Tonsillitis and Tonsillectomy: A Patient’s Journey

What Are Tonsils?

Tonsils are two small, oval-shaped tissues located at the back of the throat. They are part of the immune system, helping to fight infections by trapping germs and producing antibodies.

Why Does My Child Need Tonsils?

In young children, tonsils play an important role in defending against infections. As the child grows, other parts of the immune system take over, and the tonsils become less essential.

What Problems Can Tonsils Cause?

Tonsils can sometimes become a source of recurrent infections or other health issues, including:

• Frequent Infections: Repeated sore throats and fevers.
• Enlarged Tonsils: Causing breathing problems, snoring, or sleep apnea.
• Tonsil Stones: Hard deposits that lead to bad breath.
• Abscesses: Painful, swollen areas filled with pus near the tonsils.

Why has a Tonsillectomy been recommended?

A tonsillectomy may be necessary if:

• Your child has frequent tonsillitis (5 or more infections in a year).
• Enlarged tonsils are blocking their airway, causing sleep apnea or difficulty swallowing.
• Infections are not improving with medications.
• Complications like abscesses or tonsil stones occur repeatedly.

Before the Operation: Important Instructions

To ensure a smooth surgery, please follow these guidelines:

• Fasting: No food for 8 hours before surgery/ No water for 2 hours before the surgery.
• Medication: Inform the doctor about any medications your child takes.
• Comfort: Bring your child’s favorite toy for reassurance.
• Clothing: Dress your child in loose, comfortable clothing.

What happens during Operation?

• The surgery is done under general anesthesia so your child will be asleep.
• The surgeon removes the tonsils through the mouth using a hot instrument called a Coblator.
• The procedure usually takes about 20-30 minutes.
• No external cuts or stitches are involved.

What to expect after the surgery?

• Your child will be monitored in a recovery room until they wake up.
• Mild pain, a sore throat, and some difficulty swallowing are normal after the procedure.
• Your child can usually go home the same day.

Common Symptoms After Surgery

• Sore Throat: May lasts about 7-10 days.
• Ear Pain: Normal and part of the healing process.
• White patches in the throat: These are part of the healing process and will go away naturally.
• Mild bleeding: Light spotting is common, but heavy bleeding requires medical attention.
• Bad breath: Common for several days after surgery.
• Fever: A mild fever in the first one to two days after surgery is normal.

Are there any risks?

Tonsillectomy is a very safe procedure, but as with any surgery, there are some risks:

• Bleeding: Rare but possible.
• Infection: Uncommon but requires monitoring.
• Anesthesia reactions: Any concerns should be discussed with the anesthesiologist.
• Dehydration: If swallowing is painful, your child may avoid drinking, which can lead to dehydration.

After Surgery: Care Instructions

• Your child must be able to eat and drink before going home.
• A follow-up appointment will be scheduled before discharge.
• Hydration – Encourage plenty of fluids like water, clear soups, or juice.
• Soft foods – Start with mashed potatoes, yogurt, or ice cream. Avoid spicy, hot foods and carbonated drinks.
• Pain relief – Give prescribed medications as directed by the doctor.
• Rest – Keep your child at home for one week and avoid strenuous activities for two weeks.

Warning Signs –When to Seek Emergency Care

Contact a doctor immediately if your child experiences:

• Heavy bleeding from the throat.
• High fever lasting more than two days.
• Severe pain that does not improve with medication.

Quick Tips for Parents

• Stay calm and positive to reassure your child.
• Follow the doctor’s instructions closely.
• Plan for quiet activities during recovery, like reading or watching movies.