Gallbladder tubing (dubazh, blind probing) is a popular procedure that will cleanse the gallbladder and its ducts, as well as speed up the outflow of bile. Cleansing is prescribed during complex therapy of cholecystitis (calculous form), duodenum, cholestatic hepatitis, and biliary tract dysfunction. In addition, the procedure helps improve intestinal motility and prevent constipation.
As a rule, dubage of the gallbladder (GB) is carried out in medical institutions using a probe. However, the procedure can be done independently after consultation with a doctor. If the rules for performing home tubing are followed, patients will experience pain and discomfort on the right side under the ribs, the gastrointestinal tract will be cleared of toxins and stagnant secretions, and digestion will be normalized.
Description of the procedure and indications
Many patients who were prescribed tubage for the first time are interested in what it is. The main goal of the treatment procedure is to remove stagnant liver secretions. During dubage, the circular muscles that surround the gallbladder relax. The duct also relaxes, which closes the outlets into the hollow organs. In addition, the smooth muscles of these organs contract.
During tubage, the patient takes choleretic compounds and at the same time warms up the area of the right hypochondrium
During tubage, the patient takes choleretic compounds and at the same time warms up the area of the right hypochondrium. This method allows you to improve the motility of the biliary tract and eliminate bile stagnation. As a result, the functionality of the gastrointestinal tract and other digestive organs is normalized. Thus, with the help of dubage, the following goals can be achieved: cleanse the gallbladder, accelerate the outflow of liver secretions, and prevent the formation of hard stones.
The choleretic composition stimulates the contraction of the muscular layer of the gallbladder, after which the organ and its ducts are quickly freed from stagnant secretions. The procedure is carried out to eliminate stagnant processes, against the background of which the likelihood of cholelithiasis increases. That is, tubing is often performed to prevent cholelithiasis.
Tubage is a serious procedure that is not recommended to be carried out thoughtlessly; it is carried out strictly according to the doctor’s indications.
Dubazh is prescribed in the following cases:
- with acalculous cholecystitis with a chronic course;
- biliary tract dysfunction;
- disorders of liver function;
- chronic pancreatitis;
- inflammation of the duodenum (chronic form);
- cholestasis (stagnation of bile in the gallbladder).
Dubazhi are effective for constipation caused by weakening of the smooth muscles of the intestines. After the procedure, intestinal motility is normalized, the functionality of the digestive system is improved, and the removal of liver secretions from the gallbladder into the duodenum is accelerated. Blind probing is suitable for healthy patients who are malnourished.
Indications for blind probing
Gallstone disease brings a lot of inconvenience to a person and causes the development of other diseases. Therefore, many try to prevent the formation of stones. But this is not always possible, since poor nutrition, bad habits and a sedentary lifestyle can quickly take their toll.
Tubage can be prescribed for chronic diseases of the bile duct and liver, obesity, frequent constipation and atherosclerosis.
Despite the simplicity of the procedure, it has contraindications. Even a small stone can be a contraindication to cleansing.
Tubage is recommended in the following cases:
- dysyknesia of the bile ducts;
- cholecystitis in acalculous form;
- after removal of the gallbladder;
- with frequent constipation.
This procedure will be especially useful for people who are obese and who often overeat and abuse alcohol.
Find out in the video about the first symptoms of gallbladder problems that should not be ignored:
Preparation
Blind probing of the gallbladder at home is carried out with mineral water, magnesia, sorbitol, etc. Many patients do not know how to do tubage correctly and, without understanding the intricacies, carry out the procedure. And this is fraught with negative consequences. You need to properly prepare for blind probing.
Before cleaning the gallbladder, you should consult your doctor.
Preparation for probing:
- Before the procedure, you need to visit a doctor who will advise you on its implementation. Another main condition is an ultrasound of the gallbladder, because if there is at least one stone (even a small one) in the organ, then dubage cannot be performed. In addition, the doctor examines the patient for contraindications.
- On the eve of cleaning the gallbladder (3 days in advance), you need to follow a diet. The patient should give up meat and switch to milk and plant products. It is recommended to include fruits, vegetables (freshly squeezed juices from them), cereals, fermented milk products with a low percentage of fat, and still mineral water in your diet.
- Fatty foods that are difficult for the digestive organs, alcoholic drinks, strong coffee and tea should be excluded from the menu. It is forbidden to drink soda, use seasonings and sauces.
- Before cleaning, the patient must drink at least 2 liters of purified water without gas.
