Cholecystitis (inflammation of the gallbladder) symptoms. Methods of treating chronic cholecystitis. How to treat inflammation Treatment of cholecystitis sports

In women, chronic cholecystitis occurs 2-7 times more often than in men. And one more pattern. It is diagnosed mainly in those over 40 and who are overweight.

Thus, the first advice to everyone, and especially women, is not to accumulate extra pounds, but for those who are already burdened with this burden, try to gradually lose it. To do this, you need to sharply limit sweets, flour dishes, once a week, arrange a fasting day: rice-compote, curd-prunes. For patients with cholecystitis who are overweight, apple-honey and berry-honey days are recommended, since honey is good for the liver. If, for example, you want to spend a berry-honey day, then during the day eat a kilogram of any berries (black currants, raspberries, strawberries) and 50 grams of honey (5-6 teaspoons) in 5-6 meals.

I would like to emphasize that in the prevention of exacerbations of chronic cholecystitis balanced diet, compliance with the necessary diet play a leading role. You need to eat often, 5-6 times a day and little by little, because every time food enters the stomach, and then into duodenum, the gallbladder contracts and empties, releasing bile necessary for the normal digestion process. This prevents stagnation of bile in the bladder.

Food should not be too hot and not very cold. Outside of exacerbation of cholecystitis, vegetarian (vegetable and cereal) and dairy soups are allowed; main courses from lean beef, fish and chicken, boiled or steamed in pieces or in the form of quenelles, meatballs, rolls; boiled vegetables - potatoes, carrots, beets, zucchini, pumpkin and dishes made from them; occasionally (1-3 times a week) in a small amount of porridge, preferably oatmeal and buckwheat, puddings. For those who have normal body weight, products made from soft dough, yesterday's or dried bread, as well as noodles, vermicelli, pasta.

Don't forget about vegetable oil (sunflower, corn, olive). It has a choleretic effect, and therefore 30-40 grams of oil should be added daily as a seasoning to dishes.

REMEMBER what dishes are strictly contraindicated for you. These are all baked pastries, cakes and pies with cream, fried pies, belyashi, pancakes and pancakes, fried vegetables; rich meat, fish, chicken and mushroom soups, fatty meats, especially fried ones, pork, lamb, goose, duck, spices, all canned food, pickles and marinades (including homemade ones!), sorrel, spinach, onions, garlic.

Smoking and all alcoholic beverages, including beer, have an extremely adverse effect on the course of cholecystitis. Both nicotine and alcohol violate motor function gallbladder, lead to stagnation of bile in it, exacerbation of the inflammatory process.

It has been noted that exacerbation of chronic cholecystitis often occurs against the background of physical or psycho-emotional stress. It even happens that any quarrel, unpleasant conversation at home or at work contributes to the occurrence of an attack of pain in the right hypochondrium in those suffering from cholecystitis. Of course, it is impossible to completely protect yourself from worries and negative emotions. However, we must try to avoid them, work systematically, without rush jobs, maintain a daily routine, be outdoors, and sleep 7-8 hours.

Don't neglect your morning exercises, walk more. This is useful for everyone, but doubly useful for those suffering from cholecystitis, since physical activity favors the emptying of the gallbladder. You can also contact a medical and physical education clinic, and the doctor will select a set of special exercises for you.

Women suffering from cholecystitis should not wear tight belts, bras and laces, and sick men should not tighten the belt on their trousers too tightly. By squeezing the gallbladder, you thereby disrupt its motor and contractile function, which contributes to the development of stagnation in it.

To avoid exacerbation of cholecystitis, do not take any medicines, including for the treatment of any concomitant disease, for example, radiculitis or hypertension, since there are medications that can sharply worsen the course of cholecystitis and contribute to the occurrence of complications.

In consultation with your doctor, you can take multivitamins, especially B vitamins, to prevent exacerbation, as they have a choleretic effect. It is a good idea to carry out a course of treatment with mineral waters, as they stimulate the processes of bile formation and bile secretion, improve the motor activity of the gallbladder, and dilute bile. The recommended mineral waters are Arzni, Borjomi, Jermuk, Mirgorodskaya, Sairme.

Of course, it is impossible to list all the mineral waters; each region of the country has its own local waters, and the doctor prescribes those that are necessary for the treatment of cholecystitis, taking into account concomitant diseases of the digestive system.

It is recommended to drink a glass of mineral water heated to 40-45° 3 times a day 30 minutes before meals if the acidity of the gastric juice is low, 45-60 minutes before if the acidity of the gastric juice is normal, and 1.5 hours before if the acidity is high. The course of treatment is 24-30 days.

Outside of an exacerbation, the doctor may prescribe a so-called tubeless tube with mineral water. It prevents congestion in gallbladder. Tubage is carried out once every 7-10 days as follows: in the morning on an empty stomach, lying in bed on the right side, you need to drink 1-2 glasses of heated mineral water without gas in small sips for 10-15 minutes, and then lie down with a warm heating pad for 30-40 minutes. For those patients whose contractile function of the gallbladder is weakened, to enhance the secretion of bile, the doctor usually recommends adding 1/2 teaspoon of Carlsbad or bitter salt (magnesium sulfate) to a glass of water. The doctor will tell you how many tubes need to be done.

Some patients strive at all costs to undergo a course of sanatorium-resort treatment, to go to any balneological resort. But is this really necessary? I would like to warn you: the choice of a sanatorium or a mineral spring must strictly comply with the indications, and the issue of purchasing a voucher should be decided only after consulting a doctor.

In general, patients with cholecystitis need to be in close contact with their doctor. After all, they are registered with a dispensary and are required to undergo regular examinations. This allows the doctor to timely identify changes in the course of the disease, prescribe one or another treatment, and ultimately prevent an exacerbation or complication of cholecystitis. But, unfortunately, many people do not use this opportunity...

The gallbladder is a small digestive organ in the form of a pouch, which is located directly under the liver. It contains bile, which the liver itself produces to help the body break down fats.

Modern medicine considers the disease cholecystitis as an inflammation of the gallbladder, which is often combined with various functional disorders in the body, in particular with problems associated with the biliary system.

According to statistical data (in industrialized countries), the incidence of cholecystitis is about 10-15%, moreover, over time, these figures tend to increase. Every year a huge number of cholecystectomies (operations) are performed in the world, and the figures for this fact exceed the figure of 25 million.

Every year, foreign and domestic laboratories of institutes conduct numerous studies that help to thoroughly study the etiology and pathogenesis of the disease, as well as find more and more new methods effective treatment.

At the moment, cholecystitis at the initial stage is most often treated successfully, especially since today there are good medical and ultrasound methods that can even crush small hyperechoic formations (namely stones) in the gallbladder.

Inflammation of the gallbladder tissue can appear at any age and occur in acute or chronic form. This disease is one of the most common, if we take into account the digestive organs. In addition, this disease often begins to develop in people who are overweight or suffer from gallstone disease. Although in thin people, inflammation of the gallbladder is also not uncommon. Moreover, over the past few decades the disease has become significantly “younger” and can appear in both adults and children even 3-6 years old.

Cholecystitis in adults can be a complication of cholelithiasis, although there is also an acalculous form of the disease. According to statistics, a young body (up to 20 years) is less susceptible to the formation of gallstones when compared, for example, with older people. How more to a person years, the greater the likelihood that the diagnostician will detect stones due to cholecystitis already at the first ultrasound.

Cholecystitis in men

As a rule, acute cholecystitis in men can appear at any age, and today the incidence rate in this sex is constantly growing. When compared with women, in old age the incidence of acute cholecystitis in men is sometimes higher.

Regardless of modern technologies and innovative medical advances, today it is not possible to achieve guaranteed 100% positive results in the treatment of cholecystitis in both women and men. Obviously, there is no super-effective panacea for this disease yet and the patient’s condition requires constant medical monitoring. Moreover, each case of inflammation of the gallbladder is individual and requires special, that is, carefully selected therapy.

Cholecystitis in women

There is an opinion that women are less susceptible to complications of acalculous cholecystitis. Also, according to some researchers and professors, in women, inflammation of the gallbladder at the initial stage is most often not so severe and, as a rule, can be treated. Although cases of surgical solution to the problem remain relevant.

Irregular eating without following any schedule can affect the development of cholecystitis, for example, in combination:

• with systematic overeating;
• eating too fatty or fried foods;
• with pregnancy;
• with a sedentary lifestyle;
• with constipation;
• with infectious lesions of the body, as well as with weak immunity.

Inflammation occurs most often due to infection, which can appear spontaneously. The penetration and reproduction of staphylococcus, E. coli or other bacteria in the gallbladder is common reason development of cholecystitis.

Exacerbation of chronic cholecystitis during pregnancy is a fairly common phenomenon in medical practice. Most often this occurs in the third trimester.

Also, during pregnancy, hyperechoic formations with echo shadows (stones of different sizes) can form in the gallbladder. This fact can provoke:

• A change in metabolism, which often leads to an exacerbation of the disease.
• During pregnancy, bile stagnation may occur due to impaired motility of the bile ducts, which sometimes leads to the formation of stones.
• A hypodynamic lifestyle, which is most often led by pregnant girls.
• Increased intra-abdominal pressure due to fetal enlargement. Active growth (especially in the third trimester) can cause compression of the liver and gallbladder. If stones are located in it, they can move into the bile duct and block it, which will cause an exacerbation.
• During the period of bearing a baby, many women change their tastes and preferences in food, which entails a change in diet, which, accordingly, can affect the intestinal microflora and disrupt the motility of the biliary tract. As a result, there will be an aggravation.

Exacerbation of cholecystitis during pregnancy is dangerous not only for the health of the woman, but also for the fetus. If acute cholecystitis is suspected, the patient is hospitalized for a thorough diagnosis and treatment.

Cholecystitis during pregnancy is dangerous due to:

• possible infectious complications;
• fetal intoxication or malnutrition.

It is important to consult a doctor in time, and under no circumstances use alternative medicine or medications from the “home medicine cabinet” on your own.

If necessary, a pregnant woman can undergo surgery if her life is in danger, for example, a purulent process has begun or doctors suspect a rupture of the gallbladder.

Inflammation of the digestive system is common in children today. Cholecystitis in children and adolescents can be acute or chronic. The disease rarely affects one organ, in this case the gallbladder, because most often with such an inflammatory process the entire biliary tract system is affected. Children are often diagnosed with hepato- and angiocholecystitis, as well as cholecystocholangitis. Purulent forms of the disease are extremely rare. As a rule, a chronic form of inflammation is discovered in childhood, which occurs with remissions and exacerbations.

If a child is diagnosed with cholecystitis, the symptoms may differ slightly from the symptoms of the disease in adults. Children most often complain of a bitter taste in the mouth, unstable stools, nausea and lack of appetite. Abdominal pain can be paroxysmal and disturb from several minutes to 4-5 hours.

If a child is diagnosed with cholecystitis, the disease is treated by a pediatrician and pediatric gastroenterologist. It is important to seek medical help as soon as possible to eliminate the risk of developing any complications.

Cholecystitis in adults and children can be chronic or acute in its course. Both forms of the disease can develop against the background of infection or due to other provoking factors. Those at risk are those who have:

• intestinal or liver infections;
• helminthic infestations;
• diseases in which there are disturbances in the blood supply to the gallbladder.

