Overview of Biliary Hypotonia
Biliary hypotonia syndrome, also known as Chiray syndrome, is a group of syndromes characterized by dyspepsia, intolerance of fatty foods and right upper abdominal pain due to low biliary tone and delayed gallbladder emptying. This syndrome belongs to the category of biliary dysfunction syndromes, also known as delayed gallbladder syndrome.
Etiology
Pathologically, there is dilatation of the gallbladder and loss of the neck of the gallbladder, which is mainly due to phytoneurologic dysfunction, vagal hypoplasia, and decreased secretion of cholecystokinin.
Symptoms
The disease is most common in females and is characterized by discomfort or pain in the right upper abdomen, nausea, vomiting, dyspepsia and aversion to greasy food, occasionally jaundice and pressure pain in the right upper abdomen.
Examination
Oral cholecystography or B-mode ultrasonography may reveal an enlarged gallbladder.
Diagnosis
Oral cholecystography or B-mode ultrasound may reveal an enlarged gallbladder and poor gallbladder contraction after a fatty meal. The syndrome can only be considered in the absence of organic biliary tract disease (cholelithiasis, biliary ascariasis, biliary tract infections, etc.).
Differential diagnosis
It should be differentiated from chronic cholecystitis, extrahepatic biliary obstruction, and chronic hepatitis.
Complications
The disease is easily complicated by biliary dysfunction syndrome, anorexia and dyspepsia.
Treatment
1. Western medical treatment
The treatment is based on the drugs that promote the contraction of gallbladder and accelerate its emptying, such as magnesium sulfate, and should regulate the function of plant nerves.
2. Chinese medicine treatment
Commonly used drugs are Chaihu, Citrus aurantium, Paeonia lactiflora, safflower, Paeonia lactiflora, Salviae Miltiorrhizae, Curcuma longa, Inulin, gardenia, rhubarb, tulip, moneywort, Hai Jin Sha and so on. The treatment of biliary tract complications is to dredge the liver and activate blood circulation, and to pass the internal organs and drain the turbidity.