Is Fever Normal After Tonsillectomy?

Common Post-Surgery Temperature Changes

Following a tonsillectomy, a low-grade fever is a common and expected part of the healing process. The body initiates an inflammatory response to the surgical trauma, which can temporarily elevate core body temperature.

A low-grade fever is typically defined as a temperature up to 101°F (38.3°C). This elevation is generally transient and should not be a cause for immediate alarm. Such a fever usually resolves within a few days as the initial inflammatory phase subsides. Patients can expect this type of fever to gradually decrease over the first 48 to 72 hours post-surgery.

Signs to Watch For

While a low-grade fever is common, certain temperature elevations and accompanying symptoms are not normal and suggest a potential complication, warranting immediate medical attention. A fever of 102°F (38.9°C) or higher is an indicator of a potential issue. This higher temperature could point towards an infection developing at the surgical site or elsewhere in the body.

Other concerning symptoms, when present alongside fever, necessitate contacting a healthcare provider. Persistent or worsening severe pain, particularly if it is not relieved by prescribed pain medication, should raise concern. Difficulty swallowing fluids or medications, beyond the expected post-surgical discomfort, can lead to dehydration, a serious complication.

Signs of dehydration include decreased urination, a dry mouth, and a lack of tears. Unusual bleeding from the throat, which may appear as fresh blood in saliva or frequent swallowing, is another concerning symptom. A stiff neck or a rash appearing on the body are also signs requiring prompt medical evaluation. These combined symptoms could indicate a more serious issue.

Care and When to Seek Medical Advice

Managing the expected low-grade fever and discomfort after a tonsillectomy involves several practical steps to support recovery. Ensuring adequate hydration is paramount, as maintaining fluid intake helps prevent dehydration and keeps the throat moist, which can ease discomfort. Patients should sip on clear, cool liquids frequently.

Rest is also essential for the body to heal efficiently. Following the surgeon’s instructions for activity levels can prevent unnecessary strain on the surgical site. Appropriate use of prescribed pain relievers, such as acetaminophen or ibuprofen, as advised by a doctor, can help manage both pain and mild fever.

Seek medical advice if the fever reaches 102°F (38.9°C) or higher, or if there is an inability to drink fluids. Other concerning signs include persistent signs of dehydration, any fresh bleeding from the throat, or worsening pain that is not alleviated by medication. Always adhere to all post-operative instructions provided by the surgical team.