baking powder and baking soda (cake, brownie, muffin). You should refrain from eating mushrooms, sorrel, garlic, radishes and green onions, spicy and sour dishes and seasonings, chocolate, alcohol and ice cream, smoked, industrial sweets and canned food.
We answer the question of how and how to lower bilirubin in the blood
The physiological role of bilirubin in the human body is quite large, as evidenced by numerous Scientific research, which show that bilirubin is necessary for the body to utilize hemoglobin. This pigment is formed due to the breakdown of hemoglobin. There are traces of it in blood serum and bile.
Substance deviations from the norm can lead to serious illnesses- hemolytic anemia, cancer, hepatitis and others.
Types of bilirubin
Total bilirubin in blood serum in adults has the following types:
It all depends on the results of the laboratory reaction with a specific reagent. The direct fraction is a substance rendered harmless by the liver. The second type is toxic high bilirubin, which has managed to bind in the liver.
Simple and clear about bilirubin
Norms
To determine what the level of bilirubin is, a biochemical study is required. The analysis requires venous blood. The selection of material for research is taken on an empty stomach. The last meal before visiting the laboratory should be no earlier than 8 hours.
- for total pigment - 5.1-17 mmol / l;
- for indirect - 3.4-12 mmol / l;
- for direct - 1.7-5.1 mmol / l.
Main reasons
The following reasons can provoke a condition in which the rate of total bilirubin is increased:
- accelerated destruction or increased presence of red blood cells;
- dysfunction of the outflow of bile;
- malfunctions in the activity of the liver.
Besides, bad influence the indicator of total bilirubin can be affected by prolonged use of drugs, such as:
A similar problem may lie in a hereditary deficiency of the liver enzyme that is involved in the conversion of total bilirubin.
Gilbert's syndrome can also lead to an increase.
Symptoms
The main symptoms when the overall pigment index is high are:
- decreased appetite;
- fickle pain in the right hypochondrium;
- bloating;
- itching due to irritation of the nerve roots with bilirubin;
- darkish shade of urine;
- hepatic colic;
- fatigue;
- migraine;
- cardiopalmus.
Treatment
When a person often experiences symptoms uncharacteristic for his body, it is necessary to urgently consult a specialist who will decide how to lower the bilirubin in the blood of a particular patient. To quickly cope with the problem, you need an integrated approach. During treatment, the patient may need:
- medications;
- diet;
- decoctions of medicinal plants.
Medications
When the reasons for the increased value are a violation of the outflow of bile, in this case, choleretic drugs are prescribed to the patient. If the reason lies in a hereditary predisposition, he will have to undergo symptomatic treatment, which involves the intake of sorbents, choleretic agents, vitamins, medications that reduce bilirubin in the blood.
With the inflammatory nature of the functioning of the liver, infection of the body or immune disorders, the following medications may be prescribed:
- antibacterial;
- antiviral;
- immunomodulatory;
- enzymatic;
- hepatoprotectors.
The latter are prescribed in the first place, since they help to improve the condition of the liver and normalize its activity. To reduce bilirubin, when its causes are caused by Gilbert's syndrome, it is appropriate to take Phenobarbital and Zixorin, 0.05–0.2 g per day. The course is designed for a period of 14 days to a month. Patients are also recommended enzyme preparations to alleviate the general condition.
These include:
Take these funds 1-2 tablets three times a day 20 minutes before meals. For the general maintenance of liver activity, medications based on natural ingredients can be used:
To enhance the effect of bilirubin withdrawal, it is necessary to additionally use absorbent drugs, which have a good ability to bind bilirubin and remove it from the body. These include:
- Enterosgel;
- Absorbent;
- Activated carbon other.
A lot of useful things about bilirubin, a test for it + very useful tips
Diet
Analyzing the question of how to reduce bilirubin in the blood, it should be understood that drugs taken at home are not enough. Additionally, you need a special diet.
Eating healthy foods has a beneficial effect on liver function. It allows you to remove excess load from it and at the same time drug treatment works well on the causes of liver failure.
Nutrition during home treatment is aimed at limiting or eliminating certain foods from the patient's diet that can cause system failure. These are:
- coffee and salt;
- citrus;
- heavy food, fried, spicy, salty and smoked foods;
- alcohol;
- mushrooms;
- radish.
It is necessary to abandon all products that contain leavening agents, acids, preservatives.
