We were warned that recovery from tonsillectomy would be challenging. And it would be worse for adults.
I researched like that there was no tomorrow. I needed to be prepared. That's how I function. I am not one to play by ear.
Today is Day 23 of their surgeries. "They are recovering very well ......couldn't be any better" in Dr R's words after the first week. I was thrilled.
Honestly all the researching prepared me but I was still taken by surprise by the amount of pain they had to deal with. The man with his high pain threshold was moaning and groaning like a big baby. It was so not like him. He kept telling me. "Thank goodness it was not you. You would have fainted."
The first week was a nightmare. Traumatic for them. And Me. Looking at the people you love suffer and you can do nothing about it is the worst ever feeling. I hated it.
I thought it would be a good idea for me to share our experience. It might help someone who is preparing for tonsillectomy. However please do check with your doctor after reading our tips/suggestions. What worked for us might not work for you.
FOOD
1. Drink lots of cold water
Drinking water is extremely painful but it is required to prevent dehydration. Proper hydration decreases the pain in the throat, keeps the scabs in the throat moistened and expedite healing.
What we did;
I made them drink cold mineral water the minute we got home. Cold water is recommended because it helps with the pain and prevents swelling. Dr R advised to take tiny sips from a narrow straw initially, to prevent bleeding.
How much to drink? Lots of it, as much as you can. I filled their water tumblers and made sure they finished it every hour (refer picture above). There were lots of tears from our gal but this terrible mommy sat and made sure she finished her allocation.
I set my phone alarm and woke them up every hour at night to take some sips of water for the first five days. This was after the man described his dry throat when waking "like having a bunch of glass in your throat".
An indication of how much they drank. This 19liters (5 Gallons) bottle lasted 1.5 days. Our norm is 3 days.
2. Avoid dairy products
The American Academy of Otolaryngology advises to avoid dairy products (milk and ice cream inclusive) for the first 24 hours. General anesthesia can cause nausea which will only be made worse with dairy.
Dr R advised to stay away from diary products for at least 48 hours as it increases mucous production in the nose and throat, and triggers vomiting.
What we did;
I was determined that they avoided dairy products as long as possible. I am a paranoid, I know. Both of them had iced oat milk and iced chocolate for the first four days. I started making them smoothies from Day 5 onwards. Yogurt, milk and ice-cream only appeared in the second week.
3. Incorporate nutrition in their diet
During the first ten days after surgery eating is close to impossible. The missing nutrition from solid food have to be incorporated into their liquid/soft diet. Proper nutrition is important as it helps in the healing process. It is required for overall health too.
What we did;
I gave them organic vegan meal replacements (think barley, millet, mixed grains, nutritional yeast, soy protein and almond milk) from Day 3 onwards. Don't think they would ever drink it on normal days. But there were no complains at all. It was soft and easy to consume, and it fixed their hunger pangs. I gave them
Ensure shakes as treats when they were "good".
4. Offer their favorite food
Eating solid/rough food is difficult after surgery. It should not be rushed but should be encouraged as the solid/rough food cleans the wound and speeds-up recovery.
What we did;
I noticed that our gal seemed to feel much better by Day 4. I asked whether she was keen to try eating
beard papa (her favorite) and she happily agreed. She told me that it was a little painful when swallowing but it was worth the effort! The next day (Day 6) she had fried chicken wings (another favorite). The man thought I was super-sneaky.
Eating solids happened much later for him. He attempted in the second week. And that was 30 minutes after having his painkillers each time. It took him a while (think it was Day 15) before he was willing to try eating without painkillers. I could see tears forming. It was awful. He is not one to complain about pain so I cannot imagine how bad it was. Till today he is still on overcooked pasta, noodles and porridge. He has not taken any rice, meat or poultry yet.
Tonsillectomy recovery for adults is no laughing matter. It is tough. Believe me. Our gal had it much easier. She was back to her normal happy self and eating like she used to by Day 10.
PAIN MANAGEMENT
1. Take the painkillers a little earlier than prescribed
Painkillers are critical during your recovery. Make sure they are taken in a timely manner. Do not skip any doses.
What we did;
Their prescription was to have painkillers every four hours. I gave them every three and a half hours. It was more effective in controlling their pain. I checked with the doctor and he okayed it.
2. Eat after taking painkillers
It's a good idea to time your eating or drinking 30 minutes after taking your painkillers, during the initial few days after the surgery. It makes swallowing more bearable and prevents vomiting.
3. Divert their attention to "forget" the pain
Thanks to the iPad they managed to forgot their pain and discomfort. Thanks to the iPad their down-time was much more bearable. Thank you, Steve Jobs. Thank you, Apple.
I strongly recommend to load the iPad with the latest games and eBooks. It worked for us. It kept them happy many hours in a day.
Other than that, I prepared some simple crafts for our gal. She painted rings for all of us and her friends.
The man caught up with all the DVDs that he always wanted to watch but never found the time. Netflix's instant-watch was a life saver as well.
ENVIRONMENT
1. Maintain a cool environment
Both of them claimed that the stinging feeling at their throats were reduced in a cool room. So we left the air conditioner running all day and night in the house. It was costly but I was willing to do whatever to make their recovery more pleasant.
2. Use a humidifier
Turn the humidifier on at full bast. Best advice that I have gotten from a friend. The humidifier kept their throats moistened as it increased the humidity in the air.
SLEEPING POSITION
1. Sleep in an upright position
We were advised to sleep in an upright position. Sleeping on the bed is not advisable as it adds pressure on the throat and encourages swelling.
The man slept on the recliner for 3 weeks before moving back to the bedroom. Our gal slept on a stack of pillows on the couch for a week. Both loved their sleeping arrangements. They managed to sleep at least 5 hours every night. And there were no swelling and ear ache.
If you have read this far, most likely you or your loved ones will be going for tonsillectomy soon. Good luck. Here's hoping for a successful surgery and a speedy recovery.