Los Angeles daily herald., 1888-11-30
SORE THROAT.

SOhE ThhOAT.
Infammatory action of any kind In the more
speedily extends itself to the throat FrOu
he throat each breath we draw carries the
irritation onward and d0aUnward through the
ply of air to the lungs becomes gradually d.
minished, tubercules may form and bronchitis
end in consumption. 'sore throat" ia the
popular term used in speaking Of throat dis.
their nature and treatment.
The throat comprises the whole space from
he 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 follicles or little
glands, which in he4 4lth, secrete the lubricat-
hangs down from the curtain OF the palate and
the tOnsils.
ACUTE OR SIMPLE SORE THROAT.
The most simple form of throat disease rs
Inflammation of the mucous membrane re-
sulting from recent cold. It is most prevalent
roughness in the throat, with a sight pain
and swelling. The throat looks red and angry
ana the tongue is slightly coated with white
fur; Within a few days small whitish spota,
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-
more severe they leave behind them superficial
ulcers. When the scute Inflammation is not
entirely removed it 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 toIsils and elongation Of
the uvula.
CHRONIC SORE THROAT.
This like neary all affections of the thro It
and nose, usually begins with a severe cold,
nd is almost always ATTENDED with a hoarse-
ness. 1t is more frequently mere extension
OF catarrh or scre throat thSn an original dis
ease. the irritation eScan!ng down and fixing
itself upon the deiicl;e organism of this part
ana thence gradually joa+neying onward to
the lungs. When it occu as consequence of
catarrh or sore throat, The symptoms are COM
parat vely mild. There may be pain but it ix
more com mon to find only >enge of tickling
which proyokes cough; Many complain Of q
get rid Of which they keep UP rasping effort
to clear the windpipe. Tie voice is always
niore or less affected, being ough, in the early
established There is often slight tenderness
over tdat prominence ui The ueck known as the
Apple of Adam" (Pomnm Adam), heat and
sense OF tightness sad 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
mere sequel to sore throat, the Inflammation
extending down to the larnyx by reason of the
continuity OF mucous membrane.
always serious malady. The chronic form
threatens the complete destruction of the
voice, and rarely ends until it has involved
change in the weather, every flight Of dust,
feeds the irritation and increases the inveter-
acy of it's hold.
quently occurs as sequel of consumption
and Is produced, or at least very much aggrsr
waited, by the irritation of the expectorated
matter. Occurring as consequence of tuber-
clpg IL Ia of the most di1trpHefDO nj lian-
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
often penetrate through the mucous and cellu-
lar membranes, involving the muscular tissue
and not infreauently attack the igaments and
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 Consumption"
In addition to Inflammation, acute or
action Of long continued irritation the vocal
cords become thickened, rendering the voice
have complete loss of voice from PALSY of the
cords, constituting an affection known to the
physicians by the term of "Aphonia." Unless
disease it is useless to try to effect cure. Itia
for this reason that judicious inhalaions are
successful when all other means have been
tried without avail.
ToNsILITIs
Is an acute inflammation OF the tonsiES.
which consists of collection or mass of small
mucous follicles or glands whose office is to
secrete portion of the fluid which keeps the
threat moist There are persons who suffer
attack of acute Inflammation of these glands.
The trou Bile 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 8
chronic Inflammation, and are found enlarged
and very much hardened. In such cases they
which is spread over the throat, perpetuatins
the disease. In the throats of many young
persons these glands are permanently 50 large
as TO render respiration exceedingly difficult.
The defective breathing of children thus
| affected often occasions contraction of the
chest, and lays the foundation for consumF-
which are just above the palate) are often in.
famed, and partial deafness is the result.
Many patients suffering from throat dis
70 often
itself that it may almost be regarded as one Of
the peculiar ties. Persons thus afflicted havs
usually the dark and dingy, look of the face
which denotes functional arrangement of the
liver They are frequently emaciated, nerp-
Gus, hypochrondIiacal, irritable and often er.
hausted from other causes, in combination
GRANULAR sORE.rHRoAT
Is the most serious form OF unroat disease II il
| SO called because Oh looking into the throat
grsnulaflons OF various sizes are seen, studdius
the membrane and causing it to appear rough
and uneven. Sometimes these grsnulations
appear in patches. but generally they are regu-
| lar and distinct. When allowed to progress the
| mucous fOllicles OF the laryDx soon become I'm.
volved, and then we have added to the othe:
symptoms a buskiness of the voice in speaking
| or reading aloud, with a frequent effort to cleal
the windpipe, by which thick, sticky, blush
| colored mucous is forced off with considerable
difficulty. The transition from simple to
| granular sore throat is very easy. The patien
becomes conscious of vexatious Utilization, pro
ducing desire to clear the throat several time,
during the course of the day. He may not no
tice this himself, but it Is. nevertheless, oh
served by his friends Some months later thi
disposition is found to have increased, and I.
be attended with an occasional desire to swal
low, the patient-to use his own words-feelin,
something sticking in his throat.
CONSULTATION FREE.
Those who desire to consult with me In regar
to their cases had better call at my Office fc
consultation and examination, but If inpo
sible to do SO, can write for a copy of m
Medical Treatise, containing list Of question:
Address
NJ. HILTON WILLIAMS, M. D
| HOLLENBECK BLOCK,
Corner Second and Spring sts., Los Angeles.
Once hours-From 8 90 A. Il. 70 4:30 P. Il