Tablets for the treatment of pancreas and liver

Who needs liver and pancreas treatment and how?

The principles of treatment are determined by the form and nature of the disease. The treatment of pathologies of the hepatobiliary system (liver, bile ducts) and pancreas includes combined regimens:

• pharmacotherapy – taking medications;
• diet therapy – a gentle diet that prevents stress on damaged organs;
• surgical intervention - removal of gallstones, complete or partial excision of the pancreas, etc.

If the disease becomes chronic, in 94% of cases drug therapy is limited. The drugs are prescribed to patients with the following diseases:

• pancreatitis;
• viral hepatitis;
• cholecystitis;
• fatty infiltration of the liver;
• pancreatic steatosis;
• hepatic cirrhosis;
• diabetes;
• cystic fibrosis;
• cholelithiasis;
• non-parasitic parenchymal cysts;
• cholestasis.

Medicine for the liver and pancreas is selected by a gastroenterologist based on medical history and a comprehensive examination. To normalize the functions of the affected organs, different groups of drugs are prescribed - hepatoprotectors, enzymes, sorbents, vitamin-mineral complexes, antibacterial and antiviral agents.

Delayed treatment of diseases is dangerous due to life-threatening complications - calculous cholecystitis, purulent inflammation of the gall bladder, renal failure, and oncological diseases.

Why is it necessary to cleanse internal organs?

The liver and pancreas are two large organs of the digestive system. They are in constant interaction and complement each other. The main task of the liver is to neutralize 90% of toxins. The remaining 10% is transported to the pancreas, where their final neutralization occurs.

According to statistics, patients are diagnosed with diseases of two organs simultaneously.

It is generally accepted that an unhealthy lifestyle and frequent consumption of dangerous foods harm, first of all, the liver, but the statement is not entirely true. Pathological processes provoked by pancreatitis also affect the pancreas.

In modern medicine, medicinal methods of restoring internal organs and traditional methods are successfully used. This complex therapy allows you to cleanse the organs of toxins and restore their functioning.

The article contains techniques that have stood the test of time. The quality and effectiveness of the products is confirmed by patient reviews. Using these methods, you can improve the functioning of the liver and pancreas and cleanse the body of dangerous substances.

Hepatoprotectors and choleretic

Hepatoprotectors are a group of drugs that prevent the destruction of liver cells and restore its functions. Due to this, the functioning of the hepatobiliary system is normalized, which has a beneficial effect on the secretory activity of the pancreas. Hepatoprotectors are divided into several categories:

• according to the principle of action - choleretic and antioxidant;
• composition - antioxidants/vitamins, essential phospholipids, amino acid derivatives;
• by origin - synthetic, plant, animal.

Drugs for the pancreas and liver are selected taking into account the causes and degree of organ dysfunction.

Plant based

Hepatoprotective medicines for the liver based on plant materials have a complex effect:

• protect against the toxic effects of drugs;
• normalize liver function;
• stimulate the formation of new cells;
• restore the structure of the parenchyma.

Herbal remedies are often used in the treatment of bile duct dyskinesia, cholecystitis, etc. Tablets based on milk thistle and artichoke have a choleretic effect. For liver pathology, the following are usually prescribed:

• Artichol is a choleretic hepatoprotector with artichoke extract that improves metabolism;
• Allochol - tablets with extract of dry bile, garlic and nettle, enhancing the synthesis of bile acids;
• Hepatrin is a drug with bile and diuretic activity that improves digestion in cholecystitis, hepatitis, and cirrhosis.

It is not recommended to use hepatoprotectors with a choleretic effect in case of relapse of pancreatitis.

With animal ingredients

Medicines for the treatment of the liver with substances of animal origin are used for toxic poisoning of the body, excessive chemical load on the hepatobiliary system. They contain animal liver extracts:

• Hepatosan - a drug with donor pig liver cells cleanses the body of toxins and prevents toxic damage to the parenchyma;
• Sirepar is a hepatoprotective agent with hydrolyzed liver extract, which accelerates the regeneration of liver tissue;
• Gepadif - capsules with antitoxic liver extract stimulate metabolism, cell renewal, and secretory activity of liver tissue.

Hepatoprotectors must be taken orally before meals 3-4 times a day. They are used in combination therapy of gastrointestinal pathologies caused by dysfunction of the pancreas, liver, and bile ducts.

