Patients Info: After Surgery Care: Tonsillectomy

AFTER CARE INSTRUCTIONS FOR TONSILLECTOMY

General information:

  • After a tonsillectomy your throat will be raw and painful, especially when swallowing.
  • Your ears will be painful for the first few days, especially mornings.
  • Chew bubblegum, but not those which contains aspirin.
  • The second day after the operation you might experience body ache due to the anaesthesia.

Observe for bleeding:
A little bleeding after hospital discharge is normal. In case of spitting blood just suck an ice cube. If bleeding continues after a half an hour or patient vomits blood, please contact Dr Mol immediately or go to casualties at your nearest hospital.
Bleeding may appear from the 7th to 10th day after the operation when the scabs from the tonsil bed come off. Bleeding occurs mostly with patients that didn’t follow the correct diet.
Diet:

  • Do not consume the following: Oranges, orange juice, pineapples, tomatoes, avocadoes, bananas, (peanut butter, chocolates and cheese get stuck in the throat and you can’t swallow it properly).
  • The following food can be consumed: Toast, biscuits, biltong, fries, etc. Do not only eat ice-cream, jelly and custard. These type of foods prevent scabs forming on raw areas. When scabs come loose on the 8th day bleeding might appear.
  • Take lots of fluids to prevent constipation.

Medication:

  • Take a painkiller a half-an-hour to and hour before meals, for the first 2 – 3 days after the operation.
  • Two weeks after the operation do not take painkillers which contains aspirin because bleeding might occur.
  • Use a laxative on the 3rd day after the operation if necessary for constipation.
  • Throat pain can be experienced on day 5 - 7 but it is important to continue eating.
  • Drink painkillers regularly

Activities:

  • Bed rest or indoor play is advised for the day of discharge. Children can play outside depending on the weather thereafter.
  • Dr Mol will inform you when normal working activities can start again.
  • Do not exercise or swim for at least 2 weeks after the operation.(use your own discretion)
  • It is advisable to not go out at night for at least 10 days after the operation.

General:

  • Bad breath and whitish areas on the tonsil bed are not unusual and mouth washes of weak, warm salt water solution will help.
  • If antibiotics are prescribed take regularly until the course is complete.