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What to Expect From an Adult Tonsillectomy

Updated on April 22, 2017
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As a young adult, I suffered from recurring tonsillitis. Finally, I had my tonsils removed. This is my story.

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Most people have their tonsils taken out as children, but occasionally, an adult ends up requiring the surgery. People always say that's better to get your tonsils taken out as a child; this is mostly because adults tend to experience more complications from the surgery and during the recovery. Sometimes, however, an adult tonsillectomy is necessary.

Here's what you may face when going in for the surgery, as well as how to cope with the aftermath.

Warning: This article contains somewhat graphic images of tonsils. They are SFW, but perhaps not safe for a queasy person!

Click thumbnail to view full-size
A pair of tonsils with a tonsillolith in the left side.A severe case of tonsillitis.  Notice the many tonsilloliths in both tonsils!A close-up of an extracted tonsillolith.  They vary in size and typically smell.
A pair of tonsils with a tonsillolith in the left side.
A pair of tonsils with a tonsillolith in the left side. | Source
A severe case of tonsillitis.  Notice the many tonsilloliths in both tonsils!
A severe case of tonsillitis. Notice the many tonsilloliths in both tonsils! | Source
A close-up of an extracted tonsillolith.  They vary in size and typically smell.
A close-up of an extracted tonsillolith. They vary in size and typically smell. | Source

Pre-Surgery: Should I Get My Tonsils Removed?

Really, I would only recommend getting your tonsils removed if you have to. If you're frequently getting sore throats or tonsilitis, then it's something to look into.

In my early twenties, I got sick all of the time. I worked in an elementary school, so every time one of the kids got sick, their germs spread pretty fast and I'd get sick too. I was constantly getting colds, sore throats, strep, and tonsillitis. I also had a lot of problems with snoring (and even breathing, occasionally), due to the size of my tonsils.

My tonsillitis was so bad that I started to get these little white balls in the back of my throat called "tonsilloliths" (or tonsil stones). They were painful and they also made my breath smell really bad when I had them. I used to pick them out of my tonsils (gross, I know) and get rid of them, but after a few years of doing that, I noticed that my tonsils were filled with holes.

I really got tired of being sick all the time, having tonsilloliths, and being in pain, so I decided it was time to see my doctor about my tonsils.

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How To Plead Your Case To Your Doctor

Most doctors are still against administering a tonsillectomy to adults. I first asked for a tonsillectomy at 19, and my doctor flat-out refused. Many adults will go through the same experience, as the surgery can be risky, and recovery is quite painful. However, if you're already suffering from 3-4 bouts of strep throat per year, it'd be worth it to just have your tonsils out altogether.

When I finally got approved for my tonsillectomy, I actually consulted my dentist about the matter. My dentist then sent me to an ENT (ear, nose, and throat doctor), and after taking one quick look at my tonsils (which, by that point were just riddled with holes from the tonsilloliths), he agreed that I needed to have them taken out.

Again, a doctor, dentist, or ENT would probably only approve an adult for a tonsillectomy if their tonsils are in really bad condition and/or the patient has had repeated bouts of strep throat. But if you know you want your tonsils out for a good reason, then I'd recommend being persistent and even seeing a different doctor until you can find one that will do the surgery for you.

Even though I was 22 at the time, which is generally considered to be "too old" for a tonsillectomy, my doctor assured me that I would benefit more from having them taken out than I would if I kept them in.

Goodbye, tonsils!
Goodbye, tonsils! | Source

Recovery Tips

  • Take plenty of time off work to recover.
  • Try to eat gentle foods that won't aggravate your scabs.
  • You may be in a lot of pain; that's fairly normal. But alert your doctor if the pain is unbearable.
  • Rest, drink lots of liquids, and always stay on top of your medicine dosages.
  • It may take anywhere from 2-6 weeks to recover.
  • If you experience any difficulties or an abnormal amount of bleeding post-op, please call your doctor.

My Tonsillectomy Experience

About a month before my 23rd birthday, I went in and had my tonsils removed.

Of course, I don't remember the actual surgery, as they put me under (I was administered anaesthesia) beforehand. When I woke up, I felt a little bit of pain, but I mostly just felt woozy from the surgery.

I went to stay with my mom for a week while I recovered, and the first few days the pain mostly just felt like a really sore throat. The doctor gave me lots of liquid pain medication (specifically hydrocodone), and I kept to a diet of mostly liquids and popsicles (see table below for more food suggestions).

I highly recommend staying with a friend or family member during the recovery process, if you live alone. The medicine will make you very drowsy to begin with, and even after you get past sleeping most of the day, you will feel a bit weak and worn down, and will need someone to look after you and help you recover.