Essential phospholipids

Liver preparations contain essential fats, which are involved in the synthesis of cell membranes, remove free radicals, and prevent fatty degeneration of the parenchyma. Such products increase the activity of enzyme systems and have a beneficial effect on the functioning of the gastrointestinal tract.

Hepatoprotectors to protect the liver:

• Essliver forte is a product with vitamins and phospholipids that restores the structure of hepatocytes and normalizes the tone of the bile ducts;
• Essentiale forte - capsules with choline and phospholipids that improve liver function during cirrhotic changes, fatty degeneration, toxic poisoning;
• Rezalut pro - a medicine with phospholipids from lecithin accelerates the regeneration of parenchyma and suppresses fibrotic changes in the liver.

Essential phospholipids are recommended for liver treatment in patients with alcohol dependence.

Amino acid derivatives

Amino acid preparations are the best medicines from the group of hepatoprotectors. They have combined properties:

• remove toxins;
• participate in the synthesis of phospholipids;
• accelerate the renewal of hepatocytes (liver cells);
• stimulate lipid metabolism;
• reduce serum cholesterol levels.

To restore the liver and pancreas, the following are used:

• Heptral - tablets with ademetionine, stimulating metabolism and digestion in case of liver dysfunction;
• Hepa-Merz is a drug with ornithine, which accelerates metabolism and is involved in the synthesis of insulin;
• Hepasol A is a solution for parenteral nutrition with L-arginine, which cleanses the pancreas and liver of toxins and stimulates organ regeneration.

Hepatoprotectors with amino acids are not used for protein metabolism disorders.

With bile acids

Preparations with bile acids additionally contain extracts from herbs, vitamins, extracts of the pancreas and liver of cattle, activated carbon, etc. They are used to treat and prevent gallstone disease and calculous cholecystitis.

Medicines for the prevention and treatment of liver pathologies:

• Ursosan - reduces the cholesterol content in bile, facilitating its removal from the bile ducts;
• Ursodex - prevents the saturation of bile with cholesterol and its stagnation in the gallbladder;
• Grinterol - improves the secretory activity of liver cells, reduces the viscosity of bile and accelerates its removal into the intestines.

Medicines with bile acids are indicated for combined diseases of the pancreas and liver - hepatobiliary disorders associated with cystic fibrosis, idiopathic cirrhosis, reflux gastritis, etc.

Other options

Often, dysfunction of the organs of the hepatobiliary system occurs due to hypovitaminosis and decreased immunity. Therefore, to improve liver function, hepatoprotectors with different therapeutic properties are used:

• Galstena is a combination medicine with hepatoprotective, choleretic, and anti-inflammatory activity. Used for chronic inflammation of the pancreas, biliary dyskinesia, etc.
• Nicodin is a drug with bacteriostatic and choleretic action, which reduces inflammation and facilitates the emptying of the gallbladder;
• Flacumin is a cholespasmolytic medicine that reduces spasms in the bile ducts.

Drugs to stimulate bile synthesis (choleretics), enhance its outflow (cholekinetics), and reduce spasms in the ducts (cholespasmolytics) are prescribed for the same diseases. But the principles of their action have significant differences. Therefore, before taking hepatoprotectors, you should consult a gastroenterologist.

Medicines based on milk thistle and artichoke

For liver disease and inflammation of the pancreas, it is recommended to drink pills based on milk thistle and artichoke.

The most popular medicine containing milk thistle is Karsil. The main element of the pills is the dry extract of the plant’s fruits.

Milk thistle is also present in medicines:

• Silimar.
• Gepabene.
• Legalon 140.

Of the medicines that contain field artichoke, Hofitol is isolated.

Artichoke has a choleretic effect, improving the flow of bile from the gallbladder, increasing the volume of urine produced per day. A gradual purification of the blood from urea and ammonia is observed, and the patient’s condition improves. Chophytol is taken to cure hepatic fibrosis; in addition, it is recommended for use in chronic hepatitis.

Enzymatic preparations to improve digestion

Enzyme preparations are a group of pharmacological agents that stimulate digestion. Restore pancreatic functions and reduce the load on the gastrointestinal tract. Appointed for:

• cystic fibrosis;
• pancreatitis;
• irritable bowel syndrome;
• severe hepatitis;
• atrophic gastritis;
• biliary cirrhosis, etc.

For pancreatic insufficiency, medications that contain digestive enzymes are prescribed:

• pepsin;
• pancreatic enzymes;
• disaccharides;
• combined enzymes.

