Los Angeles daily herald., 1888-11-21

M. Hilton Williams,
N. D.. N. G. p. S. o.,
And associated with him his brother,
i. A. WILLIAMS. M. d..
Physician and Surgeon, late of Grand Rapids,
Michigan.
Specialist in all forms of female complaints
and al chronic diseases OF the blood, etc
HOLLENBECK BLOCK,
Cor. Second and Spring Sts., Los Angeles, Ca,
SORE THROAT.
Infsmmatory action of any kind in the nose
speedily extends itself to the throat. FROM
he throat each cath we draw carries the
bronchial tubes; as these are involved the sup
ply of air to the lungs becomes gradually di-
minished, tubeIcuies may form and bronchitis
popular term used in speaking of throat dis
eases, differing widely from each ether in
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 tn roat, the mucous o.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 sIMFLE SORE THROAT.
The most simple form of throat disease is
Inflammation of the mucous membrane, re-
sulting from recent cold. 1t is most prevalent
in cold or damp weather. The symptoms are
a rou ughness in the throat, with a s light pain
and swelling. The throat looks red and angry
and the tongue is slightly coated with white
fur: Withina few days small whitish Spots
throat and about the root OF the tongue. If the
attack be mild these aphth0us 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 1t is likely to degenerate into
chronic form, and gradually develop what is
abscess of the tonsil glands, or cause chronic
enlargement of the tonsils and elongation Of
the uvuls.
CHRONIC SORE THROAT.
This like nearly all affections of the throat
and nose, usually begins with severe cold,
snd is almost always attended with a hosrse
ness. 1t is more frequently mere extension
ease. the irritation escaping down and fixing
itself upon the delicate organism of this part,
and thence gradually journeying onward to
catarrh or sore throat, the symptoms are com
paratveiy mild. There may be pain but it is
more common to find only sense of tickling
oomg Many complain Ct
get rid of which they keep up Iasping effort
to clear the windpipe. The voice. is always
more or I'll, less afie cted being rough in the early
established. There is often slight tenderness
over that prominence OF the neck known as the
Apple OF Adam" tPomnm ADAM, heat and
| sense of tightness aud frequently some slight
difficulty in swallowing.
The causes which produce this form of dis
ease are various. It 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
n \ mt fha uind drtr,
and produce irritation. 1t is more often a
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
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 fre-
quently occurs as sequel Of consumption.
and Is produced, or at least very much sggra-
waited, by the irritation of the expectoTated
matter Occurring as consequence of tuber-
cles, it is one of the most distressing complica-
tiops and adds greatly to the patients distress:
the vocal chords. beginning on the lower side
and gradually extending upward. These ulcers
often penetrate through the mucous and cellu-
and not infrequently attack the ligaments ard
cartilages themselves.
When the laryngeal disease is secondary to
tnat OF the hen lungs and dependent upon it we
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
ctty wsfy grGw,hs ad to poipi Under the
husky and indistinct And again, we may
have complete loss of voice from ra1sy of the
cords, constituting an affection known to the
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 inhalalions are
tried without avail.
ToNsILIT.s
Is an acute inflammation OF the tonsils,
which consists of collection or mass of small
mucous follicles or glands whose Office is to
secrete portion of the fluid which keeps the
threat moist. There are persons who suffer
every winter, sometimes oftener, with an
attack of acute Inflammation of these glands.
The trouble begins with slight soreness and
swelling, which gradually increases until the
act of swallowing is attended with great suffer
ing.
These glands are sometimes affected by a
chronic Inflammation, and are found enlarged
and very much hardened In such cases they
which is spread over the throat, perpetuating
the disease. In the throats of many young
persons these glands are permanently SO large
The defective breathing of children thus
affected often occasions contraction of the
chest, anu lays the foundation for cOnsump-
ton. The euttachian tubes (the moutha of
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 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
GUS, hypochrondriacal, irritable and often ex-
hausted from other causes, in combination
with this disease.
GRANULAR sORE THROAT
Is the most serious form throat disease. 1t is
30 called because on looking into the throat
of various sizes are seen, studding
the membrane and causing 1t to appear rough
and uneven. Sometimes these granulations
appear in patches, but generally they are reau
lar and distinct When allowed to progress the |
mucous follicles OF the larynx soon become IN |
volved. and then we have. added to the othe
symptoms huskiness of the voice in speaking
or reading aloud, with frequent effort to clear
the windpipe, BY which a thick, sticky, blush |
COl0red mucous is forced Off with considerable
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 no: no
tice this himself but 1t is nevertheless, oh |
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-t0 use his own wOrds-feelinp
sticking in his throat.
CONSULTATION FREE.
Those who desire to consult with me In regarc |