It is useful for patients to eat:
- egg white;
- dairy products;
- fruits (only sweet);
- lean meat;
- vegetable and milk soups;
- rice, oatmeal, and buckwheat porridge;
- fruit drinks;
- mineral water;
- herbal teas.
The latter is especially valuable because it quickly removes excess bilirubin from the blood of a newborn.
Traditional treatment
Home treatment folk remedies when such a problem is present, it is recommended to perform with a tincture of birch leaves. For the recipe, you will need 1 tbsp. l. dry crushed product and a glass of boiling water. Infuse the broth for half an hour and take before bedtime. Such a drug has sedative properties and helps to quickly remove toxic substances from the liver, including indirect bilirubin.
A decoction based on St. John's wort, chamomile and motherwort is one of the most effective drugs in the treatment of folk remedies. The result of this tea can be seen within 10 days after taking it. To prepare a healing drink, you need dried herb of the above plants in the amount of 1 tbsp. l. in a glass of boiling water. The infusion must be left for 30 minutes so that it gains strength, and then consumed twice a day 20 minutes before meals.
Freshly squeezed beet juice will help reduce the level of bilirubin only with folk remedies. This drink has a choleretic effect. Drinking beet juice is recommended for 1/3 cup before meals.
Corn silk has excellent properties among those that are called folk remedies. For the recipe, you need 2 d. L. raw materials and a glass of boiling water. The broth must be infused for 30 minutes, then strain and take half a glass twice a day.
Good results are shown by the use of motherwort in the treatment of folk remedies. For a glass of boiling water, you need to take 1 tbsp. l. dry grass. Leave the mixture for half an hour to infuse. You need to consume liquid on an empty stomach, 60 ml.
Effects
Blood oversaturated with bilirubin has a negative effect on the activity of the brain, as it is attacked by toxic metabolic products. In addition, liver cells suffer, causing even greater disturbances in the activity of the organ. The entire load during this period falls on the kidneys, which are no longer able to fully cope with the task at hand. As a result, they become vulnerable, unwanted processes begin to take place in them.
Decreased bilirubin levels
Low bilirubin can occur if acute leukemia, renal failure, tuberculous intoxication. In the case of such diseases, its concentration decreases, since the number of red blood cells decreases.
Important: Low bilirubin is rarely diagnosed.
Features of the treatment of children and pregnant women
The newborn often has elevated bilirubin. This phenomenon occurs due to the destruction of fruiting hemoglobin. In a newborn, it is slightly different in structure from that which is formed before childbirth. Since hemoglobin is actively destroyed in the fetus, the level of bilirubin increases accordingly in the newborn.
In pregnant women, bilirubin rises due to the growth of the fetus and its location. Since the child presses on the liver, the outflow of bile from it is difficult, therefore, its accumulation occurs.
Important: During pregnancy, medications that reduce bilirubin should be abandoned, and the cleaning procedure should be performed with herbs that do not affect the fetus, as well as following a diet.
Prophylaxis
- eat properly;
- get rid of bad habits;
- observe hygiene.
Clinic and cost
You can get an accurate result of the bilirubin level by visiting one of the independent laboratories of INVITRO LLC. The cost of diagnostics is 265 rubles, plus you will have to pay another 199 rubles for the procedure for taking blood from a vein for analysis.
How and how to lower bilirubin in the blood
The increased concentration of this pigment begins to poison the human body. Bilirubin is a pigment that is naturally produced in the body.
How to lower bilirubin in the blood - popular folk remedies
How to lower bilirubin in the blood using folk remedies?
Here are some options:
- An infusion of herbs, in particular St. John's wort, chamomile and mint. You can use the pharmacy option, that is, just buy a special herbal tea at the pharmacy.
It should be noted that the result appears only after two weeks of constant use.
But you should not think that if you exceed the dosage, it will contribute to a faster effect. But you can make it yourself: scald about 250 g of these herbs with boiling water and let them brew for at least half an hour. You need to drink the broth twice a day and prepare a new broth each time.
The dignity of such folk methods treatment is their safety for health and cheapness. It is clear that many medicines operate according to the principle "here they treat, and there they injure."
But you should not indulge in self-deception and think that only decoctions and tinctures can get rid of such a problem.
Elevated bilirubin in the blood may indicate serious problems ah, so it's not worth the risk. It is necessary to consult a doctor who will prescribe an effective treatment.