Systematic intake of enzyme agents normalizes the functioning of the pancreas and the production of gastric juice.

Festal

Pancreatin-based tablets accelerate the digestion of lipids, proteins, carbohydrates, and fiber. Reduces the load on the pancreas and liver and prevents constipation. Festal is prescribed for:

• pancreatitis;
• ulcerative colitis;
• flatulence;
• pancreatic insufficiency.

A drug for the treatment of gastrointestinal disorders is taken 1 tablet after the main meal.

Mezim forte

The medicine contains excretory enzymes that stimulate metabolism. Trypsin, lipase and amylase facilitate digestion in diseases of the liver and pancreas - pancreatitis, biliary dyskinesia, cholelithiasis, etc. Take 1-2 tablets with meals.

Mezim Forte is contraindicated in cases of intestinal obstruction, severe liver failure, and acute pancreatitis.

Pancreazim

A multienzyme drug with pancreatin is prescribed for pancreatic pathology. Partially compensates for its functions, accelerates the digestion of proteins and the absorption of vitamins from the small intestine. Pancreazym is prescribed for:

• insufficient synthesis of digestive enzymes;
• functional intestinal disorders;
• bloating.

The daily dose of Pancreazym is 2-4 tablets. Take with food.

Pancreatin

Like other inexpensive enzyme products, Pancreatin contains extracts from the pancreas of cattle and pigs - chymotrypsin, lipase. They stimulate the digestion of food, reduce the load on the gastrointestinal tract, liver and pancreas. Pancreatin is recommended for digestive disorders and heavy meals. Children over 6 years old and adults are prescribed 1-2 tablets after meals.

Panzinorm

Panzinorm is an effective medicine for digestive disorders. Compensates for pancreatic insufficiency in gastrointestinal diseases. Pork pancreatin is the active ingredient of the drug. Prescribed to enhance digestion when:

• sluggish pancreatitis;
• cystic fibrosis;
• operations on the gastrointestinal tract;
• removal of the pancreas.

To normalize stool and prevent fermentation in the intestines, take 1-2 capsules after meals. For serious pathologies, the dosage and duration of treatment is determined by a gastroenterologist.

Nausea, loose stools, fatigue and vomiting are symptoms of an overdose of Panzinorm. If you feel worse, you should stop therapy and consult a doctor.

Additional enzyme medications

To restore the functions of the digestive system, the following enzymatic agents are usually prescribed:

• Solizim;
• Digestal;
• Pepphys;
• Creon;
• Enzistal;
• Wobenzym;
• Pankurmen;
• Oraza, etc.

Enzyme-based drugs have high bioactivity. Long-term treatment is dangerous due to damage to the oropharyngeal mucosa. Therefore, tablets and capsules should not be chewed and washed down with plenty of water.

Basic principles of treatment

The functioning of organs is interconnected, so any, even minor, disruptions in the functioning of one organ will inevitably affect the work of the second. The main function of the internal organs is the synthesis of enzyme substances that are directly involved in the digestive system.

Pathologies of organs that have transformed into the chronic stage cannot be treated. With such a diagnosis, the goal of therapy is to prolong the period of remission.

To restore functions, medications are used whose action is aimed at restoring the synthesis of enzymes and protecting liver cells. Traditional methods are also successfully used.

An indispensable stage of therapy is adherence to a special nutritional system. First of all, the patient needs to visit a specialist and undergo a full examination to assess the condition of the internal organs, establish a diagnosis and then prescribe treatment.

Complex therapy of internal organs involves the following measures:

1. complete abstinence from alcohol and nicotine;
2. special diet – the diet should not contain spicy, smoked, fatty or sweet foods;
3. sufficient drinking regime;
4. meals are frequent and small.

Quitting alcohol

To give up smoking

Special diet

Drinking regime
During an attack of acute pain, the patient is sent to the hospital. It is important to provide assistance on the first day - to eliminate any stress on the liver and pancreas and slow down the process of enzyme synthesis.

To do this, the patient is prescribed therapeutic fasting, complete rest and cold on the stomach. The exact treatment regimen is prescribed only after confirmation of the diagnosis. A course of drug therapy involves taking the following medications:

• hepatoprotectors;
• anti-inflammatory drugs;
• antispasmodics;
• choleretic medications.