Food and Recovery

Things That Are Okay To Eat:
Stay Away From These Things:
Cold soups
Anything with a sharp edge (like potato chips)
Jello/gelatin
Ice cream/dairy products (they produce too much phlegm, which makes things more painful)
Popsicles
Alcohol (not only should you not mix alcohol with most pain medication, but it can also cause adverse side-effects which will be painful)
Mashed potatoes
Hard candy/lollies
Chilled porridge/oatmeal
Anything spicy (acid reflux is not your friend!)
Applesauce or pudding
Most "normal" foods, honestly
Click thumbnail to view full-size
Two days after a tonsillectomy.  Notice the scabs are already beginning to form....and this is day 7.  All those white patches you see are scabs.  They'll eventually fall off, which is disturbing to think about!
Two days after a tonsillectomy.  Notice the scabs are already beginning to form.
Two days after a tonsillectomy. Notice the scabs are already beginning to form. | Source
...and this is day 7.  All those white patches you see are scabs.  They'll eventually fall off, which is disturbing to think about!
...and this is day 7. All those white patches you see are scabs. They'll eventually fall off, which is disturbing to think about! | Source

Post-Operation

The pain got worse a week after my surgery. What the doctor failed to mention, and what I didn't actually realize beforehand, is that when you get your tonsils taken out, your throat heals just like any wound would. Meaning, scabs start to form in the back of your throat. The scabs themselves just look like white patches of skin, so they aren't gross to look at or anything, but they are extremely painful. Sometimes, my throat just felt really itchy, but most times, it felt like my throat was burning.

The scabs also made it really difficult to eat, because anything that touched my throat just irritated my scabs and made them feel worse. In the month after my surgery, I lost 20 lbs, just because I didn't want to eat much, and the only things I did eat were light soups and broths.

Even worse than when the scabs form is when the scabs fall off. Yes, the scabs DO fall off, and I probably swallowed most of mine (how disgusting is that?!), but I had the displeasure of actually feeling some of them dangling in my throat. It was so bothersome sometimes that I had to peel them off myself, which hurt extremely bad and sometimes would even make my throat bleed. I don't recommend peeling them off—you can cause more damage than good, and I was lucky that I didn't have a lot of bleeding from doing so.

Tips For Managing Pain:

  • Try to eat as little as possible, and only eat cold/soft foods that won't irritate your throat
  • Drink plenty of liquids. Your best friend is room-temperature water.
  • Make sure you keep up with your medicine. Don't skip any doses and don't stop taking them until the prescription is complete.
  • As much as you may want to, don't pick at or irritate your scabs.
  • You may want to stay quiet (i.e. talking very little) for the first few days. Just imagine the worst sore throat you've ever had and then multiply that by ten- that's how it feels!
  • As always, don't be afraid to call your doctor. She may be able to up your medicine dosage or offer you some alternatives

I have a very high threshold for pain, but the scabs coming off was easily the worst pain I've ever experienced in my life. And that was with the pain medication! Some days, the pain was so bad, that I'd just sit around and cry.

A few weeks post-op I also started to suffer from really bad acid reflux. The acid reflux, in turn, caused problems with my taste buds. For at least a month and half after my surgery, everything I ate tasted like onions. I started to feel really depressed wondering if my body would ever return to normal after my tonsillectomy. Thankfully, it did.

Altogether, I ended up taking a whole month off from work to recover. I initially had three weeks off, anyway, as I scheduled my surgery to be done during summer break. I tried to go back to work, but ended up taking the last week off, as I realized the pain was too much to endure.

Oh, and sneezing and coughing? They are the absolute WORST thing when you have a throat full of scabs!

A healthy, tonsil-free throat!
A healthy, tonsil-free throat! | Source

So Is It Worth Doing?

It's been about four years since I had my tonsillectomy, and I honestly don't regret having it. The pain was, quite honestly, excruciating—but when I think about the month-long recovery compared to having strep throat several times a year, it was well worth it. The scabs have all faded, the acid reflux went away, and my taste buds recovered probably within two months.

Before I had my tonsils out, I would easily get sick at least once a month. Now, I probably only get a cold about once or twice a year, and I've had strep throat only one time in the past five years. Even regular sore throats are rare for me. My snoring went away as soon as I had surgery, and I no longer have difficulties breathing, either.

Deciding to get a tonsillectomy is a big decision. Again, I wouldn't recommend it for everyone, but if you're someone who frequently suffers from strep, sore throats, sleep apnea, or other tonsil-related issues, it's worth looking into. I'd say try to save your surgery for when you have plenty of time off work, due to the long recovery time for adults.

