Please read it carefully. You may wish to write down questions to ask the doctor and/or the nurse. These can be asked before or on the day of your child’s surgery.
Is your child preparing for a tonsillectomy and/or adenoidectomy?
Here are some guidelines and answers to your questions.
The tonsils are located at the back of the throat (in the pharyngeal cavity) and the adenoids are located behind the nose (within the nasopharynx).
Possible reasons for removing the tonsils include:
The surgery will take about 45 minutes. Your child will spend about three hours in the Post-Anesthesia Care Unit (PACU)/ Recovery Room. Most children go home after this time. If your child has not fully recovered he/she may need to stay longer.
Before being discharged home, your child will be checked by a doctor or nurse. This is to make sure that there are no signs of bleeding, he/she is well hydrated, and the pain is adequately managed.
Pain
For tonsillectomy with or without adenoidectomy:
Your child will be given a prescription for medications including acetaminophen (Tylenol, Tempra). No more than five doses of acetaminophen should be given within 24 hours. It is best to give the medications to your child 30 to 45 minutes before drinking or eating. During waking hours, give your child the medications as prescribed for at least the first three days, or up to 10 days after surgery. If possible, it is also best to give the medication(s) in liquid form, or by suppository if your child is unable to swallow or is vomiting.
For adenoidectomy only:
During waking hours, give acetaminophen (Tylenol, Tempra) every four hours. However, no more than five doses of acetaminophen should be given in 24 hours. It is best to give this to your child 30-45 minutes before drinking or eating. Give this medication for at least the first three days, or up to 10 days after surgery. If possible, it is also best to give the acetaminophen in liquid form or by suppository if your child is unable to swallow or is vomiting. Some physicians may prescribe additional medication(s).
A low-grade fever of up to 38.5o C or 101o F is normal after surgery. The acetaminophen given for pain, sponge baths, and an increase in fluid intake may help reduce your child's temperature. If the fever is present for more than two days, call your ENT surgeon. Fever may be a sign of an infection. If you were given a prescription for an antibiotic, continue this medication.
Bright red blood in your child's throat and/or coffee-ground vomitus are signs of bleeding.
Your child should try not to cough, clear his/her throat, or blow his/her nose for 10 days
After the surgery, your child should stay at home for at least seven days after the adenoidectomy and 10 days after the tonsillectomy (or as long as your surgeon tells you). This will help your child get better and will help stop infections and bleeding. Your child should not be around anyone who has a fever or a cold. If your child is school-age, homework should be arranged with the teacher before the surgery.
Prepared by: Thao Le, N., Julie Drolet, N., Elvie Parayno, N. (in collaboration with the Department of Otolaryngology and the nursing staff of the Post-Anesthesia Care Unit, Surgical Unit and Day Surgery Centre)
(last revised July 2013)
Links
[1] https://www.thechildren.com/sites/default/files/PDFs/mtlch-33_tonsils-pages_en.pdf
[2] https://childrenfoundation.com/donate-now/