Los Angeles daily herald., 1888-11-25

| lnnommatory action OF any kind in the nose
specify extends itself to the throat FROM
he throat each breath we draw carries the
irritation onward and doWnWdrd through the
bronchial tubes; as these are involved the sup
miniehed, tubercules may form and bronchitis
| end IN consumption. 'Sore throat" is the
popular It term used in speaking of throat dis
their nature and treatment.
The throat comprises the whole space from
| me poster10r mares down TO the entrance into
the windpipe and gulet. 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.
sulting from recent cold. 1t is most prevalent
in cold or damp weather. The sym ptoms are
| a rou ughness III the throat, with y light pain
| and swelling. The throat looks red and angry
ana the tongue is slightly coated with white
which look like ulcers, form on the back of the
| throat and about the root OF the tongue. If the
| attack be mild, these apbthous points dsap-
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
a chronic form, and gradually develop what is
| called granular disease, or it 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 thr o t
and nose, usually begins with a severe cold,
| and is almost always attended with hoarse-
| ness. 1t 10 more frequently mere extension
OF cataIrh or sore throat than an original dis
ease. the irritation escaping down and fixing
itself upon the delicate organism of this part,
aud thence gradually journeying onward to
the lungs. When it occurs as consequence Of
catarrn or sore throat, the symptoms are com.
parat.vely mild. There may be pain but it is
| more common to find only a sense of tickling
sens alton as Of "some ething sticking there" to
get rid OF which they keep up Iaspng effort
to clear the windpipe. The voice. is always
| more or less affected, being rough in The early
stase, but more feeble after the disease is fully
established. There is often a slight tenderness
over that prominence of the neck known as the
| Apple of Adam" (POmum ADAM, a heat and
sense of tightness aud frequently some slight
| difficulty in swallowing.
| The causes which produce this form of dis
case are various. 1t arises in clergymen and
| use of the voice. The vocal cords become ex.
hausted and lose their tone from straining anCi
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
| continuity of mucous mem brane.
But from whatever cause it arises it lis
always serious malady. The chronic form
| bnredCSuS Cne com pleCe Qo6tructlOQ Oh the
voice, and rarely ends until it has involved
the lungs in disease. Every slight cold, every
change in the weather. every flight of dust.
feeds the . irF,tatlon and increases the inveter-
On the other hand chronic laryngitis fire.
quently occurs as sequel OF consumption.
and Is produced, or at least very much aggra.
waited. by the irritation of the expectorated
| matter. Occurring as a consequence of tuber-
cles, 1t is one of the most distressing compHca-
tions and adds greatly TO the PATIENTS distress.
n Is rpnr NIL OF nf
| 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
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
warty growths and to- polipi.. Under the
cords become thickened, rendering the voice
| husky and indistipct. And again, we may
| have complete loss of voice from ralsy of the
hysicians 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 inhala'ions 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
secrete portion of the fluid which keeps the
| throat moist. There are persons who suffer
every winter, sometimes oftener, with an
The trouble begins with slight soreness and
| swelling, which gradually increases until the
| act of swallowing is attended with great suffer
| These glands are somntimes aff,ected nv q
chronic Inflammation, and are found enlarged
and very much hardened In such cases they
n se
the disease. In the throats of many young
persons these glands are permanently SO large
p4aSSnr bn
affected often occasions contraction of the
chest, and lays the foundation. for consump
tion. The eu.tachian . tubes Sthe mouths o a. Of
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 sym ptom present
itself that 1t may almost be regarded as one Of
the peculiar ties. Persons thus afflicted have
usually the dark and dingy iook Of the e. fee acc
liver. They are frequently emaciated, nerv
Gus, hypochrondriacal, irritable and often ex
hausted from other causes, in combination
with this disease.
GRANULAR SORE THROAT
Is the most serious form OF throat disease. 1t II
| so called because on looking into the throa
granulations of various sizes are seen, studdins
| the membrane and causing it to appear rougl
and uneven. Sometimes these granulatiop
appear in patches; but generally they are regu
lar and distinct. When allowed to progress th'
mucous follicles OF the laryDx soon become In
volved, and then we have added to the othe
symptoms q huskiness of the voice in speaking
or reading aloud, with a frequent effort to clee
the windpipe, by which q thick, sticky, blush
colored mucous is forced Off with considerable
difficulty. The transition from a simple to
granular sore throat is very easy. The patien
becomes conscious of vexatious Utilization, pre-
ducing a desire to clear the throat several time
during the course of the day. He may not nc
tice this himself, but 1t Is. nevertheless, OF
served by his friends. Some months later thi
disposition is found to have increased, and +
be attended with an occasional desire to sw a
low, the patient-to use his own wOrds-feelin
something sticking in his throat
CONSULTATION FREE.
Those who desire to consult with me in regar
to their cases had better call at my Office te
consultation and examination, but If inpo1
sible to do 90, can write for copy OF m
Medical Treatise, containing list Of question:
Address
NJ. HILTON WILLIAMS, NJ. D
HOLLENBECK BLOCK.