After tonsillectomy or adenotonsillectomy, most children settle within a week. The notes below describe what’s normal, what helps, and what to watch for. These are general guidelines — Dr Padhye may tailor them to your child at your consult.
What to expect
Children usually do very well with this surgery. Some throat pain is normal, particularly with swallowing, and may peak around days four to seven as the scabs in the throat separate. Bad breath, ear ache (referred from the throat), low-grade fever and reduced appetite are all common in the first week and not a cause for concern on their own.
Pain management
Paracetamol (Panadol) given regularly — every four to six hours, not just when pain is bad — is the mainstay. Stick to the dose printed for your child’s weight. Avoid codeine-containing products in children; they are no longer recommended after tonsillectomy. Anti-inflammatories (ibuprofen/Nurofen) may be advised in some cases but ask Dr Padhye first.
Antibiotics
Antibiotics are usually not required after tonsillectomy or adenoidectomy. If a course has been prescribed for your child, complete it as directed.
Diet
A normal diet is fine — there’s no need to stick to soft food. Eating actually helps healing, even if it stings at first. Cold drinks, ice blocks and ice cream are usually well tolerated and soothing. Encourage plenty of fluids to avoid dehydration.
Activity and supervision
Plan for a quiet ten days at home with an adult around the whole time. Children can play gently but should avoid rough activity, sport, and swimming until cleared. Most children are ready to return to school after about ten days.
What to watch for — contact us if the following occurs:
- Bright red or persistent bleeding from the mouth or nose
- Persistent fever, particularly if your child is becoming drowsy or unwell
- Not drinking and showing signs of dehydration (very dry mouth, no wet nappies/urine, lethargy)
- Severe pain that isn’t easing with regular paracetamol
For any concerns during business hours, call the practice. If the problem is urgent and occurs after hours, go to the nearest emergency department.
