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Raising Littles

Child Tonsillectomy Recovery – A Day by Day Guide to Eating, Drinking and Healing from Surgery

Child Tonsillectomy Recovery

Child tonsillectomy recovery doesn’t have to be so bad! I’ll share how our family survived the first 14 days following this major surgery. Our three year old required this procedure to improve many aspects of her health. I’ll share our family’s day by day experience with child tonsillectomy recovery. 

If your little one is scheduled to have a tonsillectomy, I have a little idea of how you might be feeling.  I felt nervous, excited, curious, scared, and ultimately ready for the process to begin.  After all, it was a life-changing procedure that couldn’t come soon enough for our 3 year old!

She had 100% blockage of her adenoids and enlarged tonsils, making breathing (especially at night) very difficult. I watch videos now of that time and am amazed at how stuffed up she sounded all the time.

This surgery was a life-changer!

As you prepare for the big day (and ultimately the big 2 weeks of child tonsillectomy recovery), here’s our family’s experience.  Hopefully this can shed a little light on what we experienced and how we weathered our little one’s tonsillectomy recovery. 

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Day 1 of our Tonsillectomy Recovery

It was surgery time. Our family felt as prepared as possible. We had all of our documents ready for check-in, a well-prepared hospital bag, and home was ready for recovery. (Check out this Parent Toolkit if you’re looking for help preparing, too.)

We waited patiently in the hospital’s Recovery Room for our daughter. The team of doctors were very communicative with nurses, who kept us posted on the surgery progress. 

I’m so thankful for the team’s professionalism and care. We were in good hands (and you will be, too!). 

The moment came when she exited the OR and was on her way to the Recovery Room. My first memory is this: I was amazed to see my little one post-surgery.  This was my first moment of joy, exhilaration, and confirmation that this surgery was the right choice for our family.   

You see, she could actually breathe through her NOSE!

Our little one had 100% blockage from her adenoids, and their removal during surgery made her able to use her nose for the first time in ages.   

However, still groggy from a heavy dose of anesthesia, she was definitely not herself for about 2 hours post-op.  The fact that she wasn’t even interested in a popsicle was a clear giveaway. She was…uncomfortable…that’s the only way to describe it.

In her initial waking moments she cried, seemed disoriented, and was hard to console. The room was unfamiliar and so were the nurses. We focused on keeping her comfortable and she quickly fell back to sleep.

She seemed unsure why swallowing was so hard, and unsure of what just happened.   But Day 1 of our tonsillectomy recovery was probably the hardest on us, not her.  

In the 2-3 hours after being wheeled out of the operating room, she faded in and out of sleep.  On her final wake, she was clearly more “herself” than during those groggy drifts in and out of sleep.   

The Wonderful Nurses

I can’t thank our nursing team enough. This incredible group of people were attentive and reassuring. They helped keep me calm with their care for our daughter. 

To all the nurses reading this – thank you for what you do! You made the experience so much smoother for our family, and I’m very grateful. 

Home at Last

In total, our entire hospital stay was approximately 7 hours. 

Once home, we launched into the prescribed pain management system – our doctor mapped out exactly what we should do, hour by hour.  We stuck close to their instructions.  We then launched into our “keep her comfortable!” plan: snuggles, movies, and lots of yummy liquids.

What made Day 1 so manageable for us was that she had an instant change physically.  For a girl who couldn’t use her nose to breathe (surgeon said 100% blockage by adenoids), seeing her breathe through her nose was like a miracle for us.  Worth.  It.  

Time for the “Get Well Bin”

tonsillectomy and adenoidectomy surgery adenoids toddler child preschool fun school supplies healing get well bin playdoh activities for healing after surgery

As we prepared for the surgery, we created a “Get Well Bin” (read all about it here!). This was waiting for our daughter in the TV room where we created post-surgery home base.

