Los Angeles daily herald., 1888-11-03

And associated with him his brother,
J 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.
HOLLENBECK BLOCK,
Cor, Second and Spring Sts., Los Angeles Ca!
SORE THROAT.
Infsmmatory action of any kind in the n ose
| speedily extends itself to the throat. From
the throat each breath we draw carries the
irritation onward and dopnmnrd through the
bronchial tubes; as these are involved the sup
| ply Of air to the lungs becomes gradually dl-
minished, tubeIoules may form and bronchitis
end In consumption. "Sore throat is the
eases, differing widely from each ether in
their nature and treatment.
The throat comprises the whole space from
he pOsterior mares down 10 the entrance into
| the windpipe and gullet. The several parts
| liable to disease are the mucous membrane
lining the throat, the mucous folicles or little
| ing mucous, the uvula or pedulus part which
| hangs down from the curtain OF the palate and
| the tonsils.
ACUTE OF 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
| roughness in the throat with light pain
and swelling. The throat looks red and angry
and the tongue is slightly coated with white
| fur. Within a few days small whitish 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
entirely removed it IS iiSely to degeneate into M
| 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 tOnsil6 and elongstiOn oil
the uvula.
| CHRONIC SORE THROAT.
This like nearly all affections of the throat
| and nose, usually begins with a severe cold
| md is almost always ATTENDED d with hoarse
| ness. 1t is more frequently mere extension
of catarrh or sore throat than sn 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 1t occurs as a consequence OF
cstarrh or sore throat, the symptoms are COM
parat.vely mild. There msy be pain but it ia
more common to find only sense of tickling
which provokes cough. Many complain OF a
sensation as of som mething sticking there" to
to clear the windpipe. The voice is always
more or less affected, being rough in the early
state e, but more feeble after the disease is fully
| over that prominence ID the neck known a. the
| apple OF Adam" (Pomnm Adam), q heat and
\ a sense of tightness aud frequently some slight
| difficulty in swa lowing.
The causes which produce this form of dis.
ease are various. 1t ari es 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 inflamm alton
] extending down TO the larnyx by reason of the
continuity OF mucous mem brane.
| 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 1t 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 fre-
quently occurs as a sequel of consumption.
and is produced, or at least very much sggra-
waited. by the irritation of the expectorated
| matter. Occurring as consequence of tuber-
cles it 10 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
When the laryngesl 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 infammat alton, acute OF
warty growths ard to- polipi; Under the
| action of long continued irritation the vocal
cords become thtckened, rendering the voice
have complete loss of voice from raisy of the
cords, constituting an affection known to the
physicians by the term of ''Aphonia." Unless
disease It Is useless to try to ct cure. It il
| for this reason that judiciOus linhalations are
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 gland DIS whose Office is te
| secrete portion of the fluid which keeps the
every winter. sometimes oftener, with al
attack of acute Inflammation of these glands
| The trouble begins with a slight soreness anC
swelling, which gradually increases until tht
These glands are sometimes affected by
and very much hardened. In such cases they
secrete thin, unhealthy, irritsting fluid
which is spread oyer the throat, perpetustini
persons these glands are permanently so larg'
as TO render respiration exceedingly difficult
The defective breathing of children thu
chest, and lays the foundation for consump
ton The eu tachian tubes. (the mouths O
which are just above the palate) are often in
famed, and partial deafness y the result.
Many patients suffering from q throat dis
ease are dyspeptic, and suffer from depression
of spirits. So often does this symptom presen
itself that 1t may almost be regarded as one O
the peculiar ties. Persons thus afflicted hav'
usually the dark and dingy look of the fac,
which denotes functional arrangement of tn,
Gus, hypochrondriacal, irritable and often ex
haus.eo from other causes, in combination
with this disease. gr1 ID
GRANULAR SORE THROAT
Is the most serious form OF throat disease. 1t i
lgranulatiOus OF various sizes are seen, studdinl
/ the membrane and causing it to appear rougl
and uneven. Sometimes these granulati0n
appear in patcles but generally they are regu
lar and distinct. When allowed to progress tn
mucous follicles oil the larynx soon become In
volved, and then we have added to the Othe
symptoms huskiness of the voice in speakin
or reading aloud, with q frequent effort to clea
the windpipe, by which athick, sticky, bluisf
colored mucous is forced of with c0nslderabl
granular sore throat is very easy. The patier
becomes conscious of vexatiOus titillatiOn. pr(
ducing q desire to clear the throat several time
during the course OF the day. He may not NJ
tice this himself, but 1t is. nevertheless, ol
served by his friends. Some months later tn
disposition IL found to have increased, and I
be attended with an occasional desire to swa
low, the patient-tO use his own wOrds-feelin
something sticking in his throat. r
CONSULTATION FREE.
Those who desire to consult with me in regar
to their cases had better call at my Office Il
consultation and examination, but IL inp0
} sible to do SO, can write for copy Of N
Medical Treatise, containing list OF question
Address