Acute cholecystitis

The leading factors in the development of acute cholecystitis is a violation of the outflow of bile. Cysts, inflammation of the pancreas, and adhesions can lead to this kind of failure. abdominal cavity, anatomical features, impaired blood supply to the organ, structure of the cystic duct, impaired motility of the biliary tract, etc.

The acute form of the disease is accompanied by dangerous and at the same time alarming symptoms. Such cholecystitis is characterized by the rapid appearance of inflammation. This disease often occurs in patients older than 45-55 years. The disease has a pronounced clinical picture; the patient, as a rule, needs medical emergency care. Acute cholecystitis in adults can be accompanied by a variety of symptoms, including:

• nausea and even vomiting;
• pain that can radiate to the neck and collarbone area;
• slight jaundice, manifested on the skin, tongue and eyes;
• belching, weakness and fever.

Acute cholecystitis can be purulent. This disease occurs with intoxication of the body. Hospitalization of the patient is mandatory, because often this serious condition ends with emergency surgery.

Chronic cholecystitis

As practice shows, the disease cholecystitis with a chronic clinical picture appears and develops gradually. Sometimes chronic cholecystitis is a consequence of the acute form of the disease.

Chronic cholecystitis is classified based on clinical features:

• With locating hyperechoic formations (calculous cholecystitis);
• With predominant dyskinesia of the biliary tract, when disturbances in the contraction of the ducts and the gallbladder itself appear;
• With predominant inflammation in the organ.

A chronic disease can occur with remissions and exacerbations.

With a long course of chronic cholecystitis and prolonged inflammation, the wall of the gallbladder undergoes inflammatory-scarring changes, which can affect all layers.

• Because of this, the organ may thicken;
• Adhesions begin to disrupt the functioning of the gallbladder;
• Favorable conditions are created for the development of inflammation, as well as the occurrence of exacerbations.

Modern medicine distinguishes non-calculous and calculous cholecystitis as forms of inflammation of the gallbladder. The differences here are connected only with the fact that in the calculous form of the disease the cause of inflammation is stones.

Non-calculous cholecystitis most often appears due to an infection that can enter the organ from different parts and systems of the body, for example from the intestines, through lymph or blood plasma. The cause of inflammation in acalculous cholecystitis is also a violation of the outflow of bile, against the background of which the bile stagnates, which creates favorable conditions for the proliferation of bacteria. Cysts, tumors or inflammation of the pancreas, adhesive processes in the abdominal cavity, anatomical features, impaired blood supply to the organ, the structure of the cystic duct and impaired motility of the biliary tract, increased bile viscosity can lead to outflow disturbances.

Non-calculous cholecystitis (acalculous cholecystitis)

Inflammation of the gallbladder, in which gallstones (stones) are not detected, is called non-calculous cholecystitis. Such problems are often accompanied by motor-tonic disorders associated with the entire biliary system of the body.

Chronic noncalculous cholecystitis

Acalculous inflammation of the gallbladder, namely chronic cholecystitis, can appear due to microbial-pathogenic microflora, that is, due to the penetration and proliferation of staphylococci, Escherichia or, for example, streptococci.

The disease is manifested by pain, dysfunction of the digestive system and sometimes signs of intoxication of the whole body. When diagnosing this condition, it is important to exclude cholelithiasis and worm infections.

Acute non-calculous cholecystitis

Acute acalculous cholecystitis is a serious disease that most often appears due to a violation of the outflow of bile. This problem can arise due to cystic formations, against the background of inflammation of the pancreas, as well as due to adhesions in the abdominal cavity and for a number of other reasons.

Calculous cholecystitis

Inflammation of the gallbladder, occurring against the background of the location of one or more hyperechoic formations in the gallbladder, is called calculous cholecystitis. Concretions can be different both in size and composition (cholesterol, pigment and mixed). At risk:

• elderly people;
• those who take various hormonal drugs;
• people with obesity and liver disease.

Chronic calculous cholecystitis

Calculous cholecystitis has four stages of development: pre-stone, the appearance of stones, transition to a chronic form and complications. Symptoms include: aching pain that is localized in the hypochondrium with right side, belching with a bitter taste, as well as acute periodic pain that occurs approximately 25-60 minutes after eating fatty or overly fried foods.

Acute calculous cholecystitis

The main and most common symptoms of acute calculous cholecystitis are severe pain, nausea, vomiting, increased body temperature and decreased blood pressure. All symptoms depend on the stage of the disease, so only a doctor can make an accurate diagnosis.

It is imperative to establish the exact cause of cholecystitis, because the success of an accurate diagnosis, effective therapy and prevention of complications largely depends on this fact.

With such a disease, the triggering factor for the development of the inflammatory process can be the formation of stones, as well as other reasons that can block the outflow of bile.

As for nutrition, in this case the predisposing factor is:

• binge eating;
• incorrect menu (when a person consumes a large amount of fatty foods, as well as foods rich in cholesterol);
• culinary processing that was carried out with errors (for example, frying vegetables or meat in “old” sunflower oil, preparing dishes from undercooked foods, etc.);
• poor chewing and constant snacking on the go.

Only a doctor can identify the exact cause of cholecystitis in adults. Even if the patient is absolutely sure and supposedly knows what exactly triggered the appearance and development of inflammation, it is imperative to seek help from a competent doctor. Any experiments and mistakes can lead to irreparable consequences for health.

If a patient is diagnosed with cholecystitis, the symptoms of the disease may vary. Signs will depend on the form of the disease. But if we talk about the general clinic, then it is worth noting the pain. This main symptom is localized in the right hypochondrium; the pain can be aching (usually with acalculous cholecystitis), lasting even several days or weeks. The pain symptom often intensifies after eating if the patient consumes too fatty or fried foods, carbonated drinks, too cold drinks or spicy snacks.

Acute cholecystitis is characterized by a pronounced clinical picture and the pain in this case can be paroxysmal, radiating to the scapula, heart, collarbone, and neck. The main symptom may be accompanied by nausea, vomiting, excessive sweating and fever. Patients often complain of a bitter taste in the mouth.

Exacerbations of cholecystitis are often associated with poor diet, hypothermia, and even physical exertion. If the pain is paroxysmal, then most often they talk about an inflammatory process in his neck. A constant painful symptom is a sign of inflammation of the fundus and body of the organ.

It is worth treating all signs of cholecystitis with special care; the symptoms in each individual case may have significant differences. For example, the patient’s body temperature can fluctuate and reach febrile or subfebrile levels. Although in elderly people and those who suffer from various disorders of the immune system, body temperature, even with purulent damage to the organ, can be stable and not exceed 36.6 degrees.

Diagnostics is one of the most important points, without which it is impossible to create an effective treatment plan. Initially, the doctor will perform a visual examination and talk with the patient. A gastroenterologist needs to know how the disease manifests itself, how long ago it appeared, the age of the patient, the presence of chronic diseases, etc.

Next, an important role is played by the palpation procedure, during which the doctor can detect bloating, increased sensitivity in the right hypochondrium, as well as tension in the peritoneal muscles. A competent specialist, using deep palpation, can detect an enlarged gallbladder (normally the organ cannot be palpated).

It happens that when you palpate the abdomen (if cholecystitis is suspected), the signs of the disease intensify. Pain may occur when inhaling (the so-called Murphy's symptom).

Ultrasound diagnostics during exacerbation of chronic cholecystitis or during remission well determines deformations of the gallbladder. The organ can be enlarged, changed in shape, and the walls are often thickened. Ultrasound also detects stones and other hyperechoic formations, such as polyps.

Gallstones can be of different types. There are mixed, cholesterol and pigment. Such a gallstone may be smaller than a grain of sand or resemble the size of a chicken egg.

Other types of instrumental diagnostics are also used for cholecystitis, including:

• abdominal x-ray;
• cholecystography;
• endoscopic cholangiopancreatography.

The gastroenterologist will definitely prescribe blood and urine tests at the first appointment. If a patient has cholecystitis, the signs will be visible from the test results:

• in the urine there may be a positive reaction to bile pigment, namely bilirubin;
• in the blood - an increase in ESR and the presence of leukocytosis;
• A blood test can also reveal an increase in glucose, bilirubin aminotransferases (enzymes), and sialic acids.

Each individual type of cholecystitis requires its own individual therapy, which is strictly selected only by the attending physician. The specialist will take into account the patient’s age, general state, the presence of chronic diseases, will conduct diagnostics.

If cholecystitis occurs without any symptoms, then doctors often do without prescribing medications and only recommend sticking to a diet.

Drug treatment of cholecystitis

Today, there are a huge number of drugs that can eliminate infection in cholecystitis, muffle symptoms and even destroy the resulting hyperechoic inclusions, namely stones. But choosing a medication on your own on the advice of a pharmacist at a pharmacy or friends is extremely dangerous. Do not self-medicate.

If the patient experiences severe pain due to cholecystitis, then treatment should be aimed primarily at eliminating the symptoms. Doctors usually recommend taking M-anticholinergics or antispasmodics to reduce spasms. The dosage and frequency of taking medications is determined individually.

The treatment program may also include:

• use of choleretic drugs;
• use of antibiotics;
• physiotherapy;
• regimen and diet therapy;
• normalization of nervous system function;
• and even sanatorium treatment.

At the time of exacerbation of chronic inflammation of the gallbladder, the patient may be hospitalized. During this period of time, it is important to maintain bed rest and take all prescribed medications.

Dissolving stones

Drug dissolution of stones for calculous cholecystitis is often used, but in order to prescribe such treatment and the effect is maximum, you need to:

• the patient was not obese;
• the stone was no more than 5 mm;
• age of education did not exceed 2-3 years;
• the stone contained cholesterol.

Ursosan, Ursofalk and other drugs of this group can be prescribed. The course of treatment can last up to 2 years.

The method of direct destruction of stones, that is, lithotripsy (extrocorporeal shock wave procedure), is also used for chronic calculous cholecystitis. If the stones in the gall bladder are too large, then only surgery is used and the entire organ is removed.

If the patient has complications of cholecystitis, then treatment can be surgical. Surgery to remove the gallbladder is prescribed for any destructive form of acute cholecystitis, especially if it is accompanied by peritonitis. A large number of stones in the bladder, frequent colic, biliary pancreatitis, biliary fistulas, as well as accumulations of pus are reasons for mandatory surgical intervention.

There are two main types of gallbladder removal surgery. Cholecystectomy can be:

• standard;
• laparoscopic.

The standard type of surgery is abdominal surgery, in which the abdominal cavity is opened. This removal method has been used for many years and is considered classic. But in Lately It is not used often, due to the high risks of developing postoperative complications.

Laparoscopic cholecystectomy – more modern method, which does not require large incisions. This surgical method has many advantages:

• cosmetic seams become almost invisible after a while;
• The patient’s performance is restored in approximately 3-4 days;
• There are practically no complications.

Only a doctor can prescribe an operation; moreover, only a competent specialist can correctly weigh all the risks for the patient.

