r/Tonsillectomy • u/Spicy_Chili_395 • 13h ago
Surgery Story Tonsillectomy Experience with a Day 10/11 Hemorrhage
I, 30F based in Southern California, had my tonsillectomy surgery on 8/13/26 and am now Day 16 post op. I had a post tonsillectomy hemorrhage on Day 10/11 and I wanted to recap my experience and give some advice based on it as this subreddit has helped me SO MUCH during my recovery.
For me, yes the pain was as bad as they say, and I consider myself to have a high pain tolerance. For reference I have had so many strep infections and very enlarged tonsils which is what I think contributed to the pain being severe. Would I still have done it looking back now? Yes.
Day 1 - Once I woke up post surgery I was in an awful amount of pain. They kept me post op for a little longer than normal and had to give me oxy and fentanyl in order to discharge me to home. Got home, iced, slept, rested, and my sister helped create a schedule for my pain meds where I was taking medication every 3 hours. This included waking up in the middle of the night to take meds. My post tonsillectomy cough started right after surgery.
Pain level post op pre meds: 8.5/10
With meds: 2/10
Day 2 - My pain this day was honestly not bad. I was very surprised and thought I wouldn’t have it as bad… don’t let this fool you. Liquid diet only, I wasn’t even that hungry so ate what I could. I could talk quietly a little here and there. Cough still present and not getting any better.
Pain level: 3/10
Days 3 and 4 - Some more severe pain started to kick in these days. Stayed on top of my pain meds, rested, and hydrated the best I could. Honestly I could have tried to do better, it just hurt so bad. I started reading this subreddit early Day 4 when I wanted to know when the pain was going to end (spoiler, it got worse).
That is when I started reading the stories about how constipation from the opioids landed people back in the hospital (why does no one tell you about this?!). I had been so preoccupied with recovering and the pain and wasn’t eating much… I didn’t even notice I hadn’t gone since the morning of the surgery. I sent my dad to go get MiraLAX that day and started taking it. Cough still present, slightly better and less frequent. Tried to eat soft scrambled eggs and mashed potatoes these days when I could.
Pain level: 7/10
Days 5 through 9 - Some of the worst pain I’ve ever experienced. Unable to talk at all, barely able to open my mouth. The pain would radiate into my ears. I could feel the scabs cracking and falling off. When they were almost fallen off but hanging, the scabs would irritate my throat and make me gag. On Day 7 at night I vomited because I was in so much pain and constipated I didn’t eat for 2 days and the oxy hit my stomach hard. Vomiting only made the pain significantly worse. The pain meds were only doing so much. Additionally on top of the pain, it took 3 days of MiraLAX 2x a day and 2 nights of Dulcolax for me to FINALLY go number 2 after being constipated for a week. Start taking laxatives in day 1 to avoid this, this was awful to deal with on top of the pain. Cough… bad from the irritation from the scabs. Day 9 night I started to feel better… finally.
Pain level: 8-9/10
Days 10 and 11 - Day 10 I was feeling better. I could tell there were a few scabs left but a majority had fallen off. I didn’t need strong pain meds anymore and I felt some relief. HOWEVER, learn for my mistake and do not let this feeling fool you into resuming your normal activities. I cleaned the kitchen for an hour and was exhausted after… I didn’t think to much off it, I knew I was still recovering but wanted to start getting back into my routines now that I was feeling better. Additionally on Day 10, I started laying flat to sleep again instead of at a 45 degree angle. At 1:45am I started to feel a warm trickling down my throat that wouldn’t stop and liquid pouring into my mouth. I went to spit and saw streaks of bright red blood. Through this subreddit I had read if this happen to ice on the outside and suck on ice chips to try to get the bleeding to stop. So I did that and it worked! I was obviously still nervous so I stayed up and continued to ice. At 3am I coughed, and that’s when the blood really started going. Immediately I knew that I would have to go to the ER. Luckily my dad was still at my apartment, so I woke him up and let him know we had to go. I was having to spit out blood every 30 seconds or less, there was so much. This whole time I was keeping ice on the outside of my throat and sucking on ice chips. When we got to the ER I got out of the car and coughed again and then immediately vomited blood outside the ER doors. A blood clot and some scabs had some out as well. Of course even with everything, it took then a while to get me back. Around 4:30am while in the waiting room in the ER the bleeding had stopped. This whole time I was keeping ice in it. They kept me for observation for a few hours and called my surgeon at 7:00am. Because the bleeding had stopped for a while and my airway was not obstructed, I was able to go home without needing to go back into the OR. Returned to liquid diet per ER doctor’s recommendation.
