Los Angeles daily herald., 1888-11-28
Cor. Second and spiing sts., Los Angeles. Cal
SORE THROAT.

SORE THROAT,
Infamm atory action of any kind in the nose
speedily extends itself to the throat. From
ne throat each breath we draw carries the
irritation onward and dO,DnuGrd through the
bronchial tubes; as these are involved the sup
ply OF air to the lungs becomes gradually di-
minished, tubercules may form and bronchitis
eoouar IN AMP on Sore throat s the
eases, differing widely from each other in
their nature and treatment.
The throat comprises the whole space from
the posterior mares down to the entrance into
the w1ndpipe and gullet. The several parts
liable to disease are the mucous membrane
lining the throat, the mucous foilicles or little
glands which in health, secrete the lubricat-
ing mucous, the uvula or pedulus part which
hangs down from the curtain OF the palate and
the tonsils.
ACUTE OR SIMPLE SORE THROAT.
The most simple form of throat disease is
Inflammation of the mucous membrane re.
IN cold or damp weather. The symptoms are
roughness in the throat, with a slight pain
and swelling. The throat looks red and angry
ana the tongue is slightly coated with white
fur: Within few days small whitish spots,
which look like ulcers, form on the back OF the
throat and about the root OF the tongue. If the
attack be mild, these aphthous points disap-
pear at the end of three or four days, but when
more severe they leave behind them superficial
ulcers. When the acute Inflammation is not
entirely removed it is likely to degenerate into
a chronic form, and gradually develop what is
called granular disease, or 1t may end in an
abscess OF the tonsil glands or cause chronic
enlargement OF the tonsils and elongation OF
the uvula
CHRONIC SORE THROAT.
This like nearly all affections of the throat
and nose, usually begins with a severe cold,
and Is almost always attended with hoarse-
ness. Is more irte9nent&ly & mere extension iG
ease. the irritation escaping down and fixing
itself upon the delicate organism of this part,
and thence gradually journeying onward to
the lungs. When it occurs as a consequence Of
catarrh or sore throat, the symptoms are COM
paratvely mild. There may be pain but it is
more common to find only a sense of tickling
sensation as Of something sticking there" to
get rid of which they keep up Iasping effort
to clear the windpipe. The voice is, always
stage, but more feeble after the disease is fully
| established There is often slight tenderness
i over that prominence OF the neck known as the
Apple OF Adam" (Pomum Adam), O heat and
| q sense of tightness and frequently some slight
difficulty in swallowing.
The causes which produce this form of dis.
ease are various It arises in clergymen and
use Of the voice. The vocal cords become ex.
hausted and lose their tone from straining and
air are liable to be drawn into the windpipe
and produce irritation. 1t is more often a
mere sequel to sore throat the Inflammation
extending down to the larnyx by reason of the
|
| But from whatever cause it arises it Is
always a serious malady. The chronic form
threatens the complete destruction of the
the lungs in disease. Every slight cold, every
change in the weather, every flight of dust,
feeds the irritation and increases the inveter-
On the other hand chronic larypgitis fire.
| quently occurs as sequel of consumption.
and Is produced, or at least very much aggra-
| vated, by the irritation of the expectorated
matter Oopurrinp a Of tu her.
cles, it Is one of the most distressing complica-
tions and adds greatly to the patients distress.
In this form there Is more or less liberation OF
the vocal chords. beginning on the lower, side
and gradually extending upward. These ulcers
| often penetrate through the mucous and cellu-
lar membranes, involving the muscular tissue
and not infreQuently attack the Hgaments and
cartilages themselves.
When the laryngeal disease is secondary to
that of the lungs, and dependent upon it, we
can only hope to effect cure by those means
which will remove its cause, and these we
| have considered, and shall more fully consider,
under the head OF Consumption"
In addition to Inflammation, acute or
chronic, the larynx is liable to abscesses, to
action @ q Ir long continued Irritation the vocal
the v0is
| have complete loss of voice from ralsy OF the
| cords, constituting ar affection known to the
physicians by the term of "Aphonia." Unless
the remedies are applied to the seat of the
disease 1t is useless to try to effect cure 1t is
| for this reason that judicious inhala,ions are
successful when all other means have beer
tried without avail.
| which consists of collection or mass OF small
mucous fOllicles or glands whose office Is tt
secrete portion of the fluid which keeps the
throat moist. There are persons who suffer
every winter, sometimes oftener, with an
attack of acute Inflammation of these glands
| The trouble begins with slight soreness and
Il inn xubi oA,,o1 r1,ti1 G
act of swallowing is attended with great suffer
ing.
These glands are sometimes affected by 9
| chronic Inflammation, and are found enlarged
and very much hardened In such cases they
secrete thin, unhealthy, irritating fluid
which is spread over the throat, perpetuatine
persons these glands are permanently SO large
as TO render respiration exceedingly difficult.
The defective breathing of children thus
st' chest and day lays ' the FOUNDATION for consump
ton. The eustachian tubes (the mouths OF
which are just above the palate) are often In
famed, and partial deafness is the result. :.
| Many patients suffering from throat dis
ease are dyspeptic, and suffer from depression
of spirits, So often does tnis symptom present
| itself that 1t may almost be regarded as one o.
| the peculiar ties Persons thus afflicted have
usually the dark and dingy- look of the fact
which denotes functional arrangement of the
liver. They are frequently emaciated, nerv
GUS, hypoohrondriacal, irritable and often ex
hausted from other causes, in combination
with this disease.
GRANULAR soREsTHRoAT
| Is the most serious form OF Jnroat disease. 1t i
| so called because on looking into the thrOa
ORGANIZATIONS of various sizes are seen, studdint
| the membrane and causing it to appear rougf
| and uneven Sometimes these granulatiOn
appear in patches. but generally they are regu
| lar and distinct. When allowed to progress tht
mucous follicles OF the larynx soon become IN
volved, and then we have added to the othe
| symptoms huskiness of the voice in speaking
| or reading aloud, with frequent effort to clea
the windpipe, by which thick, sticky, blush
colored mucous Is forced off with considerable
difficulty. The transition from simple to
granular sore throat is very easy: The patien
becomes conscious of vexatious Utilization, pro
i ducing desire to clear the throat several time
during the course OF the day. He may not nc
| tice this himself, but it is. nevertheless, OF
| served by his friends. Some months later thi
disposition is found to have increased, and t.
be attended with an occasional desire to swal
i low, the patient-tO use his own words-feelin
something sticking in his throat.
CONSULTATION FREE.
Those who desire to consult with me in regar
to their cases had better call at my Office fo
consultation and examination, but If impo
sible to do SO, can write for a copy of m
Medical Treatise, containing list of question:
Address
lxS IJTTnNNr yrYTrrrAnHn II