Tonsil

“ That the tonsil has some important mission to fulfill is clearly demonstrated by the fact of its frequent recrudescence, or rather, the natural renewal of the organ after surgical removal—a spontaneous physiological organic mutiny, as it were, supported by its lymphatic glandular dependents, against the reckless ignorance of medical practitioners and the perversity of the medico-cum-parental fashion of the day. ”

“ Both tonsils may be involved. They become large, firm to the touch, dusky red and swollen, and the surrounding parts are also much swollen. The swelling may be so great that the tonsils may touch each other or one tonsil may push the uvula aside and almost touch the other tonsil. There is much saliva. The glands of the neck enlarge, the lower jaw is almost immovable and sometimes it is almost impossible to open the mouth at all.
QUINSY. Mothers' Remedies. 1. Willow Gargle for.—"Steep pussy willow and gargle throat with it. This remedy if taken in time, will cure quinsy and it will not return." ”

“ There is almost always ground for the hope that after the irritation caused by cutting the first four permanent grinding teeth has completely ceased, the tonsils may return by degrees to their former size. A similar shrinking of the enlarged tonsil sometimes takes place, especially in the boy, at the time of approach to manhood, when the vocal organs undergo full development. ”

“ There is fever, quick, full pulse, and dryness of the skin; the tongue is furred, and the breath offensive. The tonsils are intensely red, swollen, and painful, the pain often extending to the ear. Sometimes but one tonsil is affected, though generally both are involved. In severe cases the patient cannot lie down, in consequence of the difficulty of breathing.
Treatment. In the early stage of the disease, the spirit vapor-bath is invaluable. The sweating which it produces should be kept up by the use of the Compound Extract of Smart-weed in some diaphoretic infusion. ”

“ In follicular tonsillitis, the infection first implicates the lymphoid follicles. The crypts are distended with yellowish-white plugs, composed of inflammatory exudate, leucocytes, and desquamated epithelium, and these may project from the openings, giving the tonsil a spotted appearance. Sometimes the exudate accumulates on the surface of the tonsils and pharynx, forming a thin, greyish-white film, which is liable to be mistaken for the false membrane of diphtheria. ”

“ QUINSY.—This is an inflammation of the tonsils, or common inflammatory sore throat; commences with a slight feverish attack, with considerable pain and swelling of the tonsils, causing some difficulty in swallowing; as the attack advances, these symptoms become more intense, there is headache, thirst, a painful sense of tension, and acute darting pains in the ears. The attack is generally brought on by exposure to cold, and lasts from five to seven days, when it subsides naturally, or an abscess may form in tonsils and burst, or the tonsils may remain enlarged, the inflammation subsiding. ”

“ As a matter of fact, the healthy tonsil has no effect upon the voice, while the diseased tonsil can have only an injurious effect either directly by its size, interfering with the free vibration of the voice, or indirectly by setting up an irritation of the throat and causing the voice to be weak. ”

“ Inflammation of the surface of the tonsils. As the tonsils and parts in their vicinity are covered with a membrane, which, though exposed to currents of air, is nevertheless constantly kept moist by mucus and saliva, and is liable to diseases of its surface like other mucous membranes, as well as to suppuration of the internal substance of the gland; the inflammation of its surface is succeeded by small elevated pustules with matter in them, which soon disappears, and the parts either readily heal, or ulcers covered with sloughs are left on the surface. ”

“ Chronic enlargement of the tonsils, as shown in Fig. 17, A A, is an exceedingly common affection. It is most common to those of a scrofulous habit. It rarely makes its appearance after the thirtieth year, unless it has been imperfectly cured. Both tonsils are generally, though unequally enlarged. A person affected with this disease is extremely liable to sore throat, and contracts it on the slightest exposure; the contraction of a cold, suppression of perspiration, or derangement of the digestive apparatus being sufficient to provoke inflammation. ”

“ Chronic enlargement of the tonsils predisposes to tonsillitis and to all the infective and contagious throat diseases. In addition, the breath is apt to be fetid, and swallowing the mucus, germs, and toxins has a deleterious effect on the stomach and general health. ”

