Tonsillectomy and Adenoidectomy (T&A)
Post-op Instructions
Diet
First day
Avoid hot and highly seasoned foods
Encourage intake by frequently offering milk, ice cream, water, fruit juices, jello, broth, etc.

Second day
Drink several glasses of water (lukewarm water is less irritating than cold)
Add soft foods as desired (jello, chocolate pudding, mashed potato, pureed vegetables, cottage cheese, etc)

Third to fifth day
Gradually resume normal diet but avoid hot foods, spicy or highly seasoned foods, potato chips, nuts, dry toast, pop corn and crackers until 1 to 2 weeks after surgery

Medications
An antibiotic is usually prescribed for seven to ten days following the surgery. The patient also receives a prescription for pain killers in the form of codeine or hydrocodone. These products cause somnolence, drowsiness and constipation. Occasionally, if the patient vomits, phenergan suppositories may be necessary.

General instructions
*Children should be kept indoors and relatively quiet for the first 3 days
*Frequent coughing and clearing the throat should be avoided
*Objectionable mouth odor is commonly observed and is relieved by abundant fluid intake
*A white or gray membrane on the sides of the throat is normal and should disappear in 1 to 2 weeks
*Earache is expected.  It is not an ear infection, it is referred from the throat.
*Occasionally, a transient neck stiffness may occur in children following adenoidetomy.
*Patient may return to school or work 1 week after discharge. Please note that painkillers cause drowsiness.  Patients who take painkillers should not operate machinery, drive or make important decisions.
*Do not use aspirin for 2 weeks; it increases the possibility of bleeding
*Avoid drinking orange juice, grapefruit juice, and tomato juice for 1 week after the operation, they make the throat burn

Fever
Most children experience a low grade temperature.  This is caused by dehydration. Encourage fluid intake and if needed, use Tylenol (NOT ASPIRIN).  If the temperature remains above 102.2  (39.0 Celsius) and does not respond to Tylenol, or if the child refuses to drink, then IV fluids are required.  Please call our office or the closest emergency room.

Bleeding
The danger of serious bleeding is over after you leave the hospital. In about 2% of patients there is some bleeding after 6 or 8 days. If this happens to you, do not become excited, for this bleeding is usually slight and stops spontaneously. Remain quiet, lie down, and spit the blood out gently. Gargle the throat gently with ice water and stay quiet. If the bleeding des not stop promptly, call your doctor. If the doctor is not available and bleeding continues, go to the nearest emergency room. 

Follow-up:  Please make an appointment for follow-up in two weeks. PHONE: (713) 464 2614
Please note:
We are unable to refill your medications on weekends or after hours. We do not refill painkillers over the phone. For prescription refills, please call during office hours:
                Monday-Thursday: 9:00 am - 4:30 pm
                Friday: 9:00 am - 3:30 pm 
                                                                                                   
Visit Dr. Ghorayeb's website:  http://www.ghorayeb.com
Bechara Y. Ghorayeb, MD  1140 Business Center Drive, Suite 560.  Houston, TX 77043  Tel. (713) 464 2614
This page was last updated on: August 1, 2012
Click for picture of tonsillectomy