Traditional treatment of cholecystitis

There is an opinion that cholecystitis can be treated with traditional medicine. But, as numerous studies show, such therapy is ineffective. The fact is that in most cases the cause of cholecystitis is stones, and it is impossible to dissolve them with the help of infusions and decoctions. Modern medicine eliminates such hyperechoic formations only with the help of ultrasonic crushing or pharmacological medications.

Traditional treatment of cholecystitis can be used only as a preventive measure or to eliminate certain minor disorders in the body (to achieve a choleretic effect, if there are no contraindications) or symptoms. Your doctor can advise traditional treatment cholecystitis, as well as preventive therapy using: mumiyo, celandine, barberry leaves, mint, radish juice or snakeweed. All traditional medicine recipes used to treat cholecystitis can only be prescribed by a competent medical specialist, and only after a full diagnosis of the patient’s condition.

It's no secret that when the gallbladder becomes inflamed, the flow of bile is most often disrupted, pain and other unpleasant signs of health problems appear. Doctors never tire of talking about the importance of timely treatment, as well as proper nutrition for cholecystitis.

Experts advise eating food frequently and in small portions. Avoid eating too hot or cold foods.

For chronic cholecystitis, which occurs without exacerbations, it is recommended to use:

• dried bread;
• low-fat cheeses;
• vegetables that have undergone heat treatment (boiled, baked, steamed);
• a small amount of fresh herbs;
• lean meat and fish, baked and boiled;
• vegetable oils;
• Whole milk should not be drunk raw; you can use it to cook porridges and soups;
• vermicelli, porridges from various cereals, during the preparation of which you can add a little butter;
• non-acidic berries and fruits;
• dried fruit compotes;
• weak tea, rosehip decoction.

Prohibited for use:

• alcohol;
• fresh baked goods;
• legumes;
• spicy, fried and fatty foods;
• salted and pickled foods;
• dairy products with a high percentage of fat;
• canned food;
• strong tea;
• mushrooms;
• coffee and cocoa;
• spices and herbs.

Target therapeutic nutrition with cholecystitis – normalization of the biliary system.

Diet for cholecystitis

It is very important to follow a diet for cholecystitis, which will help quickly restore the body and cope with the disease. The menu depends on the stage of the disease; remission and exacerbation should be taken into account:

• During the acute stage, the diet should be gentle. In the first days of an exacerbation of the disease, it is advisable to drink only liquids.
• When the pain subsides, you can switch to pureed food. You need to eat often (at least 5 times a day), but in small portions.
• After a few days, you can introduce low-fat varieties of fish and meat, low-fat cottage cheese into the diet.

When the disease is in remission, the following rules should be followed:

• meals should be frequent, but fractional;
• give preference to vegetable fats (their ratio to animals in the daily diet should be 3:1);
• avoid vegetables that contain essential oils(radish, onion, garlic);
• fruit and vegetable dishes should predominate in the diet;
• with acalculous cholecystitis, you can eat one chicken egg per day, but if stones are detected in the gall bladder, it is better to refuse eggs;
• drink at least 1.5 liters of liquid per day.

The attending physician can select a diet in each specific case. The specialist will take into account the patient’s age and the presence of other chronic diseases associated with the gastrointestinal tract.

Prevention of gallbladder inflammation affects many areas of human life, the following are important:

• correct daily routine and nutrition;
• diet for cholecystitis;
• quitting smoking and drinking alcohol;
• active lifestyle.

You need to eat food at the same time every day, and it is better to avoid heavy meals immediately before bed. During the day you should drink at least 1.5-2 liters of water.

It is important to give up spicy, fatty and fried foods; you need to switch to proper nutrition that is gentle on the body. Eat more fruits and vegetables, which contain many useful vitamins and microelements. Doctors recommend giving preference only to high-quality and fresh products. Eliminate junk food from your diet:

• fast food;
• food containing artificial colors, flavors and taste enhancers.

If you are overweight, you can go on a low-calorie diet and periodically arrange fasting days. It is better to discuss the menu with your doctor, because any independent nutritional correction for cholecystitis can provoke the appearance of additional painful symptoms.

Don't forget about playing sports. In the morning you can do simple exercises. Walk more during the day fresh air, visit the pool.

Is it possible to play sports with cholecystitis?

If the disease worsens, it is better to stop playing sports. When the disease is in remission, moderate physical activity is indicated.

Since one of the causes of cholecystitis is a sedentary lifestyle, you should move more. Walking daily for 30-60 minutes. Walking should be at an average pace. It is especially useful to take a walk before bed. This will help relieve nervous tension after a hard day, have a beneficial effect on the functioning of the nervous system and improve sleep.

Don't forget about gymnastic exercises. It is better to do them in the morning or during the day. It is important to limit the load on the abdominals and avoid sudden movements. Swimming and yoga are good options.

Light sports will help restore muscle tone and serve as an excellent prevention of cholecystitis. Professional sports are contraindicated for this disease.

After the operation, you can begin full training no earlier than four months later. It is important that the patient's condition is completely stabilized. It is advisable to start with therapeutic walking, gradually moving on to more complex exercises.

At the first signs of cholecystitis, it is important to seek help from a doctor. The diagnosis and treatment of such a disease is carried out by a gastroenterologist, but initially you can consult a therapist.

Of course, in special rooms with a doctor it is better, more convenient and even more interesting to study, but if time does not allow, study at home. You just need to do the exercises conscientiously and monitor your well-being.

When performing exercises, the following conditions must be observed.

• The room in which the lesson is held must be well ventilated. If the room is stuffy or hot, exercise will only cause irritation and premature fatigue. Temperature - 16-18°C.
• You should not watch TV or talk to anyone during class.
• It is better to perform exercises with music: it can be cheerful and rhythmic at the beginning of classes and calmer at the end.
• When practicing exercise therapy, it is very important to choose starting positions that maximize the outflow of bile. The most comfortable position is on the left side or on all fours, since in these positions the outflow of bile is facilitated by gravity. If pain occurs in the gallbladder area when performing exercises, then the starting position for the exercises can be changed by doing them standing or lying on your back.

How does physical therapy affect the body?

Firstly, metabolic processes in the muscles (including the muscles of the biliary system) improve.

Secondly, exercise has a positive effect on both nervous system in general, and on the nervous regulation of the activity of the gallbladder and bile ducts in particular.

Thirdly, blood circulation in the affected area improves, which helps reduce inflammation; biologically active substances and hormones are released into the blood, which have a beneficial effect on the condition and functioning of organs. Fourthly, there is a mechanical effect on the liquid internal media of the body, as a result of which they move.

In addition, exercise therapy improves mood, relieves the symptom of “going into illness,” which undoubtedly has a positive effect positive influence on the body. For chronic cholecystitis it is recommended:

• breathing exercises that increase intra-abdominal pressure and improve blood circulation;
• exercises for the abdominal muscles, which help restore normal tone of the muscles of the biliary system and create conditions for the correct relative position of organs.

Despite the undoubted benefits of exercise therapy, it is necessary to remember its correct dosage. So, the first classes should not take more than 5-10 minutes; you should not strain or make sudden movements. Loads should be increased gradually. During the period of subsiding exacerbation, when there is no pain and normalization of the general condition and temperature is noted, the duration of exercise therapy can be up to 25 minutes.

As your health improves, physical activity can be increased, for example, in exercises 4-6 from the complex proposed below, you can use dumbbells, weighted balls, etc. Depending on the stage of the disease, your capabilities and well-being, some exercises can be excluded and some can be added.

Before the exercises, the so-called introductory part (warm-up) is required. This can be walking - normal, on toes, with high knees; turning the body, bending, stretching; transition from a standing position to a sitting position; exercises for the upper shoulder girdle (hands, forearms, shoulders), as well as for the leg muscles. You can use massage as a warm-up.

You can do the following exercise (if it does not cause pain). Starting position - standing. Stand on your toes, raise your arms up - inhale. Lower yourself onto your feet, bend over, and reach for your toes with your fingertips - exhale. Warm-up should take up 1/4 of the total class time.

Then exercises from the exercise therapy complex given below are performed. In the final part, exercises are performed with a reduced load - breathing and those with which you started the classes.

Complex exercise therapy for chronic cholecystitis and biliary dyskinesia

Exercise 1. Starting position (IP) - lying on your back. Raise right hand up and at the same time bend your left leg, sliding your foot along the surface - inhale. Return to the starting position - exhale.

Exercise 2. I. p. - lying on your back. Hands on the belt. Raise your head and shoulders, look at your toes - exhale. Return to the starting position - inhale.

Exercise 3. I. p. - lying on your back. Place your left hand on your chest, your right hand on your stomach. Exercise in diaphragmatic breathing (i.e. breathing from the stomach). When you inhale, both arms rise up, following the movement of the chest and the front wall of the abdomen, and when you exhale, they go down.

Exercise 4. I. p. - lying on the left side. The left arm is straightened upward, the left leg is bent. Raise your right arm up - inhale, bend your right leg, pressing your knee to your chest with your right hand - exhale.

Exercise 5. I. p. - lying on your left side, raising your right arm and right leg, inhale, bending your leg and arm, pull your knee to your stomach, tilt your head - exhale.

Exercise 6. I. p. - lying on your left side, move your right arm straight up and back - inhale, return to the starting position - exhale.

Exercise 7. I. p. - lying on your left side, take both legs back - inhale, return to the starting position - exhale.

Exercise 8. I. p. - standing on all fours. Raising your head, inhale, move your right leg forward between your hands with a sliding movement - exhale. Return to the starting position and perform the same exercise with the other leg.

Exercise 9. Standing on all fours, raise your left straight arm to the side and up - inhale, return to the starting position - exhale.

Exercise 10. Standing on all fours, inhale, bending your arms, lie on your stomach - exhale, return to the starting position.

Exercise 11. Standing on all fours, bend in the lumbar region - inhale, lower your head and arch your back - exhale.

Breathing exercises

Exercise 1. I. p. - standing, hands on hips. Take a slow, moderately deep breath, draw in your stomach, and exhale sharply and strongly.

Exercise 2. I. p. - the same. Exhale sharply and forcefully, draw in your stomach as much as possible and hold your breath for 6-8 seconds. Freely relax your abdominal muscles.

Exercise 3. I. p. - sitting on the floor with legs tucked. The back is straight, hands on the knees. The head is lowered, the eyes are closed. The muscles of the face, neck, shoulders, arms, legs are completely relaxed. Take a slow, moderate-depth breath and hold your breath again for 1-2 seconds.

Exercise 4. I. p. - standing. Inhale slowly for 1-2 seconds, hold your breath for 2 seconds. Repeat several times.

Prevention of cholecystitis: proper nutrition, exercise, lifestyle

Proper nutrition

Prevention of chronic cholecystitis requires adherence to a proper diet.

It is recommended to eat at least 4-5 times a day in small portions. It is strictly forbidden to eat a lot at night, especially for fatty foods and alcoholic drinks. Meals are best taken at the same time.

Drinking enough water is of great importance to prevent the development of cholecystitis - at least 1.5-2 liters per day. Prevention also involves following weight loss diets. To do this, doctors advise choosing low-calorie diets or fasting days based on fermented milk products, fruits, vegetables, and meat.

During an exacerbation of cholecystitis in the first days, taking warm liquid is indicated. You can drink weak tea with sugar, still mineral water, fruit and vegetable juices with water. You can also eat some crackers during an exacerbation. As the pain decreases, the diet can be expanded.

