Adult Tonsillectomy Recovery: Home Care & What to Expect After Surgery
Adult tonsillectomy recovery can be a daunting experience, especially if you are not aware of what to expect after the surgery. If you are an adult, you may be wondering if your recovery process is different from that of children. The answer is yes!
In this blog post, we will discuss everything you need to know about adult tonsillectomy recovery, including the symptoms you may experience, the risks and potential complications and the recovery timeline.
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Key Takeaways
- An adult tonsillectomy is a surgical procedure that involves removing the tonsils of an adult. It is commonly used to treat chronic tonsillitis, sleep apnea, and other conditions.
- Recovery time after an adult tonsillectomy can vary depending on the individual and the extent of the procedure. It is important to follow post-surgery instructions carefully to ensure a smooth recovery.
- The decision to undergo an adult tonsillectomy should be carefully considered in consultation with a healthcare professional. While the procedure is generally safe, there are risks associated with any surgery that should be considered.
The Tonsils and Tonsilitis
A tonsillectomy is a surgical procedure that involves tonsil removal. The tonsils are two oval-shaped pads of tissue located at the back of the throat, one on each side.
The tonsils have an essential role in the immune system as they act as the first line of defense against harmful bacteria and viruses that enter the mouth. However, this function can also make them vulnerable to infection and inflammation, known as tonsillitis. It is worth noting that the immune system function of the tonsils decreases after puberty, which may explain the rare cases of tonsillitis in adults.
In the past, tonsillectomy was commonly used to treat tonsillitis, but nowadays, it is usually performed to treat sleep-disordered breathing. However, it may still be necessary if tonsillitis occurs frequently or does not respond to other treatments. Additionally, a tonsillectomy may be needed to treat enlarged tonsils that cause breathing difficulties or to address rare diseases of the tonsils.
Common Reasons for Adult Tonsillectomy
There are a few reasons why adults may need a tonsillectomy.
- Chronic sore throat or throat infection. This is the most common reason for adult tonsillectomy. Many adults who undergo surgery for tonsil removal often suffer from recurring sore throats for a duration of 1 to 3 years or have experienced a sore throat and swollen tonsils due to infection for at least three months. While antibiotics may provide temporary relief, the symptoms often return once the treatment is completed.
- Obstructive sleep apnea. Your tonsils may need to be removed if they block your upper airway.
- Persistent bad breath caused by pus-filled tonsils or filth buildup in the crevices of the tonsils.
- Tonsil cancer
How is a tonsillectomy performed?
A tonsillectomy is performed under general anesthesia, and the tonsils are removed through the mouth with minimal cutting or scarring.
This procedure is typically performed in an operating room at a hospital or surgical center, and you’ll usually return home on the same day.
There are two types of tonsillectomy procedures:
- Traditional tonsillectomy. In this procedure, also called an extracapsular, both tonsils are surgically removed.
- Intracapsular tonsillectomy. In this procedure, also known as a tonsillotomy, the affected tonsil is surgically removed, but a small tissue layer is left behind to protect the underlying throat muscle.
Preparing for Adult Tonsillectomy
A tonsillectomy is a scheduled surgical procedure that is usually performed on an outpatient basis in a hospital, although in some cases, an overnight stay may be required.
Physical Exam and Lab Tests
Before a tonsillectomy, your surgeon may advise you to undergo a physical examination and blood tests, including a complete blood count, electrolytes, and clotting factors, to ensure that you are a suitable candidate for the surgery (1).
If you experience any anxiety about your upcoming surgery, talk to your doctor or surgeon. They can answer any questions you have, which can help alleviate your concerns.
Eating and Drinking
Surgeons typically advise patients to refrain from eating or drinking anything after midnight the night before surgery. Follow your healthcare provider’s instructions to ensure an empty stomach.
What to Wear
It is recommended that you wear casual, loose-fitting clothes that are easy to remove since you will wear a hospital gown for the procedure. Leave necklaces, bracelets, and other jewelry at home to avoid losing it at the hospital or surgical center.
Medications to Avoid
Before surgery, your healthcare provider may advise you to discontinue certain medications one or two weeks prior. Such medicines may include nonsteroidal anti-inflammatory drugs (NSAIDs) such as Advil (ibuprofen) and Aleve (naproxen), Coumadin (warfarin), and other drugs that can potentially increase the risk of bleeding.
What to bring with you
You must remember to bring your health insurance card along with any paperwork that you may have filled out. If you are aware that your hospital stay will be longer than a day, then pack a small suitcase with a change of clothes.
Furthermore, it would be best to arrange for someone to take you back home after the surgery. You won’t be able to drive after the procedure due to the effects of the anesthetic.
Adult Tonsillectomy Procedure Basics
The procedure lasts for around 30 to 45 minutes, during which you will be given general anesthesia to ensure that you are asleep and pain-free throughout the surgery. However, some individuals may react to the drugs or gases used during the procedure, so your doctor will ask questions about your medical history beforehand.
The surgeon may use various tools to remove your tonsils, including a scalpel, heat, sound waves (ultrasound), laser, or cold temperatures. All these tools are equally effective, and your recovery time will be the same regardless of which one is used.
Additionally, your adenoids may also be removed during the same surgery. Adenoids are part of your immune system and are located behind your nose and at the roof of your mouth. This portion of the procedure is known as an adenoidectomy.
