Tonsillectomy What you can expect. Tonsillectomy is usually done as an outpatient procedure. Eating Possible After Tonsil Cancer Surgery With. Eating Possible After Tonsil Cancer Surgery. Nearly everyone experiences pain after a tonsillectomy. Bed rest is important for several days after surgery. The Mayo Clinic Diet Online;. That means you'll be able to go home the day of the surgery. An overnight stay is possible if complications arise or if the surgery is done on a young child, or if you have a complex medical condition. During the surgery. 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. During recovery. Nearly everyone experiences pain after a tonsillectomy. Pain is most often in the throat and frequently in the ears but may also be located in the jaw or the neck. They are also removed when recurrence of tonsil infections or strep. Tonsils and adenoids fight infection. Sometimes only your tonsils are removed. You will need to follow a liquid diet or soft food diet for several days after surgery. Tonsillitis - Surgery. Surgery choices. Tonsillectomy for strep throat may be done in cases of. Steps that you can take to reduce pain, promote recovery and prevent complications include the following: Medications. Take pain medications as directed by your surgeon or the hospital staff. Fluids. It's important to get plenty of fluids after surgery to avoid dehydration. Water and ice pops are good choices. Food. Bland foods that are easy to swallow, such as applesauce or broth, are the best choices immediately after surgery. Foods such as ice cream and pudding can be added to the diet if they're tolerated. Foods that are easy to chew and swallow should be added to the diet as soon as possible. Avoid acidic, spicy, hard or crunchy foods as they 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. You or your child should be able to return to work or school after resuming a normal diet, sleeping normally through the night and not needing pain medication. Talk to your doctor about any activities that should be avoided. When to see the doctor or get emergency care. Watch for the following complications that require prompt medical care: Bleeding. You may see small specks of dark blood from the nose or in the saliva, but any bright red blood requires a trip to the emergency room for a prompt evaluation and treatment. Surgery to stop bleeding may be necessary. Fever. Call your doctor if you or your child has a fever of 1. F (3. 8. 9 C) or higher. Dehydration. Call your doctor if you observe signs of dehydration, such as reduced urination, thirst, weakness, headache, dizziness or lightheadedness. Common signs of dehydration in children include urinating fewer than two or three times a day or crying with no tears. Breathing problems. Snoring or noisy breathing is common during the first week or so of recovery. However, if you or your child is having difficulty breathing, get emergency care. July 1. 7, 2. 01. Fact sheet: Tonsils and adenoids. American Academy of Otolaryngology — Head and Neck Surgery. Accessed June 1, 2. Fact sheet: Tonsils and adenoids: Postop. American Academy of Otolaryngology — Head and Neck Surgery. Accessed June 1, 2. Tonsillopharyngitis. Merck Manual Professional Version. Accessed June 1, 2. Fact sheet: Tonsillitis. American Academy of Otolaryngology — Head and Neck Surgery. Accessed June 1, 2. Papadakis MA, et al., eds. Ear, nose, & throat disorders. In: Current Medical Diagnosis & Treatment 2. New York, N. Y.: The Mc. Graw- Hill Companies; 2. Accessed June 1, 2. Messner AH. Tonsillectomy and/or adenoidectomy in children: Preoperative and intraoperative care. Accessed June 1, 2. Paradise. Tonsillectomy and/or adenoidectomy in children: Indications and contraindications. Accessed June 1, 2. Gibber MJ. Tonsillectomy in adults. Accessed June 1, 2. Hoecker JL (expert opinion). Mayo Clinic, Rochester, Minn. June 1, 2. 01. 5. Tonsillectomy and Adenoids Post. Op . Adenoids sit high in the throat behind the nose and the roof of the mouth. Tonsils and adenoids are often removed when they become enlarged and block the upper airway, leading to breathing difficulty. They are also removed when recurrence of tonsil infections or strep throat cannot be successfully treated by antibiotics. The surgery is most often performed on children. The procedure to remove the tonsils is called a tonsillectomy; excision of the adenoids is an adenoidectomy. Both procedures are often performed at the same time; hence the surgery is known as a tonsillectomy and adenoidectomy, or T& A. T& A is an outpatient surgical procedure lasting between 3. Normally, the young patient will remain at the hospital or clinic for several hours after surgery for observation. Children with severe obstructive sleep apnea and very young children are usually admitted overnight to the hospital for close monitoring of respiratory status. An overnight stay may also be required if there are complications such as excessive bleeding, severe vomiting, or low oxygen saturation. When the tonsillectomy patient comes home. Most children take seven to ten days to recover from the surgery. Some may recover more quickly; others can take up to two weeks for a full recovery. The following guidelines are recommended: Drinking: The most important requirement for recovery is for the patient to drink plenty of fluids. Starting immediately after surgery, children may have fluids such as water or apple juice. This usually occurs within the first 2. Contact your physician if there are signs of dehydration (urination less than 2- 3 times a day or crying without tears). Eating: Generally, there are no food restrictions after surgery, but some physicians will recommend a soft diet during the recovery period. The sooner the child eats and chews, the quicker the recovery. Tonsillectomy patients may be reluctant to eat because of throat pain; consequently, some weight loss may occur, which is gained back after a normal diet is resumed. Fever: A low- grade fever may be observed the night of the surgery and for a day or two afterward. Contact your physician if the fever is greater than 1. Travel on airplanes or far away from a medical facility is not recommended for two weeks following surgery. Breathing: The parent may notice snoring and mouth breathing due to swelling in the throat. Breathing should return to normal when swelling subsides, 1. Scabs: A scab will form where the tonsils and adenoids were removed. These scabs are thick, white, and cause bad breath. This is normal. Most scabs fall off in small pieces five to ten days after surgery. Bleeding: With the exception of small specks of blood from the nose or in the saliva, bright red blood should not be seen. If such bleeding occurs, contact your physician immediately or take your child to the emergency room. Pain: Nearly all children undergoing a tonsillectomy/adenoidectomy will have mild to severe pain in the throat after surgery. Some may complain of an earache (so called referred pain) and a few may have pain in the jaw and neck . Pain control: Your physician will prescribe pain medication for the young patient such as acetaminophen, ibuprofen acetaminophen with codeine, or acetaminophen with hydrocodone. The pain medication will be in a liquid form or sometimes a rectal suppository will be recommended. Pain medication should be given as prescribed. If you are troubled about any phase of your child. Reproduction or republication strictly prohibited without prior written permission.
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