“ If colds are neglected and allowed to run on, the inflammation spreads through the nose back into the upper part of the throat, or pharynx. Here it attacks a spongy group of glands, like a third tonsil, which swells up until it almost blocks up the nose and makes you breathe {257}through your mouth. These swollen glands are called adenoids, and cause not only mouth-breathing, but deafness, loss of appetite, indigestion, headache, and a stupid, tired condition ”

“ The tonsils, and the membrane of the throat behind the nose and mouth, are full of innumerable blood-vessels, forming a net-work; and very slight causes often produce great enlargement of these vessels. By frequent temporary distension, they are not only permanently enlarged, but made more susceptible of additional expansion from trivial accidents. ”

“ Calculi composed of phosphate or carbonate of lime are sometimes formed in the crypts of enlarged tonsils; as a rule they are about the size of a pea, but they may be much larger. They cause a sharp stabbing pain on swallowing, and sometimes a persistent hacking cough. They are easily shelled out through a small incision into the tonsil.
Syphilis.—The fauces and tonsils are occasionally the seat of a hard chancre, and the condition may simulate malignant disease. The submaxillary glands, however, become enlarged sooner and increase more rapidly than in cancer, and they are tender. ”

“ There is always a fever at the beginning, but the child never seems sick enough to go to bed. If the throat is examined it will be found to be red and slightly inflamed, there may be spots on the tonsils, or there may be a gray film over them. There is no discharge from the nose and the child does not complain of an excess of mucus from the throat. ”

“ Infected tonsils are looked after, not simply because they bring about sore throat now and then, but even more because of the poison which they are likely to send through the body. It is probably not too much to say that the practice of dentistry has been revolutionized since the significance of pus pockets has been discovered. ”

“ You have, let us say, "follicular tonsilitis." (These medical men have a love for long names, which have the effect of awing you, and convincing you that you are in desperate need of attention.) Your throat is sore, your tonsils are swollen and covered with white spots; so the doctor hauls out his little black bag, and makes a swab of cotton and dips it, say in lysol, and paints your tonsils. He knows by means of the microscope that your tonsils are covered and filled with a mass of foreign germs which are feeding upon them ”

“ Adenoids and large tonsils.—Sometimes children have large tonsils growing in the back of the throat, or soft bunches of flesh called adenoids back of the nose. These children cannot breathe well through the nose, but must breathe through the mouth. Then they take dust and disease germs deep into the body, and so take colds and other sickness easily. If a child has adenoids or large tonsils, an operation should be done to take them out. ”

“ Adenoids, like enlarged tonsils, are dangerous, apart from the physical distress and disease which they cause, owing to the fact that they harbor deadly bacteria, and from these bacteria, which find a lodgment in the adenoids and tonsils, a fatal attack of diphtheria or consumption may have its beginning. ”

“ The skin is hot; there is intense thirst; the pulse is quick and feeble, ranging from 120 to 150 per minute. The tongue is generally loaded with a dirty coat, or it may be bright red. The odor of the breath is characteristic, and peculiarly offensive, and there is difficulty in swallowing and sometimes in breathing. Vomiting is sometimes persistent. If we examine the throat, we find more or less swelling of the tonsils and surrounding parts, which are generally bright red, and shining, and covered with a profuse, glairy, tenacious secretion. ”

“ Indeed, if both tonsils are acutely inflamed it may be impossible to swallow even fluid and the breathing may be seriously embarrassed. The temperature may be raised several degrees. There is pain about the ear and about the jaw, and there is a swelling of the glands in the neck. The breath is offensive and the tongue is thickly coated. ”

“ Summing up the writer demonstrates that the functions of the tonsils are, at present unknown and that until known nothing authoritative can be said definitely on the subject, whether they be portals for the entrance of disease or the exit for the very purpose of germs of infection; common sense must decide;—whether they protect the organism from danger or invite the presence of disease. ”

