Toxic hepatitis: treatment with drugs, diet

Toxic hepatitis is a fairly common disease that develops as a result of exposure of the liver to toxic substances. There are various forms of this disease. Most often, damage occurs as a result of exposure to alcohol, harmful production factors, drugs, viral and bacterial toxins. The disease is very dangerous, requires early diagnosis, timely treatment. This is the only way to achieve positive results in treatment. Otherwise, the prognosis will be extremely unfavorable. Often, hepatitis ends in cirrhosis of the liver, liver failure or coma, death.

To establish a diagnosis, a comprehensive diagnostics is carried out, which includes laboratory and instrumental studies, differential diagnostics. In order to differentiate toxic hepatitis from other diseases that have a similar diagnosis, ultrasound, special liver studies are carried out. To confirm the toxic nature of the damaging factor, a toxicological study is carried out.

To remove toxins and cleanse the body, antitoxic therapy is performed, aimed at removing poisons from the body, cleansing. For this, various sorbents are used, for example, activated carbon, droppers with electrolyte solution. In severe cases, hemosorption and plasmapheresis are performed.

Vitamin therapy is carried out. Vitamins of group B and C are mainly used. For symptomatic therapy, various means are used, aimed at eliminating the symptoms of diseases and various pathologies. In case of severe pain syndrome, painkillers are used, in case of inflammation - anti-inflammatory drugs. Hepatoprotectors are used to protect the liver from damaging effects. Choleretic drugs are used to alleviate the condition. In case of severe complications, in particular, ascites, surgical intervention may be required.

Clinical guidelines

During therapy, you should stay in bed. It is necessary to strictly follow the doctor's recommendations for taking medications, perform all necessary manipulations. It is important to eat right, stick to a gentle diet. It is necessary to control the amount of liquid you drink, and not allow the body to be exposed to harmful environmental factors. Concomitant diseases should be treated in a timely manner. The treatment regimen should be carefully followed.

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Standard of therapy for toxic hepatitis

The first thing to do is to detect the damaging factor and eliminate its further impact on the body. Then you need to neutralize the effect of the toxin, cleanse the body. Usually, antidotes and sorbents are administered for this. It is imperative to provide the patient with bed rest and a gentle diet.

After this, the actual therapy begins. They use drugs aimed at treating the liver and protecting it from further destructive effects. Hepatoprotectors are administered. It is reasonable to include folk remedies in the therapy. But only after a preliminary consultation with a doctor. Infusion therapy is performed. In critical situations, surgical methods and plasmapheresis are used. To speed up the removal of toxins, choleretic therapy is recommended.

Treatment of toxic hepatitis in hospital

The principles of inpatient treatment are based on the standards of hepatitis treatment. First, the toxin is neutralized and the body is cleansed. Then, supportive therapy and symptomatic treatment are carried out. The use of hepatoprotectors is mandatory, which not only protect the liver, but also promote its restoration.

Medicines

Medicines should be used only after prior consultation with a doctor, even at the recovery stage. This is due to the fact that improper treatment can lead to the development of such severe complications as liver cirrhosis, ascites, which often end in death.

For hepatitis, Ursosan is used at 10-15 mg per 1 kg of body weight. Taken once, before bedtime.

Hepatitis is often accompanied by constipation. In this regard, it is recommended to take Duphalac 1-2 tablespoons in the morning.

Ranitidine is taken to relieve pain and spasms, restore the liver. It is taken in a dosage of 150 to 300 mg twice a day. The dosage depends on the severity of the pathological process, the form and stage of the disease. Patients with liver failure and low body weight should take the drug with caution. The duration of the course varies from 4 to 8 weeks.

The drug Liv 52 helps remove toxins from the body, increases enzyme activity. Additionally, it has a choleretic effect, neutralizes the action of free radicals. It is used 2-3 tablets 2-3 times a day. For children, the dosage is reduced by 2 times. The duration of treatment is 3 months. Side effects are minimal, since the drug is homeopathic.

Essentiale forte strengthens and restores liver cells and burns fat. Formation of scar tissue is significantly reduced. Capsules are available in a dosage of 300 mg. Take 2 capsules 2-3 times a day.

Heptral for toxic hepatitis

The drug heptral increases the protective properties of the liver and cells. It significantly increases the recovery of the body, accelerates the neutralization of toxins, which contributes to the restoration of cells and tissues. In addition, it has an antidepressant effect.