If a patient is diagnosed with inflammation, in order to avoid complications, hormonal medications are prescribed.

In addition, they prescribe:

1. herbal ingredients to slow down cell destruction;
2. vitamin complexes - to provide the body with the necessary set of nutrients;
3. enzymes necessary to normalize the functioning of the glands;
4. a course of intravenous infusion of glucose and saline solutions.

Sorbents

Sorbents are drugs for the treatment of the liver and pancreas that absorb and remove toxins from the body. Used in the treatment of gastrointestinal disorders and food poisoning. The list of the best products includes sorbents with activated carbon, lactulose, and silicon dioxide.

Sorbing activity is associated with the following principles of drug action:

• absorption of poisons, allergens and pathogens;
• improved digestion by increasing the concentration of pancreatic enzymes in the gastrointestinal tract;
• stimulation of metabolism and elimination of toxins in feces.

Many enterosorbents prevent the reabsorption of toxins into the blood from the intestines.

Sorbex

Capsules with activated carbon adsorb liquid and gaseous toxins and accelerate the removal of metabolic products from the gastrointestinal tract. Sorbex reduces the toxic effect on the liver and is prescribed for:

• chronic poisoning;
• long-term treatment with medications;
• infectious diseases of the gastrointestinal tract;
• acute and chronic damage to the pancreas, kidneys and liver.

In case of poisoning, take 2-6 capsules of Sorbex three times a day. The course of treatment is from 3 to 5 days.

Sorbents reduce the therapeutic activity of drugs. Therefore, they are taken 1.5-2 hours before or after taking other pharmaceuticals.

Polysorb

The powder for oral administration contains silicon dioxide, which removes bacterial and food allergens and toxic protein breakdown products from the intestines. The main purpose of taking Polysorb is to prevent pancreatic and liver dysfunction. The drug is included in the treatment of intestinal infections and viral hepatitis. Take 1.2 g of powder in the form of suspensions 50-60 minutes before meals. The maximum daily dose is 12 g.

Lactofiltrum

Plant sorbent with lactulose and lignin is used for:

• detoxification of the body;
• reducing the load on the liver;
• restoration of intestinal microflora.

Lactofiltrum is used in the treatment of hepatitis, pancreatitis, colitis, dysentery, etc. Adults take 2-3 tablets per day 60 minutes before meals.

Other enterosorbents

To cleanse the intestines of toxins and prevent functional disorders of the pancreas, the following are used:

• Enterosgel;
• Smecta;
• Polyphepan;
• Entegnin;
• Sorbolong;
• Enterosorb.

Food poisoning is treated with sorbents until diarrhea stops and signs of dyspepsia - belching, nausea - disappear.

Types of medications: list

With the development of pathological processes associated with alcohol poisoning, viral infections, chronic problems, the following medications are used for the liver:

Medicines for diseases of the pancreas and liver are aimed at removing toxins, blocking pain and normalizing functions.

1. drugs aimed at protecting the liver - hepatoprotectors: “Essentiale”, “Liv 52”, “Karsil”, “Gepabene”, “Heptral”, “Phosphogliv”;
2. drugs that suppress pathological microorganisms: penicillins, macrolides, cephalosporins;
3. tablets, the main component is milk thistle: “Legalon”, “Karsil”, “Silimar”;
4. medicines including artichoke (“Hofitol”);
5. means to combat spastic pain: “Drotaverine”, “No-Shpa”;
6. drugs to enhance the formation and excretion of bile (“Ursosan”).

The list of medications for the pancreas includes:

1. tablets that improve digestion thanks to the enzymes they contain: “Creon”, “Panzinorm”;
2. antacids: Maalox, Gaviscon, Rennie, Phosphalugel.
3. proton pump inhibitors (Omez);
4. proteolysis inhibitors (“Octeroid”);
5. solutions for detoxification for acute infections and toxic poisoning: “Hemodez”, “Neogemodez”, “Gluconeodez”;
6. means to combat spastic pain: “Drotaverine”, “No-Shpa”;
7. antibiotic drugs with a wide spectrum of action: “Oletetrin”, “Biseptol”, “Tetracycline”, “Sigmamycin”, “Bactrim”.

