Gallstones

Gallstones are rocklike clumps of cholesterol or other digestive substances that form in the gallbladder, the pear-shaped organ that sits in the upper right section of the abdomen, just under the liver. The gallbladder stores and concentrates bile-a thick greenish yellow fluid that's produced by the liver-and eventually releases it through the bile duct into the small intestine to aid in the digestion of fats. Gallstones can develop if the bile contains very high levels of cholesterol, bile acids, pigments, or other substances. Whether they're as tiny as the head of a pin or as big as a golf ball, gallstones often produce no symptoms and need no special care. Sometimes, though, they can block the bile duct or inflame the gallbladder, causing intense abdominal pain and requiring prompt treatment.

Though the exact cause of gallstones is not known, several factors may contribute to their formation, including a low-fiber, high-fat and refined sugar diet; intestinal surgery; inflammatory bowel disease; or other disorders of the digestive tract. Gallstones tend to occur in people over age 40 and are three times more common in women. Obesity is also strongly linked to gallstones, as is rapid weight loss.

Supplements and herbs

The supplements recommended below may all aid in preventing or dissolving gallstones. Three months of treatment may be effective in dissolving small existing stones, though those supplements in blue (except taurine) can also be used long term to help prevent gallstone attacks.

Extra vitamin C is important because it lowers bile cholesterol levels, decreasing the chance that cholesterol-laden bile will clump to form stones. Vitamin C should be combined with various other supplements. A good general choice is a lipotropic ("fat-metabolizing") combination, containing milk thistle, choline, inositol, and methionine, which bolsters liver function and promotes a healthy flow of fats and bile from the liver and gallbladder. The herb milk thistle, for example, alters bile composition, helping to dissolve gallstones and eliminate stones that may have formed. Choline and inositol (related to the B vitamins) and the amino acid methionine aid in fat and cholesterol metabolism as well. They also strengthen liver and gallbladder function. Methionine may increase levels of another amino acid, taurine, which improves bile flow and helps dissolve existing stones. Choline and inositol are also vital to the fatty bile component lecithin (inadequate levels may precipitate gallstones).

Other supplements may be worth adding to the mix, either singly or together. Flaxseed oil contains essential fatty acids that may be useful in preventing or even dissolving gallstones. Peppermint oil, taken in enteric-coated capsules, also has gallstone-dissolving effects. And daily doses of psyllium can promote bowel movements, which may be of value in blocking the formation of gallstones.

Homeopathy

Remedies below have been helpful to some people with gallstones. They are mentioned here to introduce a few of the possibilities homeopathy can offer, and not as recommendations for self-treatment. A constitutional remedy chosen by an experienced prescriber is a more appropriate way to treat deep-seated, serious, or chronic conditions.

  • Berberis
    This remedy may be indicated when stitching pains extend from the gallbladder region to the stomach and sometimes to the shoulder. Sharp twinges radiating outward can be felt in the groin and pelvic bones and may seem to come from the lower back. Pain can be worse when the person is standing up, and from changing position. The person may be constipated and have a tendency toward gout or joint pains. Rapidly changing states (sudden thirst, then lack of thirst; hunger, then loss of appetite) can point to this remedy.
  • Calcarea carb.
    When a person needing this remedy has gallbladder problems, the abdomen may feel swollen on the right and be very sensitive to pressure, with cutting pains that extend to the chest and are worse from stooping. The person feels worse from standing, worse from exertion, and better from lying on the painful side. Calcarea carbonica is often indicated for people who tire easily, feel cold and sluggish with clammy hands and feet, crave sweets, and tend to feel anxious and overwhelmed when ill.
  • Chelidonium
    This remedy is often indicated when pain extends to the back, tight, shoulder, and shoulder blade. The abdomen is distended, with a constricting feeling as if a string were pulled across it. Pain is worse from motion, and lying on the left with the legs drawn up may help. The person may feel nauseous, especially after eating fat or drinking something cold (warm drinks stay down more easily). The person may feel tired, worse from being cold, and worse in the early morning.
  • Colocynthis
    Cutting, cramping pains that make a person double over, or want to lie down and put hard pressure on the abdomen may indicate a need for this remedy. Pain in the upper right abdomen, extending to the shoulder, may also be seen. A person needing this remedy may have aggravated physical symptoms after feeling angry or emotional, especially after suppressing those feelings.
  • Lycopodium
    This remedy is often indicated for people who have chronic digestive problems with abdominal bloating, flatulence, and discomfort. Problems are worse from eating, and the pains may extend from the right side to the left. A person who needs this remedy typically craves sweets, prefers warm drinks, and may feel worse in the late afternoon and evening.
  • Nux vomica
    Constricting pains that travel upward, stitching pains, and a swollen feeling in the upper right part of the abdomen suggest a need for this remedy. Digestive cramps and nausea, along with a general feeling of chilliness, are likely. The person may crave fats, strong spicy foods, alcohol, coffee and other stimulants, and feel worse from having them. Irritability and impatience are usually pronounced when this remedy is needed.

What else you can do

  • Eat a diet high in fiber and low in refined carbohydrates, sugar, and fat. Fruits and vegetables, oat bran, and pectin (found in cabbage, carrots, oranges, peas, and okra) may be especially important in preventing and dissolving gallstones.
  • Keep your weight down and drink plenty of water daily.
  • Exercise, it reduces the risk of gallstone formation.

How much to take

Vitamin C
1,000 mg 3 times a day.
Reduce dose if diarrhea develops.
Lipotropic combination
1 or 2 pills twice a day.
Need 250 mg milk thistle (take extra if needed); may also include choline, inositol, methionine, and dandelion.
Taurine
1,000 mg L -taurine twice a day for up to 3 months.
After 6 weeks, add a mixed amino acid complex.
Lecithin
2 capsules of 19 grains (1,200 mg) each twice a day.
Or 2 tsp granular form twice a day before meals.
Flaxseed oil
1 tbsp (14 grams) a day in liquid or pill form.
Can be mixed with food; take in the morning.
Peppermint oil
2 capsules (containing 0.2 ml of oil each) twice a day.
Buy enteric-coated capsules. Take between meals.
Psyllium
1 tbsp powder dissolved in water or juice twice a day.
Be sure to drink extra water throughout the day.

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