Recovering from a tonsillectomy involves a healing process where scabs form and eventually detach in the throat. Scabs are a normal part of healing after tonsil removal. This article explains when these scabs typically fall off and what sensations and signs to monitor during recovery.
Scab Detachment Timeline
White or yellowish scabs form in the back of the throat after a tonsillectomy. These scabs are a protective layer over the surgical wound, part of the natural healing process. They typically begin to detach around 5 to 10 days after surgery.
The detachment process is gradual, with scabs falling off in small pieces. While initial detachment starts within this 5 to 10-day window, complete resolution can continue for up to 10 to 16 days post-surgery. Recovery timelines vary, with adults sometimes taking longer than children.
What to Expect When Scabs Fall Off
As the scabs begin to detach, patients might notice a range of sensations and changes in their throat. A temporary increase in throat soreness is common during this period, as the underlying tissues become more exposed. This discomfort can sometimes peak around day seven after the tonsillectomy.
Patients may also experience a change in taste, often described as a metallic taste, which can be an early sign that scabs are starting to break up. Bad breath, or halitosis, is another common symptom that can persist for up to two weeks after the surgery, often related to the presence of the scabs. Small amounts of blood, appearing as specks or streaks in saliva, are generally a normal occurrence when the scabs fall off.
When to Contact Your Doctor
While some minor bleeding is expected when scabs detach, certain signs warrant immediate medical attention. Any amount of bright red blood from the mouth or nose, or blood that is more than just small specks, should prompt a call to your doctor or a visit to the emergency room. This includes if you are frequently swallowing, which can indicate internal bleeding, or if you are vomiting bright red or dark brown blood.
Other concerning symptoms include severe or worsening pain that is not managed by prescribed medication, a fever higher than 101°F, or signs of dehydration such as reduced urination. Difficulty breathing, which may manifest as persistent snoring or mouth breathing beyond 10 to 14 days post-surgery, also requires medical evaluation.