Despite the recovery time and complications, I definitely recommend having a tonsillectomy if necessary. The pain was worth it to not get sick so often, and in the end, I don't miss my tonsils one little bit.

© 2014 Brittany Doherty

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    • mySuccess8 profile image

      mySuccess8 2 years ago

      Everyone has experienced varying degrees of pain during their lifetime. The worst pain can be so excruciating that you sometimes develop a certain phobia after that. That was what I experienced when I fractured my arm as a kid, and I can imagine the unbearable pain you went through. I am glad you are happy with your decision to have a tonsillectomy. This is an excellent article giving a first hand experience and guidance for someone who has tonsillitis. Congrats on Hub of the Day!

    • brittpinkie profile image
      Author

      Brittany Doherty 2 years ago from Sydney, Australia

      I can't even imagine how painful fracturing your arm must've been. The pain of my tonsillectomy was excruciating, but I am infinitely glad that I did the procedure. Thanks for the comment and your kind words!

    • Silver Fish profile image

      Silver Fish 2 years ago from Edinburgh Scotland

      Great hub, well done for the attention to this important subject. Voted up. I live in the UK and it is interesting to note the different attitude towards post op care.

      My ( adult) son had this op a couple of years ago, the post op care was focussed on eating as normally as possible, even rough foods like toast within 24 hours of surgery.

      Dairy foods and iced foods including ice cream were not advised.

    • word55 profile image

      Word 2 years ago from Chicago

      Po baby, I really sympathize with you on this one. I no nothing about my tonsils. Leave them where they're at. Mercy! I don't want any dr. messing in my mouth. No sir. Anyway, I hope people who are considering such removals will be prepared as you have showed here. Congrats on HOTD! and enjoy life!

    • brittpinkie profile image
      Author

      Brittany Doherty 2 years ago from Sydney, Australia

      Silver Fish, thank you! Interesting how they advised him to eat things like toast! Was he in a lot of pain? I suppose you could try to normal foods, but it was very painful for me, even 6 weeks post op. I remember one time I thought I'd have some hash browns (about a month after surgery)...I ended up crying while trying to eat them and just had to stop. I don't know why people always think you can have all-you-can-eat ice cream after a tonsillectomy, but that's definitely a no-no.

    • brittpinkie profile image
      Author

      Brittany Doherty 2 years ago from Sydney, Australia

      Word55, haha, I don't blame you. I wouldn't have done anything to mine had they not been such nuisance. I don't recommend a tonsillectomy unless you absolutely have to have it. Thank you for the comment and kind words! :)

    • HeatherBlesh profile image

      Heather Gomez 2 years ago from Monterey, CA

      I have never had my tonsils out but after reading your hub I can understand why type of experience you had. I had a friend growing up in high school that had strep throat several times a year. She never did get her tonsils out and to this day she gets sick quite easily. I should direct her to your hub. Thank you for the information.

    • QuoteAmber profile image

      Amber 2 years ago from Earth

      I got my tonsils out as an adult too, because I was getting those white things in the back of my throat too and my tonsils were riddled with holes. After a horrible reaction to the anesthetic, though, I didn't find the pain to be that bad. Granted I did sleep for almost three straight days.

    • brittpinkie profile image
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      Brittany Doherty 2 years ago from Sydney, Australia

      HeatherBlesh, Oh yeah, definitely direct her to my hub. Honestly, this was the kind of thing I wish I had read before I had mine taken out. But I hope to help other people who are thinking about the surgery soon! Thanks for your comment :)

    • brittpinkie profile image
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      Brittany Doherty 2 years ago from Sydney, Australia

      Amber, yeah, tonsil stones are the worse, aren't they? My tonsils were barely intact from all the ones I had. You're lucky you didn't have a lot of pain- I suppose it varies, but most people I know had an awful time. One girl I worked with got hers out about a month after me, and she only took a week off of work, thinking it'd be okay. She ended up needing 3 additional weeks off because the pain was too much to bear :(

    • PinoyMom profile image

      Shiela Gerona 2 years ago from Philippines

      My friend who worked as a customer service representative had tonsillitis. Working as a customer service representative is a stressful job. He is fond of eating chocolates and drinking cold drinks. He was advised by the company doctor to undergo Tonsillectomy since he is tired of taking his medicines every now and then. He followed the advise of the doctor and had his tonsils taken out. After two weeks of rest, he left the hospital and stayed at his apartment. After few days, we were told that he is already gone due to severe bleeding and unfortunately he is alone in his apartment. I could still remember his kindness - he is just twenty years old when he passed away.

    • Besarien profile image

      Besarien 2 years ago

      First congrats on HotD! I hope that is going to take care of the problem for you. I had to have mine out when I was a kid. It hurt a lot. After the surgery was especially rough. They tried to give me ice cream and I wouldn't eat it. My brother was trying to make me laugh. Not good times.

