Tonsillectomy is a surgical procedure to remove the tonsils, often due to recurrent infections or breathing difficulties. Recovery involves natural healing, including the formation and detachment of scabs in the throat.
Understanding the Scabs
Following a tonsillectomy, protective tissue layers, known as scabs, form over the surgical sites. These scabs typically appear white, grey, or yellowish. They are a normal part of the healing process, similar to scabs on external skin wounds. Composed of fibrin and other healing components, their presence indicates the body’s natural repair, not infection or pus.
The Scab Detachment Timeline
Scab detachment is a gradual process, typically beginning 5 to 10 days following tonsillectomy. Most significant detachment often occurs around days 7 to 10 post-surgery, though the process can continue for up to two weeks. Scabs usually fall off in small pieces and are often swallowed unnoticed, not as a single, dramatic event. As scabs detach, some individuals may experience increased discomfort or a metallic or unpleasant taste. A small amount of dark or dried blood in saliva is normal during this period, but any bright red, continuous bleeding is not.
Managing Symptoms During Detachment
As scabs detach, increased throat pain is common, often peaking around days 5 to 7 after surgery. This discomfort can be managed with prescribed pain medication, taken as directed. Bad breath or an unpleasant taste may also occur due to healing tissue and detaching scabs; gentle, non-alcoholic mouth rinses can help alleviate this. Ear pain (referred pain) and difficulty swallowing are also normal, temporary symptoms during this recovery phase. Maintaining hydration with plenty of fluids and consuming soft foods remain important to support healing and manage discomfort.
When to Seek Medical Attention
While minor bleeding is a normal part of scab detachment, any significant bright red bleeding (more than a few drops, or continuous bleeding requiring frequent swallowing or spitting) necessitates immediate medical attention. Other indications for contacting a healthcare provider or seeking emergency care include a fever above 102°F (39°C), severe dehydration, or inability to swallow liquids. Worsening pain not relieved by medication should also prompt a call to your doctor. Adhere to your surgeon’s specific post-operative instructions for recovery.