However, she wasn’t interested in anything in the bin when she got home. Instead, she clearly wanted to rest. We curled up with some Netflix and settled in for a relaxing afternoon.

Cool Mist Humidifier – a MUST!

We took great care (before the surgery) to prepare our home for that moment of arrival. One of the best purchases we made preparing for the surgery was a Pure Enrichment MistAire cool mist humidifier. We started the humidifier the morning before we left for surgery and ran it (non-stop) for two weeks.  

The humidifier doesn’t heat up the room and make it humid and uncomfortable; instead it adds moisture to the air.  I’m simply speculating here, but I believe the moisture help keep the scars inside from drying out tremendously, especially while sleeping.  We filled our humidifier with plain distilled water and ran it on medium low throughout the two-week child tonsillectomy recovery period. Bonus – we’ve since used it dozens of times when anyone in the family gets sick, so it was definitely money well spent.

Days 2-5: What surgery?

Days 2-5 ticked by.  They were strange days, looking back. We kept waiting for the pain to kick in, for her to be miserable or uncomfortable.  That day just didn’t come (yet).  We kept her busy with lots of activities (from the Get Well Bin) and the occasional movie; frankly, she was most comfortable while watching a movie!  

We took full advantage of our Amazon Prime subscription, watching both free movies and quick-clicking to buy others.  It was a small expense and totally worth it for the comfort (and distraction from the pain) it provided.  If you’re not Prime people yet, I suggest taking advantage of their free 30-day trial, then cancel it if you don’t like it, or after recovery.  Time it with the surgery and you can save money on entertainment!  We probably bought 6-8 new movies during this time (all Disney cartoons because this was before Disney+) and watched countless other free ones, thanks to Prime.  

Post-Surgery Foods

During child tonsillectomy recovery, their post-surgery diet is limited to soft foods for 14 days in order to protect the precious tissue and surgery locations.  

On hand we had a great variety of flavorful soft foods.  Most popular was PediaSure (a 6-pack wasn’t enough!), LOTS of smoothies by spoon, Snack Packs of pudding, oatmeal, mashed potatoes, macaroni and cheese (cooked very soft), yogurt and cottage cheese.  She also enjoyed homemade ice pops that we made ourselves (see below) and sherbet.  We called many of these “special treats”; we don’t eat much sugar in our house and I worried that she’d come to expect these foods in the future.  The doctor warned us that dehydration is one of the major concerns, so we let go of our worries and let her enjoy whatever she’d consume!   

On day 13 we started to introduce somewhat harder foods, since she was going back to school on Day 14.  She ate tomato soup with soppy crackers and some rice.  We heard zero complaints!  By this time, she was ready for some variety!  Believe it or not, 3 year-olds can grow tired of pudding!

A word about smoothies…While preparing for the surgery, we scored this amazing kids’ smoothie book (and get lots of use out of it, even now!). We had to be super choosy about how to make the smoothies, and of course, we were cautioned not to use straws!  We avoided raspberries and ingredients that were seedy, small, and throat-scratchy.  If your family loves smoothies, they may enjoy many of the 100 smoothie recipes like we did! 

Freezer Pops for the WIN!

In terms of food for the recovery, I think the best purchase we made was silicon ice pop molds. For us, theses were WAY better than popsicles that drip and make messes. Our groggy kid didn’t do as well with sticks to hold. 

We made ice pops out of fruit juice, PediaSure in several flavors, and leftover smoothies. 

They have a closing “top” on them, so if she didn’t finish one, we could close it and refreeze for later. 

I highly recommend GIFTING these to anyone who has a tonsil surgery in their future! 

Days 6-10 (the worst days of recovery)

Around the 5th night, our thought of “What surgery?!” vanished. The worst of child tonsillectomy recovery was about to begin. 

She was UNCOMFORTABLE.  

As you know, it’s important to stay ahead of the pain. From Day 1 getting home, we would wake her at night her for a dose of pain medicine.  Beginning Night #5, for her, that was a bad idea! That was the first night when she did not like being woken up. Her mouth was dry and she was terribly confused. 

