Post-nasal catarrh and diseases of the nose causing deafness : being vol. 1 of the third edition of Deafness, giddiness, and noises in the head / by Edward Woakes.

  • Woakes, Edward, 1837-1912.
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: Post-nasal catarrh and diseases of the nose causing deafness : being vol. 1 of the third edition of Deafness, giddiness, and noises in the head / by Edward Woakes. Source: Wellcome Collection.

    64/254 (page 50)
    All these symptoms grow less after breakfast, and soon the engag-ements of business cause him to forg-et the trou- bles attending- his toilet. It is true that he is not without other reminders during the day—a change of temperature, as from the office to the street, induces sneezing and run- ning at the nose ; and at night, especially if he indulge in the common habit of taking a so-called night-cap in the shape of hot and sweetened spirits and water, his sleep will be disturbed, he cannot breathe freely through his nose, and when he wakes he hears unwonted noises in his ears. The last named symptoms indicate a persistency of the loss of vessel tonus, the direct legacy of the initial vaso-motor disturbance. A comparatively slight addition to the as yet imperfectly restored balance of vessel inner- vation in the area of recent disturbance, such as just indi- cated, suffices to withdraw it for the time, and to allow the recently affected vessel areas to dilate under the mechanical influence of the recumbent posture. Under these circum- stances the mucus membrane of the inferior turbinated bones swells up and prevents nasal respiration, while Eustachian ventilation is similarly impeded. With the return of summer and a seaside visit, all these symptoms diminish. But their subject neglectful of for- mer experiences, returns to his old life; eating, drinking-, smoking, working, too much, and the first fogs of autumn recall his former ills. Usually it is not longer than two years, often much sooner, that he will be found in the state of malaise, oppression, and general distress in which we first encountered him. Although in the interval he may have experienced various chills, these have troubled him