POSTOPERATIVE INFORMATION FOR TONSILLECTOMY IN ADULTS
- Adenotonsillectomy requires an overnight stay. 2 weeks will be required off work or study. Travelling, heavy physical activity, or exercise should be avoided for 3 weeks.
- There is significant pain in most adult patients, lasting for up to 2 weeks.
- Unlike most surgery, where pain is greatest in the early postoperative period, the peak of pain after tonsillectomy is often at a significant delay.
- Characteristically the peak of pain will occur between day 5 and day 10 after surgery. Referred ear pain is quite common at the peak of symptoms.
- It is usual for the tonsillectomy wound to become swollen, with a yellow sloughy appearance.
- Even with optimal pain relief, it can still be a struggle. We recommend the following regime
- REGULAR PARACETAMOL- 1g 4X day
- REGULAR NON STEROIDAL ANTIINFLAMMATORY eg Nurofen 200mg 3X day
- ENDONE 5mg up to 6X day, as required by symptoms
- In the event of sensitivities or allergies to medications, there are other alternatives available.
- Opiate medication such as Endone can contribute to constipation. It may be worth discussing a laxative with your pharmacist if there is difficulty opening your bowels.
- If pain relief is not sufficient, please contact us at any time for further advice, as there is almost always something further that can be done.
- If pain is unmanageable, to the point where oral intake is impossible, admission to hospital will be necessary.
- A script for antibiotics is usually given.
- In the event that bleeding occurs from the mouth or throat that does not immediately stop, present to your nearest emergency department.
- There is a chance that further surgery may be required to stop the bleeding.
- This will usually be 2-3 weeks after the operation