Nights 5-8 we woke her for her nightly pain med dose, and each time it turned into an hour crying and coughing fit.  That was the hardest part of the recovery, in my experience.  

To complicate matters, then came the mild fever.  She had a mild fever (100F) for 5 days straight beginning on Day 5.  During the day, we upped our use of screen time to keep her comfortable.  She never complained of pain but we kept ahead of it with our Motrin/Tylenol rotation, as the doctor recommended.

Fortunately she didn’t experience any bleeding as the scabs healed.  I’ve heard horror stories from friends about that stage of recovery.

I’d like to believe we were very fortunate with her recovery.   I wonder if the cool mist humidifier helped with this.  As mentioned, we bought one on recommendation from a friend and I’m so glad we used it.  

I Promise, It Was Worth It!

If you’re reading this, then you’re in the same boat we were: having this surgery is really important and you’re hoping to improve your child’s quality of life.  Our kiddo suffered from serious sleep apnea, physically couldn’t breathe through her nose, and had chronic ear infections.  

Looking back, this recovery (the lost sleep, watching the suffering, managing the pain) was TOTALLY worth it.  Take some preparations, talk to your child a lot about the process, and get ready for your new kid!  Ours now sleeps soundly, is much more patient and kind to others, and has much more energy.  All in all, we’d do this again in a heartbeat!

Feel free to Comment below and share with other parents what worked for your family!  What did you experience in the first 14 days of recovery? What do you wish you would have known?

Take care, be well, and know you’re not alone!

More Helpful Articles on Tonsillectomy Surgery & Recovery

15 Comments

  • Ashley

    Just scheduled my two year old for his tonsilectomy and adnoidectomy in two weeks and I’m loosing it. I’m also 34 weeks pregnant so it could be the hormones but your article was helpful and I’m feeling better about it. Thanks

    • Sassy Bluejay

      Ashley, congratulations on your pregnancy! Scheduling your little man for his tonsillectomy and adenoidectomy is scary, I know. But I’m so happy for your family that you made the choice! We just said to each other this morning, “Wow, our kiddo is SO much happier and healthier since that surgery in February!” Everyday we are so thankful we went through the process. Our kid is WAY less cranky and rested, since now they can sleep with their mouth closed and actually breathe! It was a life-changer! And those doctors–they do it ALL the time. I trust he’s in good hands. 🙂 Best of luck and send me an update!

    • Meagan

      I see that your daughter also had frequent ear infections as well but no mention of tubes. Did she have them? or need them afterward? Our doctor did not want to do tubes until we decided to do the partial tonsillectomy and adenoid removal done. I understand that they want to avoid the possibility of putting him to sleep twice, should he need it. But all his ear infections start with congestion we cant get rid of. So my husband and I are not wanting to do something he may possibly not need. So just looking for other’s experiences. Thanks! And thank you for the advice already. Going now to look at your before surgery prep article!

      • Sassy Bluejay

        Hi there! I’m sorry to hear that your son is having troubles. As a parent, that is super hard to see, I know! Both of our children had tubes put in their ears due to chronic ear infections and evidence of hearing loss. One daughter also had adenoids and tonsils removed during the same surgery, but the youngest (knock on wood) isn’t having the same issues, so she still has her A/T. I can’t say what is best for your family. But I will say that (again, knock on wood) one daughter hasn’t been sick SINCE the A/T + tube surgery (over 6 months ago, when she was literally sick back-to-back before)! The other has been sick twice but no sign of ear infections. So, no ear infections in either since getting tubes! I’m not sure what you should do but that’s my experience. 🙂 Best of luck!!!