What is bilirubin
It is a pigment that is formed in the body as a result of the breakdown of red blood cells, as well as processes for the conversion of hemoglobin.
It is yellow-brown in color and is found in bile. Bilirubin appears in the body as a result of normal processes and it exists in two forms.
The first form is insoluble bilirubin, which enters the bloodstream with the liver and dissolves there, and the second is a soluble or direct form that dissolves in water and is obtained as a result of the transformation of the first form.
Bilirubin appears in the blood as a product of the processing of red blood cells, then it enters the liver and turns into a straight form. After that, it must be excreted from the body along with bile. This is a normal process, but if it doesn't, problems can start.
300 mg of this pigment is formed per day, which means that an indicator of 3.4 to 17 mmol per liter is considered normal. A reading of 20.5 mmol and above is considered an alarming indicator.
Reasons for increased pigment levels
- The outflow of bile may be impaired. This can occur as a result of kidney stones and inflammation of the pancreas, which can be accompanied by swelling and other symptoms.
- Impaired synthesis of glucuronides, since there are no necessary enzymes. This problem is typical for cirrhosis, hepatitis and hepatosis.
- The cause may be hemolytic anemias and other factors that contribute to the abnormally rapid breakdown of red blood cells.
- If you use any antibiotics or other medications during this period, it can affect your bilirubin levels.
The whole truth about bilirubin on video
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Therapy and drug treatment
With an elevated level of bilirubin, the following treatment is prescribed:
- Choleretic drugs - if the cause is problems with the outflow of bile. These medicines include Karsil, Allohol and others.
- Hepatoprotectors are a group of drugs that will help to improve the functioning of the liver.
- Antioxidants and sorbents - if the reason for feeling unwell is intoxication and actually an increase in the level of this protein.
Against the background of these problems, flatulence may occur and then a simple drug will help: activated carbon.
When it comes to serious problems with the liver, for example, with various forms of hepatitis, that is, anti-inflammatory processes have begun, then it is necessary to take antibacterial, as well as anti-inflammatory, immunomodulatory drugs.
Proper nutrition and special diets
How to use diet to lower bilirubin in the blood in adults? There are certain foods that you should avoid from your diet:
- Sharp;
- Smoked and all pickled;
- Fried;
- Any alcoholic drinks;
- Cold and carbonated drinks.
There are some more tips: you should give up foods that your body does not digest well. It is best to steam or boil all dishes.
Although it is necessary to drink more fluids to lower bilirubin to stimulate the gallbladder, you should not drink cold water and various sodas.
You should also limit your consumption of tea and coffee. It is best to drink various fruit drinks, compotes and decoctions. Also, doctors advise to use not brown bread, but for example, gray one.
The following foods can help reduce the amount of bilirubin in the blood:
- Everything is dairy;
- Milk soups, as well as vegetable soups, that is, all light first courses;
- Lean meat;
- Sweet fruits;
- Special herbal teas and decoctions.
If you stick with these simple rules then you will not only get low bilirubin in your blood, but you will also be able to improve your well-being. And yet it is worthwhile to understand that proper nutrition and diets are more preventative than the main treatment.
- Superfluous physical activity;
- Stress, depression and nervous breakdowns;
- Eat right at all times, not just when problems arise.
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Consequences and complications of elevated bilirubin in the blood
The main bile pigment and a constant blood component formed during the breakdown of proteins is bilirubin. It is this substance that gives urine a yellow color, and feces - dark, and has poisonous properties that can poison tissues. A high level of bilirubin in the body is a serious threat to human life, which is why, if this fact is discovered, an appeal to a doctor should be immediate.
There are indicators of direct and indirect bilirubin. The liver has already neutralized the first type and prepared it for removal from the body (its normal value is up to 5.1 μmol / l), and the second type is toxic (no more than 16.1 μmol / l). The level of the normal total indicator can go up to 17.5-20.5 μmol / L.
In case of jaundice, for example, bilirubin can increase to 34 μmol / L. At the same time, the liver is affected, and the tissues and mucous membranes have a yellow tint: the sclera turn yellow first, the oral mucosa is the next, then the signs of jaundice appear on the skin of the face, palms, soles and on the whole human body. At night, there is an increase in itching.
It has been found that three main factors increase the bilirubin in the blood:
- acceleration or increase in the process of destruction of erythrocytes;
- disturbed outflow of bile;
- dysfunction of metabolism and removal of pigment from the body.