For cholecystitis, the menu may include:

1. Puree vegetable and cereal soups;
2. Boiled fish;
3. Oatmeal, rice, buckwheat, semolina porridge;
4. White bread crackers;
5. Low-fat cottage cheese;
6. Boiled meat in pureed form;
7. Kissels, jelly, mousses.

Once a week, during exacerbation of cholecystitis, it is permissible to carry out fasting days based on cottage cheese and kefir or rice porridge and compote. After the person’s condition improves, therapeutic diet No. 5 is prescribed.

• boiled lean meat;
• soups from vegetables and fruits with the addition of milk, cereals, noodles;
• boiled or baked fish;
• 1-2 eggs per day – cooked soft-boiled or as an omelet;
• small amounts of low-fat dairy products;
• boiled and baked vegetables – potatoes, tomatoes, pumpkin, cauliflower, beets, zucchini;
• fruits and berries - peaches, bananas, watermelons, pears, melons, sour apples;
• porridge – buckwheat, oatmeal, rice;
• stale wheat and Rye bread, crackers, savory cookies;
• marshmallow, honey, jam, jelly, marmalade.

It is recommended to eat quite often - 5-6 times a day. If you have cholecystitis, you should not take long breaks between meals or fast. In addition, it is necessary to have breakfast. Dinner should be fairly light 2-3 hours before bedtime.

A single large meal leads to disruption of bile secretion, which can provoke spasms of the gallbladder and cause pain. If a person has a chronic form of the disease, then the prevention of acute cholecystitis involves consuming foods that can improve the flow of bile and reduce cholesterol levels.

1. Products high in dietary fiber - vegetables, fruits, berries. You can also include bran in your diet, which must first be steamed, and then added to dishes a tablespoon three times a day.
2. Products containing magnesium - buckwheat, oatmeal, bran, dried fruits.
3. Products containing polyunsaturated fatty acids, vitamin E, phospholipids. Vegetable oils are especially useful - corn, olive, sunflower.
4. Products with lactic acid bacteria. You can eat cottage cheese and fermented milk drinks.

• products containing animal fats – smoked meats, fried foods, sausages, pork, duck, lamb, mayonnaise, creams, cakes;
• raw onions, garlic, spinach, sorrel, radishes, mushrooms, legumes;
• cold drinks, sparkling water, coffee, cocoa, concentrated juices, alcohol.

Lifestyle

To prevent the development of cholecystitis, it is very important to promptly treat pathologies of the digestive system. In addition, it is necessary to promptly identify foods that have an allergic effect on the body and exclude them from the diet. Before getting any vaccinations, you need to undergo a thorough examination.

During an exacerbation of cholecystitis, patients should be treated in a therapeutic or gastroenterological inpatient department, strictly observing bed rest.

Physiotherapy

Prevention of the development of cholecystitis should include daily morning exercises and sufficient physical activity during the day. You can do walking, swimming, and light sports. Elderly people should attend health groups. Thanks to this, you can avoid the accumulation of bile in the body and prevent the occurrence of cholecystitis.

With the help of therapeutic exercises, it is possible to develop flexibility and restore mobility of the spine, strengthen muscle tissue, and remove excess fat deposits. If you exercise regularly, you can improve the functioning of the endocrine glands. In addition, gymnastics has a positive effect on the condition of the kidneys, pancreas, and spleen.

1. Lie on your stomach, put your feet together and rest on your toes.
2. Direct your arms along your body and lower your hands down.
3. Place your chin on the floor.
4. Spread your legs and bend your knees, and grab your ankles with your hands.
5. Take a shallow breath and, holding your breath, straighten your knees. As a result, the chest and head should rise. You need to bend over as much as possible, tilt your head back and lift your hips off the floor. In this case, the navel area should be in contact with the floor.
6. You need to remain in this position as long as you hold your breath. All attention should be directed to the abdominal organs. It is advisable to sway back and forth in this position.
7. As you exhale, bend your knees, return your arms, body, head and feet to their original position. The exercise must be done three times.

To prevent the development of cholecystitis, it is very important to lead an active lifestyle - this can reduce the risk of gallstones. In addition, you need to monitor your weight - this will minimize the likelihood of developing the disease.

Having extra pounds increases the likelihood of cholecystitis, but it is recommended to lose weight at a moderate pace. Doing this too quickly increases the risk of gallstones. Normal weight loss should not exceed 0.5-1 kg per week.

To prevent the development of acute or chronic cholecystitis, it is very important to eat rationally. In addition, adequate physical activity and a healthy lifestyle are important. To prevent cholecystitis, it is also worthwhile to promptly treat all diseases of the digestive system and regularly visit a gastroenterologist.

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Chronic cholecystitis

Chronic cholecystitis is based on dyskinesia of the extrahepatic bile ducts, leading to stagnation of bile, which, in turn, can cause inflammation of the gallbladder - cholecystitis.

The chronic course of the disease is characterized by pain in the gallbladder and dyspeptic symptoms. Stagnation of bile is promoted by a sedentary lifestyle, general muscle weakness, especially weakness of the abdominal muscles, poor diet, etc.

Physiotherapy exercises are used in the remission stage. At the beginning of classes, only therapeutic exercises are used, which are carried out in different individual entrepreneurs.

The best IPs for the outflow of bile are considered to be lying on your back, on your left side and on all fours. The lateral position ensures free movement of bile. In therapeutic exercises, general strengthening exercises of moderate intensity are used for all muscle groups. Group classes are held for 25–30 minutes.

Class density is 60–65%. To create a positive emotional background, exercises with apparatus, on apparatus and games are used. Muscle relaxation exercises are also used. Contraindicated strength exercises, causing a sharp increase in intra-abdominal pressure, and exercises associated with body shaking.

An approximate set of exercise therapy exercises for chronic cholecystitis and biliary dyskinesia

1. IP - lying on your back. Raise your right arm up and at the same time bend your left leg, sliding your foot along the surface - inhale. Return to IP - exhale.

2. IP - lying on your back. Hands on the belt. Raise your head and shoulders, look at your toes - exhale. Return to the starting position - inhale.

3. IP - lying on your back. Place your left hand on your chest, your right hand on your stomach. Exercise in diaphragmatic breathing (that is, breathing from the stomach). When you inhale, both arms rise up, following the movement of the chest and the front wall of the abdomen, and when you exhale, they go down.

4. IP - lying on your left side, raising your right arm and right leg, inhale, bending your leg and arm, pull your knee to your stomach, tilt your head - exhale.

5. IP - lying on your left side, move your right arm straight up and back - inhale, return to the starting position - exhale.

6. IP - lying on your left side, take both legs back - inhale, return to the starting position - exhale.

7. IP - standing on all fours. Raising your head, inhale, move your right leg forward between your hands with a sliding movement - exhale. Return to the starting position and perform the same exercise with the other leg.

8. Standing on all fours, raise your left straight arm to the side and up - inhale, return to IP - exhale.

9. Standing on all fours, inhale, bending your arms, lie on your stomach - exhale, return to IP.

10. Standing on all fours, bend in the lumbar region - inhale, lower your head and arch your back - exhale.

Breathing exercises are accompanied by a significant change in intra-abdominal pressure, so they can only be performed at the recovery stage, making sure that no pain occurs.

1. IP - standing, hands on hips. Take a slow, moderately deep breath, draw in your stomach, and exhale sharply and strongly.

2. IP - the same. Exhale sharply and forcefully, draw in your stomach as much as possible and hold your breath for 6–8 seconds. Freely relax your abdominal muscles.

3. IP - sitting on the floor with legs crossed. The back is straight, hands on the knees. The head is lowered, the eyes are closed. The muscles of the face, neck, shoulders, arms, legs are completely relaxed. Take a slow, moderate-depth breath and hold your breath again for 1-2 seconds.

4. IP - standing. Inhale slowly for 1–2 s, hold your breath for 2 s. Repeat several times.

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Prevention of cholecystitis

No one can argue with the fact that the most important thing for a person is his health. It is very important to monitor all its indicators, lead a healthy lifestyle and take timely preventive measures to strengthen it. In our article we will touch on an important topic, such as the prevention of cholecystitis.

Cholecystitis is a common disease of the gallbladder, usually a consequence of the development of cholelithiasis. It can be acute or chronic. The symptoms and treatment of the disease are different in both cases.

Prevention of cholecystitis is closely related to the causes of this disease, including:

1. A long period of any diet. Restricting the body in any substances, be it proteins or carbohydrates, negatively affects the condition of the gallbladder.
2. Sedentary lifestyle. Sedentary work and lack of exercise negatively affects not only your health, but also the condition of the body as a whole.
3. Previous injuries to the gallbladder or liver.
4. Stagnation of bile fluid.
5. Formation of stones in the gall bladder. This is perhaps one of the most common causes of this disease.
6. Incorrect treatment of the disease.

What preventive measures are there?

In order to organize the right approach to the prevention of cholecystitis, we have developed for you a number of tips that will help you avoid this unpleasant disease:

1. The use of hepatoprotectors are special substances that act as a protective barrier for the liver, while simultaneously restoring its functions. If you have a negative attitude towards protectors in the form of tablets, we recommend consuming large quantity apples and avocados, which have the same properties to protect the gallbladder.
2. Special food. In order to prevent the development of cholecystitis, you need to carefully monitor what you eat. You can eat many foods, but you should avoid spicy foods. We will tell you what you can use below.
3. Compliance with diet. It is important to monitor the timing of food consumption. It should be approximately the same every day.
4. Exercise therapy. The use of a complex of therapeutic exercises promotes the outflow of bile and leads to the fact that it does not accumulate, and therefore does not cause proper harm.
5. Drink plenty of fluids. By drinking enough fluids a day, you create optimal conditions for the functioning of your liver and the body as a whole.

Nutrition for the prevention of cholecystitis

In order to prevent the onset and progression of this disease, it is necessary to eat the right food, which contains everything necessary for the body Ingredients. If you want to lose weight, you need to do it right! It is not recommended to go on strict diets; it is permissible to organize fasting days for yourself a couple of times a week. They can be absolutely diverse. You can arrange a mono-diet and exercise on this day. For example, eat only dairy products, cereals, meat, or fruits and vegetables. You will get much more benefit from this than torturing yourself with unnecessary restrictions. You need to eat at the same time, preferably in fractional portions and several times a day. It is not recommended to drink liquid, be it tea or any other drink, immediately after eating. This harms our liver and gallbladder. You should not eat foods that cause you allergic reactions. This usually causes bile to accumulate in the gallbladder. Avoidance of acute foods is mandatory.

If you have an acute stage of cholecystitis, it is very important when choosing and eating food to prevent it from developing into a chronic stage.

To do this, you need to eat fractionally and in small portions.

What should you eat?

You can eat:

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1. Boiled meat and fish. You can eat steamed beef and low-fat fish products, such as cutlets.
2. Porridge. There are various types of cereals to choose from – oatmeal, semolina, buckwheat.
3. Dairy products - cottage cheese.
4. Soups, preferably made from vegetables and the cereals listed above.
5. Crackers.

