Dehydration can lead to increased pain and also increase the chance of bleeding. If your child becomes dehydrated at home and you cannot correct the problem, your child may have to be readmitted to hospital.
After your operation it is important that you continue with your normal dietary intake, and continue to drink plenty of fluids. If you are experiencing difficulty in swallowing take your painkillers about half an hour before meals. This will help ease the discomfort, which is quite normal for the first few days.
Do not drink alcohol for 24 hours following surgery as its effects will add to those of the anesthetic.
Throat pain builds up for the first few days and is usually at its the worst around the fifth day after surgery. Pain and discomfort will usually then ease until the seventh or ninth day after surgery when some of the scab covering the tonsillectomy site falls off. After this there is a steady reduction in pain.
Dysphagia itself is not an uncommon sequelae from tonsillectomy; however, this symptom is typically secondary to postoperative pain and guarding, and rarely persists beyond 10 days.
The scabs usually fall off in small pieces. There may also be a small amount of bleeding. Most people swallow the scabs, often without realizing. Recovery from a tonsillectomy can take 10–14 days.
THROAT PAIN is normal for 21 days after the surgery. The pain is usually tolerable in the first 3 days and then worsens to a crescendo around day 6 to 9 after the operation. Once this peak is reached then the pain gradually decreases daily until you can comfortably eat around day 14 after the operation.
Your child may have bad breath, “stuffy nose” and drainage for 7 to 10 days after surgery. This is normal and will go away as he or she heals. Your child may have ear pain up to a week after surgery and it may be worse at night. This is normal and is coming from the tonsil area.
Some patients find that small sips of ginger ale or a cola drink may help to relieve nausea. Small portions of bananas, applesauce, moistened graham crackers or soda crackers may be helpful prior to taking medications. You may wish to avoid acidic products such as orange juice.
Tonsillectomy and Adenoidectomy. Are cold-like symptoms after a tonsillectomy or adenoidectomy (such as a cough and congestion) normal? Yes. Cold and congestion symptoms are normal due to recovering from anesthesia/intubation as well as increased production of secretions when recovering from surgery.
Chew Ice Constantly
Ice is one of the best things to have during a tonsillectomy recovery. Ice keeps the incision site moist during recovery and this is very important for speedy healing. The cold temperature of ice also helps to numb pain and reduce swelling.
The pain was evaluated using visual analogue scale (VAS) on a scale of 0–10, with 0 representing no pain at all and 10 worst possible pain. Postoperative pain was consider mild if EVA ranges between 0.00 and 2.99; moderate when ranges between 3.00 and 6.99, and severe pain when it was greater than 7.00.
If a high temperature (fever) develops in the week or two after a tonsillectomy, see your GP as soon as possible. This may suggest infection, and treatment with antibiotics may be necessary. If there is any fresh bleeding from the back of the throat after a tonsillectomy you should contact your GP urgently.
You can brush your teeth after the first night. You may have bad smelling breath as you heal. Avoid mouthwash for 1 week. You may gargle gently with a solution made of 1 teaspoon of baking soda mixed with 250 ml (1 cup) of water.
Conclusions: Intraoperative application of cold water after tonsillectomy significantly reduced postoperative pain. We recommend cooling the tonsillar fossa and pharyngeal mucosa with cold water during tonsillectomy to easily and effectively reduce post-tonsillectomy pain.
The 4th or 5th day after the surgery is a common time for the pain to get temporarily worse. Signs of pain in younger children may be crying more often, or refusal to eat or drink.
You should rest at home for the first 48 hours. Activity may increase as strength returns. Generally, you may return to work approximately 10 days following a tonsillectomy, and about 3 days after an adenoidectomy. You should avoid vigorous activity for 14 days after surgery.
The amount of discomfort usually lessens, then may increase again around day 7-9 after surgery, as some of the whitish tissue covering the tonsillectomy site falls off. After this, there is generally steady improvement with less discomfort.
How long do tonsillectomy scabs last? Most scabs only last 5-10 days. Then, they naturally flake off. Tonsillectomy scabs may last longer on larger wounds created when large tonsils are removed.
Activity Level: Light activity and adequate rest are recommended for the first few days. Sleeping with the head elevated 30 to 45 degrees or in a recliner for 3-4 days will reduce the swelling in the throat.
Sore Throat.
The pain will be most severe for the first week after surgery and will usually be gone in 2-3 weeks.
Swelling and Bruising.
Tissue injury, whether accidental or intentional (e.g. surgery), is followed by localized swelling. After surgery, swelling increases progressively, reaching its peak by the third day. It is generally worse when you first arise in the morning and decreases throughout the day.
Recovery time for a tonsillectomy is usually at least 10 days to two weeks.
Your child may also have more discharge than normal from his/her mouth and nose for a while. The teeth and the tongue may be cleaned with a toothbrush or a face cloth. Use water with a very small amount of toothpaste. Gargles and mouthwashes should not be used.