- 24 hours before cleaning, you need to exclude baked goods, potatoes, vegetables containing coarse fiber, and legumes from the menu. The list of restrictions includes foods rich in fast carbohydrates (confectionery).
- It is better to plan the treatment event on the weekend so that you do not have to leave the house. Proper tubing is carried out in the morning on an empty stomach.
There are 2 options for blind probing of the gallbladder: active and passive. The first option involves vigorous activity for 15 minutes after taking choleretic solutions. The patient can squat, bend, walk in place, etc. During passive dubage, the patient, after drinking liquid, should lie on his right side, having previously placed heat under him.
How to do tubage correctly?
Carrying out the procedure at home involves taking a choleretic agent and a diuretic composition (volume 250 ml) daily on an empty stomach.
Before doing tubage, it is recommended to prepare the body for a course of healing. 3-4 days before the start of the course, you must eat only food of plant origin.
Such products include fresh and properly heat-treated vegetables and fruits, and juices from them. On the first day of the liver and gallbladder prevention course, it is recommended to drink a large amount of warm liquid, as well as drink any of the antispasmodics suitable for the person.
The main goal of tubage is a deep cleansing of the liver and gallbladder by removing toxins and bile from them. Especially after liver diseases, it is important to restore its functions and normalize bile production.
Tubage is a fairly simple procedure: in the morning on an empty stomach, a person needs to drink a prepared choleretic agent. It is important that its temperature is at least 38-40 degrees. After drinking warm liquid, it is recommended to drink sweet tea, then lie down for about 2 hours, rolled up in a blanket. It is important not to fall asleep at this moment, so every 15 minutes you need to change your body position, turning over to your left/right side.
If tubing is performed for the first time, pain and discomfort may occur in the hypochondrium (the walls of the gallbladder begin to contract intensively); which can be eliminated using, for example, no-shpa tablets. Also, after the procedure, the consistency of the stool may change. Liquid stool is a temporary phenomenon that disappears after 2-3 procedures.
With mineral water
The question of how to perform gallbladder tubing using mineral water is quite relevant. Cleaning is carried out in the morning on an empty stomach. It is necessary to prepare everything that is needed for blind probing in the evening. If the patient is cleaning for the first time, then it is better to buy mineral water without gas (the degree of mineralization is weak or medium). If you are in doubt about the choice of water, consult a doctor who will tell you which brand you should pay attention to. As a rule, Essentuki, Borjomi, and Narzan are used for cleaning the gastrointestinal tract. If the patient bought sparkling water, then in the evening it needs to be opened so that the gas evaporates before the morning.
During tubage, mineral water without gas is used.
Instructions for tubaging with mineral water:
Probing of the gallbladder + video
- Pour mineral water into a saucepan and put on fire until its temperature rises to 40–50°.
- Heat regular water and pour it into a heating pad, which should be wrapped in a cloth before use so as not to cause a burn. It is better to replace the rubber heating pad with an electric one. Since it does not cool down, the patient can independently regulate the temperature.
- While standing, drink 200 ml of heated liquid in small sips, and then lie on your back or right side, after applying a heating pad to the area of the right hypochondrium. Warming up will help relax the sphincter of the gallbladder and bile ducts, after which stagnant liver secretions will be released more quickly.
- After 5 minutes, drink a few more sips of mineral water (while standing), lie down again and warm the gallbladder area.
- The total amount of mineral water drunk should be 500 ml. Drink it in small sips at intervals of 5 minutes, warming the area on the right under the ribs.
- After drinking all the liquid, you need to lie on your right side with a heating pad and remain in this position for another 20 minutes.
After the above steps, the patient may experience pain in the gallbladder area. This is due to the fact that the muscles of the gallbladder sharply contract under the influence of the choleretic composition. An antispasmodic (No-shpa, Drotavreni, Spazmalgon) will help eliminate unpleasant sensations.
Tubbing the gallbladder with mineral water will not cause any difficulties, the main thing is to strictly follow the instructions. Cleaning lasts from 1 to 1.5 hours. After the first procedure, you need to take a break for 10 days, and then you can do another dubage.
Choleretic compounds exhibit a mild laxative effect, so the patient’s stool may turn greenish. However, do not worry, since the change in the color of the stool is associated with the release of liver secretions.
Blind probing is especially effective in case of strong congestive processes in the gallbladder. After the procedure, discomfort on the right side under the ribs, bitter taste in the mouth, belching, etc. disappear.
