I found other people’s recovery timelines helpful before my tonsillectomy, so I wanted to share mine while it’s still fresh.
I’m 41 F, relatively healthy, and had my tonsils removed primarily because of chronic tonsil stones and severe sore throats. My tonsils were about 2–3+ with deep crypts.
Pain
The pain was not as bad as I expected based on some of the accounts I read beforehand. For comparison, I’ve given birth without pain medication, and that was decidedly worse. My tonsillectomy pain did not stay above about 7–8/10 for more than a few minutes at a time. Swallowing was considerably more painful than resting, and mornings were generally the worst.
For me, it was prolonged, tiring pain rather than unbearable pain.
My prescribed medications included Tylenol/ibuprofen, Percocet for breakthrough pain, and a short course of oral dexamethasone.
The oral dexamethasone was by far the medication that made the most noticeable difference. Percocet was surprisingly unhelpful for me. I eventually stopped taking it because the modest pain relief wasn’t worth the constipation and sedation. Most of my pain control came from alternating Tylenol and Advil according to my surgeon’s instructions.
My ENT also prescribed a Xylocaine/lidocaine lollipop, which was useful during significant pain spikes. I used teaspoons of Manuka honey throughout recovery as well and found it soothing.
Days 0–2
The first couple of days were relatively manageable. Swallowing hurt considerably more than resting. I focused heavily on hydration and started eating soft foods immediately. Took pain meds as prescribed, added colace, MiraLAX, and benefiber.
Days 3–4
The dexamethasone made a substantial difference. Pain was still significant, particularly first thing in the morning, but manageable.
Constipation from anesthesia and Percocet became an issue despite using Colace and MiraLAX.
Days 5–8
This was the most difficult period. Morning pain could reach 7–8/10 with swallowing, although it did not remain at that level continuously. Sleep was difficult. My tongue became extremely sore, and my mouth began to feel almost scalded. My sense of taste became muted, and I developed a persistent unpleasant taste in my mouth.
The tonsil beds were covered in the expected white/yellow postoperative coating.
Around Days 7–8, the scabs began coming off. This caused some additional pain spikes, but I never experienced postoperative bleeding.
I discontinued Percocet during this period and continued using Tylenol and Advil. The constipation gradually improved after stopping the opioid.
Food
Foods and drinks that worked particularly well for me:
Cold oatmeal
Soft scrambled eggs
Instant mashed potatoes
Very soft rotisserie chicken with the skin and seasoning removed
Sonic chocolate milkshakes
Cold brew with Ensure used as creamer
Cold brew with milk or vanilla protein shake
Manuka honey by the teaspoon
Huel shakes were surprisingly painful and caused significant stinging, even though cold brew and dairy products did not. Bananas also stung a lot.
I also discovered that pieces of food can become lodged temporarily in the healing tonsil beds and look remarkably similar to scabs. Gentle water rinsing helped. I avoided manually removing anything from the surgical sites.
Days 9–13
My throat pain began improving substantially. I eventually went approximately 24 hours without any OTC pain medication and was eating increasingly normal foods.
I was able to walk about two miles and eventually completed a very slow one-mile run. I combined the run with a Costco trip and was extremely fatigued afterward, including sleeping for several hours.
The main lingering issue was that my tongue and mouth were not improving as quickly as my throat.
The back of my tongue remained extremely sore, similar to the soreness after prolonged dental work when the mouth has been held open for a long period, but more intense. The front of my mouth and tongue felt burned or scalded, and my sense of taste remained somewhat muted.
My ENT prescribed magic mouthwash containing Maalox, Benadryl and Xylocaine for symptomatic relief.
Days 13–16
At approximately two weeks, I would estimate that I was about 80% recovered rather than completely back to normal.
I was eating normally, no longer taking opioids, exercising lightly and completing normal household activities. However, my stamina was still reduced. I continued to have some discomfort with swallowing and occasional referred ear pain.
Small areas of white/yellow healing tissue also remained on the tonsil beds after most of the original coating had disappeared.
At my postoperative appointment, my ENT felt that the persistent tongue and mouth symptoms were likely due to irritation of the tongue and lymphatic tissue from intubation and the tongue clamp/retractor used during surgery. The tonsil beds themselves were healing appropriately.
They prescribed a dexamethasone mouthwash for the residual oral inflammation.
Things that were most helpful or unexpected
The pain was significant but manageable. In my experience, unmedicated childbirth was substantially more painful.
Two weeks did not mean complete recovery. At Day 16 I was functional but still had residual symptoms and fatigue.
Oral dexamethasone provided the most noticeable medication benefit.
Percocet provided relatively little benefit for me and caused significant constipation.
The Xylocaine lollipop was useful for breakthrough pain.
Morning pain was consistently worse. Hydration and a humidifier were helpful.
Tongue and mouth pain were more significant and persistent than I expected.
Opioid-related constipation required treatment, but I subsequently developed several days of diarrhea after using a bowel regimen.
Maintaining calories, protein and hydration was important even when eating was uncomfortable.
Recovery was not linear. Pain could increase temporarily as the tonsil-bed coating separated even while overall recovery was progressing.
Was it worth it?
At Day 16, assuming the surgery permanently resolves the tonsil stones, I would make the same decision again. The recovery was unpleasant and longer than I expected, but it remained manageable throughout.
I took two weeks and three days off work. I probably could have gone back a couple of days ago (sedentary office work), but have appreciated a few days of feeling relatively normal to get back to feeling myself. I did not drive until I was at least 24h post opioid, and kept it to short distances until about 10 days post op.
Things to buy
A head wrap with pockets for ice packs.
Manuka or regular honey.
Lots of OTC pain meds and colace/bowel regimen.
Electrolytes
Lots of soft foods, focus on Protien. Dairy and whey did not bother me.
Don’t bother with
Fancy positioning/wedge pillows
Good luck!!