Post Tonsillectomy FAQ

Sore ears

• This is a normal experience. The nerve that goes to the tonsils also goes to the ears. This nerve becomes irritated and the brain gets the message confused.

The back of the throat is white. Is it infected?

• No. The white appearance is normal– it is the scab over where the tonsils have been removed. It will look normal once it has all healed. It is best to not try and look into someone’s mouth after surgery as this may disturb the healing process.

High temperatures.

• It is normal to have temperatures for a few days following tonsillectomy. (sometime up to 40-42 degrees).

My pain killers are making me feel sick.

• If this is the case, change to paracetamol and take it on a regular basis.

My jaw feels tight and it is hard to open my mouth.

• This is due to the jaw muscles going into spasm. Chewing gum for older children and adults may be helpful.

The pain has got worse.

• This is a normal event a few days after the procedure. Continue with regular pain relief and oral intake as best as possible.

What about jelly and icecream?

• This is OK but the current thinking is that a return to normal food as quick as possible will encourage swallowing, reduce muscle spasm, and stop the scab becoming infected. Don’t force feed children though, as they are likely to resist.

How much bleeding is normal?

• Small volumes or streaks are to be expected. Persistent or a lot of bleeding should prompt you to seek medical review.

How long does the pain last?

• This is variable but generally it is about 1 week in children and 1-2 weeks in adults. Adults usually have more pain as they are more likely to have had more cases of tonsillitis and tried to put off having the tonsils removed– this results in more scar tissue which needs to be cut through during the operation.