Los Angeles daily herald., 1888-11-11

M. Hilton Williams,
NJ. D.. NJ. c. p. s. o..
And associated with him his brother,
T. 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.
HOLLENRECK BLOCK,
Cor. Second and Spring sts., Los Angeles, Cal
SORE THROAT.
Infsmmatory action of any kind in the nose
speedily extends itself to the throat. From
he threat each bre ath we draw carries the
bronchial tubes; as these are involved the sup
ply of air to the lungs becomes gradually di-
minished, tubercules may form and bronchitis
ena IN on ar Is he
eases, differing widely from each ether in
their nature and treatment.
The throat comprises the whole space from
the pOsterior mares down 10 the entrance into
the windpipe 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 is
inflammation of the mucous membrane, re-
| sulting from recent cold. 1t is most prevalent
in cold or damp weather. The symptoms are
and swelling The throat looks red and angry
and the tongue is slightly coated with white
| fur. Within a few days small whitish spots,
throat and shout the root OF the tongue. II the
attack be mild, these aphthous points disap-
pear at 6e 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 degt neate into
| 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 tonsils and elongation of
the uvula.
CHRONIC SORE THROAT.
This like nearly all affections of the throat
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 fixing
| itself upon the delicate organism OF this part
| and thence gradually journeying onward to
| the lungs. When it occurs as consequence of
catarrh or sore throat, the symptoms are com
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 ct 'some ething sticking there" to
get rid OF which they keep up rasping effort
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" (Pomnm Adam), a heat and
q sense OF t1ghtness and 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
lAi 10 RI la a6,Ntv,
and produce irritation. 1t is more often a
mere sequel to sore. throat, the Inflammation
extending down to the larnyx by reason of the
| continuity of mucous mem brane.
| But from whatever cause it arises it is
always serious malady. The chronic form
| 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-
On the other hand chronic laryngitis fire.
quently occurs as 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 is one of the most distressing compliea-
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 infrequeutly 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
which will remove its cause, and these we
have considered. and shall more fully consider,
| under the head of "Consum ption."
| In addition to intlam mmation, acute or
chronic, the larynx is liable to assesses, to
Wsity gr9Wtas oas;la ard to polip Under the
cords become thickened, rendering the voice
| husky and indistinct. And again, we NAV
have complete loss of voice from PALSY of 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 cure 1t is
successful when all other means have been
tried without avail.
ToNsILITIs
Is an acute lnflammaJlon OF the tonsils,
| which consists of collection or mass of small
secrete portion of the fluid which keeps the
| throat moist There are persons who suffer
every winter sometimes oftener, 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
| ing.
| These glands are sometimes affected by a
| chronic Inflammation and are found enlarged
and very much hardened. In such cases they
secrete a thin, unhealthy, irritating fluid,
which is spread over the throat perpetuating
| the disease. In the throats of many young
persons these glands are permanently SO large
a., 90 w iSnuei resPralion eAceeulugiy ulmculI
The defective breathing of children thus
| affected often occasions contraction of the
| chest, and lays the foundation for consump-
ton The euttachian tubes (the mouths of
which are just above the palate) are often In.
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 symptom present
itself that 1t 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 THROAT
ls the most serious form 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
ana 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
volyed, and then we have added to the other
symptoms huskiness of the voice in speaking
or reading aloud, with frequent effort to clear
the w1ndpipe, 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 it is, nevertheless, OBJ
served by his friends. Some months later this
disposition is found to have increased, and to
pc attended with an occasional desire to swal-
low, tne patlent-to use his own words-feeling
something sticking in his throat.
CONSULTATION FREE.
Those who desire to consult with me I'm regard