Los Angeles daily herald., 1888-11-18

i. A. WILLIAMS. M. D..
Physician and Surgeon, late of Grand Rapids,
Michigan.
Specialist in all forms OF female complaints,
and all chronic diseases OF the blood etc.
HOLLENRECK 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
The throat each breath we draw carries the
irritation onward and dOwni0drd through the
bronchial tubes; as these are involved the sup
ply Of air to the lungs becomes gradually di-
end in consumption. ''Sore throat is the
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
lining the throat, the mucous foilicles 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
Inflammation of the mucous membrane, re.
suting from recent cold. 1t is most prevalent
in cold or damp weather. The symptoms are
roughness in the thu oat, with a sight pain
and swelling. the throat looks red and angry
and the tongue is slightly coated with white
fur Within few days small whltish spots,
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 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
entirely removed it is likely to degenerate into
chronic form, and gradually develop what is
called granular disease, or II may end in an
sbscess 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,
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 conseque ence of
catarrh or sore throat, the symptoms are com
paratively mild. There may be pain but it is
more common to find only a sense of tickling
which provokes cough; Many complain Of q
get rid OF which they keep up rasping effort
to clear the windpipe. The voice Is always
more or less affected, being rough in the early
established. There is often slight tenderness
over that prominence of the neck known as the
apple of Adam" (Pomum Adam), heat and
sense OF tightness and 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
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
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 a serious malady. The chronic form
threatens the complete destruction of the
voice, and rarely ends until it has involved
the lungs in a., disease Every slight cold every
feeds the irritation and increases the inveter-
acy of its hold.
On the other hand chronic laryngitis fire.
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 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.
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
sooyg Wsfy ne eoanu afa to R9 USsT Se as
cords become thickened, rendering the voice
husky and indistinct. And again, we may
have complete loss of voice from ra1sy of the
cords, constituting an affection known to the
physicians by the term of 'Aphonia." Unless
the remedies are applied to the seat of the
disease 1t Is useless to try to effect cure 1t Is
for this reason that judicious inhalatiOns are
successful when all other means have been
tried without avail.
ToNsILITIs
Is an acute infammauon 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
chronic Inflammation, and are found enlarged
and very much hardened. In such cases they
ta1 tSs @
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
chest, and lays the foundation for consump-
tion. The eustachian tubes (the mouths Of
famed, and partial deafness is the result.
Many patients suffering from throat dis.
ease are dyspeptic, and suffer from depression
of spirits. 30 often does this symptom present
itself that 1t 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
liver. They are frequently emaciated, nerv.
Gus. hypochrOndriacal, irritable and often ex-
hausteo 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
the membrane and causing it 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 frequent effort to clear
the windpipe, by which q thick, sticky, blush
colOred mucous is forced off with considerable
difficulty. The transition from simple to a
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
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
sticking in his throat.
CONSULTATION FREE.
Those who desire to consult with me In regard
10 their cases had better call at my office for
consultation and examination, but II impOs.
sible to do SO. can write for y copy Of my
Medical Treatise, containing list Of questions
Address
M. HILTON WILLIAMS, III. D.,