Guidelines To Follow Post-Tonsillectomy In Children

Post-TONSILLECTOMY in children

The two clusters of tissues positioned on either side of the throat back is known as tonsils, while the one sitting high in the throat behind mouth’s roof and the nose is the adenoids. It becomes important to remove both of them, when they lead to breathing difficulties by becoming enlarged and blocking the upper airway. Surgery is most commonly performed in children, when reappearance of strep throat or tonsil infections cannot be treated with antibiotics.

Tonsillectomy is the process for removal of tonsils, in which excision of both adenoids and tonsils is done. There are certain post-operative measures you need to take in order to ensure your child is recovering on time. Here are a few guidelines to follow.

Eating Habits

There is no such restriction on the food you consume, but some surgeons recommend switching to a soft diet. It is normal to eat less due to initial throat pain, which can result in weight loss. However, it can be gained back with normal diet.

Drinking Habits

You need to be at your toes to make sure your child is drinking plenty of fluids during the recovery phase. Such fluids can be anything from an apple juice to simply water. Vomiting and nausea are some common side effects of any surgery, and it generally wears off after 24 hours. Seek medical assistance in case you notice dehydration symptoms.

Breathing And Pain

Due to swelling in the throat, you may notice excess mouth breathing or snoring in the child. Swelling generally subsides within 2 weeks of surgery, after which breathing should return to normal. Nearly all children undergoing the surgery will have to suffer from mild throat pain. Some may complain of pain in the jaw or neck, and a few of earache.


Excess bleeding is rarely noticed, except for the small blood specks from saliva or nose. In case it happens, seek immediate attention of the physician.

Formation Of Scabs

The very spot from which the adenoids and tonsils are removed, may be the ground for formation of scabs.  These are thick and white, leading to bad breath, which is normal. Within 5-10 days of treatment, most scabs fall of.


On the night after the surgery, the child may suffer from a low-grade fever, which can extend for a day or two. Consult a physician, in case the temperature is on the higher side.

Daily Activity

Regular day to day activities must be resumed slowly and calmly. For at least a couple of weeks post surgery, do not travel to an odd place for vacation or stay away from emergency medical facilities.

Controlling The Pain

Some pain medication such as ibuprofen acetaminophen or acetaminophen may be given by your physician as a measure to control painful effects of the surgery.  Mostly it is in liquid form, and prescribed as per the requirement. Report to your physician, in case of any side effects.

In any case of trouble during your child’s recovery, contact Dr Samadi for professional assistance!