Direct bilirubin also rises due to the presence of a number of diseases:
- acute viral, chronic, bacterial hepatitis;
- hemolytic anemias, common feature which is an increase in the destruction of erythrocytes: toxic (in case of poisoning with poisonous mushrooms, etc.); medicinal (due to the intake of drugs against tuberculosis, tumors, etc.);
- jaundice of pregnant women;
- liver tumors;
- hereditary jaundice (with Rotor and Dabin-Johnson syndromes);
- biliary cirrhosis.
Indirect bilirubin has the ability to increase the rate in the following diseases:
- congenital and acquired hemolytic anemias;
- infectious diseases, in the list of which there are typhoid fever, sepsis, malaria;
- hemolytic anemias of drug etiology (provoked, for example, by antibiotics and other drugs);
- hemolytic anemias of a toxic nature.
Pathologies associated with liver jaundice are very diverse, but the most common and serious are hepatitis and cirrhosis. Bilirubin is no longer rendered harmless and removed by the liver from the body, the process of detoxification and the formation of various proteins and blood coagulation factors is not carried out by it.
Cirrhosis is the final stage of hepatitis, which is marked by the following symptoms:
- significantly enlarged spleen and liver;
- the formation of liquid in abdominal cavity(ascites);
- varicose veins of the rectum, esophagus, anterior abdominal wall;
- liver failure;
- death of the brain;
- a decrease in blood clotting and other consequences leading to death.
So, an increased level of bilirubin in the blood - a toxic and dangerous compound - leads to the following complications:
- Intoxication of the body.
- Negative effect on the activity of the brain.
- Dysfunctions of all organs and systems without exception.
First of all, connective tissues and brain cells suffer from the destructive effect of toxins. Newborn children, whose organism is in the initial period of formation, and every cell is of great importance to it, are especially at great risk. An increased level of bilirubin in the blood causes jaundice in infants, as a result of which there is a negative effect on the cells of the brain and liver, causing irreversible consequences in the absence of effective therapeutic assistance.
The human liver does not have pain receptors, therefore, about interruptions in its work, you can long time not guess. The first changes will become noticeable on the biochemical blood test. Most of the diseases are manifested by an increase in bilirubin. With the progression of the disease, they become noticeable outward signs of these disorders - yellowness of the skin and itching. Modern and traditional medicine know how to lower the bilirubin in the blood.
Why is it going up?
After the destruction of old erythrocytes by the spleen, heme is released from hemoglobin. After going through several successive reactions, it is transformed into bilirubin. Blood albumin binds it and transports it to the liver for further metabolism. This form of pigment is toxic and is called indirect. Only due to its connection with protein, it does not have a harmful effect on the body. But with an increase in the rate of formation of indirect bilirubin, it does not have time to react with albumin and poisons the body.
In hepatocytes, due to conjugation with glucuronic acid, bilirubin is converted into a direct form, which is sent to the gallbladder. From there, it enters the intestines, where it is broken down to urobilinogen. Part of it is absorbed back into the bloodstream, excreted in the kidneys. The rest is metabolized to stercobilin, excreted in the feces.
Violation of any of the metabolic links leads to an increase in its fractions in the blood. Total bilirubin increases due to the indirect increase in the breakdown of hemoglobin. Damage to liver cells leads to the growth of both forms of pigment, while impaired outflow of bile increases direct.
How to lower bilirubin in the blood with folk remedies
Decreased bilirubin folk ways at home, you should start only after diagnosing the cause of the increase. Treatment is carried out by boiling various herbs with a choleretic effect - St. John's wort, chamomile, corn silk. You can drink herbal teas for a month with interruptions of up to one week. The level of bilirubin in the blood decreases after drinking carrot and beet juice. They are drunk before every meal.
Garlic has choleretic properties. It stimulates the gallbladder, is expelled during meals a large number of bile. Part of it is absorbed back, but the other is excreted along with the feces.
To reduce the level of bilirubin and prevent it from being absorbed back, traditional medicine recommends taking sorbents, for example, activated carbon. It adsorbs excess pigment on its surface and removes bilirubin from the body. But do not abuse it and accept long time... Activated carbon does not act selectively; it also absorbs vitamins and useful compounds. And this threatens the development of hypovitaminosis.
It will not be possible to reduce bilirubin in the blood with folk remedies quickly. This may take several weeks.
Therefore, these methods can only help traditional medicine.
