Los Angeles daily herald., 1888-11-26
SORE THROAT,

irritation onward and dOlUniUdrd through the
pg Of ar to gs
end in consumption. "sore throat" is the
popular term used II speaking Of rhroat dis
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 fo.licles 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
infamma.i0 ion of the mucous membrane, re.
in cold or damp weather. The symptoms are
a rou ghness In the throat, with a sight pain
and swelling. The throat looks red and angry
s Few aaVs s@a
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 dissp-
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 1t is likely. to degenerate into
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,
md 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 ct this part,
and thence gradually journeying onward to
catarrh or sore throat, the symptoms are COM
parat.vely mild. There may be pain but it is
more common to find only sense of tickling
sens alton as Of something sticking there" to
get rid OF which they keep up q rasping effort
to clear the windpipe. The voice is always
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
d1ticulty in swallowing.
The causes which produce this form OF dis
ease S,; are various It ari,es in clergymen and
use OF the voice. The vocal cords become ex
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
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 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 a sequel of consumption.
and is produced, or at least very much sggra-
vated. by the U irritation Of the expeetorated
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 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 cause, and these we
have considered, and shall more fully consider,
under the head of Consumption"
chronic, the larynx is liable to abscesses, to
ssSn q iSas 9ntnusd Tss9n tS !Ss vocal
husky and indistinct. And sgafn, we may
have complete loss of voice from raisy of the
cords, constituting an affection known to the
by the tern Of TO- ss less
disease it is useless to try to effect cure. 1t is
for this reason that judicious inhalaiOns 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
mucous follicles or glands, whose office is to
threat moist. There are persons who 's1 suffer fer
every winter, sometimes oftener, with an
attack of acute Inflammation of these glands.
sweDg whek GRADUALLY nns the
act of swallowing is attended with great suffer
ing;
chronic Inflammation, and ere found enlarged
and very much hardened. In such cases they
secrete a 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 detective breathing Of children thus
chest, and lays the foundation for consump-
tion. The eustechian tubes (the mouths of
which are just above the palate) aIe 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
the peculiar ties Persons thus afflicted have
usually the dark and dingy look of the face
which denotes functional arrangement of the
ous hy@poeSrondriaea @ md Irritable and Often ne ex
hausted from other causes, in combination
with this disease.
GRANULAR SORE THROAT
Is the most serious form OF Inroat disease. 1t is
SO called because on looking into the throat
granulat1Ons OF various sizes are seen, stuQQlng
the membrane and causing 1t to appear rough
and uneven. Sometimes these granulatiOns
appear in patches, 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 a frequent effort to clear
the windpipe, by which thick, sticky, BLUSH
colored mucous Is forced Off with considerable
difficulty. The transition from a 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 1t is nevertheless, OBJ
served by his friends. Some months later this
is found to have increased, and to
be attended with an occasional desire to swal-
low, the patient-tO use his own wordE-feeling
something sticking in his throat.
CONSULTATION FREE.
Those who desire to consult with me ia regard
to their cases had better call at my Office for
and examination, but If impos
stble to do so, can write for copy of my
Medical Treatise, containing list OF questions
Address
M. HILTON WILLIAMS, M. D.,
HOLLENBECK BLOCK,
Corner Second and Spring sts., Los Angelee.
Once hours-From 900 4. n. to 4;30 r. \.