Hi there,
Apologies for the long post but I wanted to share my experience with anyone that might be experiencing the same.
I (33F) had a tonsillectomy combined with soft palate tightening for snoring, and ended up with prolonged voice changes and nasal regurgitation and I'm not around day 22 post op. Sharing in case anyone else goes through this
I wanted to share my timeline because my experience was very different from the horror stories I read — normal pain, but way more functional issues. This was my first surgery ever. I am based in the Netherlands so my experience might be different to other parts of the world.
Day 0 (Surgery Day Friday, 19 June)
Went to the hospital at 13:40 and surgery was scheduled for 15:00 but got delayed by an hour. Woke up in recovery in the afternoon around 17:00 and the first thing I noticed was that I could not talk at all. I had to request a clipboard and paper and had to write everything down (didn't have access to my phone yet in recovery).
Throat and uvula were very swollen and sore.
The nurse gave me oxycodone 5mg but when I tried swallowing it with some water, the water immediately shot up through my nose and it spewed everywhere.
Finally got to my room in medium care around 18:00 (there were some issues since the normal ward was full so they had to keep me in medium care for the night) and got my phone back around 18:20. My fiancé was freaking out and on the way to the hospital since he didn't know about the 1 hour delay, the hospital didn't call him and he thought something was really wrong or that there were complications.
Managed to eat some apple sauce later that evening For the rest of the night I could barely swallow, only tiny sips. Slept through the night
Meds:
- Oxycodone 5mg (twice that evening)
- Paracetamol 1000mg up to 4 times a day
- Diclofenac up to 3 times a day
Day 1 (Saturday - 20 June)
Woke up in hospital, got some more painkillers and something to eat (Applesauce) and drink and was discharged around lunch time.
The ENT never showed up for a follow up, instead the nurse had to call him to be able to discharge me.
No follow up appointment was scheduled (not needed according to him).
There was some issues surrounding pain relief at home. According to my notes from the hospital he prescribed oxycodone 5 mg (25 tablets), 1000mg paracetamol x 4 times a day and diclofenac x 3 times a day (8 tablets), but told the nurse no opioid will be given to me for home use and I'll have to manage with paracetamol and ibuprofen.
I was a bit bummed but OK.
Got home and had a call from the hospital pharmacy around 16:00 to ask when I would be picking up my meds. Was very confused but went back and he actually did prescribe the above mentioned meds so I was happy but also annoyed.
Still unable to speak and still had issues drinking water. Ate apple sauce.
Pain was bearable during the day but insane in the morning when waking up after everything was dry. I ordered a humidifier that day.
I was surprised by the effectiveness of the paracetamol. It never did anything for me before (I suffer from headaches and migraines) but it was pretty effective at keeping the pain at bay during the day. I interspersed it with the diclofenac to give me effective coverage all day.
Meds:
- Oxycodone 5mg (only when needed for breakthrough pain or before sleep)
- Paracetamol 1000mg up to 4 times a day
- Diclofenac up to 3 times a day
- Macrogol (to help with constipation from the opioids)
Days 2–3
Pain was moderate, not unbearable
Swallowing was the main issue, especially liquids. I still had nasal regurgitation with every sip I took so I had to take frequent tiny sips.
Thick mucus + saliva constantly, but was unable to spit it out. I noticed the edge of my tongue being really wavy and covered in tiny blisters (probably caused by acidic foods like apple sauce) and tongue covered in a brown sticky mucus layer
Still unable to talk at all.
Slept propped up on too pillows and humidifier arrived and made a difference (only used it at night)
Food:
Liquids, very soft stuff (Applesauce and cooled down sweet potato soup and fruit smoothies), fruit ice lollies.
I noticed that I could not have dairy due to increased mucus production and apple juice and fruit ice lollies were too acidic and caused acid reflux. Had to keep gaviscon by my bedside just in case
I also noticed I could not tolerate cold drinks to switched to room temperature water and tea with honey and that was way better.
Drinking was slow and annoying.
I really struggled with swallowing my paracetamol pills (the round ones) so actually ground them up into a powder and mixed them into apple sauce. They are extremely bitter and I cannot recommend it.
Meds:
- Oxycodone 5mg (only when needed for breakthrough pain or before sleep)
- Paracetamol 1000mg up to 4 times a day
- Diclofenac up to 3 times a day
- Macrogol (to help with constipation from the opioids)
- Gaviscon for acid reflux
Days 4–6 (Worst Phase for Me)
This was probably my “peak” but still not insane pain (6 - 7/10).
More like deep soreness + burning pain in the tongue, not sharp pain. Mornings were still the worst right after waking up.
Developed only light ear pain on day 5 and 6.
No bleeding and didn't notice scabs falling off, more like dissolving more and more every day. The internal stitches of my soft palate procedure also started dissolving.
Still insane amount of mucus though and developed a spasm in my lower right jaw(TMJ) , preventing me from opening my mouth fully for the next 5 or 6 days.