Antibiotic drugs for the treatment of the liver and pancreas

For the liver

Antibiotic agents are aimed at eliminating pathogens that provoke an inflammatory process in the liver or gall bladder.
For inflammation of the liver and pancreas, antibiotics are used. Their main task is to destroy pathogenic microorganisms and stop the deterioration of organs. In the case of liver disease, antibiotics are used to treat complications of cirrhosis. Since cirrhosis itself is not bacterial in nature, antibiotics are not used in treatment, but when inflammation develops, this is the main part of therapy.

For the pancreas

If the patient develops pancreatitis, antibiotic therapy will be required. At the initial stage, broad-spectrum antibiotics help: Oletetrin, Biseptol, Tetracycline, Sigmamycin, Bactrim. If the case is advanced and cholangitis or peripancreatitis has developed, then the best medications are: Cefuroxin intravenously (can be administered intramuscularly), Cephobid or Ampioxin. In case of exacerbation of pancreatitis, intramuscular administration of the following drugs is practiced: Rifampicin, Kanamycin, Ampicillin. The dosage of the drugs is determined by the doctor, based on the results of tests, studies of the patient and medical history.

Hepatoprotectors

Hepatoproctors are necessary during the treatment period:

• hepatitis caused by poisoning and viral nature;
• damage caused by alcohol;
• primary biliary cirrhosis.

The best product from this group is considered “Liv 52”. It is a product with a complex effect, which is based on components of plant origin: powdered yarrow, capers, Chinese cinnamon, chicory, nightshade. The active ingredients of herbs act on the liver as follows:

• restores the membrane structure of liver cells;
• helps liver cells resist the toxic effects of pathogens;
• increases the content of enzymes of the P450 group;
• enhances the synthesis of protein and phospholipid components;
• blocks the degeneration of adipose tissue and the development of fibrosis;
• improves intracellular metabolic processes.

Tablets based on milk thistle and artichoke

To help the liver function, medications containing milk thistle can be prescribed. The most popular is Karsil. The main component of the tablets is dry milk thistle fruit extract. Thanks to the active substance, the regeneration process in the liver tissues is activated, microcirculation is improved and, due to this, metabolic disorders disappear.

Products whose main component is field artichoke are considered equally effective. The most commonly prescribed drug is called “Hofitol”. The drug is presented as a solution that must be taken orally. Under the influence of the active substance, the outflow of bile from the gallbladder improves, and the amount of urine produced per day increases. The blood is gradually cleared of ammonia and urea, and the patient feels better. Used to treat cirrhosis and chronic hepatitis.

Choleretic agents

Antiviral drugs

In the treatment of the liver, combinations of the antiviral drugs Ribavirin and Interferon are often used. This combination fights the virus most effectively. Interferon increases a person’s immune defense against the virus and also suppresses the growth of pathological cells in the liver. In addition, the drugs prevent viral RNA replication from occurring. Combination therapy is used for hepatitis B and C viral types.

Treatment of unpleasant symptoms

For diseases of the liver and pancreas, treatment always includes taking painkillers, since the manifestations of the main diseases of the organs - hepatitis and pancreatitis - are very painful. Analgesics (Analgin, Aspirin), antispasmodics (No-Shpa, Spazmalgon, Drotaverin), as well as non-steroidal anti-inflammatory drugs (Movalis, Indomethacin, Voltaren) are used.

When problems with the pancreas and liver worsen, nausea and vomiting occur - common symptoms that occur in all patients. The drugs Cerucal, Motilak or Metoclopramide are prescribed. In addition to vomiting, patients experience stomach upset. To stop diarrhea, Imodium and enterosorbents are used. Espumisan helps relieve bloating. To reduce excessively high body temperature, you will need antipyretics (Paracetomol).

When to take antibiotics and antiviral medications

Antimicrobial and antiviral agents are prescribed for infectious lesions of the pancreas or liver. Antibiotics are not used for hepatitis, as they do not affect the activity of viruses.

Antiviral therapy

If viruses are the cause of inflammation of the pancreas or liver parenchyma, immunostimulants are used:

• Interferon;
• Genferon;
• Viferon.

They stimulate the immune system, causing the body to produce more protective cells. For hepatitis C, medications with direct antiviral activity based on sofosbuvir, daclatasvir, alta-interferon are used:

• Hepsvir;
• Sovihep;
• Sofovir;
• Resof;
• Hepcinate;
• Viropak;
• Sophocyvitis, etc.

The treatment regimen for hepatitis C is determined only by a hepatologist. Irrational use of medications is dangerous due to complications.