It is very important to spend fasting days so that the body gets rest and has time to recover. To do this, you can spend the day on cottage cheese and kefir, as well as on rice porridge. It is quite acceptable to drink compote made from dried fruits. You should not have dinner with fatty and rich foods. Best time for this 3 hours before bedtime.

Sport as a prevention of cholecystitis

It is extremely important to do gymnastics and perform special exercises to prevent the disease. In the chronic stage, it is recommended to attend exercise therapy. However, during the acute period of illness you should not exercise.

Exercises to prevent disease:

1. Lie on your back. Raise either arm and bend the opposite leg. At the same time, do sliding exercises without forgetting to do breathing exercises. Exhale as you raise your arm.
2. Lying on your back, raise your head up and down, as if looking at your socks, do not forget to inhale while raising your head.
3. Standing on all fours, inhale while pressing your right hand under your stomach, then lie on your stomach and exhale. It is very important to do the exercises quite slowly. Under no circumstances should there be jerks!
4. We lie down on our left side, straighten our left arm, and slightly bend our left leg. We pull our right leg towards our stomach and inhale, exhale and straighten it.
5. We lie on our backs, put both hands on our stomachs. We begin to inhale slowly and exhale slowly.

It is very important to take time to warm up before playing sports. Slow walking, jogging, and swimming are quite suitable for the latter. You can use massage to warm up.

If you don’t feel like doing gymnastics, you can do breathing exercises. As a rule, this complex is designed to perform slow inhalations and exhalations. Many doctors recommend breathing exercises to reduce pain in the abdominal area.

Breathing exercises to prevent cholecystitis:

1. Standing straight, hands on your waist, take a deep, slow breath, then draw in your stomach, exhale slowly. We do it 3-4 times.
2. We do the same as the first exercise, inhale slowly and then exhale sharply, do not forget how to draw in the stomach. If you feel pain in the liver area, we recommend that you stop exercising immediately.
3. The exercise is based on holding your breath for a few seconds. You don't have to endure it, if you want, you can take a breath. Don't forget to suck in your stomach.
4. We sit down on the mat and tuck our feet under ourselves. Lower your head and slowly inhale and exhale. We try to hold our breath for one to two seconds with each inhalation. An important nuance: your head should be lowered as much as possible, as if you are looking for something on the floor.

This gymnastics can be used both for the treatment of acute and chronic cholecystitis. The effect of breathing exercises is based on relaxation and tension of the abdominal muscles. By performing this complex, you will achieve an improvement in the tone of the biliary tract, as well as correct location liver and gall bladder. However, you should not abuse exercise therapy and other exercises. The maximum time for sports is min. If you have an acute or chronic stage, your classes should last no more than 5 - 7 minutes. If the pain syndrome is reduced, it is possible to increase the load every day. The conditions under which exercise therapy sessions take place are also important. You should not have conversations, watch TV or listen to the radio; it is much more comfortable to listen to pleasant, soothing music, and also ventilate the room well before playing sports.

Summarizing the above, it is worth noting that the prevention of cholecystitis is a whole range of procedures aimed at restoring your health. It is very important to promptly apply measures that will prevent the development and progression of the disease. Be healthy!

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Education: Rostov State Medical University(Rost State Medical University), Department of Gastroenterology and Endoscopy.

Prevention of cholecystitis

Timely prevention of cholecystitis will help to detect and prevent a disease that has long taken its place on the list of common diseases. The primary and secondary phases are known. The initial stage occurs without obvious signs, but it manifests itself sharply and immediately causes quite unpleasant sensations. The secondary one develops immediately after the primary manifestation, and visible indicators are swelling of the mucous membrane, ulcers. It is important to pay attention to people suffering from excess excess weight, they are more at risk.

Prevention eliminates the risk of dangerous pancreatitis associated with the digestive system. Preventive measures that eliminate the causes of stone formation will help eliminate the manifestations.

Ultrasound is a method that allows you to get an informative and reliable picture, identifying early stages problems – volume, size and general condition. Tomography is an informative, but expensive method of research that reveals deviations. Upon examination, the peculiarities of the occurrence, congenital or acquired, of predilections in the kitchen are revealed.

The problem is not so critical if it is cured in time, but if it takes on severe forms, it becomes dangerous and difficult to treat; there are acute and chronic types. If treatment takes place not in a hospital, but at home, then standard therapy is prescribed: medications, restorative medications, antibiotics.

The body needs bile, which is produced by the liver, to process fat and fat-soluble vitamins, and if there is not enough for normal digestion, and fatty foods will cause diarrhea, since more water will be required, excess gas will begin to be produced.

Taking medications

Following the instructions of doctors, a quick cure occurs with drugs, but with caution, side effects are possible. Choleretic medications have a positive effect because they improve outflow, reduce spasms and normalize the patient’s health.

Physical exercise

If inflammation is detected and the gallbladder is working abnormally, then it is recommended to perform therapeutic exercises. Activities such as swimming and walking will have a positive effect. It is advisable to do all this in the morning, this is due to the fact that at night they try not to eat and bile is not secreted. Purchasing a large ball will be a good help for exercises to improve blood circulation in the liver, which should be done while lying on your stomach. Also, the complex of exercises on the ball includes body rotation and turns.

Do gymnastics: walking with your knees raised high and swinging your arms, breathing while observing the movement of the diaphragm. The essential basic part involves lowering your arms, legs shoulder-width apart, inhaling and raising your arms, stretching, bending and lowering your arms to the floor – exhaling. Approach several times. Starting position – rotate and tilt the torso.

Bad habits

Prohibition of smoking and elimination of other bad habits. Smoking contributes to the formation of complications, all processes are much more serious, nicotine causes ductal dyskinesia and stagnation. Tobacco accelerates the release of radicals, which leads to health problems, microcirculation is disrupted.

Proper nutrition

A poor diet greatly increases the risk of getting sick. And it is important to follow a diet. It would be a good idea to keep track of portions and never overeat; vegetarianism eliminates the likelihood of relapses; you also need to remove fried foods and alcohol from the menu and include fresh fruit.

Infusions, healing teas - these recipes also have a positive effect on the body. Experience accumulated over centuries has proven that St. John's wort and immortelle have a choleretic effect. Traditional methods as one of effective ways fight - it is advised to take olive oil, which helps well with the disease.

Causes of the disease

Middle-aged people are at risk of organ inflammation, and the ailment progresses, resulting from an unhealthy lifestyle, lack of exercise, and unhealthy habits. Children suffer from illness, and metabolism and unhealthy food are involved, but adults make up most patients in whom it manifests itself. People with this disease, who are overweight, lead a sedentary life, an unbalanced menu, and a stone is formed in the nutritional composition and caloric intake.

Several circumstances leading to further formation are identified. Main factors:

Additional reasons prepare the way for the disease:

• Hereditary gene;
• Allergy;
• Changes in the endocrine system;
• Disturbances related to blood supply;
• Pathologies at birth.

Preventive diet

The correct set of measures is a preventive basis, including a balanced diet. The infection occurs due to an incorrect diet, which causes weight gain. To prevent pancreatitis, you should follow tips that are easy to implement.

This means that you need to drink as much fluid as possible. Don't overeat and don't eat fatty foods.

In acute form

In case of exacerbation, a hospital stay is required, under the strict guidance of specialists. Plenty of warm drinks in the form of tea, juices, mineral water. The diet should consist of porridges, pureed soups, pureed meat. A five-time intake of nutrients, in small portions, is recommended.

In chronic form

It is necessary to have variety and include cholesterol-lowering foods in your diet. It is advisable to introduce olive oil, buckwheat and oatmeal into everyday dishes.

Diet

The diet will relieve pain if you follow the instructions of doctors. The development of symptoms is a sedentary lifestyle, which also favors constipation.

The main emphasis is on reducing the load on the system and eliminating the causes of the process. To achieve this result, it is enough to carefully study what food to prefer.

Greens, vegetables, fruits - restore immunity. Avoid white bread and prefer to eat it with bran. Berry decoctions, weakly brewed teas, beet juices, chicory. Lean meat, lean fish - without hot seasonings and spices, boiled chicken eggs, kefir, yogurt without various additives. For sweets, the following are acceptable: jam and marmalade, honey.

Know clearly what not to use. Peas and beans make you feel worse. Onions, garlic - contain components that irritate the mucous membranes, but only in raw form. Marinades, pickles - everything that has been canned should preferably be avoided. Baked goods and chocolate, alcohol, strong coffee - add to unauthorized products.

Diet rules

Following rules to reduce symptoms:

1. Small, frequent meals - at least 5 times.
2. The weight of the food is no more than 3 kg.
3. Sufficient amount of clean liquid, at least 2 liters.
4. Proteins and reduce the content of carbohydrates and fats.
5. We switch to Lenten lunches and dinners.
6. Porridge, stewed vegetables.

The examples of products given are arbitrary; they may have intolerance to the items listed above; this must be taken into account and an individual list drawn up.

Cholecystitis occupies a strong place in the series of common diseases. Obesity, lack physical activity aggravates the situation. Preventive measures eliminate symptoms of a chronic nature. Exercise therapy will have a positive impact on health.

Fulfillment of these conditions for cholecystitis helps eliminate poor health. If symptoms appear, go to the hospital immediately!

Exercises for cholecystitis

Gymnastics for the gallbladder and cholecystitis

Insufficient physical activity and a sedentary lifestyle are one of the reasons for stagnation of bile in the gallbladder. There is special gymnastics for the gallbladder, which can help with cholecystitis, will help activate blood circulation in the abdominal area, the outflow of bile and improve intestinal motility. It is very useful to do these exercises for the gallbladder in the morning, since at night a person does not eat and bile is not secreted.

Therapeutic gymnastics includes breathing exercises that develop diaphragmatic breathing, which is especially useful for the abdominal organs. The complex includes exercises that provide a certain load on the abs, as well as exercises performed on the right side and abdomen. It’s good if you buy a large ball for practicing, on which you can lie on your stomach and swing back and forth, thereby increasing blood circulation both in the gall bladder and in the liver. The complex includes various turns and bends of the body, which are also useful for activating the work of the gallbladder and the secretion of bile.

1. Start a set of exercises for the prevention of cholecystitis by walking in place, raising your knees high and vigorously waving your arms - for half a minute.

2. Then you should do a breathing exercise using the diaphragm: put one hand on your stomach and inhale - the stomach inflates, then exhale - the stomach retracts. The hand will help control the retraction and inflation of the abdomen. Breathe like this for 1-2 minutes.

Having completed a short warm-up, we now move on to the main part of the lesson.

3. Standing still, arms down, feet shoulder-width apart. As you inhale, raise your arms up, stretch, then bend down, your arms reach towards the floor (you can bend your knees slightly if it is difficult for you to do the exercise with straight legs), touch your hands to the floor (in the future, try to put your entire palm on the floor) – exhale. Repeat the exercise 5 times.

4. The starting position is the same. Rising on your toes, raise your arms up - inhale, lower yourself onto your toes, while simultaneously returning your arms to their place through the sides - exhale. Repeat the exercise 5 times.

5. The starting position is the same, just place your hands on your belt. Do 5-10 squats, but you don’t need to squat deeply so as not to put too much strain on your knees, especially if they hurt. You need to breathe like this: as you exhale, do a squat, and return to the starting position as you inhale. You can rest your hands on the back of a chair while doing this exercise.

