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You will want to use ice packs on his throat to help decease swelling which will help with pain. You will also want him to sleep on 2-3 pillows to keep his head elevated. This also will help with swelling and prevent bleeding. Look at his throat with a flash light to make sure bleeding is not occurring.
Most of the time a liquid form of acetaminophen (Tylenol) with or without codeine is prescribed. He should be able to return to preschool in 10-14 days depending on his pain level and how fast he heals/feels in some cases they can miss up to 3 weeks of school. Sold food can be started as soon as he feels comfortable. Start slow with Jello, popcyles the day of surgery and work your way towards applesauce, mashed potatoes, ice cream within a day or 2. Drinking fluids is very important and will help with the pain. He should have a follow up appt. 10 days or so after surgery and will be instructed on what other foods he can eat. You want to avoid spicy foods, acidic foods, carbonated beverages and foods with sharp edges (like chips) He may become nauseated or vomit due to the anesthesia, and a lot of times medication will be given at the hospital to help avoid this. Ear aches are common after a tonsillectomy and the pain medication should also help with this. Biggest post op concern is bleeding so make sure he stays calm and quite, drinks plenty of fluids and is careful with what he eats. Bleeding occurs is 1-3% of people. If bleeding happens have him drink ice cold water, rest with head elevated and call the doctor. Usually the bleeding will stop but sometimes the doctor will have to do more surgery to stop the bleeding. You will want to keep an eye on his temperature, a fever greater then 101.5 could indicate an infection is developing. He should be sent home with antibiotics and that will help prevent infection. His throat will develop scabs where the tonsils were so don't be alarmed when you see the back of his throat.
I wish him good luck with the surgery and a speedy recovery. If you have any further questions, let me know. Have a good day.
The biggest post op concern is bleeding… any bleeding is abnormal and you must report this right away. The most commonly prescribed pain mediation after a tonsillectomy is acetaminophen ( Tylenol) with codeine…which can cause nausea in some children. Post op, an upset stomach and vomiting may occur for the first 24 hours after surgery ( ask to have something( Phenergan) on hand for this…(suppositories are available) Earaches are also a problem for some children, you will have pain medication for this. Recovery period is usually 2 weeks before the chi ld can go back to school. Ask your Doctor about his recommendation for this. For the first few days he will not be able to eat solid foods. The following are recommended: apple juice, Popsicles, Jell-O, mashed potatoes and pudding. As he begins to feel better..in a few days… you can begin to introduce foods like scrambled eggs, pasta, mac and cheese.
Fever up to 100.5 is normal for the first 3 days after surgery.. anything higher needs to be reported. Do not give motrin or aspirin before or for 2 weeks after surgery as these can cause bleeding. Here is an article for additional information