After Tonsillectomy and Adenoidectomy

General

Expect a sore throat for 10-14 days. At days 5-7 most experience a worsening of their sore throat; this is due to the healing process and is no cause for alarm. Ear pain is common; this is actually referred pain from the throat. The throat will have thick white patches where the tonsils were, these are normal healing areas and are not a sign of infection. Bad breath is also common during the healing process.

DIET

It is very important to drink plenty of fluids. Dehydration and not swallowing increase the pain and prolong the healing process. Soft foods are preferable. Avoid hot, spicy or acidic foods. Carbonated beverages tend to be uncomfortable.

FEVER

Low grade fever up to 101 is normal within the first 48 hours. Fever greater than 101 should be addressed by calling the number above

BLEEDING

Small amount of blood tinged secretions in saliva or from the nose is common during the first 24 hours. Bright red brisk bleeding that fills up more than an inch in the bottom of a cup needs to be addressed by calling the above number. Additionally if comparable amounts of blood clots are being expelled please call as this is likely from swallowed blood.

ACTIVITY

1 week off school/work is required following surgery. Sore throat will persist for up to 2 weeks but you may return to school/work during the second week if you feel up to it. NO strenuous activity, sports, physical education or heavy lifting for 2 weeks.

MEDICATIONS

An antibiotic medication will be given in liquid formulation. Please complete the course as prescribed. The antibiotics help with the healing process and reduce pain after surgery. A narcotic medication will also be given please take this around the clock as prescribed during the first two days, then as needed for pain during the next 2 weeks. Keep in mind the narcotic also has Tylenol(acetaminophen) in it so do not take Tylenol in conjunction with the narcotic pain medication. DO NOT use any NSAIDS (Motrin, Advil, Aleve, and Ibuprofen) this may cause bleeding.

ADDITIONAL INFO

Sleep for the first few nights with your head elevated, this will help with swelling. Cool vapor bedside humidification is advisable if available. Ice packs to the neck as needed.

CALL: With any questions or concerns regarding your post-operative course