Biggest issue: Eating became really difficult. I developed Texture sensitivity (even mushy food felt wrong) and struggled eating apple sauce or sweet potato mash like I could the previous days. I just could not swallow it. Mainly lived off fruit smoothies and ice pops.
Other issues: Extreme Constipation from meds. Even with the Macrogol I have not had a bowel movement for 5 days so went to the pharmacy to get some help. They gave me Microlax (to be used rectally) and that made all the difference in the world. She also sold me a packet of oval / elongated paracetamol tablets that were easier to swallow and I was so happy.
Woke up twice in that period in the middle of the night with insane nausea. Don't know what caused it (I assume the mucus and acid reflux). Managed to not throw up and somehow lessened the nausea by sitting up and drinking some water but it was really uncomfortable.
One improvement: the swelling of my soft palate / uvula changed around day 6 to I was able to drink normally again for a few days without liquid coming out my nose.
Still could not talk at all.
Meds:
- Oxycodone 5mg (only before sleep or in the middle of the night for breakthrough pain )
- Paracetamol 1000mg up to 4 times a day
- Ibuprofen 400mg up to 3 times a day (I only had 8 diclofenac and then switched to Ibuprofen)
- Macrogol (to help with constipation from the opioids)
- Microlax
- Gaviscon for acid reflux
Days 7–8
Pain didn’t spike like people describe
But I developed Pain at the base of my tongue (right side). Still had Jaw discomfort and could not open my mouth properly
Main issue during that time is that I developed extremely stinky bad breath, so bad that I would stink up a room and fiancé could not be in the same room as me even though I brushed my teeth three times a day since the surgery.
Nothing about that could be done except avoiding each other and being patient with the healing process.
Still avoided dairy, only ate soft foods and soups, no cold drinks just room temperature. Ice packs on the face helped with the swelling
Meds:
- Oxycodone 5mg (only before sleep or in the middle of the night for breakthrough pain )
- Paracetamol 1000mg up to 4 times a day
- Ibuprofen 400mg up to 3 times a day (I only had 8 diclofenac and then switched to Ibuprofen)
- Gaviscon for acid reflux
Days 9–12
Gradual improvement of the pain. Stopped with the oxycodone so of the initial 25 pills I had I only used 11, so still have 14 left.
White patches/scabs shrinking
Nasal regurgitation / liquid coming out of my nose returned and is still ongoing. 😭
Still had no voice until day 10. It started returning very slowly and gradually from day 11 but my my voice weak and unclear and nasally.
Started eat soft "normal foods" from day 11. Had a bit of pad Thai and some cashew beef pieces and it was heaven.
I was also only initially "booked off" for 10 days but could not speak by then so I took another whole week to recover. I work in Customer service in a call centre environment so without my voice I cannot work.
Meds:
- Paracetamol 1000mg up to 4 times a day
- Ibuprofen 400mg up to 3 times a day
Days 12–15
Physically I started feeling “fine”
Cleaned the house a bit, did some gardening, went for short walks and cycles.
BUT: Left side of the throat still swollen, Stitch still visible near uvula and Right side more open.
Jaw pain went away and the extreme bad breath too 🥳
Biggest issue: Voice not working properly at all. Couldn’t speak clearly, very muffled and like talking through cotton wool. Voice tired very quickly
Also:Nasal regurgitation still happening (liquids going up into nose)
Stopped taking pain meds.
Days 16–18
Pain mostly gone except deep tongue pain, and pain when sticking out my tongue
Could eat normally again.
Went back to work on day 17 but asked my employer for accommodations to be put on email work for the whole week. I still cannot hold a normal conversation, my voice tires easily after 5 to 10 minutes, still mumble and speak nasally.
At this point I realised: Recovery is not about pain anymore. It’s about function (voice, swallowing, nasal regurgitation)
Days 18–21 (Now)
Pain: very low to non existent, scabs all gone
Eating normally again. I noticed drinking carbonated drinks like coca cola is a bit easier for me to drink because due to the carbonation I have to think how to swallow it so slow down and not try and take big sips like I normally would've. Trust me having anything carbonated come out through your nose is insanely uncomfortable.
But the main problems are still with my voice being weak, nasally and fatiguing very quickly.
Tongue pain still there occasionally and Swallowing still slightly off.
Uvula still not properly closing → so still have liquid coming up my nose every time I drink. It's so frustrating to not be able to take big sips.
I feel physically fine, but cannot function normally socially or work-wise (calls).
I really hope that my voices improves enough over the weekend to be able to work normally again on Monday but I'm unsure it will.
I obviously did not expect to lose my voice for 14 days and it was not something I came across during my research. I assume it was mainly caused due to the procedure on my soft palate and subsequent swelling and not caused by the tonsillectomy itself.
What Surprised Me Most about this whole experience that Pain was not the worst part. The real struggle was the Voice loss and not being able to communicate properly
If you’re reading horror stories about pain — that wasn’t my experience.
But be prepared for something people don’t talk about enough:
You might feel fine long before you can actually live normally again.
Thank you and take care.