6. The starting position is the same, i.e. hands on the belt. Bend your torso forward and then back. Perform 5 bends in each direction. Breathing is voluntary.

7. The starting position is the same. Bend your torso left and right. Perform 5 bends in each direction. Breathing is voluntary.

8. The starting position is the same. Make circular movements with your body clockwise - 5 rotations and then counterclockwise for 5 rotations. Breathing is voluntary.

9. Stand against the back of a chair or table and holding onto them with your hand, begin to swing your legs forward and then back. Perform 5 swings with each leg, breathing randomly.

10. Starting position - legs stand slightly wider than shoulders, lower your arms along your body. Leaning forward, touch the floor with your right hand at your left foot, and your left hand goes up. Then do the same by changing the position of your hands. Breathing is voluntary.

11. Standing still, hands on your belt, feet shoulder-width apart. We will make turns of the body - start turning the body together with the head, first in one direction, and then immediately in the other direction. In this case, the hips remain in place, and you yourself seem to “twist” during these movements. Make 5 twisting movements with your torso in each direction.

12. The last exercise in a standing position is for relaxation and breathing. Spread your arms to the sides as you inhale, lower your arms forward, making a half-tilt - exhale. Repeat the exercise at least 5 times.

13. Starting position – lie on your back, stretch your legs forward, place your arms along your body. Let's start the exercises while lying on the floor with a breathing exercise on the diaphragm: put your hands on your stomach, inhale - your stomach protrudes, then exhale, lowering your stomach. Do 5 of these breathing exercises.

14. The starting position is the same. Sliding your foot along the floor, bend your leg at the knee, and then straighten it, without lifting your heel off the floor. Do the same movement with the other leg. Repeat 5 movements with each leg. Breathing is voluntary.

15. The starting position is the same. Having bent both legs at the knees, lift them at the same time, pressing them to your stomach - exhale. In this case, the upper back and head should be raised, try to reach your knees with your head. While inhaling, return to the starting position. Repeat the exercise at least 5 times.

16. Starting position – lie on your back, bend your knees, place your arms along your body. Inhale - straighten one leg up, exhale - return to the starting position. Perform the same movement with the other leg. 5 movements with each leg.

17. The starting position is the same. Lower your legs bent at the knees, first to your right on the floor, and then to your left. Make 5 movements in each direction. Breathing is voluntary.

18. Starting position – lie on your back, stretch your legs forward, place your arms along your body. Bend your leg and pull one knee towards your chest, exhale. Then straighten your leg and straighten it up (you can keep your knee slightly bent if you find it difficult to fully straighten your leg), inhale. Do the same movement with the other leg. 5 movements with each leg.

19. Starting position is the same. Raise your straight arms and place them behind your head - inhale, lift your straight leg up and, as you exhale, reach your hands towards its toe. As you inhale, lower your leg and arms. Do the same movement with the other leg. 5 movements with each leg.

20. The starting position is the same. As you inhale, raise your straight arms up, then bend your legs and hug them with your arms, raise your head - exhale. Repeat this exercise 5 times.

21. At the very end of the exercises, lying on your back, do a “bicycle” - spinning imaginary pedals first in one direction and then in the other direction. One minute each way.

If you are not tired, then we will continue the set of exercises further - lying on your right side.

22. As always, we start with diaphragmatic breathing: place one hand under your head and the other on your stomach. Inhale - the stomach protrudes, then exhale - the stomach retracts. Repeat the breathing exercise 5 times.

23. The starting position is the same - lying on your right side, bend your legs, put one hand under your head, and lean the other in front. Straighten your leg back - inhale, bend it and pull it towards your chest - exhale. When performing this exercise, at first you can slide your knee along the mat. Repeat 5 times.

24. Starting position - lie on your right side, bend your legs, place one hand under your head, and lean the other in front of you. As you inhale, raise your leg and arm, then lower it - exhale. Do the same movements, turning over on the other side, with the other leg and arm. 5 times on each side.

25. The starting position is the same. As you inhale, move your leg back, and as you exhale, return your leg forward. Do the same movement by turning over to the other side. 5 times on each side.

Now let's roll over onto our stomach and do a few exercises while lying on our stomach.

26. Again, I start abdominal exercises with diaphragmatic breathing. As you inhale, stick out your stomach. As you exhale, draw in. Do 5 breathing exercises in this position.

27. Starting position too - lying on your stomach, begin to make movements with your legs and arms as if you were swimming breaststroke. Try to keep your head, arms, shoulders and legs up. Breathing is voluntary.

28. Now place your hands under your shoulders and go to all fours, squat on your heels. Breathing is voluntary. Do 5 spring squats on your heels.

29. We continue to perform a set of exercises in a position on all fours. Take your leg back and up - inhale, as you exhale, the knee goes to the chest. Do the same movements with the other leg. 5 movements with each leg.

30. Standing on all fours, bring your legs together and squat to the side next to your heels, first on the left and then on the right. Repeat squats to the side 5 times to the left and the same number to the right alternately. Breathing is voluntary.

31. Inhale, lean on your hands and toes and straighten your legs, raising your pelvis - exhale. Repeat the exercises 5 times.

32. Finish the exercise on all fours with diaphragmatic breathing. Inhale - sticking out your stomach, exhale - pull in your stomach. Do the diaphragmatic breathing exercise 5 times.

33. The final part of the set of exercises - stand up and finish the set of exercises by walking in place, then do diaphragmatic breathing again while standing and finish with free breathing.

In addition to regularly performing this set of exercises for cholecystitis, do not forget about the need for daily walks in the fresh air; it is also useful for you to engage in swimming, dancing, i.e., everything that will strengthen the functioning of the gallbladder and promote the secretion of bile.

Your Izest wishes you success in performing gymnastics for the gallbladder and good health. More articles on this topic:

Exercise therapy for hypotension - low blood pressure

Strengthening exercises for the heart

Therapeutic exercises for joints

A set of breathing exercises and cleansing breathing of yogis

Exercises for cholecystitis: what loads are effective

Many people are familiar with pathology of the biliary tract, such as chronic cholecystitis, firsthand. Drug therapy alleviates the patient’s condition, but during the period of remission time should be devoted to active prevention of the disease. Thus, specially designed exercises for cholecystitis will promote the outflow of bile, improve blood circulation in the peritoneum and normalize the functioning of the gastrointestinal tract. If you practice regularly, this will help avoid seasonal exacerbations of the disease.

Is it possible to play sports with cholecystitis?

Chronic cholecystitis manifests itself against the background of biliary dyskinesia, which provokes stagnation of bile, inflammation of the bladder, and in the future a stone may even form. The disease is characterized by pain in the area of ​​the organ, radiating to the right side and under the shoulder blade. Chronic cholecystitis may appear (exacerbate) under the influence of such factors:

• bile stagnation;
• hypothermia;
• bacterial flora;
• eating fatty, spicy foods;
• inflammation of other organs (tonsillitis, pneumonia).

Another reason for stagnation of bile (with subsequent exacerbation of cholecystitis) is physical inactivity and muscle weakness associated with it, especially weakness of the abdominal muscles. Therefore, any exercise therapy complex for cholecystitis has the following goals:

• improvement of metabolism;
• normalization of the gastrointestinal tract;
• activation of blood circulation in the abdominal area;
• restoration of peristalsis of the gallbladder and its ducts.

Therefore, sports and physical education are mandatory components of preventing exacerbation of the disease and they are not only possible, but also necessary to do.

Permissible physical activity for cholecystitis

As already mentioned, the physical complex begins to be practiced during the period of improvement. At first, you need to practice strictly in certain initial positions (IP). Separate training is used to ensure optimal peristalsis and emptying of the bile reservoir. They are performed in a supine position, on the left, right side and on the knees.

It is believed that the position on the side is especially beneficial for the unhindered outflow of bile.

Bending and lifting the limbs and bending the body are good for removing the contents of the gallbladder and improving blood flow. Any exercise therapy session includes moderate general strengthening exercises for all muscle groups. Such group training, as a rule, lasts no more than half an hour, so as not to plunge the body into stress.

To ensure a positive emotional mood, specialists resort to exercises with equipment and game paraphernalia. In addition, gymnastics aimed at relaxing muscles is often practiced. But instructors call for limiting exercise therapy positions that provoke organ concussions, so shaking should be excluded - jumping, jerking, and sudden movements should be avoided.

A set of exercises for illness

In the first 7 days, when performing a physical complex, they focus on exercises 1, 9 and 10, and by the 14th day they add another 6, 7, 11. By the end of the month of classes, the entire complex is already performed. The frequency of repetitions of any gymnastics position is 2–3 times, with increasing fitness – 6–8 times. At first the pace is slow, and then average. It is advisable to perform this set of exercises in the morning, since due to the lack of food at night, bile is not secreted.

The first set of exercises is done lying on your back.

1. Hands are on the solar plexus, diaphragmatic breathing is practiced: inhaling, bring out the stomach, and exhaling, lower it.
2. The arms are extended along the body. Alternately bend one or the other lower limb, without lifting the heels from the floor.
3. Palms are placed at the shoulders. Inhaling, the upper limbs are directed forward, and with exhalation they are returned to the shoulders.
4. The lower limbs are in a bent position. Alternately straighten the right and left legs.
5. IP the same. Inhaling, make alternating bends to one side.
6. With an inhalation, bend one of the lower limbs and tighten knee-joint to the body. Exhaling, the leg is extended and the leg is changed.
7. IP - the upper limbs are extended behind the head. As you inhale, raise your leg and stretch your fingers towards its toe; as you exhale, lower them and change legs.
8. Inhaling, bend lower limbs and try to grab them with the top ones, raising their heads.

The next exercise therapy is performed while lying on your side.

1. One hand behind the head, the other on the press. Practice diaphragmatic inhalation and exhalation.
2. The lower limbs are bent, one arm is behind the head, the other is extended up the mat. As you inhale, one of the legs is straightened, and as you exhale, it is brought to the chin.
3. As you inhale, move your right arm and leg to the side, and as you exhale, lower it.
4. Inhaling, move the left leg back, exhaling, lead the right lower limb forward.
5. The exercises are performed in a position lying on the stomach.
6. Diaphragmatic breathing: inhaling - move the stomach out, exhaling - draw in.
7. The hands are placed under the shoulders, and the elbows are pressed to the ribs. With the extension of the upper limbs, the lower limbs are flexed, gradually reaching a position of standing on all fours. Then they sit on their heels.

Exercises in the pose on all fours

1. One by one, inhaling, raise the leg, exhaling, bring the knee to the body. Next, the limbs are changed.
2. Inhaling, they bend their back in an arc, exhaling, they find themselves in IP.
3. Diaphragmatic gymnastics: protruding the abs while inhaling and pulling them up as you exhale.

Exercises in a standing pose.