Drug-induced reduction in bilirubin
To achieve a decrease in the concentration of bilirubin in the blood, you must first carry out a diagnosis and establish the cause of its increase. The presence of severe symptoms of liver damage, suspicion of viral hepatitis, cholecystitis, toxic liver damage suggest hospitalization and treatment in a hospital. At home, it is permissible to lower bilirubin in hereditary hyperbilirubinemia, for example, in Gilbert's syndrome. This condition requires more dietary adjustments and daily regimen rather than medication.
Choleretic drugs and hepatoprotectors help to reduce the level of bilirubin. The doctor may prescribe the following medications:
- essential phospholipids;
- Carsil;
- Liv-52;
- Ursosan;
- Allohol.
Ursosan for lowering bilirubin
The drug belongs to the group of choleretic, dissolving stones and having a hepatoprotective effect. Ursodeoxycholic acid integrates into the hepatocyte membrane, restores it, protects it from damage by bile salts. In the restored cells, the processes of conjugation of bilirubin and its transport into the gallbladder are normalized. This makes it possible to reduce both fractions of the pigment in the blood.
Additional effects are a decrease in the absorption of bile acids and cholesterol from the intestine, which leads to insufficient saturation of bile with these substances and causes dissolution of stones.
Application of Allohol
To reduce bilirubin, the agent is used in the absence of stones, acute inflammation liver and gallbladder.
Allochol has a choleretic effect, reduces putrefaction in the intestines, accelerates motor skills. This helps both to reduce the bilirubin in the blood and to remove it from the body. Its composition, in addition to dried garlic, dry bile, nettle extract, includes activated carbon. It absorbs toxic substances and bilirubin on itself.
The drug will affect elevated bilirubin in the following conditions:
- cholecystitis;
- dyskinesia of the biliary tract;
- chronic hepatitis.
Carsil
Herbal preparation with hepatoprotective properties. Flavonoids stimulate the restoration of damaged liver cells, provide their protection. The metabolism of blood pigments returns to normal, the concentration begins to decrease. Milk thistle extract is used in adults in the complex therapy of cirrhosis, liver damage toxins, non-viral hepatitis, for recovery from any liver disease.
Essential phospholipids
Representatives of this group are natural components of the hepatocyte cell wall. Phospholipids are embedded in the sites of damage, loosen the membrane, and improve the passage of substances through it. Bilirubin easily penetrates to the sites of its conjugation, becomes bound and enters the gallbladder. Its removal is not delayed, the level of analyzes becomes low.
The effectiveness of the drug was proved in the treatment of:
- chronic liver damage;
- cirrhosis;
- cholestatic hepatosis in pregnant women, severe liver damage after HELLP syndrome.
Enterosgel application
It is a substance with the properties of a molecular sponge that adsorbs substances with an average molecular weight. This allows you to both remove bilirubin and preserve vitamins and minerals, which has a beneficial effect on the recovery of the body. It is not absorbed from the intestine, but passes it unchanged, carrying with it toxins, bacteria, excess cholesterol, urea, pigments.
Diet to lower bilirubin
To understand how to lower the level of bilirubin through diet, it is enough to remember that some foods have an irritating effect on the hepato-biliary system, which causes further damage to it and, as a result, high bilirubin.
At home, the principles of diet number 5 are used, with the help of which it was possible to reduce the indicators in a hospital setting.
To see the decreasing bilirubin, all fatty foods rich in salt, preservatives, simple sugars are excluded from the diet. Prohibited alcohol, coffee (details in the article "Harmful coffee for the liver"), chocolate, hot spices, marinades.
The list of healthy foods includes dairy, protein, low-animal fat, fiber-rich vegetables, sweet fruits, cereals.
The way of eating is fractional, 4-5 times a day, regular, at regular intervals. Both overeating and starvation are harmful.
In order not to think about how to reduce the level of bilirubin, you should not provoke the development of diseases and liver damage. A sensible attitude towards your health will help you avoid unpleasant treatment.
Bilirubin is a yellow-brown pigment found in bile. This pigment is constantly formed in the human body as a result of the destruction of red blood cells in the liver.
This pigment circulates in the blood in two forms - direct and indirect. Indirect bilirubin is insoluble in water, but when it enters the liver it becomes soluble. Direct bilirubin is soluble in water; it occurs in the liver as a result of the ingress of indirect bilirubin there. If the concentration of direct bilirubin in the blood rises sharply, then it penetrates into the tissues, a yellow tint of the skin, as well as the eyes, appears. Excess pigment poses a danger to the body due to its toxicity, therefore it is extremely important to find out the reasons for the increase in bilirubin in the blood and take a number of measures to reduce it.