    • profile image

      qdbsmag 5 months ago

      I had mine done 16 days ago and I followed the medication's schedule as prescribed, I made sure I had lots and lots of water and coconut water to keep the area hydrated, on day 3 I started eating more solid foods (healthy stuff and I avoided anything with processed sugar or industrialized food) which I am sure it helped clear the area, it was a bit uncomfortable to swallow at times but it was nothing like all the reviews I found on internet. Maybe because I am a healthy person and eat a lot of healthy stuff, I am active and rested as doctor prescribed or maybe it was just luck but I would do this all over again if I had to...taking two weeks off work was also not bad at all.

    • profile image

      Misty 2 months ago

      I'm 26 and getting my tonsils out on may 30th 2017 and I'm kinda scared and I'm also getting a tube in my right ear done too, the last time I had tubes in my ear I was 4/5 years old, and I don't remember it.

    • brittpinkie profile image
      Author

      Brittany Doherty 2 months ago from Sydney, Australia

      Good luck! Chances are you'll be just fine! Feel free to ask me any questions or check out this hub while you're recovering :)

    • profile image

      Alexandra timmins 7 weeks ago

      Hey,

      I go under the knife this coming Wednesday after no joke... 6 bouts of strep in the first 4 months of this year. I was in hospital for one infection because I just couldn't eat or importantly drink.

      I really appreciate your article! Because I have to get the surgery, I'm run down, sore throat all the time. I'm a bit scared how much my partner will have to do to support me, I have a toddler too. Other than that, the pain will be worth it. I think we all know the picking of scabs will happen though haha ouch, oh I can't wait to have it over with. Thank you :)

    • brittpinkie profile image
      Author

      Brittany Doherty 6 weeks ago from Sydney, Australia

      Good luck, Alexandra! If you have any questions or concerns which I didn't cover in the article, feel free to ask me! It's been several years now since I've had my tonsillectomy, but I'm still willing to help however I can :D

    • profile image

      Jamiegerb100 6 weeks ago

      Im a 34 year old male and I have had tonsillitis 4 times and also quinsy once in the last 5 months, I have been in hospital on iv antibiotics on 2 occasions and then sent home on 3 different types of antibiotics all of whitch to work for approx 1 to 3 weeks and then I have it again, I have an appointment to see the ent at the hospital on the 20 June but I no that they are going to say we are going to take them out but then I will have to wait 8 to 12 weeks, so I am going on Tuesday to see a consultant at Nuffield hospital to go private, my one tonsils is bigger then the other and I have never noticed this before it's not causeing me a problem but I'm very worried as when you google this it scares the shit out of me because cancer is the first thing that comes up, is it possible that because I have had so many infections and doses of tonsillitis in a short period of time that my one tonsils as now gone bigger because of this ? I have asked the ent evertime I have been in hospital if they fink it is anything serious like the C word but they said no because it would not have puss on and that iv had tonsillitis on both sides, I am worried about the operation but No I must have it, by going private do you think that I will receive better treatment and get a more carful job done, all so how long does it take to get the results back for your tonsils after they have been removed ? Can you paid to get them back quicker?

      If any one can give me some advice I would appreciate it thanks

    • brittpinkie profile image
      Author

      Brittany Doherty 6 weeks ago from Sydney, Australia

      Hi Jamiegerb100! I am by no means a medical professional, but I can only tell you about my experience. If one tonsil is bigger than the other, maybe it just appears that way because the other tonsil shrunk due to tonsilliths? That's how mine were...I barely had tonsils when it was time to get mine out. I doubt you have tonsil cancer, it seems pretty rare. Anyway, you might want to Google it (I found a page here: http://www.cancerresearchuk.org/about-cancer/head-... to see if you have any of the symptoms, but I think it'd be a lot more than what you described. If doctors are telling you that you don't have cancer, and you don't have any symptoms, why worry? :)

      I have no idea where you live or what the medical system is like for you, but if you have to wait to get your tonsils out, best to just wait. It's really not an urgent procedure; yes, recurrent bouts of tonsillitis is annoying, but it will be over in 6-8 weeks when you can have your surgery!

      I'm not sure what you mean by the results after you have your tonsils removed...there really isn't anything, it's not like they're a tumor or like they are examined afterwards. The doctor showed me mine in a little jar after he took them out (right after surgery) and that was that, haha.

      Anyway, I hope that helps you! Let me know if you have any more questions. Try not to panic :)

    • profile image

      Sarah 3 weeks ago

      Did anyone have problems with bad breath afte having tonsils and adenoids removed. If so, how long find it last?

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