Los Angeles daily herald., 1888-11-23
Cor Second and Spring sts., Los Angeles. Cal
SORE THROAT,

1nflammatory action of any kind in the nose
speedily extends itself to the throat. From
he throat each bre ath we draw carries the
irritation onward and downtodrd through the
bronchial tubes as these are involved the sup
ply of air to the lungs becomes gradually dl-
minished, tubercules may form and bronchitis
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 TO the entrance into
the windpipe and gullet. The several parts
liable to disease are the mucous membrane
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
sulting from recent cold. 1t is most prevalent
in cold or damp weather. The symptoms are
rou ughness In the throat with sight 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
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
a chronic form, and gradually develop what il
called granular disease, or 1t may end in al
abscess of the tonsil glands, or cause chronic
enlargement OF the tonsils and elongation ol
the uvula.
CHRONIC SORE THROAT.
This like nearly all affections of the throat
and nose, usually begins with a severe Geld
and is almost always attended with hoarse
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 a consequence OF
catarrh or sore throat, the symptoms are com
paratively mild. There may be pain but it is
| which provokes cough. Many complain of q
sens alton as of something sticking there" Ia
get rid OF which they keep up Iasping effort
to clear the windpipe. The 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
apple of Adam" (Pomnm ADAM, a heat and
a 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 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 q
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
voice, and rarely ends until it has involved
the lungs in disease. Every slight cold, every
| change in the weather, every fight 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.
and is produced, or at least very much aggra:.
vated, by the irritation of the expectorated
matter. Occurring as a consequence of tuber-
cles, it is one of the most distressing complca-
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 ligaments 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
wsfty g9wths AID to Rp Under the
husky and indistipct. And again, we may
have complete loss of voice from alsy of the
cords, constituting an affection known to the
the remedies are applied to the seat of the
disease it is useless to try to effect cure. 1t is
for this reason that judicious inhalaions ere
buCCcboIul Wueu NIL Juliet mtduS uhVe ut6u
tried without avail.
Is an acute inflammation or the tonsls.
which consists of collection or mass of small
mucous follicles or glands whose office Is to
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.
swelling, which gradually increases until the
act of swallowing is attended with great suffer
ing.
chronic Inflammation, and are found enlarged
and very much hardened. In such cases they
hecrete a thin, unhealthy, irritsting fluid,
WnGh IS spread oyer tI me
persons these glands are permanently SO large
as TO render respiration exceedingly difficult.
The defective breathing OF children thus
chest, and 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 q throat dis
ease are dyspeptic, and suffer from depression
of spirits. So often does this symptom present
the peculiar ties Persons thus afflicted have
usually the dark and dingy. look of the face
which denotes functional arrangement of the
GUS, GUS hypooRrondriacal, irritable and often ex-
hausted from other causes, in combination
with this disease.
GRANULAR SORE THROAT
Is the most serious form OF unroat disease 1t is
SO called because on looking into the throat
granulations of various sizes are seen, studding
the membrane and causing 1t to appear rough
and uneven. Sometimes these granulat10nS
appear in patches. but generally they are regu-
lar and distinct. When allowed to progress the
mucous follicles OF the laryDx soon become In
volved, and then we have added to the other
symptoms huskinees of the voice in speaking
or readipg aloud, with frequent effort to clear
the windpipe. By which thick. sticky blush,
difficulty. The transition from 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 ofice for
consultation and examination, but If inpos.
Ia.