The norm of bilirubin in the blood
So, it is clear that this pigment is toxic and its excess is a serious danger to the body. But how to determine its amount in the blood? It's very simple: conduct a biochemical blood test. After the analysis, we look at the bilirubin content: a value from 3.4 to 17 mmol per liter is considered normal, a value of 17-20 mmol / L raises concerns, a value above 20 mmol / L is a signal of serious problems in the body, an urgent need to find out the cause such an increase.
Reasons for an increase in bilirubin in the blood
There can be a lot of reasons, let's list the most common ones:
- Violations of the outflow of bile from the biliary tract into the intestine, caused by gallstone disease, inflammatory diseases pancreas, various lesions of the duodenum, as well as various diseases of the biliary tract.
- Liver diseases - hepatitis, cirrhosis, liver failure, Gilbert's syndrome, parenchymal damage, etc.
- Disruption of the transformation of direct bilirubin into bile, resulting in excess of this pigment in the liver.
- Accelerated destruction of red blood cells in the liver - can occur with hemolytic anemia, serious trauma to the abdominal organs, and malignant tumors.
- Taking antibiotics - Indomethacin, Diazepam, Phenytoin and other potent drugs lead to serious stress on the liver, which leads to the fact that the liver cannot fully perform all its functions.
- Increased bilirubin in pregnant women is often observed in the 3rd trimester and is associated with a violation of the outflow of bile.
- Increased bilirubin in newborns is caused by incomplete formation of the child's digestive system, in most cases it goes away on its own or with supportive therapy.
Usually to find out exact reason increase in bilirubin in the blood, it is necessary to consult with some doctors, pass several specific tests, and only after establishing the cause, you can begin the appropriate treatment.
Treatment
To lower the bilirubin in the blood, you need a comprehensive treatment. First of all, it is necessary to start treatment of the underlying disease that caused the increase in pigment levels. Treatment includes drug therapy, diet therapy, and the use of traditional medicine.
Of the drugs, the following groups of drugs are prescribed:
- Drugs for the treatment of a disease that caused a jump in bilirubin in the blood.
- Choleretic drugs - to stimulate the production of bile and normalize its outflow, Karsil, Allohol, etc. are usually prescribed.
- Hepatoprotectors - drugs for normalizing liver function: Essentiale, Hepatrin, Gepabene, etc.
- Antioxidants and sorbents - with severe intoxication of the body, a significant increase in the level of bilirubin.
- Antibacterial and antiviral drugs - if available inflammatory processes in the liver, pancreas, duodenum 12.
- Immunomodulators - to increase the general immunity of the body.
Another critical area of successfully lowering bilirubin levels is maintaining a healthy diet. The diet is based on the following principles:
- It is better to eat in small portions, but more often (5-6 meals a day) than to eat everything in one go.
- Completely exclude the following dishes from the diet: fried, spicy, smoked, pickled dishes, fatty meats, pickles, millet, any alcohol, cold and carbonated drinks, as well as all foods that your body does not digest well.
- Reduce the consumption of salt, black bread, coffee, black and green tea to a minimum.
- It will be best to eat all products in a boiled form, steam them.
- The following foods contribute to a decrease in bilirubin: lean meats, sweet fruits, dairy products, vegetable soups, egg white... Cereals are perfect: rice, buckwheat, oatmeal - one of these cereals should definitely be added to your diet every day.
- Should increase daily intake liquids up to 2-2.5 liters. From drinks it is recommended to lean on water, compotes, fruit drink, herbal teas, still mineral water.
You can also use folk remedies:
- A decoction of St. John's wort, oak bark, rose hips, chamomile - drink as much as possible every day.
- Broth of calendula - 1 glass 3 times a day.
- Fresh beet juice - Drink a little before each meal.
- Tincture of chamomile, motherwort and St. John's wort - pour 2 teaspoons of mixed and chopped herbs with 1 glass of boiling water, leave for several hours. Take in equal parts in the morning and evening, 20 minutes before meals.
To reduce the level of bilirubin, you should avoid excessive physical exertion, stress, eat right, lead healthy image life. If an elevated level of bilirubin is found, one should not self-medicate; it is necessary to seek help from a doctor.
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