A tonsillectomy is a common surgical procedure to remove the tonsils, two pads of tissue at the back of the throat. Post-operative care involves managing discomfort and understanding potential symptoms. Coughing is a frequent concern for individuals recovering from the surgery.
Understanding Post-Tonsillectomy Cough
Coughing is a common and expected experience following a tonsillectomy. One reason for a post-operative cough is throat irritation from the breathing tube used during surgery. This intubation can cause a dry, tickly sensation or a dry cough that may continue for several days or weeks.
Increased mucus or post-nasal drip can also contribute to coughing. Tenderness and swelling after surgery can make swallowing difficult, leading to a build-up that irritates the throat and triggers a cough. White or grayish scabs forming as part of healing can also cause irritation, occasionally leading to a cough as they detach.
Minimizing Cough and Protecting Recovery
Managing post-tonsillectomy cough is important for comfort and protecting the healing surgical site. Staying well-hydrated by frequently drinking clear, cool liquids keeps the throat moist, reducing irritation and the urge to cough. Sucking on ice chips or popsicles also soothes the throat and provides hydration. Using a cool-mist humidifier, especially at night, moistens the air and prevents throat dryness, helpful if mouth breathing occurs due to swelling.
Avoiding irritants like smoke, dust, and overly hot, spicy, or sharp foods helps prevent throat discomfort and coughing. Soft, bland foods are recommended during recovery. Chewing gum can be beneficial as it lubricates the throat with saliva and lessens muscle spasms. While coughing might dislodge healing scabs and cause bleeding, minor bleeding is often a normal part of the healing process. Gentle care and following medical advice support natural healing.
Recognizing Serious Symptoms
While some coughing and discomfort are normal after a tonsillectomy, certain symptoms warrant immediate medical attention. Significant fresh bleeding, especially bright red blood from the mouth or nose that is more than just small specks or streaks, requires immediate attention. Frequent swallowing can also indicate internal bleeding, particularly in children.
Difficulty breathing, severe pain not managed by prescribed medication, or a high fever (above 101°F or 102°F) are serious signs. Persistent nausea and vomiting that prevents fluid intake can lead to dehydration and requires medical consultation. These suggest potential complications requiring prompt assessment.