Los Angeles daily herald., 1888-11-24
Cor. Second and Spring Sts. Los Angeles, Cal
SORE THROAT.

SORE THROAT.
Infammatory action of any kind in the nose
speedily extends itself to the throat. From
he throat each breath we draw carries the
irritation onward and dOUnlodrd through the
bronchial tubes; as these are involved the sup
ply of air to the lungs becomes gradually dl-
migished, % 4: tubercules may form and bronchitis
popular term used in speaking of throat dis
eases, differing widely from each other in
their nature and treatment.
The throat comprises the whole space from
the posterior mares down 20 the entrance into
the windpipe and gullet The several parts
liable to disease are the mucous membrane
glands. which in heslth, 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 symptoms are
arc IS9ughn1,ess in tn the throat with sight pain
| 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 dissp-
pear at the end of three or four days, but when
ulcers. When the acute Inflammation is not
entirely removed it is likely to degenerate into
a chronic form, aud gradually develop what is
| called granular disease, or 1t may end in an
| abscess OF the tOnsil glands, or cause chronic
enlargement OF the tonsils and elongation of
the uvuls.
CHRONIC SORE THROAT
This like nearly all affections of the thro At
and nose, usually begins with a severe cold,
| snd is almost always attended with hosrse-
| ness 1t is more frequently mere extension
OF cata1rh or sore throat than en- original dis
ease. the irritation escaping down and fixing
| itself uOOu the delicate OrQauiaIn of this
and thence gradually journeying onward to
the lungs When it occurs as consequence Of
parat vely 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 something sticking there to
| get rid OF which they keep up 1asping effort
to clear the windpipe. The voice is always
m ore or less affected, being rough in the early
established. There is often slight tenderness
| over that prominence Of the neck known as the
"Apple Of Adam" (Pomnm ADAM, heat and
sense of tightness and frequently some slight
| difficulty in swallowing.
The causes which produce this form of dis
| ease are various. 1t arises in clergymen and
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
| OF mucous mem DTanG.
| 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 fre-
quently occurs as q sequel of consumption.
| and Is produced, or at least very much sggra-
waited, by the irritation of the expectorated
/ m q q q or 1prn of ft,h hor
| cles 1t 's one of the most distressing complica
tiops 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
csrtlages themselves.
When the laryngeal disease is secondary to
that of the lungs, and dependent upon il we
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"
chronic, the larynx is liable to assesses, to
action q long continued @ Irritation He' the vocal
husky and indistinct. And sgain, we may
have complete loss of voice from Talsy Of the
Cords constituting an affection known to the
the remedies are applied to the seat of the
disease 1t is useless to try to effect cure 1t is
for this reason that judic1Ous inhala'ions are
successful when all other means have been
tried without avail.
ToNsILITIs
Is an acute inflammation or 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
thrc at moist. There are persons who suffer
every winter, sometimes Oftcner, with an
attack of acute Inflammation of these glands
The trouble begins with slight soreness and
swelling, which gradually increases until the
act of swallowing is attended with great suffer
These glands are sometimes affected by
chronic Inflammation. and are found enlarged
| and very much hardened In such cases they
Si secrete ret a thin unhealthy, irrits ting fluid.
the disease. In the throats of many young
persons these glands are permanently SO large
as TO render respiration exceedingly difficult.
affected often occasions contraction of the
chest and lays the foundation for consump.
ton. The eu'tachian tubes (the mouths 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 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 fun ctiOnal dersngement OF the
liver. They are frequently emaciated, nerv-
Gus, hypoohrondIiacal, irritable and often ex-
hausted from other causes, in combination
GRANULAR SORE THROAT
is the most serious form OF unroat disease. 1t is
so called because ON looking into the throat
granulatiOns of various sizes are seen, studding
the membrane and causing 1t to appear rough
and uneven. Sometimes these granulatiOns
appear in patches. 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 thick, sticky, blush
colored mucous is forced OF 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
CONSULTATION 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 30, can write for a~copy of nv
Medical Treatise, containing q List of questions
Address
M. HILTON WILLIAMS, M. D.,
HOLLENBECK BLOCK,
Corner Second and Spring sts., Los Angelec.
ONCE houn-Hrom 9:0o 4. 4. TO 4:30 =. n.