Los Angeles daily herald., 1888-11-22
Cor. Second and Spring sts., Los Angeles. Gal.
SORE THROAT.

speedily exuenQB lCSelI 10 the throat. From
he throat each bre ath we draw carries the
irritation onward and dO,Cnpdrd through the
bronchial tubes; as these are involved the sup
ply Of air to the lungs becomes gradually di-
end in consumption. ''Sore throat" is the
popular term used in speaking of throat dis
eases, differing widely from each other in
their nature and treatment.
The throat comprises the whole space from
the posterior mares down 10 the entrance into
the 'windpipe and gullet. The several parts
liable to disease are the mucous membrane
lining the throat, the mucous 10 Hcles or little
glands. which in health, secrete the lubricst.
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.
shifting from recent cold. 1t is most prevalent
a rou ghness in the throat, with a light pain
and swelling. The throat looks red and angry
and the tongue is slightly coated with white
fur. Within a 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 disep-
more severe they leave behind them superficial
ulcers. When the acute Inflammation is not
entirely removed it is likely to degenerate into
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 thro At
and nose, usually begins with a severe cold,
and is almost always attended with a boarse-
of catarrh or sore throat than an original dis
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 conseql ence of
catarrh or sore throat, the symptoms are com.
paratvely mild. There may be pain but it is
more common to fud only sense of tickling
sens alton as of 'som ething sticking there" to
to clear the windpipe. The voice. is always
STAGE, but more feeble after the disease is fully
| established There is often a slight tenderness
over that prominence Of the neck known as the
Apple OF Adam" (Pomnm Adam), heat and
sense of ughtness aud frequently some slight
difficulty in swallowing.
The causes which produce this form Of dis.
public speakers and others from too violent
use OF the voice. The vocal cords become ex.
hausted and lose their tone from straining and
overuse. Dust and all irritating matters in the
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
continuity of mucous membrane.
But from. whatever cause it arises it is
always 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 laryngitis fire.
quently occurs as sequel of consumption.
and Is produced, or at least very much aggra-
vated, By the irritation of the expectorated
matter. Occurring as a consequence of tuber-
cles, 1t is one of the most distressing complica-
tions and adds greatly to the patients distress.
the vocal chords. beginning on the lower side
and gradually extending upward. These ulcers
often penetrate through the mucous and cellu-
and not inirequently attack the ligaments and
cartilages themselves.
When the laryngeal disease is secondary to
that OF the lungs, and dependent upon it, we
which will remove its cause. and these we
have considered, and shall more fully consider,
under the head of Consumption"
chronic, the larynx is liable to abscesses, to
scton q long continued irritation e1 the vooai sa1
husky and indistinct. And sgain, we may
have complete loss OF voice from ralsy Of the
cords, constituting an affection known to the
the remedies are applied to the seat Of nisss the
disease it is useless to try to effect cure 1t is
for this reason that judicious inhala. ions are
tried without avail.
Is an acute lnhammauon OF the tonsils.
which consists of collection or mass of small
secrete portion of the fluid which keeps the
throat moist. There are persons who suffer
every winter. sometimes oftener, with an
The trouble begins with slight soreness and
swelling, which gradually increases until the
act of swallowing is attended with great suffer
These glands are sometimes affected by
chronic Inflammation, and are found enlarged
and very much hardened. In such cases they
.s,ei .ecTete e thin unhealthy, irritating fluid.
the disease. In the throats of many young
persons these glands are permanently so large
as TO render respiration exceedingly difficult.
affected often occasions contraction of t the ne
chest, and lays the foundation for consump-
ton. The eustachian tubes. the mouths Of
famed, and partial deafness is the result.
Many patients suffering from o throat dis
ease are dyspeptic, and suffer from depression
OF spirits. So often does this symptom present
itself that it may almost be regarded as one OF
the peculiar ties. Persons thus afflicted have
usually the dark and dingy. look of the face
liver: They are frequently emaciated. nerv-
GUS, hypochrond1iacal, irritable and often ex-I
haus;ed from other causes, in combination
with this disease.
GRANULAR SORE THROAT
Ia the most serious form OF throat disease. 1t is
81 Chilcu DtCduSe Oh lOOkluR lutO tIlc buIOdL
of various sizes are seen, suddng
the membrane and causing 1t to appear rough
and uneven. Sometimes these granulatiOns
appear in patches, but generally they sre reau-
lar and distinct. When allowed to progress the
mucous folicles OF the larynx soon become IN
volved, and then we have added to the other
symptoms huskiness of the voice in speaking
or reading aloud with frequent effort to clear
the windpipe, by which q thick, sticky, blush
colored mucous is forced off with considerable
difficulty. The transiti0n from q simple to O
granular sore throat is very easy. The patient
becomes conscious Of vexatious Utilization. pro-
ducing desire to clear the throat several times
during the course of the day. He may not no.
tice this himself, but 1t Is. nevertheless, OBJ
served by his friends Some months later this
disposition is found to have increased, and TO
be attended with an occasional desire To swal
low, the patient-to use his own words-feeling
sticking in his throat.
CONSULTATION FREE.
Those who desire to consult with me in regard
TO their cases had better call at my Office for
and examination, but II impos.
sible to do 30, can write for copy of my
Medical Treatise, containing list OF questions
Address
NJ. HILTON WILLIAMS, Nj. D.,
HoLLENBECK BLOCK,
Corner Second and Spring Sta, Los Angeles.
once hours-From 900 4. II. to 4;30 ?. n.