Introduction

Adenoidectomy is a common surgical procedure performed to remove swollen or infected adenoids, usually in children. While the surgery itself is simple and safe, many parents feel concerned about what symptoms their child may experience after the procedure. Knowing what to expect during recovery can help you stay prepared and ensure your child heals comfortably.

What Is an Adenoidectomy?

Adenoids are small lymphatic tissues located at the back of the nasal passage. They play a role in immunity during early childhood but often become enlarged due to frequent infections or allergies. When enlarged adenoids cause persistent issues like breathing difficulty, recurring infections, or sleep disturbances, doctors may recommend removing them through a procedure called adenoidectomy. The surgery is typically performed under general anesthesia and takes about 20–30 minutes. Recovery is usually quick, but certain symptoms are expected as the body heals.

Common Symptoms of Adenoidectomy Surgery

Understanding the typical symptoms helps you differentiate between normal healing signs and those requiring medical attention. Here are the most common symptoms seen during recovery:

Mild to Moderate Sore Throat :- A sore throat is one of the most common symptoms after adenoidectomy. The discomfort occurs because the surgical site is located near the throat, and tissue manipulation can cause temporary irritation. Children may complain of pain while swallowing, especially during the first 2–3 days. Soft, cold foods such as ice cream, yogurt, or smoothies can help soothe the throat and make eating easier.
Nasal Congestion and Stuffy Nose :- Even though the adenoids are removed, swelling in the nasal passages can lead to temporary congestion. Many children feel that their nose is blocked or experience difficulty breathing through the nose for a few days. This is normal and typically improves within a week. A humidifier and keeping the child hydrated can ease this symptom.
Bad Breath (Halitosis) :- Parents often notice a strong, unpleasant odor from their child’s mouth after surgery. This happens due to scabbing in the surgical area and the healing process. Although it may seem concerning, bad breath usually peaks around the third or fourth day and gradually improves within 7–10 days. Good hydration and gentle saltwater gargles (if recommended by the doctor) can reduce the odor.
Ear Pain or Ear Pressure :- Some children report ear pain following adenoidectomy. This does not mean there is an ear infection; instead, the sensation occurs due to shared nerve pathways between the throat and ears. Ear pain can come and go during the first week and usually resolves on its own. Your doctor may advise appropriate pain relievers to keep your child comfortable.
Fever in the First 24–48 Hours :- A mild fever is common after any surgery, including adenoidectomy. The child’s body is simply responding to anesthesia and the healing process. As long as the fever is below 101°F (38.3°C) and reduces with medication, it is not a cause for worry. However, persistent or high fever should be discussed with your healthcare provider.
Snoring or Mouth Breathing :- Although adenoid removal typically improves breathing, temporary swelling after surgery may cause snoring or mouth breathing for a few days. As the swelling goes down, breathing becomes smoother, and snoring decreases. If snoring continues beyond two weeks, a follow-up check may be recommended.
Small Amount of Blood in Saliva or Nose :- It is normal to see slight traces of blood in the saliva or nasal mucus during the first day after surgery. This usually happens due to minor bleeding from the surgical site. However, if you notice constant bleeding, red clots, or excessive blood, you should contact your doctor immediately.

Rare but Concerning Symptoms

Although complications are uncommon, understanding warning signs is important. Seek medical attention if your child shows any of the following:

Persistent or heavy bleeding from the nose or mouth
High fever that does not go down with medication
Severe dehydration due to refusal to drink fluids
Breathing difficulty that worsens
Persistent vomiting

These symptoms may indicate complications and require prompt evaluation.

Recovery Timeline

Most children recover completely within 7–10 days. Here is a general timeline:

Days 1–3: Sore throat, mild fever, low energy
Days 4–6: Bad breath, ear pain, congestion may peak
Days 7–10: Symptoms gradually improve, scabs fall off
Day 10 onward: Child resumes normal activities

Encouraging fluid intake, offering soft meals, and ensuring adequate rest speed up the healing process.

Tips for Smooth Recovery After Adenoidectomy

Keep the child hydrated with water, juices, or oral rehydration fluids
Avoid spicy, crunchy, or hot foods for at least a week
Follow prescribed medication doses carefully
Use a humidifier to ease breathing
Encourage rest and avoid strenuous activities for 10 days

These small steps ensure a smoother and more comfortable recovery.

When to Call the Doctor

If symptoms worsen instead of improving, or if your child experiences difficulty breathing, severe ear pain, or uncontrolled fever, it is essential to consult your doctor right away. Early medical attention helps prevent complications and ensures your child heals safely.

Conclusion

Adenoidectomy is a safe and effective procedure that significantly improves breathing, sleep quality, and overall health in children. While symptoms such as sore throat, ear pain, nasal congestion, and bad breath are expected, they are usually short-lived and part of the natural healing process. Being aware of these symptoms helps you manage your child’s recovery confidently and seek timely help when needed. If you’re preparing for your child’s adenoidectomy or looking for trustworthy medical guidance, always consult an ENT specialist to get personalized recommendations and care.