Cleansing with sorbitol
If the first cleansing with mineral water was effective, then you can perform a blind tube of the gallbladder with sorbitol. To do this, add a little natural sweetener to the mineral water. This procedure allows you to cleanse the liver, gallbladder, its ducts and kidneys, and prevents the formation of sand and stones in the organs.
Sorbitol with mineral water cleanses the liver, gallbladder, its ducts, kidneys, warns cholelithiasis
Blind Probing Stages:
- Dilute 1 dessert spoon of sorbitol in 150 ml of still mineral water. Stir thoroughly to dissolve the powder.
- Drink the choleretic solution in small sips over 10 minutes, and then wash it down with 100 ml of mineral water.
- Lie on your right side, applying a heating pad to it in advance, pull your legs towards your stomach.
- After 1–2 hours the procedure is completed.
To determine the correctness of the treatment, pay attention to the consistency of the stool. Dubazh using sorbitol has a pronounced laxative effect. Feces should be liquid, mixed with greenish clots of liver secretion. An attack of biliary colic is treated with antispasmodics.
Tube with sorbitol lasts about 2 hours, and the urge to stool appears at intervals of about 20 minutes.
Questions and answers
Is it possible to do tubage if there is no gallbladder?
There is no need for tubage in the first years after cholecystectomy. Moreover, the procedure during the recovery stage can even cause harm and provoke an increase in postcholecystectomy syndrome.
In the future, you can carry out the procedure after consulting with your doctor and performing an ultrasound of the liver. Tubage cleanses the ducts, liver tissue, and restores metabolism. To maintain the overall tone of the body and prevent liver diseases, the procedure can be performed even in the absence of a gallbladder several times a year.
Which tubing method is best to use at home?
At home, it is best to carry out tubage with mineral water, sorbitol or herbs. These methods are considered the safest. But still, before tubing, undergo an ultrasound of the liver and gallbladder to make sure there are no stones.
Is it possible to do tubage if the gallbladder is bent?
A bend in the gallbladder is not a contraindication for tubage. But such a disorder is often combined with gallstone disease. Often the acquired inflection is accompanied by the development of calculous cholecystitis. In this case, tubing is prohibited.
You may find the following articles useful: Useful herbs for the liver and pancreas How to properly prepare for an ultrasound of the liver and gallbladder Symptoms of biliary colic. How to relieve pain Medicinal properties and features of the use of bear bile
In this video, a specialist talks about affordable and safe choleretic agents that can be used at home.
With magnesia
Blind probing with magnesium is done according to the same scheme as the previous procedure. The only difference is that 1 tbsp is added to 220 ml of heated mineral water. a spoonful of magnesium sulfate. However, this drug is poorly soluble in water, so before taking it, it must be thoroughly stirred to obtain a completely clear solution. The liquid should be drunk slowly, in small sips. It is worth considering that the composition is quite salty, but it is prohibited to drink it with any other liquid.
To clean the gallbladder and eliminate stagnant processes, use mineral water with magnesium
Some patients complain that immediately after drinking a solution with magnesium, nausea and discomfort appear on the right side under the ribs. As in previous cases, an antispasmodic will help. Take the tablet with water (minimum amount), lie on your right side and warm it with a heating pad. A tube with magnesium does not take longer than 2 hours; the desire to empty the intestines may appear every 20 minutes. If there are greenish inclusions in the stool, then the procedure was carried out correctly.
The decision on the number of procedures and the frequency of their implementation is made by the doctor, taking into account the condition of the gastrointestinal tract. To effectively cleanse the organ, you need to perform dubage every week for 2-3 months. To prevent gallbladder diseases, cleaning is done once every 4 weeks.
After the treatment, the patient must eat properly for 48 hours. Therefore, you should avoid foods that are fatty and difficult for the digestive system. The daily diet should consist of liquid porridges, boiled or stewed vegetables, salads with the addition of vegetable oil, fruits, and fermented milk products with a low fat content. It is also allowed to eat lean meat and fish. The patient should drink 2 liters of fluid per day.
Tubing is performed on a child only for medical reasons after an ultrasound scan. Children are allowed to use choleretic formulations based on mineral water or mineral water with magnesium. The latter solution demonstrates a more pronounced effect. The dose of magnesium sulfate is calculated by the doctor taking into account his body weight.
If the cleaning is done correctly, then secretions will begin to actively come out of the gallbladder. After several procedures, a person feels light, the pain on the right under the ribs, nausea, bitterness in the mouth disappear, appetite and digestion are normalized.