Taken in tablet and injection form. Recommended for use in the first half of the day, as it has a powerful tonic effect. Contraindicated for children under 18. Should be used with caution during pregnancy.

Vitamins

For hepatitis, vitamins of group B and C are used. It is recommended to take the following vitamins in daily doses:

• Vitamin B1 – 4.5 mg
• Vitamin B2 – 5.4 mg
• Vitamin B5 – 15 mg
• Vitamin B6 – 6 mg
• Vitamin C – 500 mg.

Physiotherapy treatment

Electrophoresis is used to treat hepatitis. During this procedure, medications enter the blood through the skin and mucous membranes. Additionally, microcurrents are used, as a result of which the drug penetrates deeper and directly into the tissues where its main effect occurs. Thus, the dosage can be reduced. Accordingly, the risk of side effects is reduced, and the load on the liver is reduced.

Acupuncture, needle therapy, reflexology and other physiotherapeutic methods are also used.

Folk treatment of toxic hepatitis

Alternative medicine also has some means that make it possible to reduce the toxic effect on the liver and normalize its functions. Folk remedies are recommended for prevention, as well as during the recovery period of the body. This is due to the fact that during treatment the body already receives a complex and quite large load on the body. In addition, folk remedies do not have such a powerful effect to relieve the symptoms of acute poisoning and severe damage. At the stage of recovery and prevention, folk remedies, on the contrary, can have a powerful, and most importantly - prolonged effect on the body.

A tonic has proven itself well. To prepare it, take 250 grams of dried apricots, prunes, raisins and figs. After that, mix everything thoroughly, mince. Mix the resulting mass thoroughly and add at least 100 grams of honey to the mixture. Add 1 teaspoon of cinnamon, ground ginger and cumin. Mix thoroughly and let it sit in the refrigerator for 3 days. Then add the juice of half a lemon, mix again and start taking it daily. The duration of treatment is a month.

Strengthening tea allows you to remove harmful substances, restore liver cells. Use 2 tablespoons of dried tea rose petals, 1 tablespoon of rose hips. Pour boiling water. Infuse for 30 minutes. You can add honey.

The "Restorative" infusion is prepared from echinacea and eleutherococcus. To prepare the infusion, take the appropriate plant extracts, mix them in a 2:1 ratio, drink 1 teaspoon three times a day. The duration of treatment is 14-28 days.

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Herbal treatment

Mint is used to restore the liver. For pain and spasms in the liver area, as well as dyspeptic disorders, use a decoction of mint. It can be drunk as a decoction or as tea. To prepare the decoction, take 4 tablespoons of dried mint leaves. You can also take fresh leaves. Then pour boiling water over them, let them brew for an hour and drink like tea. You can add mint leaves to regular tea, in addition to the brew, and drink them in unlimited quantities, like regular tea.

Corn silk is also used. It promotes the outflow of bile and has an active choleretic effect. To prepare a decoction, take 5-10 grams of crushed corn silk, pour a glass of boiling water over it, drink it throughout the day in small sips, when pain and discomfort in the stomach and intestines, bitterness in the mouth appear. You need to drink the entire glass of decoction during the day.

To prepare a decoction of verbena officinalis, take one teaspoon of the herb and pour a glass of boiling water over it. Drink in small sips. The next day, prepare a new one. The decoction is effective for liver and spleen diseases, fever, and headaches.

Homeopathy

Homeopathic remedies should be used with caution. It is necessary to take precautions - use only after prior consultation with a doctor. It is important to consider that any remedy primarily affects the liver. In addition, many homeopathic drugs have a cumulative effect, which means that they will only show an effect after a certain amount has accumulated in the body, or the full course has been completed. Some drugs may be incompatible with drug therapy.

To strengthen the immune system and enhance recovery processes, use a decoction of nettle and stevia. To do this, take 1-2 tablespoons of the mixture, pour a glass of water and drink throughout the day.

Birch juice is also used to strengthen the body. Take 1 glass three times a day. Cleanses the body, removes toxins.

For pain in the stomach and liver, use a decoction of sage. To prepare the decoction, take 1-2 tablespoons of sage and pour a glass of boiling water. Drink 1 tablespoon three times a day. Add honey to taste.

