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Adenoidectomy Discharge Instructions, Child


About this topic


Your child may have had large adenoids. These can block the airway. The adenoids are between the throat and the nose in the airway. When the adenoids get large, it is harder to breathe through the nose. This may cause breathing problems, especially when sleeping. Removing the adenoids is also done if your child has long-term ear and sinus infections. ‚  
Once the adenoids are removed, your child may speak with a nasal tone to the voice. This is normal. It will often clear up in a few weeks. ‚  

What care is needed at home?


  • Ask the doctor what you need to do when you go home. Make sure you ask questions if you do not understand what the doctor says. This way you will know what to do to care for your child.
  • Give your child all the drugs ordered by your doctor. If a pain drug is ordered, give it for a couple of days. Try giving the pain drug an hour or so before eating. This will make it easier to swallow and drink fluids.
  • Use Tylenol ‚ ® or acetaminophen after the surgery. Do not give ibuprofen or aspirin.
  • Have your child blow the nose gently.
  • Have your child sleep in a room with a humidifier. This will help to keep the nose and throat moist.
  • Give your child fluids often. Cool drinks may help soothe a sore throat.

What follow-up care is needed?


The doctor may ask you to make visits to the office to check on your childs progress. Be sure to keep these visits. ‚  

What drugs may be needed?


The doctor may order drugs to: ‚  
  • Help with pain
  • Prevent infection

Will physical activity be limited?


  • Have your child do quiet activities for a few days. Reading books, watching TV, or resting are quiet activities. Slowly increase your childs activity level.
  • Talk with your doctor about the right amount of activity for your child. Ask your doctor when your child can go back to school or daycare.

What changes to diet are needed?


  • Soft foods and drinks may be easier for your child to eat. Try giving soups, baby food, jello, yogurt, mashed potatoes, scrambled eggs, and popsicles.
  • Avoid drinks that have a lot of acid, like orange and grapefruit juice.
  • Avoid giving dairy products that make more mucus in the throat.

What problems could happen?


  • Infection
  • Breathing problems
  • Throwing up blood

When do I need to call the doctor?


  • Bleeding that is bright red. Go to the ER if there is a lot of bleeding that comes from the nose or mouth.
  • Signs of infection. These include a fever of 100.4 ‚ °F (38 ‚ °C) or higher, chills.
  • Redness, swelling, pain, or discharge from the mouth or nose
  • Swelling or redness of the eyes
  • Stiffness in the neck
  • Too much joint pain
  • Upset stomach or throwing up
  • Trouble breathing
  • Health problem is not better or your child is feeling worse

Helpful tips


Help keep your child healthy. ‚  
  • Wash hands often with soap and water for at least 15 seconds, especially after coughing or sneezing. Alcohol-based hand sanitizers also work to kill germs.
  • Stay away from sick people. Keep your child out of group play and out of shopping malls for a week or so.
  • Keep your child away from people who smoke.
  • Do not let your child swim for at least 3 weeks after surgery.

Teach Back: Helping You Understand


The Teach Back Method helps you understand the information we are giving you about your child. The idea is simple. After talking with the staff, tell them in your own words what you were just told. This helps to make sure the staff has covered each thing clearly. It also helps to explain things that may have been a bit confusing. Before going home, make sure you are able to do these: ‚  
  • I can tell you about my childs procedure.
  • I can tell you how to care for my child.
  • I can tell you what I will do if my child has bright red bleeding, trouble breathing, or too much pain.

Where can I learn more?


KidsHealth ‚  
http://kidshealth.org/parent/medical/ears/adenoids.html# ‚  
NHS Choices ‚  
http://www.nhs.uk/conditions/adenoids-and-adenoidectomy/Pages/Introduction.aspx ‚  

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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