What happens after my tonsils are removed?

Doctor's Answer

If you recently had your tonsils removed, you should be resting like you would after any surgical procedures. The tonsils are part of your immune system but they play only a very small part. Studies have shown that removal of the tonsils does not weaken the immune system.

After a tonsillectomy (surgical removal of the tonsils), the area where the tonsils used to occupy (called "tonsillar beds" or tonsillar wounds) are exposed. These exposed wounds will appear as 2 large white/grey patches (right side and left side) at the back of the throat. There is a small risk of bleeding (<5%) from these wounds within the first 2 weeks after tonsillectomy. Hence during this period, it is advisable that you avoid any strenuous activities (e.g. heavy lifting, running etc). Tonsillar wounds will typically take 2-4 weeks to recover fully.

While the tonsillar wounds are still healing, you should avoid food that may cause more discomfort or pain (e.g. spicy food, acidic food or fried food). Apart from a good rest, healthy eating and adequate hydration will also aid in your healing process. Smoking and heavy alcohol consumption may increase the risk of bleeding. You should also avoid going to crowded areas and stay away from sick people as a wound infection increases the risk of bleeding.

In terms of follow up care, I will usually review my post tonsillectomy patients about 5-7 days post surgery. This first visit allows me to check on how well they are recovering, status of their wounds and the histology result (analysis of the tonsillar tissue in the lab to determine the nature of the tonsils). Depending on how well they are doing, my patients may be reviewed again in 2-4 weeks' time. Most of my patients will be discharged 2-4 weeks after surgery.

Hope this helps and all the best!

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