Common Changes After Having Your Tonsils Removed

What Changes Are OK After a Tonsillectomy?

Doctor Examining Girl's Throat In Clinic
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A tonsillectomy is a common surgical procedure to remove your tonsils. Your doctor will likely recommend a tonsillectomy if you have had more than five to seven infections in a year or have sleep apnea related to enlarged tonsils.

After having your tonsils removed, it is normal for your mouth and throat to look different. The changes can be concerning If you aren't aware of them. You can expect to see these four common changes after having your tonsils removed.

Swollen Tongue

A swollen tongue is fairly common in the first few days following a tonsillectomy. There are a couple of reasons that this can occur. First of all, your tongue may be repeatedly bumped during the surgery by various surgical tools. Various tubes or suction catheters are often inserted into the mouth for different reasons such as suctioning blood and other secretions or to help you breathe while you are under anesthesia, all of these tools may bump the tongue. While care is taken to protect the tongue as much as possible there is a limited amount of space in the throat that health care professionals have to work and sometimes your tongue may be caught up in the mix.

Your tongue is often clamped down to keep it out of the way and allow the surgeon to work, while this is done to protect your tongue, the clamps may cause swelling. As a result, your tongue may also feel a bit sore for a day or two after surgery because of the clamps.

The tongue is also close to the surgical site itself and so swelling can spread from the tonsil beds to other parts of the mouth and throat after having a tonsillectomy.

How much swelling you may experience varies a lot, but you can expect some swelling. You don't need to call a doctor unless the swelling becomes severe enough that you have difficulty talking, the swelling interferes with swallowing or breathing, or if the swelling does not improve and eventually go away on its own.

The swelling may also cause your tongue to develop a thin white film. Drinking cold fluids, eating ice chips, or using an ice pack on your throat can all help to reduce tongue swelling.

Swollen Uvula

The uvula is a little bell shaped organ that hangs from the roof of your mouth. Swelling to your uvula can occur after a tonsillectomy for the same reason the tongue can become swollen. Eating cold foods and drinking cold liquids also helps to reduce uvula swelling. You should call your doctor or get medical help if you have a swollen uvula that causes drooling, gagging, or difficulty talking or breathing.

White Scabs

After a tonsillectomy, it is normal for the tonsil beds to look like they are covered with a white film. This is not a concern and usually goes away in 5 to 10 days. You should call a doctor, however, if you notice any bright red streaks of blood coming from the tonsil beds or if the tonsil beds have a green tint since this could indicate an infection.

Bad Breath

It is common to have bad breath following a tonsillectomy. This symptom will resolve over time as your mouth continues to heal. Causes for bad breath following your tonsillectomy includes:

  • cauterization (burning) of the surgical site
  • swelling of your tongue causing some food particles to become trapped
  • scabs over your surgical site

Risk After Tonsillectomy

There are several risks associated with a tonsillectomy. However, the most significant risk that can be life threatening is bleeding from your surgical site. If you experience bleeding in the hospital or at home you should always seek immediate help. This may also be noticed if you are having to swallow frequently from a trickle of blood in the back of your throat. While tonsillectomies are common procedures, it is not without risk and you should not delay care if you think you are bleeding.

A Word From Verywell

You can expect to have a few days where your mouth doesn't feel or look right after having your tonsils removed. The changes listed above are normal as long as you don't see any fresh blood, swelling inside your mouth isn't making it difficult to breath, or see any signs of infection including a fever over 102F.

Your doctor will want to see you a couple of weeks after you have your tonsils removed to ensure proper healing. Make sure you keep this appointment, follow any instructions your doctor gives you on post-surgery care, and contact your doctor with any worrisome symptoms.


Messner, AH.Tonsillectomy (with or without adenoidectomy) in children: Postoperative care and complications. (subscription required). Updated May 3, 2017.

Tonsillectomy and Adenoidectomy Postop. American Academy of Otolaryngology - Head & Neck Surgery website.