Chapter 6 - Diseases of the Nose and Throat
Nasal Catarrh
Pharyngitis
Laryngitis
Acute Laryngitis
Chronic Laryngitis
Laryngitis Sicca
Symptomatic Laryngitis
Tuberculosis of the Larynx
Hare Lip
Elongation of the Uvula
Tonsilitis
Chronic Inflammation of the Tonsils
A Cold. Influenza
La Grippe
Acute Inflammation of the Epiglottis
Mumps
Adenoids and Enlarged Tonsils

6.12 Chronic Inflammation of the Tonsils

Chronic Inflammation of the Tonsils.

IN many of the follicular diseases of the throat, these glands are affected by a chronic inflammation, and are found enlarged, and sometimes very much hardened. In such cases they secrete a thin, unhealthy, irritating fluid, which is spread over the throat, increasing and perpetuating its disease. Much of this secretion finds its way into the stomach, and thence into the circulation.
In the throats of many young persons and children, these glands, are permanently so large as nearly to fill the fauces. The respiration of many children thus afflicted is difficult, and when asleep they can only breathe with the mouth open. The defective breathing of such children often occasions contractions of the chest, and thus lays the foundation for consumption. From these diseased parts, the inflammation often spreads upwards, into the posterior nares, and many times enters the Eustachian tubes, causing deafness or pain in the ears. Such children often breathe as though they had a bad cold in the head. Their health and safety require an immediate attention to this state of things.
Chronic inflammation of the tonsil, likewise the recurrent acute form, may be dependent on poor blood or rheumatism. Those causes are met by blood building medicines like Syrup of the Iodide of Iron in 10 drop closes three times daily, cod liver oil, and by some one of the many preparations of iron, arsenic, and strychnia combinations. It is found that generally the excision of the tonsil may be averted by visiting the surgeon, who will bridges which separate these holes, destroy these cavities. These little holes retain small particles of food and decomposed secretion, which after a while, if allowed to remain, set up a follicular tonsillitis. The size of the gland is thus greatly diminished and the little secreting follicle destroyed. Many a little sufferer can thus be spared the harsher method of excision, and bear with good grace, especially if cocaine be used, what otherwise might be a painful and bloody operation. But, as has been said, excision in many cases must be resorted to.

Curability of Throat Diseases. I have dwelt somewhat upon the preceding forms of throat disease, because they prevail to a fearful extent, and are, in thousands of cases, but the first stages of fatal disease of the lungs.
If not connected with lung disease in the beginning, my experience in treating them enables me to say, emphatically, they are generally curable.
But patients often put the question to me ,, If cured, will I ever have the complaint again?" My answer is ,, Unless I can plant in your constitution a better protection than your Maker put there at your creation, you will of course be liable to a second attack." But then, where the lungs have been entirely free from disease, I have never yet seen a case of simple throat complaint relapse and become dangerous after proper treatment with the syringes. Let not those, therefore, who have been benefited, but not entirely cured by this treatment, undervalue what has been done for them. Even in such cases., the advantage derived to them amounts to just the value they attach to the continuance of life.

Dangers of Delay. In closing these remarks, let me warn the reader against the dangers of delay. Many of those who finally seek medical attendance in these complaints, first try all nostrums, and tamper with their disease till the case is either critical or hopeless. Too many wait till they are near enough to the engulfing whirlpool to hear it roar, before they seek in any practicable way to escape its dangers.
Many persons neglect a slight inflammation of the pharynx, which might have been cured in a few days, but which, from long neglect, has gradually crept down the windpipe, spread over the widely distributed mucous lining of the bronchial tubes, and thus become curable only in a partial degree, and after long and tedious treatment. Hundreds of persons are now suffering from slight attacks of this sort, who might be rid of the affliction in a week or a fortnight, but who will either carelessly give it no attention at al~ or resort to use. les,3 nostrums, until it has run through its primary stages and invaded the constitution, and will finally die of some of the formi3 of pulmonary disease.

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