Hello, I am Dr. Bueno, and this is Medicina Clara, your online medical channel. If you like the channel and want to stay updated on our weekly updates, don't forget to subscribe and activate the notification bell. Today, we are going to discuss a topic that is an annex to the video we made about liver and lung cleansing. We will talk about gallbladder cleansing, looking at the recommended treatments and the pathophysiological mechanism that suggests it is beneficial. We will also determine whether this really has any health benefits or if it simply removes the stones we have in our gallbladder. So, if you have gallstones or experience colicky pain, pay attention because we are starting. 

There are many channels online that discuss the different cleanses of organs. Broadly speaking, our body is not a washing tunnel for renal or pulmonary cleanses; in the end, it is a balance of what we consume and what we generate in our organism. If we consume many toxins, such as smoking, drinking alcohol, taking drugs, or following a diet excessively high in saturated fats—eating industrial pastries, cookies, hamburgers, hot dogs, pizza, etc.—all of that ultimately accumulates various toxic substances in our body.

pero no hay una manera de limpiarlos salvo eliminando y evitando el consumo de esas sustancias. Es decir, si yo dejo de fumar, mis pulmones no se regeneran, sino que las sustancias tóxicas en las células de mi organismo van a empezar a tratar las lesiones que se han ido produciendo por estos tóxicos. Van a poder trabajar mejor porque no tienen más carga de trabajo. Al final, lo que van a conseguir es dejar nuestros órganos, que entre comillas se van dañando, para poder tratarse de una manera orgánica y natural. Pero no es por algo que yo consuma de fuera; es decir, no hay una cosa que yo me pueda tomar y me pueda limpiar con la vesícula biliar. Claro, hay un mundo en todo esto. ¿Cuál es este mundo? Pues que la vesícula biliar está debajo del hígado y es la que excreta bilis. Sabéis que es necesaria para poder absorber las grasas. En las grasas que consumimos, ya sabéis que también hay grasas que son buenas y que son esenciales para nuestro organismo y para nuestras células. Entonces, dicen que sin esa bilis, si tú tienes piedras y te van a arrancar la vesícula, no utilizan la palabra extirpación quirúrgica, no, te van a amputar un órgano de tu organismo. Y claro, ya no vas a tener bilis, tu digestión es diferente. Bueno, entonces vamos a empezar a hablar con

The liver stores an extra amount of bile that is used when we have an excess of fat consumption. For example, when we go to a birthday party or a celebration and we eat more than usual, we consume more fat than normal. In this case, our gallbladder acts as an auxiliary organ; bile is produced in the liver. The liver is responsible for this production, which means that if you have gallstones, experience colicky pain, or suffer from typical colitis, or even more serious conditions like pancreatitis, your liver will continue to secrete bile. This means that your fats and fat-soluble vitamins, which are also necessary, will continue to be absorbed. 

What happens is that if one day you consume an excess of fat in a meal, your digestion will be prolonged because you no longer have that small pouch, that organ, to excrete an excess of bile into the digestive tract. On one hand, when they say that bile is excreted into the digestive tract, you might wonder how this happens. It occurs through a duct; in other words, the gallbladder does not release bile directly into the air within our body but rather through a duct. This duct, called the cystic duct, connects to another duct known as the common bile duct or main bile duct. If I have a stone, and if it is larger than one centimeter, it is practically impossible for it to pass through this duct because the cystic duct usually measures around three mill