Adult Tonsillectomy Recovery Time
Recovery time after a tonsillectomy varies depending on several factors, such as the surgical technique used (2), the age, and the overall health of the person. Following a healthcare provider’s instructions after surgery is also crucial for a successful recovery.
Different age groups recover at different rates. Typically, small children recover faster than older children (ages 5 to 12) and adults. Recovery may indeed be more challenging for older individuals. While it’s normal for small children to feel better after a few days, teens and adults will likely take around two weeks to recover (3).
One possible explanation for why adults may experience more difficulty healing during a tonsillectomy procedure is the accumulation of scar tissue on the tonsils over time. This can make the removal of the tonsils more challenging for the surgeon. However, it is important to note that this factor does not entirely explain the variations in postoperative pain and recovery times.
After-surgery symptoms of tonsillectomy patients
Below are symptoms you may experience for several days after a tonsillectomy:
- Minor fever
- Sore throat
- Halitosis (bad breath)
- Pain in your neck, jaw, or ears
- Hoarseness
- Fatigue
- Swollen throat or tongue
- Nausea or vomiting
- The sensation of something stuck in your throat
- Scabbing in the throat
- Minor bleeding due to the scabs falling off.
Managing Tonsillectomy Pain and Promoting Recovery
You must get enough rest, especially during the first two to three days after surgery.
To stay hydrated without harming your throat, sip water or consume ice pops. During early recovery, warm, clear broth and applesauce are ideal food choices. You can gradually add soft foods like ice cream, pudding, and oatmeal after a few days. However, it is best to avoid hard, crunchy, or spicy foods for several days following a tonsillectomy.
Taking pain medication as prescribed by your doctor can help alleviate discomfort during the recovery period. If you experience bleeding or develop a fever after a tonsillectomy, contact your doctor immediately. Snoring is common and expected during the first two weeks after the procedure. However, if you experience difficulty breathing after the first two weeks, call your doctor.
Most people can return to school or work within two weeks after a tonsillectomy. Furthermore, a tonsillectomy can result in fewer throat infections in the future.
Adult Tonsillectomy Patient Risks and Complications
Tonsillectomy is generally a safe procedure for adults. However, like any surgery, it carries certain risks. According to a 2014 report, one out of every five adults who undergo tonsillectomy experience some form of problem post-surgery. These problems may include dehydration, pain, pneumonia, swelling, or excessive bleeding, although the latter is rare. Additionally, bleeding may occur during the healing process.
If you have a history of peritonsillar abscess (pus on your tonsils), another health issue, or have frequently used antibiotics in the past year, you are more vulnerable to these issues. Infection is a small risk associated with most surgeries, and although rare, it is still possible. After the surgery, you may experience swelling of your tongue and the roof of your mouth, which may make breathing difficult in the first few hours.
Summary
Adult tonsillectomy is a common surgical procedure done to remove the tonsils. Recovery from an adult tonsillectomy can be a challenging process, and it’s important to understand what to expect. The recovery can take 7 to 14 days, and patients may experience discomfort and pain.
In the first few days after surgery, patients should expect to feel some pain and experience some swelling. It’s important to take pain medication as prescribed by the doctor and to stay hydrated by drinking plenty of fluids. Patients should also avoid hot, spicy, or acidic foods and drinks, as they irritate the throat.
As the recovery period progresses, patients may experience some bleeding, which is normal. However, if the bleeding is excessive or lasts longer than a few days, patients should contact their doctor immediately. It’s also important to get plenty of rest during the recovery period and to avoid strenuous activities until cleared by the doctor. With proper care and attention, most patients can expect a full recovery within a few weeks after the surgery.
Frequently Asked Questions
How painful is tonsillectomy recovery in adults?
Tonsillectomy is a surgical procedure that typically results in mild to moderate pain, although some patients may experience severe pain. According to research, 85.5% of patients experience mild to moderate pain during the first day after the procedure, while only 14.5% experience severe pain (4).
How long does it take to fully recover from adult tonsillectomy?
It usually takes at least ten days to two weeks for an adult to fully recover from tonsillectomy.
What are the worst days after adult tonsillectomy?
Typically, the pain post-operation is bearable for the initial three days, and then it intensifies and reaches its peak between the sixth and ninth day. After this period, the pain gradually decreases each day until you can comfortably eat, usually around the fourteenth day post-operation.
What is the hardest day of tonsillectomy recovery?
Evidence suggests pain after tonsillectomy worsens on the second or third day.
<p>
- New Report Says Your Brain Could Be the Key to Reducing Phlegm Over 50
- Doctor's "Leave The Throat Phlegm Behind" Tutorial Goes Viral With People Over 50
- Can You Relieve Throat Phlegm and Coughing In 60 Seconds A Day? This Doctor Says Yes
- How To Banish Phlegm When 50+ (Do This Every Day)
References
1- https://medlineplus.gov/ency/article/003013.htm
2- https://link.springer.com/article/10.1007/s12070-017-1190-6
3- https://www.hackensackmeridianhealth.org/en/healthu/2018/12/13/tonsillectomy
Dr. Matthew Olesiak, MD, is the Chief Medical Director at SANESolution, a renowned wellness technology company dedicated to providing evidence-based solutions for optimal living. Dr. Olesiak earned his medical degree from the prestigious Jagiellonian University Medical College in Kraków, Poland, where he developed a strong foundation in medicine.