        • Katlin

          My two year old son just had tubes put in to help with his numerous ear infections, we also had his tonsils and adenoids taken out, to top all that off due to his breathing they took some of the tissue out of his nose to widen his airway.. we are on day 6 and he is completely miserable. He is a non-verbal toddler due to constant ear infections as a baby. I’m completely lost on what to do and what can help him feel better because it seems like the Tylenol/ibuprofen isn’t helping much.

          • Sassy Bluejay

            I’m so sorry to hear he’s unhappy 🙁 We called our doc when the fever set it and the pain got bad; don’t hesitate to call since that’s what they’re there for! It seemed really bad for us, too (especially starting day 6)…and then it was better. I hope it’s that way for your family!

    • Alyssa

      @Ashley, I am 36 weeks pregnant and our 8 yo is scheduled for T&A in 2 days. I’m a nervous wreck. I know the PG hormones are at work, LOL. How was your recovery experience?

      @Sassy Bluejay – thank you so much for this article – very helpful and I plan on implementing several of your suggestions!

  • Jessica

    So happy I found your post. Two of my children, 8 and 4, are having their T&A surgery in two weeks and as time draws closer Mom is getting more worried. It was so nice to read your story, definitely eased my worries!

    • Sassy Bluejay

      Jessica, I’m right there with you, and I’ll send happy thoughts for your family! I promise they’re in great hands. These doctors and anesthesiologists do this all the time! I hope you have helpful nurses and a speedy day. Totally worth it, I promise. They will breathe better, sleep better, heal better after sickness–it’s a life-changer! Hang in there, Momma!

  • Bri Schu

    Did you use the cool mist humidifier in just her room? Or in the living room also? I am prepping for my 2yo and 4yo to have surgery on the same day.

    Where is the smoothie recipes?

      • Kate

        Hello there! Thank you so much for this post. It really helped me get more prepared the week before surgery. My daughter just had her tonsils and adenoids taken out 4 days ago (tomorrow will be the dreaded 5th day) she has seemed to be doing ok and hasn’t complained much about pain. However, I just reread this post now that the surgery is complete and I’m worried the worst is yet to come. She isn’t used to taking so much medicine and tonight she has started crying and gagging every time we try to give it to her. Our doctor has her on a schedule of giving her Tylenol every 4 hours then motrin every 8. The nurses said “you don’t have to give her both the entire 10 days but at least the first few days”. I’m not even sure what that means! How long did you give your daughter both and do you have any tips to making it easier?
        Thank you so much for your time. I know your helping a lot of mommies during such a scary time!

        • Sassy Bluejay

          Hi Kate – you’re doing awesome and your daughter sounds like a strong little lady. Around day 6, we backed off on the medicine. We were also on an “every four hours, alternate Children’s Motrin with Children’s Tylenol” regimen. Ironically, that’s when her nighttime pain (and the worst days) set in.
          To make our kiddo comfortable, we ran a cool-mist humidifier in both rooms (living room and bedroom) all day and all night. We live in an arid climate, so that was extra important. I also focused on LOTS of fluids during the day, and we would give a “bedtime dose” of pain meds at night, even if she wasn’t in pain. We truly tried to get ahead of the pain during nights 6-10. Hubby and I alternated who slept in the same room with her once the pain-nights kicked in. She’d wake up so scared and in pain – us being close made it not so terrible. Some nights she’d be in so much pain, we’d go to the TV room and watch a movie. DISTRACTION!!!
          Best of luck to you, Kate, and your little one! I’m glad to hear our experience can help make yours a little smoother.

  • Rachel Woodard

    Great info, thanks for sharing! I hadn’t heard the humidifier trick but we will definitely use it! Our 3 year old goes into surgery next week. I’m a bit worried about the food. He LOVES sugar and we have cut back drastically the past couple weeks. When he has is he is an angry and yelling mess. I don’t know if I should allow him to enjoy yogurt and popsicles and ice cream after surgery… did your daughter melt down after sugar treats?

    Also, I don’t see anything about avoiding citrus. Did you? Were there any smoothies that hurt her?

    Thank you!

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