Los Angeles daily herald., 1888-12-01
SORE THROAT.

SORE THROAT.
| Infammatory action of any kind in the usse
he throat each breath we draw carries fbe
irritation onward and doWnigard through the
bronchial tubes; as these are involved the Cup
ply of air to the lungs becomes gradually al
minished, tubercules may form and bronchids
end in consumption 'Sore throat il tre
popular term used in speaking of throat di1-
eh, eases, ainering widely from each other in
The throat comprises the whole space from
the poster1or mares down to the entrance iRuB
5ne Wlndpipe and gullet. The several panx
nable to disease are the mucous membrsne
lining the throat the mucous fo.licles or Htfse.
glands. which in health secrete the lubricssS-
ing mucous, the uvula or pedulus part which
hangs down from the curtain OF tn 9 palate eRd
the tOnsils.
ACUTE OR SIMPLE SORE THROAT.
The most simple form of throat disease Ia
Inflammation of the mucous membrane re-
sulting from recent cold. 1t is most prevalent
a roughness In the throat, with ,, sight pain
and swelling. The throat looks red and angry
and the tongue is slightly coated with white
which look like ulcers. form on the back Of tse
throat and about the root OF the tongue. If the
attack be mild, these sphthous points disap-
pear at the end OF three or four days, but when
more severe they leave behind than superficial
ulcers. When the acute inflammation ig not
| entirely removed 1t is likely to oegeneate iuta
chronic form, and gradually develop what Is
called granular disease, or 1t may end in su
abscess of the tonsil GLANDS. or cause chrouic
enlargement OF the tonsils and elongation Of
| the uvula.
CHRONIC SORE THROAT.
| This like nearly al affections of the thru AZ
| and nose, usually begins with a severe cold
snd is almost alwsys attended with hoarse-
ness. 1t Is more frequently mere extensiou
| OF caterrh OR sore throat than an original dis
ease, the irritation escaping down and fixing
itself upon the delic .te orgari.m of this pazt,
and thence gradually jourIeying onward 10
| When IL SS 81 rnn uo sra
catarrh or sore throat, the symptoms are coun-
paratively mid. There may be pain bat it b
more common to find only sen of tickling
sen alton as Of something sticking there" ;" ta
get rid of which they keep up asping eHaxs
To S.ear ar the tns Wnapipe The vie is alwsys
stae g, but more feeble after the lisease is fully
established. There is often a shght tenderness
Apple of Adam" (Pomnm Adan), a heat and
sense of tightness and frequently some slight
difficulty in swallowing
The causes which produce this form OF dis
ease are various. 1t arises in clergymen and
public speakers and others from too viole ut
use Of the voice. The vocal cords become ez-
hausted and lose their tone from straining end
overuse. Dust and all irritating matters in the
air are liable to be drawn into the windpipe
and produce irritation. 1t is more often q
mere sequel to sore throat, the Inflammation
extending down to the larnyx by reason of the
continuity of mucous mem brane.
But from Whatever cause it arises II b
always n vu serious % malady. The chronic, form
threatens the complete destruction of the
voice, and rarely ends until it has involved
the lungs in disease. Every slight cold, evesy
change in the weather, every flight of duas
feeds the irritation and increases the iuveteyA
acy of its hold.
On the other hand chronic laryngitis fire.
quently occurs as sequel of consumption
and is produced, or at least very much aggur
waited, by the irritation of the expectoratef
matter. Occurring as a consequence of tuber
cles, it is one of the most distressing complies
tinnG and N nat ionf 20 iefr
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 celH-
lar membranes, involving the muscular tissue
and not infreauently attack the igaments aud
caTtilages themselves
that Of the lungs, and dependent upon it, ve
can only hope to effect a cure by those means
which will remove its cause, and these we
have considered, and shall more fully considey,
under the head of Consumption"
chronic, the larynx is liable to Assesses, 10
action Of long continued Irritation the vocal
cords become thickened, rendering the voice
husky and indistinct. And again, we may
have complete loss of voice from Talsy of the
cords, constituting an affection known to the
physicians by the term of "Aphonia." Unless
the remedies are applied to the seat of tha
for this reason that judiciOus inhala ions are
successful when all other means have heeu
tried without avail.
| ToNsILITIs
Is an acute inflammation OF the tonsils.
| which consists of a collection or mass of small
mucous follicles or glands whose office is 60
.ecrete portion of the fluid which keeps the
threat moist There are persons who suffer
every winter. sometimes Oftener, with sE
attack of acute Inflammation of these glands
The trouble begins with slight soreness and
swelling, which gradually increases until tt2
act of swallowing is attended with great sufis-
ing.
These glands are sometimes affected by q
chronic Inflammation, and are found enlarged
secrete thin, unhealthy, irrits ting 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
affected often occasions contraction of the
tion. The eustachian tubes (the mouths IL
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 ot
the peculiar ties. Persons thus afflicted have
usually the dark and dingy look of the face
which denotes functional arrangement of the
) liver They are frequently emacisted. nerr
, hausted from other causes, in combinali0V
with this disease.
GRANULAR soRE.THRoAT
Is the most serious form OF tnroat disease. Il il
80 called because on looking into the throSl
granulations of various sizes are seen, studding
the membrane and causing it to appear rough
snd uneven. Sometimes these granulatioiN
appear in patches. but generally they are reSu-
lar and distinct When allowed to progress the
mucous follicles OF the larynx soon become III
volved, and then we have added to the 0tlsel
symptoms huskiness of the voice in speaking
or reading aloud, with frequent effort to c}eal
: the windpipe, by which a thick, sticky, bluists
colored mucous is forced off with considerable
difficulty. The transition from q simple to
granular sore throat is very easy. The patiea
: becomes conscious of vexatious titillation pso
ducng a desire to clear the throat several time
during the course Of the day. He may not no
tice this himself, but it is nevertheless, ob
served by his friends. Some months later thiu
disposition Is found to have increased and e
be attended with an occasional desire 10 swaI
low, the patient-tO use his own words-feeliz,
something sticking in his throat.
CONSULTATION FREE
Those who desire TO consult with me in rcsax,
to their cases had better call at my office fu
consultation and examination, but If impod
+. sible to do SO, can write for q copy of m,
: Medical Treatise, containing list of questions
! | Address
: NJ. HILTON WILLIAMS, N. ID,
H0LLENBECK BLOCK,
Corner Second and Spring sts., Los Angeles
Once hours-From 90 A. II. to <:30 r. e.