Post-Op Pain Control in Children After a T&A

Post-Operative Pain Control in Children After a Tonsillectomy/Adenotonsillectomy:

  • After surgery younger children (age 9 years and younger) are most commonly treated with acetaminophen (Tylenol). Acetaminophen can be given every four hours as either an oral liquid or rectal suppository.  
  • Children and teenagers should not be given aspirin 7 days prior to and after a tonsillectomy/adenotonsillectomy due to the increased risk of bleeding.
  • While acetaminophen (Tylenol) with codeine is commonly used for pain control after a tonsillectomy/adenotonsillectomy in children it may have side effects from the codeine due to differences in the way the medicine is processed by the body.  We will write you a prescription for this medication; however if your child shows these signs stop giving the codeine and switch to Tylenol alone or Tylenol supplemented with Advil:
    • Unusual sleepiness
    • Disorientation or confusion
    • Labored or noisy breathing
    • Blueness on lips or around mouth
  • If any of the above symptoms do occur please call us immediately at 845-294-0661.
  • If Tylenol or Tylenol with Codeine does not provide adequate pain relief then liquid Ibuprofen (advil) can be used to supplement. Ibuprofen (5mg/kg) every 6 hours for post-procedural analgesia following tonsillectomy/adenotonsillectomy in children provides excellent pain control and has not been shown to increase the risk of postoperative bleeding in children without a history of bleeding disorders.
  • You can read more on this by referencing the following articles and websites:
  • If you have any questions please contact us at 845-294-0661.
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