Los Angeles daily herald., 1888-11-02

NJ. D., NJ. C. 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 all chronic diseases of the blood, etc.
HOLLENBECK BLOCK,
Cor. Second and Spring sts., Los Angeles. Cal.
| SORE THROAT
| Inflammatory action of any kind in the nose
| speedily extends itself to the throat. From
| the throat each breath we draw carries the
irritation onward and dolcnwdTd through the
bronchial tubes; as these are involved the sup
| ply of air to the lungs becomes gradually dt-
minished, tubercules 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
| the posterior mares down TO the entrance into
the windpipe and gullet. The several parts
| liable to disease are the mucous membrane
lining the throat, the mucous TO- olicles 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
i the tonslls
| 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 symptoms are
a roughness in the throat, with sight pain
| 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 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
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 thro at
and nose, usually begins with severe cold,
| and is almost always attended with hoarse-
ness. 1t is more frequently mere extension
of catarrh or sore throat than an 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 it occurs as consequence of
| catarrn or sore throat, the symptoms are com
paratively mild. There may be pain but it is
more common to find only sense of tickling
| which Provokes cough. Many complain of q
sensation as of "som ething sticking there" to
| get rid Of which they keen up lasping effort
| to clear the windppe The voice is always
more or less affected, being rough in the early
stae e. but more feeble after the disease is fully
ehtablished. There is often slight te derness
over that prominence nt the neck known As the
| apple of Adam" (Pomnm ADAM, a heat and
| q sense OF LgntneSS Ruu frequently some SllBnt
difficulty in swallowing.
| The causes which produce this form OF dis
| ease are various 1t aries 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
| mere sequel to sore throat, the Inflammation
| extending down to the larnyx by reason of the
| continuity of mucous membrane.
pirf frnv rhofn nrtc ys
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.
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 a consequence of tuber-
cles, it is one of the most distressing complica-
tions and adds greatly to the patients distress.
In this form there is more or less liberation of
| and gradually extending upward. These ulcers
often penetrate through the mucous and cellu-
| lar mem branes, 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
| have considered. and shall more fully consider,
| under the head of Consumption"
the arynx is abe TO
sction @ Of long continued Irritation the vocal
cords become thickened' rendering the voice
have complete loss of voice from ra]sy of the
cords. constituting an affection known to the
physicians by the term Of "Aphonia." Unless
| the remedies are applied to the seat of the
disease 1t is useless to try to effect 1t is
| for this reason that judcious inhalaions are
successful when all other means have been
| tried without avail.
| Is an acute Inflammation of the tonsils.
which consists of a 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
attack of acute iniammation 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;
chronic Inflammation, and are found enlarged
and very much hardened. In such cases they
secrete thin, unhealthy, irritating fluid,
the disease. In the throats of many young
persons these glands are permanently so large
| as TO render respiration exceedingly difficult.
The defective breathing of children thus
| chest and lays the foundation for consump.
tion. The eustachian tubes, (the mouths OF
| which are Just above the palate) are often in.
famed, and partial desfness is the result
Many patients suffering from a throat 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 OF
| the peculiar ties. Persons thus afflicted have
usually the dark and dingy look of the 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
with this disease
| GRANULAR SORE THEOAT
Is the most serious form Of throat disease. It is
so called because on looking into the throat
granulations of various sizes are seen, studding
the membrane and causing it to appear rough
and uneven. Sometimes these granulations
appear in patches, but generally they are regu-
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 wipdpipe, By which thick, sticky, blush
cOlored mucous is forced Off with considerable
difficulty. The transition from a 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 not no.
| tice this himself, but 1t is, nevertheless OBJ
| 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-to use his own words-feeling
something sticking in his throat. Sas7M 3 Elas.
4 sg1 FREE.
Those who desire to consult with me IN regard
to their cases had better call at my office for
consultation and examination, but If impos
sible to do SO, can write for copy of my
Medical Treatise, containing list OF questions
Address