Rhinoplasty Surgeon Sydney Phone Number
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Archive for category tonsillectomy

Pain relief for kids after tonsillectomy

  • Try Panadol in the day time and Oxynorm atnight. The Panadol must be given 4th hourly by the clock.
  • Panadol is 15mg/kg – 4 x a day but if needed it can occasionally extend to 5 x day. (e.g. if the child wakes with pain at 2 a.m.)
  • If the pain is severe use Oxynorm morning andnight and Panadol in the day time.
  • Panadol suppositories can be used if oral Panadol is refused.
  • Do not use Nurofen or Fenpaed or Fish Oil in the 2 weeks pre op and post op.
  • Painstop can be used but tastes terrible. Codeine is strong but occasionally causes vomiting and frequently causes constipation.
  • Remember pain relief can take up to 15-20 minutes to be absorbed so you may need to wait for this prior to breakfast.

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Adult Tonsillectomy

Adult tonsillectomy is extermely painful, particularly days 5-8.

YOU MUST EAT TO AVOID POST OPERTIVE INFECTION AND BLEEDING.

The risk of bleeding is greatest days 5-12.

Plan A – Moderately Severe Pain

2 Panadol 4th hourly daytime to max 8 per day
1 Targin (10/5) at bedtime

OR

Plan B – Very Severe Pain

1 Targin 12th hourly (10/5) i.e. two only in 24 hours) whilst taking 2 Panadols 4th hourly to max 8 per day.

WARNING

  • Taking pain relief if you have not been eating wil make you dizzy and nauseated.
  • You must eat throughout the day
  • NO NUROFEN/ASPIRIN/DISPIRIN/IBUPROFEN/FISH OIL
  • Cepacol Forte lozenges can be taken anytime for breakthrough pain.

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DOES YOUR CHILD NEED A TONSILLECTOMY FOR SLEEP APNOEA?

Years ago, tonsillectomy in children was largely performed for recurrent tonsillitis.  These days this is far outweighed by kids with snoring and sleep apnoea.

Kids often snore, especially if they have a cold, but if your kid’s snoring is associated with some of these symptoms you should consider the possibility of sleep apnoea:-

  • Restless sleep, bedclothes everywhere
  • Kicking if they co-sleep with you
  • Waking during the night
  • Sweating
  • Gasping, choking noises, especially if after pauses in the breathing
  • Unrefreshed by sleep and crabby in the morning
  • Difficulty eating bulky foods such as chicken or lamb, unless it is cut up into little pieces.  Some kids aged 2 even chew and spit.  Some choke on their food.  Others live on a mushy diet such as yoghurt and cheese.

As the tonsil growth spurt occurs around 22 months of age, our patients start to present between ages 2 and 3.  Some have been snoring for several years and present with poor concentration at school.

Please see “Other procedures/tonsillectomy” for more information regarding the procedure.  Sleep apnoea means low levels of oxygen and this can impair intellectual development.  If the diagnosis is not clear cut, consider a sleep study.

Following surgery, the snoring should be reduced or even absent.  Swelling may mean this is delayed for a few days.  Two months after the surgery, parents often notice a growth spurt and better appetite overall.  This is due to the natural production of Growth Hormone in the deep cycle of the child’s sleep. As the sleep cycle has been restored this returns to natural levels.

Some kids are just happier overall at school and at home as their sleep is now refreshing.

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