1. Walk in place for 30–60 seconds.
2. Inhaling, stretch your hands up, and exhale, bend forward, trying to reach your fingers to the floor.
3. IP – upper limbs at the waist. Inhaling, lift up on your toes. Next, bend one lower limb, and walk the toe of the other along the floor until a full lunge, with which they exhale. Then they change limbs.
4. Alternately swing forward and backward with one or the other leg.
5. IP – upper limbs to the sides. Lean forward and try to touch the floor with your fingers. Then the upper limbs are replaced.
6. Slowly jog for 1–5 minutes.
7. As you inhale, spread your arms to the sides; as you exhale, lower your limbs forward with a half-tilt.

Gymnastics for pathology

As you may have already noticed, gymnastics includes breathing training that develops diaphragmatic breathing. This is a particularly beneficial load for the peritoneal organs. But you should understand: such activity entails significant changes in intra-abdominal pressure, so it is recommended only at the recovery stage. It is important to carefully monitor the absence of pain.

Here are a few exercises of such gymnastics, the load of which will be more intense.

1. IP – standing, placing the upper limbs on the hips. Next, take a leisurely, not particularly deep breath, drawing in your stomach, after which you need to quickly and forcefully exhale.
2. IP – previous. Take a sharp, intense breath, drawing in your stomach as much as possible, holding your breath for 6–8 seconds. After this time, exhale and relax the abdominal muscles.
3. IP - standing. Take a leisurely breath for 1-2 seconds, then hold the air for another 2 seconds. This exercise requires several repetitions.
4. Sit in a sitting position with your lower limbs tucked in. The back should be straight and the upper limbs should be placed on the knees. They lower their head in a relaxed manner and close their eyes. You should completely relax the muscles of the lower and upper extremities, shoulder girdle, neck and face. Next, take a leisurely medium breath, and again hold the air for 1-2 seconds.

Sports for cholecystitis

Physical activity during illness is not contraindicated; moreover, it is a certain preventive measure that protects against seasonal exacerbations of the disease. But many people wonder: is it possible to engage in professional sports with such an illness. It is worth reassuring everyone who is concerned that the disease is not a contraindication to certain sports.

You can and should play sports. So, in addition to active walking, patients with chronic cholecystitis can easily engage in swimming, rowing, and they also have access to skiing and skating.

As for other sports, you should forget about them. Especially if they involve jerking, sudden movements, turns and jumping.

Patients will also benefit from physical work around the house or in the garden, if it does not contradict the requirements for physical activity. In addition, it is very important that patients follow the regime, pay special attention to their own nutrition, excluding unwanted dishes from the menu, and then the patient’s life will not be much different from the life of completely healthy people.

Common methods of physical rehabilitation:

• Factors contributing to the occurrence (exacerbation) of the disease:
  • Various bacterial flora.
  • Excessive consumption of fatty and spicy foods.
  • Hypothermia.
  • Inflammation of other organs (pneumonia, sore throat, etc.).
  • Stagnation of bile in the gallbladder.

  Objectives of physical education:

  1. Activation of peristalsis of the gallbladder and bile ducts.
  2. Improving blood circulation in the abdominal cavity.
  3. Normalization of stomach and intestinal function.
  4. Improvement of general metabolism.

  Indications and contraindications for implementation physical exercise for chronic cholecystitis

1. Special exercises to create favorable conditions for peristalsis and emptying of the gallbladder in the starting position lying on your back, on the right and left side, kneeling
2. Bending the legs, lifting them and bending the torso to drain bile and activate blood circulation in the abdominal cavity
3. Walking
4. Swimming
5. Skiing
6. Skating
7. Rowing

1. Jumps
2. Sudden movements
3. Jumping
4. Jerks

Lie on your back, with a small pillow under your head, legs bent, standing on an ottoman. Using the fingers of both hands (thumbs on top, all others below), grasp, as if with forceps, the lower edge of the chest to the right and left of the sternum. Carry out, sliding along the costal arch, straight rubbing on both sides of the sternum. Place your right hand on the right lower abdomen, and your left hand on your right hand. Stroking the stomach in circles in a clockwise direction, first superficially, and then with pressure. The circles narrow towards the navel and then widen again. Bend your right hand slightly and place your fingertips into the abdominal wall. Make rotational, kneading movements in narrowing circles, and from the navel in the same direction in expanding circles throughout the abdomen. Release the pressure above the pubis. Do not clench your fists very tightly and place them on the sides of your stomach. Doing rotational movements phalanges of bent fingers, move them to the middle of the abdomen, and then down to the groin. Treat the entire abdomen in a similar manner.

In the first week of classes, exercises No. 1, 9, 10 and again No. 1 are done. During the second week, No. 6, 7, 11, 13, 24, 25 are added to them, and within about a month - all the rest. The outflow of bile and activation of blood circulation in the abdominal cavity are facilitated by bending the legs, lifting them, and bending over. At first, the exercises are done with a small amplitude so as not to cause pain in the right hypochondrium. After about 3-6 weeks of training, if your health improves, perform exercises with a maximum range of motion, and diaphragmatic breathing - with active retraction of the abdomen during exhalation. The number of repetitions of each exercise is once, and as training increases, the pace is first slow, then medium. Do not make sudden movements, jumps, jumps. 1. Hands on your stomach. Diaphragmatic breathing: inhale, protruding your stomach; exhale, lowering your stomach. In the first days of classes, the protrusion and lowering of the abdomen is insignificant, and only after 2-3 weeks, if classes are regular, the amplitude of these movements is maximum.

2. Arms along the body. Bend, then straighten your right leg, without lifting your heel from the carpet, do the same with your left leg. Breathing is voluntary.

3. Hands to shoulders. Hands forward - inhale; bend towards the shoulders - exhale. 4. Legs are bent. Inhale, straighten your left leg - exhale. Same with the right foot. 5. Legs are bent. Tilt of legs to the right, i.p. left, i.p. Breathing is voluntary. 6. Inhale, bend your left leg and pull your knee to your chest - exhale. Extend your leg - inhale. Same with the right foot. 7. Arms up (straightened behind the head). Inhale, raise your right leg, reach your hands to its toe - exhale. Lower your leg - inhale. Same with the left foot. 8. Legs straight. Hands forward - inhale. Bend your legs, clasp them with your hands and raise your head - exhale. Lying on the right (left) side. 9. Diaphragmatic breathing: right hand behind the head, left hand on the stomach; inhale - the stomach protrudes, exhale - lowers. 10. Legs bent, left hand behind head, right hand up on the carpet. Straighten your left leg back - inhale; pull to the chest - exhale. Options: A. the foot slides on the carpet. B. without touching the carpet. The same, but on the left side. 11. Raise your left leg and arm to the side - inhale; lower - exhale. Also on the left side. 12. Take your left leg back - inhale, left leg forward - exhale.

The same lying on the left side.

13. Diaphragmatic breathing: inhale, protruding your stomach; exhale, drawing in your stomach. 14. Palms under shoulders (elbows pressed to ribs). Extending your arms and bending your legs, move to a standing position on your knees (“all fours”), then sit on your heels. Breathing is voluntary. Stand on your knees (“all fours”) 15. Raise your left leg - inhale; knee to chest - exhale. Same with the right foot. 16. Inhale; Standing in a bent position (resting on your palms and toes, straighten your legs, raising your pelvis) - exhale. 17. Diaphragmatic breathing: inhale, protruding your stomach; exhale, drawing in your stomach. 18. Walk for 0.5 -1 minutes, with high hip lifts. 19. I.p. – o.s. Stretch your arms up - inhale; lean forward, trying to touch the floor with your fingertips, exhale. 20. I.p. – o.s. Hands on the belt. Rise on your toes - inhale; bending your right leg, slide the toe of your left leg back along the floor until your right leg lunges - exhale. The same, but bending the left leg. 21. I.p. – o.s. Swing your left leg back and forth; breathing is voluntary. Same with the right foot. 22. I.p. – o.s. Hands to the side. Bend forward, trying to touch the floor with your right hand. Breathing is voluntary. Same thing with your left hand. 23. Run at a slow pace for 1-5 minutes. 24. Walking is normal, breathing is full; then when walking, arms up - inhale, arms down and half-squatting - exhale; swing your arms one step left - to the left, one step right - to the right. Duration 2-3 minutes. 25. I.p. – o.s. Hands to the sides - inhale; lower your arms with a half-tilt forward - exhale. In addition to self-massage and recommended exercises, those suffering from acalculous chronic cholecystitis will benefit from walking, swimming, rowing, rhythmic walking on flat terrain, skiing, and skating. Physical labor at home and in the garden that is not associated with sudden movements, jerks, or jumps is also useful.

Gymnastics for the gallbladder for various diseases

The role of the gallbladder in our body is to store bile and release it in doses for digestive needs. Bile secretion activates the movement of food through the intestines and facilitates the absorption of fats. Up to 2 liters of bile come from the liver per day; its supply is regulated by the sphincter located at the junction of the bile duct and the intestine.

If a malfunction occurs in the bile supply system, this leads to the development of pathologies of the biliary organs and the gastrointestinal tract. One of the methods for correcting the motility of the gallbladder and its ducts is exercise therapy.

What problems does exercise therapy solve?

Ukrainian cardiac surgeon Academician Amosov spoke about the benefits of physical education for biliary dyskinesia, cholecystitis and cholelithiasis. He wrote that the success of treating these pathologies largely depends on physical activity.

Therapeutic exercises stimulate the processes of muscle metabolism, have a beneficial effect on the regulatory activity of the nervous system, and activate the movement of blood and lymph vessels. During their implementation, a greater amount of hormones and bioactive substances necessary for the harmonious functioning of organs enters the blood.

An absolute contraindication for gymnastics is the period of the acute phase of cholecystitis (fever, severe pain), and in case of cholelithiasis - signs of stone displacement.

Basic exercises

The main complex of exercise therapy for the treatment and prevention of ADHD is exercises for the abdominal muscles and techniques for developing diaphragmatic breathing. When they are performed, intra-abdominal pressure increases, this helps accelerate the release of bile and prevent its stagnation. It is best to do gymnastics in the morning, before breakfast, emptying the bladder and intestines. The number of repetitions of each exercise is 3-6 times. The room where the lesson is held should be well ventilated.

Exercises in a standing position

1. Place your hands on your hips and inhale slowly, then exhale quickly.
2. Hands down. Inhale, hold your breath for 5-8 seconds, then exhale with your abdominal muscles relaxed.

Exercises in the position on all fours

1. Move your leg forward, then return it to the starting position. Repeat, changing leg.
2. Alternately bend your lower back down and up, holding each position for a few seconds.
3. Bend your arms, lower yourself onto your stomach, then rise back up onto all fours.

Exercises in a lying position

For the free movement of bile, the best position is “lying on your left side.” It gives the greatest effect from therapeutic exercises. If you lie on your right side, the movement of bile will be hampered by gravity.

1. The left arm is straight, the leg is bent. The right limbs work like a pump: the arm rises and falls, the leg either bends, pressing against the chest, or straightens.
2. Perform the previous exercise, tilting your head while bending your leg.
3. Press both legs towards your stomach, then straighten them.

The video shows another version of exercises for the gallbladder in a lying position.

Gymnastics for cholecystitis

If you have an inflammation of the gallbladder, exercise physical therapy allowed only during remission. To the basic exercise therapy techniques, you should add several special exercises that help relieve spasms, reduce pain, and stabilize blood flow. They are performed lying on your back, the optimal number of repetitions is from 5 to 10.

