>U Mom Knows Best: Childhood Surgery
Showing posts with label Childhood Surgery. Show all posts
Showing posts with label Childhood Surgery. Show all posts

What Recovery From A Tonsillectomy And Adenoidectomy Was Like For my Child

Great insider tips for what recovery after tonsil surgery is like


        My 6-year-old son recently had surgery to get his tonsils and adenoids removed. My son, tonsils were swollen and they were causing sleep apnea issues for him. My son's tonsils were not infected and he did not have tonsillitis or tonsil stones. So it took me a while to get my son diagnosed with sleep apnea caused by his tonsils. It took many doctor appointments to get my son the help he needed.  This is the info you need to read to see if your child may need their tonsils removed. I knew there would be some pain involved but I was totally unprepared for our week and a half recovery. So I am going to share my experience to give other parents the info they need to be prepared for their child's recovery after a tonsillectomy and adenoidectomy.


The 24 hours after surgery
      The first 24 hours my son was in the hospital. My son had to be admitted to the hospital after his tonsil surgery as that was standard for patients who have sleep apnea. The tonsil surgery could cause swelling in his throat and they wanted to monitor that. My son was tired so he stayed in bed watching TV.  Here is tonsil surgery info that you need to know. He was allowed a clear liquid diet so he ate popsicles and drank plenty of soda. My son experienced a lot of pain so he was given pain medicine every 4 hours. They also kept the IV in his arm to keep him hydrated. My son had a rough night sleeping as the surgery made his throat swell so he was waking up every hour due to his sleep apnea. Thank goodness that the pain medicine was helping with his sore throat. He also had a pulse meter hooked up to him at night time to monitor his sleep apnea.

Pain Management
      We then went home the day after surgery. My son was still in a lot of pain so I tried to give him his pain medicine every 6 hours. The doctor said to alternate with acetaminophen and ibuprofen, but I found that the ibuprofen worked best. So buy at least 2 bottles of pain medicine and try to give the next dose before the other one wears off or it will be hard to get the next dose is due to pain. My son needed his medicine about every 6 hours. We went through 3 bottles of medicine. My son had a hard time swallowing the first week so taking the medicine was hard but we just did it slowly. I also discovered that a humidifier helped with his pain. The moist air helped his throat so he could swallow his medicine. In the recovery area at the hospital, they used tubing with moist oxygen in which they place near his mouth. Ask the nurse if you can take that tubing home to use with your humidifier. I did not so I bought a toy from the dollar store, you know the one you spin and it makes noise, and put that in my humidifier. The moist air helped my son be able to take his medicine, I simply put the tube near his mouth, about 6 inches away. My son needed pain medicine around the clock for the first week and then less the following week. We are on day 12 of his recovery and he is not needing pain medicine anymore.


Rest
  The doctor said my son needed to rest for a week after the surgery. I made a bed for my son in the family room and he just watched TV the whole week. Don't plan on taking your child anywhere in the first week. They just had surgery and their immune system is week. So you don't want them near people with colds. I also found sleeping in the same room with him made things were easier so I could tend to his pain medication schedule. So I slept on the couch while my son slept on a crib mattress on the family room floor. I set my alarm clock every night to give him his pain medicine. After the first week, your child may have more activity but no exercise for another week, as their sore throat is still healing. The doctor also said no swimming for at least 3 weeks as the pressure of the water can break open the areas in the throat. My son will have a follow-up appointment 3 weeks after his surgery and if all looks good he will be allowed to swim.



Diet
     The first week after the surgery all my son wanted was jello, pudding, and soda. He said everything else hurt too much to eat. My son said that cold and hot liquids hurt his throat. I did get a couple of fruit smoothies in him if they were at room temperature. A soft diet is recommended for the first week and by week two they can eat normal foods. They just have to avoid things that will scratch their throat like crackers, nuts, and raw veggies. My son is now in week two and he is now eating pasta, oatmeal, bread, milk, and blueberries. He says cold things still hurt to eat.  Your child may prefer cold or warm foods. So get a variety of their favorite foods. Don't worry about your child eating too much sugar. Eating may be hard for your child so give them ice cream as they need the calories to heal. 
Here is a great list of items to stock up for after surgery.

+ Jello 
       + popsicles
     + pudding
        + ice cream
                  +chocolate milk    
+ pasta
                + mac and cheese
                              + items to make smoothies
         + applesauce
     + oatmeal


When to call the doctor
   My doctor said to call them if my son had a high fever or any blood from the throat. We did have one episode that required a call to the doctor. My son started coughing on day 4 and a lot of blood came out. The doctor said to rinse his mouth with cold water and thank goodness it stopped bleeding. The doctor said to go to the emergency room if it started to bleed again and did not stop with cold water. That would require surgery again to sew up the area again. It is rare but it does happen. Thank goodness, my son did not bleed again.




