Los Angeles daily herald., 1888-11-29
Cor Second and Spring sts.. Los Angeles. Cal
SORE THROAT,

SORE THROAT.
1nfammatory action OF any kind in the noee
speedily extends itself to the throat. FroH
| irritation onward and d0aUnloard Through Tie
bronchial tubes; as these are involved the supt
ply OF air to the lungs becomes gradually dk-
end in consumption. Hsore throat ia IL,
popular term used in speaking of throat dis
eases differing widely from each other fR
their nature and treatment.
The throat comprises the whole space from
the posterior mares down TO the entrance ints,
tne wlndpipe and gullet. The several parts
lining the throat, the mucous foilicles or IitfIs
glands, which in health, secrete the lubricxG.
| ing mucous, the uvula or pedulus part which
nangs oown from the curtain OF the palate and
| the tonsils
ACUTE Oh SIMPLE SORE THROAT.
The most simple form of throat disease fs
Inflammation of the mucous membrane, re-
sulting from recent cold. It is most prevalent
In cold or damp weather. The symptoms are
and swelling. The throat looks red and angry
and the tongue is slightly coated with Whit
fur: Within a few days small whitish spota,
which look like ulcers form on the back Of the
throat and about the root OF the tongue. If the
attack be mid, these sphth0us points disay-
pear at the end OF three or fur days. but when
more severe they leave behiuc them superficial
ulcers When the acute Inflammation is not
entirely removed 1t is key TO degenerate into
u chronic form, and gradually develop what X
called granular disease, or 1t may end in an
aDscess o. the tonsll gisnCs. or cause hronie,
enlargement of the t0nsils and elongation Of
the uvula.
CHRONIC SORE THROAT.
This like nearly all affections of the throu
and nose, usually begins with severe cold,
md is almost always attended d with a hoarrc-
ness. 1t is more frequently a mere extensions
OF catarrh or sfre throat than sn original dis
ease. the irritation esca;inR down and fixing
ttgnff fhn - 10, "a
ana tnence gTadualls ipa'neying onward to
the lungs When It occurs as consequences OF
catarrh or sore throat, the symptoms are cous-
parstively mild. There mAy be pain but it IT,
more common to find only a sense of tickling
which provokes cough. Mthy complain of q
sensation as of something sticking there" to
@ e a 81 tSa %hief adhey see up laspng IL s
more or less affected, being iOugh in the carry
stage, but more feeble afte tne disease is fully
established. There is Otter /, slight tenderness
over that prominence ii the neck known as the
Apple OF Adam" (Pomnm Adam), a heat ana
sense OF tightness aud frequently some slight
difficulty in swallowing.
The causes which produce this form of dis
ease are various 1t arises in clergymen aud
public speakers and others from too vi0le nt
use OF the voice. The vocal cords become ex-
hausted and lose their tone from straining sNt
overuse: Dust and all irritating matters in the
air are liable to be drawn into the windpipc
and produce irritation. 1t is more often O.
W sN-S
continuity of mucous membrane
But from whatever cause it arises 1t In
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
charge in the weather, every flight of dust
acy of it's hold.
On the other hand chronic laryngitis fire.
quently occurs as sequel OF consumption.
and is produced, or at least very much aggrat-
VAteC, OV the Irritation of the pYnpcfnratpG
matter. Occurring as a consequence of tuacf-
cles, it Is one of the most distressing complies
tious and adds greatly to the patients distress
In this form there is more or less liberation 0t
the vocal chords, beginning on the lower side
and gradually extending upward. These ulcerz
often epetrate through the mucous and ce,lu-
| lar membranes, involving the muscular tissue
and not infreauently attack the hgaments and
cartilages themselves.
When the laryngeal disease is secondary 60
| 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 Assesses, to
waTty growths a.d to polipii Under the
cords become thickened, rendering the voice
husky and indistinct. And again, we may
have complete loss of voice from Ialsy of the
physicians by the term Of ''Aphonia." Unless
the remedies are applied to the seat of the
disease it is useless to try to effect cure II is
| for this reason that judicious inhalaions are
successful when all other means have been
tried without avail.
Is an acute lnhsmmaI1on or the tonsiYx
which consists of collection or mass of small
| mucous follicles or glands whose Office is tl
| .ecrete portion of the fluid which keeps the
| thr' at moist. There are persons who suffer
| every winter, sometimes oftener, with az
attack of acute Inflammation of these glands
The trou ole 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 q
chronic Inflammation, and are found enlarged
| and very much hardened. In such cases they
| kecrete thin, unhealthy, irritating fluid,
which is spread over the throat perpetustins
| the disease. In the throats of mauy young
persons these glands are permanently so large
| as TO render respiration exceedingly difficult
rhe defective breathing of children thus
chest, and lays the foundation for consump
| tion. The eustachian tubes (the mouths OF
which are just above the pslate) are often iu-
famed, and partial deafness is the result.
| Many patients suffering from a throat dis.
ease are dyspeptic, and suffer from depression
| of spirits, So often does tnis symptom present
itself that it may almost be regarded as one 0i
| the peculiar ties. Persons thus afflicted have
| usually the dark and dingy look of the fas,s
which denotes functional derange ment Of ths
liver They are frequently emacisted. nerv
| hausteo from other causes, in combine atiou
with this disease.
GRANULAR SOREfTHROAT
| Is the most serious form OF throat disease 1t II
| 50 called because Oh looking into the thr0a,
granulations of various sizes are seen, studdgss
the membrane and causing it to appear rough
and uneven. Sometimes these granulatiOps
appear in patches, but generally they are regu
| lar and distinct When allowed to progIe ess the
mucous follicles OF the larynx soon become In.
volved, and then we have added to the othe1
symptoms a huskiness of the voice in speaking
or reading aloud, with a frequent effort to cleai
| the windpipe, by which thick, sticky, BLUSH
colored mucous is forced Off with considerable
| difficulty. The transition from a simple to q
| granular sore throat is very easy. The patiea,
| becomes conscious of vexatious Utilization. PRO
ducing deire to clear the throat several time
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 d
| be attended with an occasional desire to swal
| low, the patient-tO use his own words-feelins
something sticking in his throat
| CONSULTATION FREE
Those who desire to consult with me In regsst
| to their cases had better call at my Office 70,
| consultation and examination, but If impos
| sible TO DO SO, can write for q copy of my
Medical Treatise, containing list of questions
Address
NJ. HILTON WILLIAMS, M. D..
|