Antibacterial treatment

Antibiotics are used to treat infections caused by bacteria. For cholecystitis and pancreatitis, penicillin drugs are prescribed:

• Augmentin;
• Ospamox;
• Panclave;
• Amoxin;
• Amoxiclav, etc.

During antibacterial therapy, patients are simultaneously prescribed probiotics - Enterozermina, Bionorm, Linex, etc. They prevent dysbiosis and intestinal hypovitaminosis.

Causes of diseases

In the modern world, not every person leads a healthy lifestyle, which is why their health suffers significantly. You should definitely consult a doctor if alarming symptoms occur. Most diseases are well treated in the initial stages. That is why there is no need to wait until your health condition deteriorates significantly due to a progressive disease.

It is possible to identify specific provoking factors that lead to the appearance of pathology:

1. Alcohol abuse. They have an extremely negative effect on the entire body, especially the digestive system. That is why a person should give up intoxicating drinks.
2. Atherosclerosis. In this case, the blood vessels become blocked with cholesterol plaques. If a person wants to avoid negative consequences, then he should definitely start treatment.
3. Poor nutrition. Those people who constantly eat fatty, fried, spicy foods suffer from problems with the pancreas and liver. That is why it is important to eat well so that there are no dangerous diseases later.
4. Infection. It can affect the digestive tract, which can significantly worsen a person’s well-being. When the first symptoms appear, it is important to consult a doctor immediately.
5. Drugs that are toxic to the body. They can have an extremely negative impact on the digestive system, as well as the liver. It is important to follow the regimen for taking such medications and not increase the dosage yourself. In such a situation, you will not have to suffer from health problems.
6. Presence of stones in the gall bladder. In this case, it is important to undergo an ultrasound to understand what size they are and whether surgery is required.
7. Physiological characteristics of the body. They can often be inherited.

People should avoid these provoking factors so that they do not have to face dangerous pathologies. It is also important to know the characteristic symptoms, in this case you will be able to immediately understand what exactly you are dealing with and take measures to improve your well-being.

Vitamin complexes and other medications

Many diseases of the pancreas and liver occur due to vitamin deficiency. To restore the metabolism and functions of the affected organs, vitamin and mineral complexes with tocopherol, inositol, B vitamins, ascorbic and folic acid are prescribed. Effective means include:

• Vitrum;
• Multitabs;
• Complivit;
• Merz;
• Doppelhertz;
• Alphabet.

To restore the liver in case of fatty degeneration of the parenchyma, lipoic acid preparations are prescribed - Alpha-Lipon, Thioctan, Biletan, etc.

Recovery from alcohol

Drinking alcoholic beverages causes serious harm to the functioning of the body. Ethyl alcohol rapidly spreads through the bloodstream, after which it settles in all internal organs. The greatest danger from drinking alcohol is for the functioning of the liver and kidneys. To restore the functioning of these organs, it is recommended to abstain from eating food for several days.

You should return to your usual diet gradually - you need to introduce a small amount of fermented milk products every day.

This is the only method that will help restore your pancreas after massive alcohol consumption.

Remember that liver cells have the ability to regenerate. If you give up your addiction, the work of this internal time will soon be restored. To cleanse the pancreas and restore liver function, you can try the following remedies:

• Rosehip infusion is an effective remedy that allows you to nourish the body with a large number of useful elements. It contains vitamins A, C, K and nicotinic acid;
• Rowan infusion - fills the body with a sufficient amount of useful substances, helps normalize bile flow, removes waste and toxins;
• Magnesia is a popular medicine that restores the functioning of the cardiovascular system.

Alcohol is a product that causes serious stagnation of bile. Because of this, atherosclerotic plaques – cholesterol deposits – appear on the walls of blood vessels. In addition, stones form in the gallbladder, which cause pain.

In addition, neoplasms can block the bile duct, which will lead to the release of bile into the blood - this causes obstructive jaundice.

When to see a doctor

With dysfunction of the pancreas and organs of the hepatobiliary system, the patient's condition worsens. The development of serious diseases is indicated by:

• bitterness in the mouth;
• flatulence;
• bowel disorders;
• pain in the right side;
• indigestion;
• bitter belching;
• bloating;
• sallow complexion;
• acne;
• headache;
• allergy;
• dark urine.

Symptoms indicate poisoning of the body with toxins and intestinal disorders. Treatment should be started only after consulting a gastroenterologist, since many gastrointestinal diseases have nonspecific symptoms.