Other Facts
The first week was rough for my son. He was in a lot of pain and had trouble swallowing. He also had symptoms of his sleep apnea as everything was swollen from the surgery. We are into week two and my son is sleeping wonderfully, with no symptoms of sleep apnea. I was thrilled to see him breathe through his nose while he slept, something he had not done for a long time. He does not ask for any pain medicine. I know that it can take up to 6 weeks for his throat to heal so I still have pain medicine on hand. I am also going to keep him on a soft food diet until his 3-week checkup as I don't want the throat area to bleed.

Here are my other posts on my son's experience with why he needed the surgery and what to expect during surgery and the hospital stay.





How To Tell If My Child Needs His Tonsils Removed

After many sleepless nights and doctor appointments, we found out my son needed his tonsils removed


    My youngest son just had his tonsils and adenoids removed. The above picture is before the surgery. What I thought was just a persistent winter cough turned out to be much more. I am going to share with you the events that led up to my son needing his tonsils and adenoids removed so you can know if your child may need his removed. I am not a doctor, just a mom, so seeing a doctor is always best to get the proper diagnosis. Read on to discover if your child might need a visit to the doctor to see if they are a candidate for this childhood surgery. My son had sleep apnea that was caused by swollen tonsils and adenoids.


Coughing and snoring

 Last winter my son had a cough, that only happened at night time when he was sleeping. He would cough several times throughout the night but not during the day. I mentioned it to his doctor and she said that it was a cold. The doctor said that the cough needed time to go away. I thought maybe it was asthma or the air was too dry. So I placed a humidifier in my son's bedroom. The humidifier did not help the cough and my son continued to cough all night. This nightly coughing episode woke me up several times during the night, so I was not getting any sleep.  During this time my son also sounded nasal, snored and was a mouth breather but he had been like that since he was 3 so I thought nothing of it.  I later found out these were symptoms of adenoid swelling. It makes me wonder if my son had sleep breathing issues since he was three. 

The cough did not go away

 When spring came and my son had his yearly doctor visit, I mentioned to the doctor that he was still coughing at night time. The doctor examined him and said with hesitation "maybe we need to see an ear, nose, and throat doctor to look at the adenoids."

Sleep study

  I made an appointment with the ENT doctor and was surprised to find out my son's adenoids were swollen. The doctor had to insert a camera in my son's nose to see the adenoids as they are behind the nose. The doctor ordered a sleep study right away to determine if my son's swollen adenoids and tonsils were causing my son to have sleep apnea episodes. I later found out my son had severe sleep apnea. The swollen adenoids were causing him to stop breathing 18 times an hour, thus causing the night time coughing. The doctor also looked at my son's tonsils after his sleep study and found those to be swollen too. The swollen tonsils and adenoids were causing his sleep apnea. The doctor said that the removal of the tonsils and adenoids would hopefully solve the sleep apnea problem.

 The ear, nose and throat doctor scheduled the tonsillectomy surgery for my son to get his tonsils and adenoids out. When the surgery was over, the doctor told me that my son's adenoids were as big as his tonsils. She also told me one of the tonsils had an infection. If we had not had the surgery, my son would have had more problems like a persistent infection along with the sleep apnea.


The symptoms

Through this experience, I want to share with you some symptoms to watch out for indicating swollen adenoids and /or sleep apnea.

+ A cough that happens only at bedtime
+ Nasal congestion  
+ Speaking with a nasal sound   
+ Breathing through  the mouth
+ Snoring        
+Ear Pain
+ a Sore throat
+ Sleep problems
+ Tiredness or Hyperactivity during the day


 I am so glad my son had the surgery as now he can start getting a good night's sleep. Lack of sleep was causing my son to be hyper and have some behavior problems. The surgery was not fun for my son.  Read about the tonsil and adenoid surgery here. My son was in a lot of pain afterward the tonsil operation but pain medicine and popsicles helped that. My son had to rest and eat soft food for a week. I thought that I was prepared for recovery after a tonsil operation but it was a difficult two weeks for my son. The tonsil surgery and adenoid operation were scary for me to see my son experience but it was worth it as my son did not experience any sleep apnea symptoms after he recovered from the tonsillitis surgery. My son finally was able to sleep without coughing. 

So if your child has some of these symptoms, ask your doctor to refer your child to an ear, nose, and throat doctor as it just might be swollen adenoids and/or tonsils.

Feel free to ask me questions and I will try my best to answer them based on my son's experience.     
I will next post about my son's surgery experience and recovery. 
     

Read more

Recovery from the surgery
http://www.momknowsbest.net/2014/08/what-recovery-from-tonsillectomy-and.html

Surgery information
http://www.momknowsbest.net/2014/08/what-happens-when-your-child-needs.html
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