The scabs will also form quite quickly and often cause bad breath. It is important to rest after surgery and to refrain from speaking too much if it causes pain or bleeding. People should drink lots of water or soothing fluids and eat easy-to-swallow foods, such as broth or applesauce.
Avoid milk products, such as ice cream and yogurt, for 24 hours after surgery. People may also wish to avoid foods and beverages that are hot, acidic, hard, or crunchy for a few days. These items can cause pain and irritation. 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.
Applying an ice pack to the neck can help reduce pain and swelling. Between days 5 and 10 after surgery, the tonsillectomy scabs will fall off. This may cause a small amount of bleeding, and some people will notice specks of blood in their saliva. Blood may cause people some concern, but it is a normal part of healing. However, if the blood is excessive and bright red, then people should contact their doctor immediately or bring their child to the emergency room.
Excessive or bright red bleeding indicates that the scabs have fallen off too early, which requires medical attention and evaluation for further surgery. At this point, most people should be experiencing less pain. It is still important to rest and stay hydrated during this time. As eating and swallowing become more comfortable, people can begin to reintroduce more foods to their diet. Most people will begin to feel much better at this point. The pain will continue to fade. Children can go back to school, and adults can return to work once they:.
However, it is still important to avoid strenuous activities and sports until at least 2 weeks after surgery. Teens usually have a tonsillectomy because: Their tonsils are so big they block the airway and make it hard to breathe. Swollen tonsils can make it hard to breathe, especially during sleep.
Someone might snore and stop breathing for short periods while asleep when the tonsils get in the way. This is called obstructive sleep apnea. Apnea can make someone miss out on healthy, restful sleep, and even lead to health problems. Their tonsils get infected often. A health care provider might recommend removing the tonsils if someone gets a lot of tonsil infections called tonsillitis.
Experts define "a lot" as when a doctor diagnoses the person with at least 7 infections a year, more than 5 infections a year for 2 years in a row, or three infections a year for 3 years.
What Happens Before a Tonsillectomy? What Happens During a Tonsillectomy? The two main types of tonsillectomy surgery are: Traditional tonsillectomy: Both tonsils are completely removed.
Intracapsular tonsillectomy: The surgeon removes all the affected tonsil tissue, but leaves a small layer to protect the throat muscles underneath. There's a very slight chance that the remaining tissue can re-grow or become infected and need more tonsil surgery, but this isn't common. A tonsillectomy may also be used to treat other rare diseases or conditions of the tonsils, such as:. You'll receive instructions from the hospital on how to prepare yourself or your child for a tonsillectomy.
Questions to ask your doctor or the hospital staff for yourself or on behalf of your child include:. Tests or bloodwork may be required before surgery. Your doctor may also order a sleep study polysomnography if a tonsillectomy is intended for treating obstructive sleep apnea, other obstructions of the airway and some other conditions.
Tonsillectomy is usually done as an outpatient procedure. That means you'll be able to go home the day of the surgery. An overnight stay is possible if complications arise, if the surgery is done on a young child or if you have a complex medical condition. A nurse may use a pre-surgery checklist of questions, such as asking you to say your name and the reason for your surgery. This is a standard procedure to ensure the safety of patients.
Because a tonsillectomy is performed under general anesthesia, you or your child won't be aware of the procedure or experience pain during the surgery. The surgeon may cut out the tonsils using a blade scalpel or a specialized surgical tool that uses heat or high-energy heat or sound waves to remove or destroy tissues and stop bleeding.
Tonsillectomies to treat recurring bacterial tonsillitis reduce the frequency and severity of strep throat and other bacterial infections. Tonsillectomies to treat viral tonsillitis have a smaller benefit. Tonsillectomies to treat obstructive sleep apnea and other conditions not related to infections can improve outcomes when other treatment strategies have not been beneficial. If you have a personal or family history of anesthesia related problems or a history of bleeding problems let your physician know.
This can occur during or after the procedure. It may occur up to 10 days after surgery. Frequently the bleeding stops on its own, sometimes it can be treated in the emergency room, but sometimes the patient will have to go back to the operating room for treatment especially if they are young.
Since it is painful to swallow, sometimes patients will avoid drinking and become dehydrated. This may require a trip back into the ER or hospital and re-hydration with IV fluids. Damage to the teeth, lips, and gums. Surgery is performed in the mouth and rarely the structures of the mouth can be injured from surgical instruments. Velopharyngeal insufficiency VPI. Normally the palate closes against the back of the throat to prevent food and fluids from entering the nasal cavity.
Occasionally after adenoidectomy, the palate has to readjust and patients may have temporary reflux of food and liquids into their nose.
Permanent problems are very rare. Residual disease or recurrent problems. Occasionally problems that we are trying to treat persist. Starting immediately after surgery, patients may have fluids such as water or apple juice.
Make an effort to drink every hour during waking hours for the first two days after surgery. Contact your physician if there are signs of dehydration. Caffeinated drinks in excess should be avoided because they will cause the patients to lose the fluids. Some patients experience nausea and vomiting after the surgery. This usually occurs within the first 24 hours and resolves on its own after the effects of anesthesia wear off.
The sooner the patient eats and chews, the quicker the recovery. Tonsillectomy patients may be reluctant to eat because of throat pain and some temporary weight loss may occur. Ear pain frequently occurs between the 3rd and 7th days and results from special nerve connections.
Following tonsillectomy give regular doses of pain medications 4 to 5 times a day for a week. Medicine will take 30 minutes to start working. Sleeping will be tough.
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