Los Angeles daily herald., 1888-11-04

Physician and Surgeon, late of Grand RapfdG
Michigan.
Specialist in all forms of female compliance
ana all chronic diseases of the blood, etc.
HOLLENBECK BLOCK.
Cor. Second and Spring Hts., Los Angeles, Cal.
SORE THROAT.
Inhammatory action Of any kind in the nose
speedily extends itself to the throat Frou
irritation onward and So,Unward through the
bronchial tubes: as these are involved the sun
ply OF air to the lungs becomes gradually d.
ena n may form and
popular term used in speaking Of throat dis.
eases, differing widely from each other n
their nature and treatment.
The throat comprises the whole SPACE from
the poster1Or mares down to the entrance inoo
the wtndptpe and gullet. The several parlu
nable TO disease are the mucous membfans
glands, which in health, secrete the lubrica1-
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 Il
Inflammation OF the mucous membrane, re-
sulting from recent cold. 1t fs most prevalent
in cold or damp weather. The symptoms arc
rou ughness in the throat. 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 whitish spoE,
which look like ulcers. form on the back OF 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 NOT
a chronic form, and gradually develop what q
called granular disease, or 1t may end in IN
abscess of the tonsil glands, or cause chronic
enlargement Of the tonsils and elongation of
the uVul0.
CHRONIC SORE THROAT.
This like nearly all affections of the throst
and nose, usually begins with q severe cold,
and is almost always attended with hoarso-
of catarrh or sore throat than an original dis-
ease. the irritation escaping down and fixing
itself upon the delicate organism Of this parf
and thence gradually jOurneying onward -
the lungs When it occurs as a consequence Of
catarrh or sore throat, the symptoms are COM
paratively mild. There msy be pain but it b
which provokes cough. Many complain of I
sensation as Of something sticking there" /" to
get rid Of which they keep up lasping efsoft
BEING 1omeS the
stage, but more feeble after the disease 10 fully
established. There is often slight tenderness
over that prominence Of the neck known as the
Apple OF Adam" (Pomnm ADAM, heat and
sense of tigbtness and frequently come slight
dificulty in swallowing.
The causes which produce this form OF die
public speakers and others from too violent
use of the voice. The vocal cords become ex-
hausted and lose their tone from straining en<
air "a are re- liable to be drawn into the windpips
and produce irritation. It is more often .
mere sequel to sore throat, the inflammation
extending down 10 the larnyx by reason OF tie
continuity of mucous membrane.
But from whatever cause 1t arises It 10
always serious malady. The chronic for1
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-
e On the other hand chronic laryngitis fro
quently occurs DIS sequel of consumption
and is produced, or at least very much sggra-
waited, by the irritation of the expectorateG
matter. Occurring as consequence OF tuber-
cles, it is one Of the most distressing complies
tions and adds greatly to the patients distress.
In this form there is more or less liberation OF
the vocal chords 5,n beginning on the % lower side
often penetrate through the mucous and cellu-
lar membranes, involving the muscular tissue
and not infrequently attack the hgaments and
When the laryngeal disease is secondary to
that of the lungs, and dependent upon 1t. We
can only hope to effect cure by those means
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
sction. Of long continued Irritation the vocal
cords become thickened, rendering the voice
husky and indistinct And again, we may
cords, constituting an affection known to the
physicians by the term Of "Aphonia." Unless
the remedies are applied to the seat of the
for this reason that iudicious inhalalions aIe
successful when all other means have been
tried without avail.
ToNsILITIs
Is an acute Inflammation of the tonsils
which consists OF a collection or mass of small
mucous follicles or glands whose office is 4
secrete portion of the fluid which keeps tn
throat moist There are persons who sunel
every winter, sometimes oftener, with n
attack of acute Inflammation of these glands
The trouble begins with slight soreness and
swelling, which gradually increases until tha
act Of swallowing is attended with great suffer
These glands are sometimes affected by I
chronic Inflammation, and are found enlarged
and very much hardened. In such cases they
tnn
the disease. In the throats OF many young
persons these glands are permanently SO larEe
/ as TO render respiration exceedingly dlmcult
affected often OCCASIONS contraction Of Il.
chest, and lays the foundation for c0nsump
ton. The eustachian tubes (the mouths d
famed, and partial desfness is the result. -
Many patients suffering from Q throat dis
ease are dyspeptic, and suffer from depression
/ of spirits. So often does this symptom preser
the peculiar ties Persons thus afflicted havs
usually the dark and dingy. look Of the fec
which denotes functional arrangement of th,
liver They are frequently emaciated, uerv
GUS, hypochrondriacal, irritable and often en-
hausted from other causes, in combination
with this disease.
GRANULAR SORE THROAT
Is the most serious form of throat disease It Il
SO called because on looking into the thrcel
granulations of various sizes are seen, studdinl
the membrane and causing It to appear rougt
and uneven. Sometimes these granulatd0nl
appear in patches, but generally they are reGn
lar and distinct. When allowed to progress tha
mucous follicles OF the larynx soon become In
volved, and then we have added to the othG
symptoms huskiness Of the voice in speaking
| or reading aloud, with frequent effort to cleel
| the windpipe, by which thick, sticky, blHish
colored mucous Is forced OF with considerab3l
difaculty. The transition from q simple to
granular sore throat is very easy. The patien
becomes conscious OF vexati0us Utilization, pro
ducing desire to clear the throat several time
during the course Of the day. He may NOT ne
served by his friends. Some months lstcr til
disposition Is found to have increased, and d
be attended with an occasional deske.to swal
low the patient-to use his own words-feelini
something sticking in his throat.
CONSULTATION FREE.
Those who desire to consult with me In regsr
to their cases had better call at my Office 70
sible to do 80, can write for copy Of =
Medical Treatise. containing List Of question:
| Address
I'M. HILTON WILLIAMS, NJ. d
BoLLENBECK BLOCK.