Post-Surgery Care for Children

Post-Surgery Care for Children in Sydney

Recovery after paediatric ENT surgery typically requires two weeks of dedicated care at home with a focus on pain management and hydration.

Hydration is Critical

Keeping the throat moist reduces pain and lowers the risk of bleeding.

The "Day 5 Dip"

Pain often increases between days 4 and 7 as the healing process advances.

Scheduled Medication

Administering pain relief regularly rather than waiting for pain to appear is the most effective strategy.

What’s On This Page

Supporting Your Child Through Recovery

Bringing your child home after surgery can feel overwhelming. Dr Julia Crawford reduces this stress by providing a clear and structured plan to manage pain and ensure safety. This allows you to focus on comforting your child rather than worrying about the unknown.

 

The recovery process usually lasts 14 days. During this time your main role is to manage pain and ensure your child drinks enough fluids. We provide detailed instructions specific to your child's procedure but the general principles below apply to most paediatric ENT surgeries including tonsillectomy and adenoidectomy.

What is the timeline for paediatric ENT recovery?

Recovery moves through distinct stages. Knowing what to expect helps you stay calm and plan your care routine.

Your child will likely be sleepy and may be unsteady on their feet. They might experience some nausea from the anaesthetic. Keep them quiet and encourage small sips of water.

Your child may be relatively comfortable during this period. The anaesthetic effects have worn off but the nerve endings in the throat are not yet fully active. This is the best time to establish a good routine for fluids and medication.

This is often the most challenging period. As the white healing layers (scabs) in the throat tighten the pain can increase significantly.

Referred Pain

Your child may complain of earache which is actually referred to as pain from the throat. This is normal.

Bad Breath

You may notice a strong smell from your child's mouth (halitosis). This is caused by the healing scabs and will resolve as they heal.

Action

You must be diligent with pain relief during this window.

The pain usually begins to subside. Your child will start feeling more like themselves. They may want to run around or play rough but you must restrict their activity to prevent bleeding until the full 14 days have passed.

How do I manage my child’s pain after surgery?

Effective pain control is the foundation of a safe recovery. If your child is in pain they will not drink. This leads to dehydration which increases pain and the risk of infection.

Do not wait for your child to complain of pain. By the time they cry it is harder to bring the pain under control.

Paracetamol and Ibuprofen

Are generally used in combination or alternating doses.

Stick to a Schedule

And set alarms on your phone including for doses during the night.

Before Meals

Means giving pain relief 30 minutes before eating or drinking to make swallowing easier.

Ice Packs

Placed gently on the neck can help soothe throat pain.

Distraction

Using TV, iPads, or gentle games helps take their mind off the discomfort.

Chewing Gum

Can surprisingly help by reducing muscle spasms in the throat.

Diet and Hydration Guidelines

Hydration is the most effective way to help lower the risk of complications. Food is secondary. A child can go days without solid food safely but they cannot go without fluids.

Soft and cool foods are best.

Jelly and custard

Ice cream and icy poles

Scrambled eggs

Soft pasta

Smoothies (Important: Do not use a straw as the suction can cause bleeding)

Stay away from anything sharp, hot, or acidic.

Toast or crusty bread

Chips or crackers

Citrus juices (orange or grapefruit)

Hot soups

Warning Signs When to Seek Help

While most children recover smoothly it is important for parents to be able to distinguish between normal healing and signs that require medical attention.

Your child has a fever over 38.5°C that does not improve with medication.
You are struggling to get them to take their medicine.
They are refusing to drink and have had dry nappies or no toilet trips for 12 hours.

You see fresh blood from the nose or mouth. Even a teaspoon of bright red blood requires immediate assessment at the nearest hospital.
Secondary Haemorrhage The risk of bleeding is highest between Day 5 and Day 10 when the scabs separate.
Your child is having difficulty breathing.

Costs and Follow-up Care

We are committed to transparent care from admission to discharge.

A follow-up appointment is usually required 4 to 6 weeks after surgery to ensure everything has healed correctly. In most cases the cost of this standard post-operative care is included in your surgical fee for a set period.

If your child requires an unscheduled consultation or readmission due to complications separate fees or hospital excess payments may apply. Please refer to your Informed Financial Consent paperwork for full details.

Consultation Locations

Dr Crawford consults at three convenient locations across Sydney.

Darlinghurst Rooms

Our primary city location for general ENT and robotic surgery consultations.

Kogarah Rooms

Serving patients in the southern suburbs of Sydney.

Chris O'Brien Lifehouse

This location is dedicated specifically to our head and neck cancer patients.

Hospital-Based Appointments

While your specialist consultations take place at the clinics listed above, the surgical process involves a separate set of mandatory hospital-based appointments. These take place at the facility where your procedure is scheduled, such as St Vincent’s Private Hospital or St George Private Hospital. These appointments are a critical part of the safety protocol for Transoral Robotic Surgery (TORS).

Frequently Asked Questions

Yes. A warm bath or shower is fine and can be comforting. Ensure the water is not too hot as this can increase the risk of bleeding by dilating blood vessels.

You should avoid swimming for at least two weeks. Chlorine and public pools carry bacteria that can cause infection in the healing surgical site. Dr Crawford will give you clearance at your follow-up appointment.

This is a common challenge. Try mixing the medication with a small amount of strawberry syrup or custard. If they absolutely refuse oral medication, suppositories are an effective alternative. Please contact us if you are unable to manage their pain at home.

Yes. Swelling in the throat and nose is common immediately after surgery. This can cause temporary snoring or noisy breathing. This usually resolves within 10 to 14 days as the swelling goes down.

Book a Post-Operative Review

We monitor your child's recovery closely.

If you have questions about the healing process or need to schedule a review please contact our team.

Get in Touch

Our team can assist with appointment enquiries and help arrange a consultation with Dr Julia Crawford at one of her three Sydney consulting locations:

Sydney ENT Clinic, Darlinghurst

Ground Floor, 67 Burton Street, Darlinghurst NSW 2010

Sydney ENT Clinic,
Kogarah

Suite 5, Level 2 19 Kensington Street Kogarah NSW 2217

Chris O'Brien Lifehouse

119, 143 Missenden Road, Camperdown NSW 2050

Book Your Consultation

Dr Julia Crawford consults for head and neck conditions, head and neck cancer, thyroid and salivary gland disease, obstructive sleep apnoea, paediatric ENT and selected general ENT problems.

Her team can assist with arranging an appointment at Darlinghurst, Kogarah or Chris O'Brien Lifehouse, and will help ensure the appropriate information and investigations are available before your consultation.

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