Adult tonsillectomy is a more uncomfortable recovery than the same operation in children. Plan for about two weeks of restricted activity. The notes below describe what’s normal and how to manage pain — Dr Padhye may tailor them to your circumstances.
What to expect
Throat pain is significant and tends to be worst in the first ten days, often peaking around days four to seven as the throat surfaces heal. Ear ache (referred from the throat), bad breath, low-grade fever and reduced appetite are all common in the first week. White patches on the back of the throat are normal — they are the healing surface, not infection.
Pain management
A combination of regular paracetamol (Panadol — 1 to 2 tablets every four to six hours) plus a regular anti-inflammatory (such as Celebrex) for the first ten days is usually most effective; take them on schedule, not just when pain is bad. Stronger short-acting analgesics may be prescribed at discharge for breakthrough pain. Do not drive for 24 hours after surgery or while taking strong opioids.
Diet
A normal diet is fine — soft food is not required, and chewing actually helps healing. Drink plenty of fluids to stay well-hydrated. Cold drinks and ice cream are often soothing in the first few days.
Activity and return to work
Plan for around ten days off work. Avoid strenuous activity, sport and swimming for two weeks. Light walking is fine and encouraged.
What to watch for — contact us if the following occurs:
- Bright red or persistent bleeding from the mouth or nose — go directly to your nearest emergency department
- Inability to keep fluids down for more than 24 hours
- Pain that isn’t controlled by your prescribed medications
- Persistent fever or feeling increasingly unwell
For non-urgent concerns during business hours, call the practice. For urgent after-hours issues — particularly bleeding — go to the nearest emergency department.
