Postoperative Instructions for Tonsillectomy and Adenoidectomy. 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.
Allow patient to sit upright, leaning forward to assist in keeping blood out of airway.
You will be advised to lie flat but to keep your head in an elevated position. Place a few pillows under your head to do so. You will be given painkillers during this time.
Most people find that they have the most pain in the first 8 days. You probably will feel tired for 1 to 2 weeks. You may have bad breath for up to 2 weeks. You may be able to go back to work or your usual routine in 1 to 2 weeks.
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.
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.
Pain is often worse at night and may prompt the need for more pain medication. A single dose of Tylenol or Motrin in the middle of the night the day of the procedure can help significantly to reduce pain the morning after surgery.
Avoid acidic, spicy, hard or crunchy foods that may cause pain or bleeding. Rest. Bed rest is important for several days after surgery, and strenuous activities — such as running and bike riding — should be avoided for two weeks after surgery.
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.
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.
Trouble sleeping at night. You may experience some difficult sleeping at night in the days following the procedure. This is common because it can be uncomfortable to breathe through your mouth right after surgery. This should subside once the healing process begins.
Sleeping with the head elevated 30 to 45 degrees or in a recliner for 3-4 days will reduce the swelling in the throat. The uvula (the thing that hangs down from the palate) may be swollen for the first few days and touch the tongue, occasionally causing a gagging sensation.
Some people may even feel worse than they did in the first 2 days following surgery. Post-surgical pain most commonly occurs in the throat and ears, but it can also affect the neck and jaw. During this period, people should continue to rest, stay hydrated, and consume soft foods.
No lifting, bending, and or straining for two full weeks following surgery. We ask that you do not travel for two weeks following surgery, or until seen post operatively. Staying hydrated after a Tonsillectomy is very important.
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.
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.
Ibuprofen has been shown to be effective for post-tonsillectomy pain control.
Limit to quiet activities for 3 days. Children may return to school after one week. Adults may return to work after 3 days if it does not involve strenuous physical activity. No gym, sports, heavy lifting or brass/woodwind instruments for two weeks.
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.
You usually don't need to wear a bra during surgery because you'll have the hospital gown and a surgical drape over your chest. You may want to invest in a bra that's easy to put on and remove if you're getting arm or shoulder surgery.
Milk products are okay, but increase mucous. Avoid tart fruit juices (orange, grapefruit and tomato juice). You may start small amounts of soft foods when your child drinks well after surgery.
Your child should not drink through a straw after surgery until his throat is completely healed. Using a straw may increase the risk of bleeding. Give frequent small feedings of soft foods and cool liquids. They usually are most comfortable for your child.
Although swallowing will be very painful, it is important to encourage the patient to keep drinking and swallowing despite the pain, as dehydration and stiffening of the throat muscles only worsens the discomfort. Take pain medication as directed, regularly.