Los Angeles daily herald., 1888-11-17

M. HlltOn Williams,
NJ. D.. NJ. G. P. s. o..
And associated with him his brother,
J. A. WILLIAMS. M. d.
Physician and Surgeon, late of Grand Rapids,
Michigan.
Specialist in all forms of female complaints,
ana all chronic diseases OF the blood etc.
HOLLENBECK BLOCK,
Cor. Second and Spring sts., Los Angeles. Cal
SORE THROAT.
Infammatory action of any kind in the nose
speedily extends itself to the throat FROM
irritation onward and dosn,uard through the
bronchial tubes; as these are involved the sup
ply OF a1rto the lungs becomes gradually d1-
in throa Is ias
popular term used in speaking of throat dis
eases, differing widely from each other in
The throat comprises the whole space from
the posterior mares down 10 the entrance into
the ,w1ndpipe and gullet. The several parts
liable to disease are the mucous membrane
lining the throat, the mucous folicles or little
glands which in health, secrete the lubricat.
ing mucous, the uvula or pedulus part which
| 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
a roughness in the throat, with q sight pain
and swelling. The throat looks red and angry
| and 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. II the
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
a chronic form, and gradually develop what is
| called granular disease, or it 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 severe cold,
ness. 1t is more frequently mere extension
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
paratively mild. There may be pain but it Is
more common to find only sense of tickling
sensation as Of something sticking there" to
to TO- clear lea the windpipe. Fhe voice. % is always
more or less affected, being rough in the early
stage, but more feeble after the disease is fully
established. There is often slight tenderness
over that prominence OF the neck known as the
apple of Adam" (Pomnm ADAM, heat and
a sense of tightness aud frequently some slight
The causes which produce this form of dis
ease are various. 1t arises in clergymen and
public speakers and others from too violent
hausted and lose their tone from straining and
oyeruse: Dust and all irritating matters IN the
air are liable to be drawn into the windpipe
mere sequel to sore, throat the Inflammation
extending down to the larnyx by reason Of the
continuity of mucous membrane
always serious malady. The chronic form
J threatens the complete destruction of the
, voice. and rarely ends until it has involved
the lungs in disease, Every slight cold, every
!, change in the weather, every flight of dust,
, feeds the irritation and increases the inveter-
acy of its hold.
On the other hand chronic laryngitis fre-
quently occurs as sequel OF consumption,
7 and is produced, or at least very much aggra-
) waited, by the irritation of the expectorated
: matter. Occurring as consequence of tuber-
cles, it is one of the most distressing complca,
tons 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 ligaments and
cartilages themselves.
When the laryngeal disease is secondary to
that of the lungs, and dependent upon it, we
which will remove it's csase, and these 1s1s we
have considered. and shall more fully consider,
under the head of Consumption"
chronic, the 5arynx Is liable to assesses @ to to
ctcn q 'G%s 1one eontnued frtaon He1 the voea
husky hS and and indistinct And again, we may may
have complete loss of voice from PALSY of the
cords, constituting ar affection known to the
physicians by the term of "AphOnia." Unless
arn n
disease it Is useless to try to effect cure. 1t is
for this reason that judicious inhalalions are
successful when all other means have been
tried without avail.
ToNsILITIs
Is an acute inflammation 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
attack of acute Inflammation of these glands
The trouble begins with a slight soreness and
swelling, which gradually increases until the
act of swallowing is attended with great suffer
ing.
These glands are sometimes affected by a
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 perpetuating
the disease. In the throats Of many young
persons these glands are permanently so large
as TO render respiration exceedingly difficult.
The defective breathing of children thus
effected often occasions contraction of the
| cheSt, ana lays the f0unQatlOn Tor ConSump-
tion. 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 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
which denotes functional arrangement of the
Gus, hypoohrondriacal, irritable and often ex-
hausted from other causes, in combination
| with this disease.
| GRANULAR SORE THROAT
Is the most serious form OF throat disease 1t is
SO called because on looking into the throat
grsnulations of various sizes are seen, studding
and uneven. Sometimes these granulations
appear in patcaes but generally they are regu-
lar and distinct. When allowed to progress the
mucous fOllicles 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 thick, sticky, blush
difficulty. The transition from q simple to a
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 it 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
something 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
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