“ The moral to be drawn from all the foregoing is to treat colds properly when they are present, keeping the nose and throat clean and clear of mucus, and to have any abnormal obstruction in the nose or throat and source of chronic catarrh removed, as enlarged tonsils, adenoids, and nasal outgrowths. ”

“ To get a correct idea of the throat we should look into the wide-open mouth of some friend. Depressing the tongue we can readily see the back wall of the pharynx, which is common to the two main avenues leading to the lungs and the stomach. Above, we notice the air passages, which lead to the posterior cavities of the nose. We have already described the hard palate, the soft palate, the uvula, and the tonsils (Fig. 46) . ”

“ The consensus of advanced scientific opinion is now to the effect that the activity of the tonsils as possible accessories of disease has been vastly exaggerated, that like the thousand and one successive misleading theories which in turn, from time to time, have seized upon the imagination and obsessed the minds of the medical fraternity for brief and passing periods, this pernicious craze too, has about run its course. ”

“ Mouth breathing is the cause of many ills. As a result of this, the mucous membrane of the tongue, &c., becomes dry, micro-organisms multiply and the mouth becomes foul. Also from disease of the nose, the upper jaw, palate and teeth do not make proper progress in development. There is overgrowth of tonsils, and adenoids, with resulting deafness, and the child’s mental development suffers. An ordinary “sore throat” usually signifies acute catarrh of the fauces, and is of purely organismal origin, “catching cold” being only a secondary and minor cause. ”

“ Drying clothes in a kitchen is an abomination and terrible to one subject to this disease or rheumatism. You can keep from having it so often by proper care. It is likely to return, and repeated attacks will cause permanently enlarged tonsils and they will become so diseased that they, will not only be annoying, but dangerous to health and life. You will go around with your mouth open, "talk through your nose." The tonsil must then be removed, also the adenoids in the throat, to enjoy proper mental and physical health. Enlarged tonsils with pus in them are a menace to anyone. ”

“ This sympathy between the stomach and the skin of the face is apparent in the eruption of the small-pox; since, where the disease is in considerable quantity, the eruption on the face first succeeds the sickness of the stomach. In the natural disease the stomach seems to be frequently primarily affected, either alone or along with the tonsils, as the matter seems to be only diffused in the air, and by being mixed with the saliva, or mucus of the tonsils, to be swallowed into the stomach. ”

“ Membrane is seen in the throat. It may cover the tonsils and spread over the entire throat cavity, or it may extend up into the nose and over the roof of the mouth. All the parts are much swollen and breathing is interfered with, sometimes seriously. If the attack is very severe there is an active absorption of poison going on from the throat which soon renders the little patient intensely sick. There is marked weakness and prostration, the circulation becomes poor, the pulse rapid and the child falls into a stupor. ”

“ Adenoids and enlarged tonsils are abnormal growths of lymphatic tissue in the nose and throat that make breathing difficult and inefficient, and that become breeding places for germs. The infection that they harbor leads frequently to colds, earache, deafness, tonsillitis, diphtheria, measles, scarlet fever. They obstruct the breathing and reduce the supply of oxygen, spoil the shape of the face, reduce the ability to think, and by their discomfort produce irritability and nervousness. They greatly interfere with the vitality. ”

“ The growths are apt to keep up a constant catarrh near the orifice of the ventilating tubes which pass from the throat to the ear, and so render the child dull of hearing or even deaf. They also give rise to asthma, and like enlarged tonsils—with which they are often associated— they impart to the child a vacant, stupid expression, and hinder his physical and intellectual development. ”

“ With many there is no trouble, but there are also quite a number of patients whose throats are so irritable from disease as to prevent the introduction of the laryngoscope. In other cases the patient's tongue has an almost irresistible tendency to keep rising up toward the roof of the mouth and thus obstruct the view. Enlargement of the tonsils according to the degree of their enlargement makes an examination either very difficult, or else, if so much enlarged that they meet and almost close up the throat, makes it impossible until the enlargement has been reduced. ”