1. Raising and lowering your arm, bend and straighten the opposite leg.
2. Keeping your hands on your waist, lift your shoulders off the floor, hold for a few seconds, then lie flat.
3. Place your left hand on your chest, your right hand on your diaphragm, breathe through your stomach, feeling the movements of the abdominal wall with your hands.

The video shows exercises for cholecystitis from Vasily Volkov, candidate of biological sciences.

Gymnastics for bending the gallbladder

With this pathology, stagnation often occurs. Physiotherapists recommend performing exercises daily, which include, in addition to basic techniques, several aimed at facilitating the process of supplying bile from the deformed organ to the intestines.

1. Lie on your stomach with your arms bent. While doing push-ups, lift your torso off the floor, hold for a few seconds, then return to a lying position.
2. Lie on your back, hands under your head. Gradually raise your legs. When the angle between your legs and the floor reaches 30 - 45°, lower your legs.
3. Lying on your stomach, stretch your arms in front of you and make rowing movements with them, try to keep your head and legs suspended.

The video shows another set of exercises to improve the functioning of the liver and gall bladder.

Gymnastics for gallstone disease

If salt conglomerates are found in the gallbladder, only light exercises can be done, since muscle tension can cause the stone to dislodge, and it will block the bile duct.

The exercises are performed lying on your back, the last two - lying on your left side. The pace of execution is slow, breathing is uniform: inhale when performing a gymnastic technique, exhale when returning to the starting position. Number of repetitions: 5-6.

1. The arms lie along the body. Bend and straighten your legs, moving your feet along the floor with sliding movements.
2. Bend your knees and tilt them in both directions.
3. Raising your torso, touch your knees with your palms, then return to the starting position.
4. Move your arms like wings - spread them to the sides and press them to your body.
5. Alternately raise opposite arms and legs up.
6. Bend at the waist, move your right leg back, then pull your knee to your chest. Return to starting position.
7. Repeat the previous exercise using both arms and legs.

Exercise therapy after gallbladder removal

In the absence of complications, gymnastics can be started 4-8 weeks after surgery, at least a year after cholecystectomy daily, then every other day. Gradually increase the number of repetitions from 2-3 to 5-6. The first 3 exercises are performed standing, the last 3 - lying on your back.

1. Place your hands on your shoulders, raise your elbows to the sides - up, then lower.
2. Raise your clasped hands above your head, then lower your arms, spreading them to the sides.
3. Keeping your feet shoulder-width apart, rotate your torso.
4. Raise your legs above the floor and spread them apart. Alternately raise your legs, slightly raised above the floor, one above the other (the “scissors” technique).
5. Pull your knee towards your stomach, then straighten your leg. Repeat for the other leg.
6. The arms lie along the body, the legs are bent, the feet are pulled towards the buttocks. Slowly raise and lower your pelvis.

No one can argue with the fact that the most important thing for a person is his health. It is very important to monitor all its indicators, lead a healthy lifestyle and take timely preventive measures to strengthen it. In our article we will touch on an important topic, such as the prevention of cholecystitis.
Cholecystitis is a common disease of the gallbladder, usually a consequence of the development of cholelithiasis. It can be acute or chronic. The symptoms and treatment of the disease are different in both cases.

Gallbladder

Prevention of cholecystitis is closely related to the causes of this disease, including:

1. A long period of any diet. Restricting the body in any substances, be it proteins or carbohydrates, negatively affects the condition of the gallbladder.
2. Sedentary lifestyle. Sedentary work and lack of exercise negatively affects not only your health, but also the condition of the body as a whole.
3. Previous injuries to the gallbladder or liver.
4. Stagnation of bile fluid.
5. Formation of stones in the gall bladder. This is perhaps one of the most common causes of this disease.
6. Incorrect treatment of the disease.

What preventive measures are there?

In order to organize the right approach to the prevention of cholecystitis, we have developed for you a number of tips that will help you avoid this unpleasant disease:

1. The use of hepatoprotectors are special substances that act as a protective barrier for the liver, while simultaneously restoring its functions. If you have a negative attitude towards protectors in the form of tablets, we recommend eating more apples and avocados, which have the same properties for protecting the gallbladder.
2. Special food. In order to prevent the development of cholecystitis, you need to carefully monitor what you eat. You can eat many foods, but you should avoid spicy foods. We will tell you what you can use below.
3. Compliance with diet. It is important to monitor the timing of food consumption. It should be approximately the same every day.
4. Exercise therapy. The use of a complex of therapeutic exercises promotes the outflow of bile and leads to the fact that it does not accumulate, and therefore does not cause proper harm.
5. Drink plenty of fluids. By drinking enough fluids per day, you create optimal conditions for the functioning of your liver and the body as a whole.

Nutrition for the prevention of cholecystitis

In order to prevent the onset and course of this disease, it is necessary to eat the right food, which contains all the ingredients necessary for the body. If you want to lose weight, you need to do it right! It is not recommended to go on strict diets; it is permissible to organize fasting days for yourself a couple of times a week. They can be absolutely diverse. You can arrange a mono-diet and exercise on this day. For example, eat only dairy products, cereals, meat, or fruits and vegetables. You will get much more benefit from this than torturing yourself with unnecessary restrictions. You need to eat at the same time, preferably in fractional portions and several times a day. It is not recommended to drink liquid, be it tea or any other drink, immediately after eating. This harms our liver and gallbladder. You should not eat foods that cause allergic reactions in you. This usually causes bile to accumulate in the gallbladder. Avoidance of acute foods is mandatory.
If you have an acute stage of cholecystitis, it is very important when choosing and eating food to prevent it from developing into a chronic stage.
To do this, you need to eat fractionally and in small portions.

What should you eat?

You can eat:

1. Boiled meat and fish. You can eat steamed beef and low-fat fish products, such as cutlets.
2. Porridge. There are various types of cereals to choose from – oatmeal, semolina, buckwheat.
3. Dairy products - cottage cheese.
4. Soups, preferably made from vegetables and the cereals listed above.
5. Crackers.

It is very important to spend fasting days so that the body gets rest and has time to recover. To do this, you can spend the day on cottage cheese and kefir, as well as on rice porridge. It is quite acceptable to drink compote made from dried fruits. You should not have dinner with fatty and rich foods. The best time for this is 3 hours before bedtime.

Sport as a prevention of cholecystitis

It is extremely important to do gymnastics and perform special exercises to prevent the disease. In the chronic stage, it is recommended to attend exercise therapy. However, during the acute period of illness you should not exercise.
Exercises to prevent disease:

1. Lie on your back. Raise either arm and bend the opposite leg. At the same time, do sliding exercises, not forgetting to do breathing exercises. Exhale as you raise your arm.
2. Lying on your back, raise your head up and down, as if looking at your socks, do not forget to inhale while raising your head.
3. Standing on all fours, inhale while pressing your right hand under your stomach, then lie on your stomach and exhale. It is very important to do the exercises quite slowly. Under no circumstances should there be jerks!
4. We lie down on our left side, straighten our left arm, and slightly bend our left leg. We pull our right leg towards our stomach and inhale, exhale and straighten it.
5. We lie on our backs, put both hands on our stomachs. We begin to inhale slowly and exhale slowly.
   It is very important to take time to warm up before playing sports. Slow walking, jogging, and swimming are quite suitable for the latter. You can use massage to warm up.

If you don’t feel like doing gymnastics, you can do breathing exercises. As a rule, this complex is designed to perform slow inhalations and exhalations. Many doctors recommend breathing exercises to reduce pain in the abdominal area.
Breathing exercises to prevent cholecystitis:

1. Standing straight, hands on your waist, take a deep, slow breath, then draw in your stomach, exhale slowly. We do it 3-4 times.
2. We do the same as the first exercise, inhale slowly and then exhale sharply, do not forget how to draw in the stomach. If you feel pain in the liver area, we recommend that you stop exercising immediately.
3. The exercise is based on holding your breath for a few seconds. You don't have to endure it, if you want, you can take a breath. Don't forget to suck in your stomach.
4. We sit down on the mat and tuck our feet under ourselves. Lower your head and slowly inhale and exhale. We try to hold our breath for one to two seconds with each inhalation. An important nuance: your head should be lowered as much as possible, as if you are looking for something on the floor.

This gymnastics can be used both for the treatment of acute and chronic cholecystitis. The effect of breathing exercises is based on relaxation and tension of the abdominal muscles. By performing this complex, you will achieve improved tone of the biliary tract, as well as the correct location of the liver and gall bladder. However, you should not abuse exercise therapy and other exercises. The maximum time for sports is 20-30 minutes. If you have an acute or chronic stage, your classes should last no more than 5 - 7 minutes. If the pain syndrome is reduced, it is possible to increase the load every day. The conditions under which exercise therapy sessions take place are also important. You should not have conversations, watch TV or listen to the radio; it is much more comfortable to listen to pleasant, soothing music, and also ventilate the room well before playing sports.
Summarizing the above, it is worth noting that the prevention of cholecystitis is a whole range of procedures aimed at restoring your health. It is very important to promptly apply measures that will prevent the development and progression of the disease. Be healthy!

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by Notes of the Wild Mistress

After cholecystitis, there is a high risk of developing gallstones. In this case, it is necessary to follow a diet; in addition, it is useful to cleanse with infusions of choleretic medicinal plants.

The famous doctor Academician Nikolai Amosov once wrote about the benefits of physical exercise for the treatment of cholecystitis and biliary dyskinesia. He argued that this disease is dependent on lifestyle. Gallstones are more likely to form when a person neglects exercise. Therapeutic physical exercises improve metabolic processes in muscles, including muscles. And the fact that in the process of such physical education the mood improves does not require proof. The beneficial effect of physical exercise on the nervous system is manifested in the fact that positive nerve impulses bring the functioning of the gallbladder back to normal.

If you have gallstones, then the proposed set of physical exercises for you is canceled, because... stones may begin to move and become stuck in the channels. But for prevention, exercise for your health, don’t wait for it to catch you!

1. From a lying position on your back, raise your right arm up and at the same time bend your left leg, sliding your foot along the surface of the floor - inhale. Return to the starting position - exhale.

2. We continue to lie on our back. Hands on the belt. Raise your head and shoulders, look at your toes - exhale. Return to the starting position - inhale.

3. Lying on your back, place your left hand on your chest, your right hand on your stomach. We begin to breathe with our bellies. When you inhale, both arms rise up, following the movement of the chest and the front wall of the abdomen, and when you exhale, they go down.

4. Lying on your left side, your left arm is straightened up, your left leg is bent. Raise your right arm up - inhale, bend your right leg and, pressing your knee to your chest with your right hand, exhale.

5. Lying on your left side, raising your right arm and right leg, inhale, bending your leg and arm, pull your knee to your stomach, tilt your head - exhale.

6. Lying on your left side, move your right arm straight up and back - inhale, return to i. p. - exhale.

7. Standing on all fours, raise your head, inhale, slide your right leg forward between your hands - exhale. Return to the starting position and do the same exercise with the other leg.

8. Standing on all fours, raise your left straight arm to the side and up - inhale, return to i. p. - exhale.

9. Standing on all fours, inhale, then, bending your arms, lie on your stomach - exhale. Return to starting position.

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