Dill helps normalize digestion, eliminates bile and cleanses the body. Take 1 tablespoon of dill seeds, pour a glass of boiling water, drink throughout the day.

Surgical treatment

Surgical interventions are generally unavoidable at the stage of complications, with the appearance of cirrhosis and ascites. For most people, the appearance of ascites is a sign of imminent death. Only 10% of patients can live with ascites for a month. In highly specialized clinics, it is possible to compensate for the patient's condition with diuretics, potassium and magnesium preparations, or by surgical intervention. Paracentesis is used - a procedure during which fluid is invasively removed from the abdominal cavity. Omenopathophrenopexy is also used. During this procedure, the omentum is cut, after which it is sutured to the diaphragm and liver. Scarification of the omentum is performed beforehand, as a result of which the fluid is removed spontaneously, without accumulating.

Diet for toxic hepatitis

In case of hepatitis, a gentle diet should be followed. The patient should exclude from the diet all dishes that have a stimulating and irritating effect on the mucous membranes. Food should only be boiled or steamed. There should be no seasonings, spices or marinades either. The food should contain light porridges, lean meat, fish. The diet should include a lot of vegetables and fruits. Can be consumed in the form of salads. Vegetable and butter, low-fat sour cream are used for dressing. Smoked dishes and canned food are excluded. Alcohol is strictly prohibited.

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What can you eat with toxic hepatitis?

With toxic hepatitis, you can eat only those foods that are easily digested by the body. These are light porridges, boiled meat or fish, vegetables. If fresh vegetables cause pain and discomfort in the liver and stomach, it is better to eat them boiled. Food should only be boiled or steamed.

In case of toxic hepatitis, it is better to reduce legumes to a minimum. Instead, it is recommended to use light boiled meat and fish. These should be low-fat varieties.

Daily menu for toxic hepatitis

• Monday

Breakfast

Omelette with fried eggs and tomatoes, compote.

Dinner

Clear chicken broth, crouton. Mashed potatoes, boiled chicken breast. Carrot salad with sweet pepper. Tea with sugar.

Dinner

Pumpkin porridge, oatmeal cookies (3 pcs), green tea.

• Tuesday

Breakfast

A bun with poppy seeds, a glass of kefir.

Dinner

Vegetable soup, rusk. Wheat porridge, steamed chicken cutlet. Fresh cucumber. Black tea with milk.

Dinner

Cottage cheese casserole, berry jelly.

• Wednesday

Breakfast

Boiled sausage, boiled egg. Chicory.

Dinner

Meatball soup. Buckwheat porridge, stewed chicken liver. Grated beetroot salad. Tea with sugar.

Dinner

Oatmeal with fruit. Fresh apple. Compote.

• Thursday

Breakfast

Semolina milk porridge, boiled egg, toast. Green tea.

Dinner

Fish broth. Rice porridge, fish stewed with carrots and onions. Fresh tomato. Black tea with sugar.

Dinner

Pumpkin pancakes. Banana puree. A glass of kefir.

• Friday

Breakfast

Ham sandwich with processed cheese. Cocoa.

Dinner

Buckwheat soup. Mashed potatoes, steamed fish cutlet. Fresh cabbage and carrot salad. Rosehip decoction.

Dinner

Chicken breast spotted. Fresh pepper. Croutons. Tea with sugar.

• Saturday

Breakfast

Seaweed salad with beans. Sandwich with smoked mackerel. Green tea.

Dinner

Vegetable broth. Strained pearl barley porridge. Boiled sausage. Tomato and sweet pepper salad. Black tea with sugar.

Dinner

Bun with butter and ham. Applesauce. Tea with sugar.

• Sunday

Breakfast

Cottage cheese with sugar and sour cream. Black tea with sugar.

Dinner

Chicken broth. Barley porridge. Vinaigrette. Chicken heart and liver. Tea with sugar.

Dinner

Pumpkin casserole. Apricot jam. Green tea.

The main condition for successful treatment is to stop the damaging factor from affecting the body. So, if alcohol is the cause of hepatitis, it must be completely eliminated. If hepatitis is the result of taking certain medications, their use must be stopped immediately. If a large amount of toxic substances is taken orally, or if toxins are ingested in other ways, gastric lavage is performed. This will prevent further action of the toxin. If possible, therapy is carried out to neutralize the action of toxins. In this case, an antidote is usually administered.