Pittsburg dispatch. [volume] (Pittsburg [Pa.]) 1880-1923, 1889-04-28

invariably, sometimes slowly, extends down
the windpipe and into the bronchial tubes.
which tubes convey the air into the different
parts Of the lungs. The tubes become affected
from the swelling and the mueus arising
from catarrh, and in some instances become
plugged up so that the air cannot get in as
freely as it should. Shortness of breath fol-
lows, and the patient breathes with labor
and difficulty.
In other cases there is sound of cracking
and wheeling inside the chest. At this
stage of the disease the breathing is usually
more rapid than when in health. The PEI
tient has also hot flashes over his body.
The pain which accompanies this condis
ton is of dull character, felt in the chest,
behind the breast bone or under the shoul-
der blade. The pain may come and co.
last few days and then be absent for sew
eral others. The cough that occurs in the
first stages OF bronchial eatarrh is dry,
comes at intervals, is hacking in character
and usually most troublesome in the morn
ing on arising or on going to bed at night,
and it may be the first evidence of the dis
ease extending in the lungs.
At first there may be nothing brought up
by the cough; then there is little tough,
tenacious mucus, which the patient finds
great difficulty in bringing up.
Sometimes there are fits of coughing in
duced by the tough mucus-so violent as to
cause vomiting. Later on the mucus that is
raised is found to contain some particles Of
yellow matter, which indicates that the
small tubes in the lungs are now affected,
With this there are often streaks of blood
mixed with the mucus. Inisome cases the
patient becomes very pale, Has fever and ex-
peetorates before any cough appears.
). In some cases small masses of cheesy SUBJ
stance are spit up, which, when pressed be-
tween the fingers, emit bad odor; in other
cases particles of hard, ehalkY nature ara
spit up. The raising of cheesy or chalky
| Jumps indicates serious mischief at work in
the lungs.
In some cases catarrh will extend into the
lungs in few weeks; in other cases it may
be months, and even years, before the dis
ease attacks the lungs sufficiently to cause
serious interference with the general health.
When the disease has developed to such 3
point the patient is said to have catarrhal
consumption. With bronchial catarrh there IS
more or less fever which differs with the differ
ent parts of the day-slight in the morning,
higher in the afternoon and evening.
Sometimes during the day the patient has q
| creeping, chilly sensation, which may last from
| half an hour to an hour, the surface of the
| body feeling dry and hot. During the night,
near the morning, there may be sweats. Such
| sweats are known as night sweats.
The pulse is usually more rapid than normal,
| and the patient loses flesh and strength A
fresh cold is all that Is needed at this point to
| develop rapid consumption. In some instances
the patient loses strength and flesh slowly.
| The muscles gradually waste away. Then the
patient gradually regains some of the strength
| only to lose it again.
A weak stomach and a dislike for food, which
| seems to have lost its taste, cause the patienr
| to think that he mas a disease Of the stomach
| instead of thelungs. With these diarrhea usu-
| ally occurs and there is the same disturbance
| of the kidneys In bronchial catarrh the voice
| often becomes weak, husky and hoarse, There
| is burning pain in the throat with difficulty
| in swallowing.