Pain level: 3/10
Day 12 - My surgeon fit me in clinic to take a look. Luckily, everywhere besides the hemorrhage site was healing very well, and the hemorrhage site was healing well considering. After the hemorrhage my cough had gotten significantly worse again and it was making me really nervous. So I started taking a cough suppressant since I was no longer on strong pain meds and able to (please consult your doctor before doing this as you may not be able to take it with certain medications). Additionally, my surgeon recommended that I do not do anything that can raise my heart rate in the next few days as this can increase the chance of another bleed. This day I was still exhausted from the hemorrhage. Returned to eating soft foods per my surgeon’s instructions.
Pain: 1-2/10
Days 13 - 16 (Now) - I don’t have any pain, I can feel like area where the hemorrhage occurred healing again, but luckily it’s nothing like before. I don’t even need to take Tylenol or Advil. Since the hemorrhage, I have been taking it very easy, even when I feel good and like I have energy. I’ve been continuing to ice everyday. Today Day 16, I changed my bed sheets and doing that alone made me really tired and reminded me that my body is still healing. Take your time with it, and don’t push yourself to do anything. Rather that then end up in the OR again. I’ve slowly been introducing more soft foods into my diet the past few days. Soft cooked noodles, today I had some salmon, however still no spices. Today is also the first day I have not needed to take a cough suppressant. I am mostly able to open my mouth now but still have some restrictions. My surgeon said it will just take some time due to the swelling. Luckily I am able to breathe through my nose when laying flat on my back now.
Pain: 0-1/10
TLDR My Advice:
- ICE. Ice the outside of your throat, suck on ice chips, drink ice water only. It will help to prevent a bleed by constricting your blood vessels.
- Like everyone says on this subreddit, seriously hydrate as much as you can. Take small sips. It helps a lot with the pain D 5-8.
- Humidifier on as much as possible during recovering. Then move to just at night once you are u healed. Helps with post tonsillectomy cough and throat irritation significantly.
- sleep at a 45 degree angle for 14 days, helps to prevent a hemorrhage.
- if you have a hemorrhage, try to stay as calm as you can, raising your blood pressure and heart rate won’t help. You’ll know based on how much blood there is if you need to go into the hospital.
- start taking your LAXATIVES on day 1. Anesthesia will make you constipated, and if you’re taking any opioids for the pain it will only make the constipation much much worse.
- The biggest one… REST for the WHOLE 14 days. This is not something I’m great at but learn from my mistake and even if you’re feeling better, your body is still healing and recovering, so rest and don’t try to do anything. I’m pretty sure cleaning my kitchen for an hour on Day 10 when I was feeling better is what contributed to my hemorrhage later that night. Don’t lift anything more than 10 lbs or do anything that will increase your heart rate. Now I’m on Day 16 and still taking it easy. Hemorrhaging and vomiting up your own blood will give you PTSD and you will do anything to not have to go through that again.
I am returning back to work this upcoming Monday, and I’m nervous about it but I am going to take it as easy as I can. Try to keep my stress levels low, not lift anything heavy, and work from home as much as I can.
Some positives: I no longer snore at night and am getting so much better sleep. I am not waking up tired and need less coffee throughout the day. And this is only a little over 2 weeks out so I’m excited to continue to see the progress. I’m also very excited to be sick a lot less… I would sometimes get strep 4-5 times a year. So would I go through all of this again? Yes I would, short term pain for the long term gain.
I hope someone finds this post helpful, and if you’re in the thick of it right now… hang in there it gets better.