Principalmente, el tubo que va del hígado hacia el intestino, específicamente hacia el duodeno, no suele pasar de los 6 milímetros y en algunos casos puede llegar hasta 8 milímetros en condiciones normales. Si ha habido obstrucciones, puede verse aumentado, pero no de manera obvia. Por lo tanto, si yo hago estos tratamientos, me lo vais a decir todo. Es el de la doctora Julia Clarke, que lo explica muy bien. Yo lo sé con aceite de oliva, el zumo de una naranja o de una toronja, y el sulfato de magnesio, que está en todos los sitios. Te lo tomas y verás qué cantidad de piedras excretas. Si eso fuera así, si eso fuera verdad, ahora veréis qué son esas piedras que se excretan. Es cierto que esas piedras tendrían que venir de la vesícula biliar y pasar por estos tubos. Cuando pasan por esos tubos, si son piedras visibles, son mayores a los centímetros que hemos mencionado, por lo tanto, obstruirían el canal de salida y provocarían pancreatitis u otras obstrucciones de la vía biliar, que se llaman colédocolitiasis, las cuales son graves y pueden llevar al paciente a fallecer. La gente que hace estas limpiezas de la vesícula biliar excreta y dice: Mira, es que he echado más de 100 piedras. Y me hago

These are excrescences that seem to be small stones, and they float because they are mixed with olive oil. So, when we go to the bathroom, I said, No, you can do this every three months, and you will see that you will always expel stones. Generally speaking, people have one or two stones. It is true that some people have many more stones, but generally, the gallbladder does not produce stones; it is because it is sick. When these stones form, it is because the gallbladder is already unhealthy, and it is not functioning properly. It does not produce 100 stones every day. If you undergo this treatment that is prolonged, as they say, every month you will expel stones, and you will say, Oh, I don't have stones. But those are not stones coming from the gallbladder; they travel through the digestive tract, precipitate, and when expelled, they form that kind of stone. Others say, I did a gallbladder cleanse, and they did an ultrasound beforehand, where they told me I had stones, and afterwards, I didn't have any. Look, first of all, ultrasounds are doctor-dependent. That is to say, the doctor who performs the ultrasound determines a specific number. They cannot count if there are many; if there are multiple, they will say there are multiple stones, but the stones that are visible are calcium carbonate stones. There are stones made of cholesterol that

What are you going to expel? 40, 50, 60? So, not just two, but 40 or 50? And if you get an X-ray, those could be from carbon or cholesterol, not calcium carbonate, and they might not show up. If you have an ultrasound and they are smaller, because of course, these treatments are also associated with diets, which is what helps improve your digestive system and makes you feel better. Because in the end, this is about doing sports, avoiding a sedentary lifestyle, not smoking, and limiting alcohol while following a healthy Mediterranean diet, etc. What they will see in the cycle are all those stones alone. So, is it bad for your health to do a gallbladder cleanse? No, it’s not bad. You are not consuming olive oil, orange juice, and magnesium sulfate. What that will do is, at most, be careful with magnesium sulfate because it can sometimes cause diarrhea, but it will lead to those supposed stones being expelled. That's all; you are not putting anything harmful in your body. However, if you already have stones in your gallbladder, it will not remove them. If you do this every time, it will always happen because it’s the precipitation of the products that causes the stones to come out, let’s say, during bathroom visits. So, is it bad for me? No, it’s not bad, but is it going to remove or eliminate the stones I

Absolutely nothing, and keep in mind that doctors also make mistakes sometimes. There are times when we believe we see stones in the gallbladder, but there aren't any. This means there can also be initial diagnostic errors, so nothing happens. Oh, what a dream! It seemed to me that I had seen this stone, but it wasn't there, and then it doesn't appear. There are also small miliary sludge particles that are very tiny, less than 3 millimeters, that can pass through those ducts because they are so small and do not produce anything at all. Sometimes, we might see a bit more fragmentation of cholesterol stones passing through the cystic duct, but since they are smaller than 3 millimeters, they do not cause an obstruction. They are expelled with the digestive tract, and nothing happens at all. So, if you want to pull our leg, go ahead, but know what the actual pathophysiological methods are. When doctors recommend removing the gallbladder, it is because: one, the patient is ill; two, it is causing colicky pain and infections of the gallbladder; and we want to avoid pancreatitis in the long term, which can be fatal for patients. We do not just remove gallbladders; we surgically excise an organ that is diseased. And that concludes what we wanted to discuss about gallbladder cleanses. If you like the video, as always, share it on social media with family and

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