Los Angeles daily herald., 1888-11-07

Ana associated with him his brother,
7. A. WILLIAMS. NJ. D.. .
Physician and Surgeon, late of Grand Rapids,
Michigan.
Specialist in sll forms of female complaints
and al chronic diseases of the blood. etc,
HOLLENHECK 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
he throat each bre ath we draw carries the
irritation onward and dOUnlUdrd through the
bronchial tubes; as these are involved the sup
ply of air to the lungs becomes gradually dt-
end IN consumption Asore - throat" % 's'ttle is the
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
he poster1or mares down 10 the entrance into
the w1ndpipe and eullet. 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 il
Inflammation of the mucous membrane, re-
sulting from recent cold. 1t is most prevalent
In colo or damp weather. The symptoms are
roughnI,ess In the throat, with sight pair
and swelling. the throat looks red and angry
and the tongue is slightly coated with white
fur: Within few days small whitish spots
which look like ulcers, form on the back of the
throat and about the root OF the tongue. II the
attack be mild, these aphthous points dissp
pear at the end of three or four days, but wher
more severe they leave behind them superficial
entirely removed it is likely to degenerate into
chronic form, and gradually develop what i.
called granular disease, or it may end in al
abscess OF the tonsil glands, or cause chronic
the uvula.
CHRONIC SORE THROAT.
This like nearly all affections of the throa Al
and nose usually begins with severe cold
and is almost always attended with hoarse
ness. 1t is more frequently a mere extension
of catarrh or sore throat than an original dis
ease. the irritation escaping down and fxinf
itself upon the delicate organism of this part
and thence gradually journeying onward tC
the lungs. When it occurs as a consequence oi
catarrh or sore throat, the symptoms are com.
parat,vely mild. There may be pain but it ia
more common to find only sense of tickling
which Provokes cough. Many complain of q
sens alton as of something sticking there" to
get rid OF which they keep up lasping effort
to clear the windpipe. The voice is always
more or less affected, being rough in the early
STAGE, 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
n 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 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
and produce irritation. 1t is more often a
mere sequel to sore throat, the Inflammation
extending down TO the larnyx by reason of the
m I'M
But from whatever cause it arises it is
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
change in the weather, every flight of dust,
feeds the irritation and increases the inveter-
acy of its hold.
On the other hand chronic laryngitis fire.
quently occurs as a sequel of consumption.
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 IL 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
When the laryngeal disease is secondary to
that Of the lungs, and dependent upon it. 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 OF
chronic, the iarynx is liable to abscesses, to
warty growths ard to- polipi. Under the
action of long continued irritation the vocal
cords become thickened, rendering the voice
husky hu and IN indistiuet And sgain, 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
10 t,t tor ffa,nto Tt l.
for this reason that judicious inhalations are
successful when all other means have beer
tried without avail Z 3 .s:s..saSSsG Assa y
sssS .s,.s.:ss%;,sssss---2ToNsIlITIs ,.: M.M2 sss
Is an acute Inflammation Of the tonsifs
mucous folliales or glands whose Office is tt
secrete portion of the fluid which keeps the
throat moist There are persons who suffer
attack of acute Inflammation of these glands
The trouble begins with a slight soreness ant
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
tecrete thin, unhealthy, irritsting fluid
which is spread over the throat, perpetuatint
the disease. In the throats of many yount
persons these glands are permanently SO large
as TO render respiration exceedingly difficult
The detective breathing of children thu
effected often occasions contraction of the
chest and lays the foundation for consump
tion. The eustachian tubes (the mouths O.
which are just above the palate) are often in
famed, and partial deafness is the result.
Many patients suffering from thro at. dis
ease are dyspeptic, and suffer from depression
Of spirits. So often does this symptom present
itself that it may almost be regarded as one ol
the peculiar ties. Persons thus afflicted have
usually the dark and dingy look of tho face
which denotes functional arrangement OF the
liver; They are frequently emaciated nerv
GUS, hypochrondriacal, irritable and often ex
hausted from other causes, in combination
i6n this disease. NJ hr....s.a. hsr.s-, -.
So ~ [GRANULARssoRE.T . EOATs@ - ~,
Is the most serious form Of throat disease. It Ii
SO called because on looking into the throat
granulations of various sizes are seen. studdine
the membrane and causing 1t to appear rough
and uneven. Sometimes these granulationf
appear in pate hes 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 a thick, sticky, BLUSH
mn 10 nfP With do ~ 1r