Contraindications
Do not forget that any medical procedures must be performed only after the permission of the attending physician. Tubazh is no exception. This manipulation also has contraindications.
So, tubing is prohibited:
- in the presence of stones in the organs of the biliary system;
- for diabetes mellitus;
- during acute or exacerbation of chronic diseases of the digestive system;
- at elevated body temperature;
- during pregnancy, during breastfeeding;
- with open wounds on the skin, as well as purulent formations on the body in the liver area;
- while women are menstruating.
Also, tubing should not be performed on patients with oncology and hypertension. Some types of supplements should not be used by people with gastritis with high or low acidity.
Active tubing
This blind probing option is suitable for healthy patients who are malnourished.
During active exercise, the patient should perform simple physical exercises
In the evening before the procedure, you need to open a 1 liter bottle of mineral water so that the gas evaporates. As in previous cases, cleaning is carried out in the morning on an empty stomach. The patient slowly drinks 3 glasses of water, the temperature of which should be in the range from 20 to 25°. After drinking liquid, a person does not lie down, but begins to perform simple physical exercises (for example, squats, bends, abdominal exercises, etc.). 20 minutes after vigorous activity, you need to drink another 440 ml of water, after which you need to continue doing exercises for 10 minutes.
In addition to mineral water and choleretic agents for the cleansing procedure, you can use herbal decoctions (immortelle, tansy, rose hips, corn silk, plantain, etc.). Olive oil mixed with lemon juice is also used for this purpose. It is better to entrust the decision on choosing a choleretic composition to your doctor.
After cholecystectomy
It often happens that after an exacerbation of cholelithiasis, the gallbladder is removed. Then the digestive system must adapt to new operating conditions. When the gallbladder is removed, it is important to establish a regular flow of liver secretions into the duodenum and prevent stagnation.
For a patient without a gallbladder, it is useful to carry out blind probing, which does not allow stagnation of bile. Cleaning is done regularly, but only 2 months after cholecystectomy. To begin with, use mineral water, if the patient feels normal after several procedures, then doubazh with magnesium sulfate or xylitol.
The frequency of procedures for patients who have undergone cholecystectomy is determined by the attending physician. In this case, the specialist must monitor the patient’s condition. To support the digestive organs after removal of the gallbladder, the patient must not only undergo tubing, but also follow a strict diet.
Who should not undergo tubing? Contraindications
Gallstone tubing is not performed in case of cholelithiasis, destruction of the ducts, exacerbation of any diseases of the digestive tract, including erosion of the stomach and duodenum. The procedure is also contraindicated during pregnancy.
Tubage can be probe-based, which is carried out only in a medical facility, or probe-less (blind) - it can be used at home, but after preliminary ultrasound diagnosis and consultation with the attending physician.
Precautionary measures
Blind probing is a serious medical procedure that has its contraindications:
- Housing and communal services With stones in the gallbladder, choleretic compounds can cause displacement of stones and blockage of the bile ducts. Then you cannot do without urgent surgery.
- Exacerbation of inflammation of the gallbladder.
- Ulcer of the stomach and duodenum.
- Exacerbation of chronic diseases (gastritis, gastroduodenitis, inflammation of the pancreas or kidneys).
- Kidney stone disease.
- Hepatitis.
- Infectious diseases with an acute course, accompanied by fever.
Tubage is not recommended for patients during menstruation, as well as for pregnant and lactating patients. This restriction applies to patients with disease of the pylorus of the stomach, which is accompanied by the return of bile from the duodenum into the esophagus.
WHY DO TUBAGE?
Tubage was first proposed by G.S. Demyanov back in 1948 for the purpose of draining internal organs without using a probe. Since the advent of the procedure to the present day, various types of tubage have been used for cleansing.
They are selected individually depending on the condition of the liver and gall bladder. Let's talk about the features of the home cleaning procedure.
Indications:
- The period of remission of chronic gastrointestinal diseases;
- Biliary dyskinesia;
- Doctor-confirmed tendency to form stones in the ducts of the liver and gallbladder;
- Frequent attacks of nausea;
- Painful spasms during bowel movements;
- Headaches, migraines;
- Plaque on the mucous membrane of the tongue;
- Skin spots (pigmentation);
- Rash on the face and body;
- Yellow whites of the eyes (“cloudy” sclera);
- Attacks of irritation, out of character anger.
