38 answers

Tonsils and Adenoids

My 3 1/2 year old son has a sleep apnea issue caused by enlarged tonsils and adenoids. The ENT doc says they have to come out pronto.

He is going in for the surgery in a week, and I am very worried about the procedure, as I assume any mom would be.

He has to be put out, and we are not allowed in the OR. I'm imagining them coming to get him, and he is going to be hysterical screaming going with strangers and leaving mom and dad behind. Its not going to be a pretty picture. Do they give him a sedative or anything before they take him away from us? How does that work??

I am anxious to hear other moms stories about the procedure and recovery. Any tips or insights you could give me would be very much appreciated.
THANKS!!

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My son had his tonsils out at age 6. We played around in the waiting room and I pushed down my own anxiety and tried to treat it like no big deal. When it was time for the anesthetic, I went with him to the OR and didn't leave till after he was asleep.

They were really nice, just sat him on the table till it was time, then firmly and quickly held both his arms and put the mask over his face. He struggled a bit when he smelled the anesthetic but I was right there with him and he went to sleep within seconds. After it was over they brought him right to me in the recovery room, he was agitated but calmed down when I held him. The one thing he remembers that he didn't like was the IV in his arm which they put there in case they need to give them fluid intravenously. They took it out as soon as he was able to drink a glass of water and keep it down.

He threw up on the way home, but they gave us a bag in the hospital, expecting that would happen. He went to sleep right away at home. After that it was just a bad sore throat.

The good thing is, as soon as he healed there was a huge improvement in his quality of life. He didn't have apnea, but he had constant fevers with his tonsils getting infected and was missing a lot of school. That all stopped.

Sorry you have to go through it. I think it's harder on us than on them in some ways. I think it's worth it. Hope this helps. You can call the hospital if you want to confirm that you can stay till he's asleep, but I can't imagine that they would not want you to be there to keep him calm. Good luck!

More Answers

My daughter had the same surgury for sleep apnea just after she turned 3 (she is now 5). Where are you having the surgery done? We went to Children's Hospital of NJ at Newark Beth Israel. No the best location, but they are totally focused on what is best for the child. They allowed me to go into the operating room until they put her under - so I held her while they gave her the ether mask to go to sleep. They inserted the IV after she was already asleep from ether. The surgery itself took only about 20 minutes. I barely had time to worry before someone was taking me and my husband to the recovery room so we would be there when she woke up. -- Most hospitals do not allow anyone in the recovery room either. If possible, I would rethink hospitals so you know that you are somewhere competely kid focused.

My daughter's recovery was not too bad. In fact, I had a very hard time keeping her still, as had been advised to avoid post-op bleeding. Once the swelling from the surgery susided her breathing was completely normal and she started sleeping through the night for the first time in her life!

Good luck!

1 mom found this helpful

Hi C.,
My son had his tonsils and adnoids out last year, when he was 6, for sleep apnea. Me and my husband were both with him until he went into the O.R. Then only I was brought with him to the O.R. until he was asleep. Right after he fell asleep, someone escorted me out and kept talking to me, which kept me from crying. They also called me into the recovery room after he was settled, so I was there when he woke up and went to sleep. They did give him versed before he went into the O.R. so I don't think that he really remembers going in.
His recovery was great too. He never complained of pain at all. Although he didn't talk for about 2 weeks, but he wrote me lots of cute notes. Anyway, I think that the whole experience was much worse for me than it was for him. What you can do is ask the Doctor where he plans to perform the surgey and call to ask what will happen. If you don't like it, you don't have to have it done there. You may have to switch doctors if the one you chose only goes to one place, but you need to be comfortable with where you go. I would think that any ENT who does children would understand your concerns. Same with the place that does the procedure. I had a choice of 2 places and when I called them both they were very heplful in answering all of my questions (and I had lots of them).
Good luck and by the way, my son sleeps great now, so it's well worth it.
S.

Hi C.,
It might be a little rough for your son to go to the O.R. without you but staff is generally very caring and understanding. And your son will be put to sleep very quickly. I don't know where he is having the surgery but most pediatric patients get to ride in a wagon and choose a stuffed toy or they can bring their own. It seems like fun for them.
The post op can be hard but just for a couple of days. I can tell you that you will see much improvement in your son's health in the long run.
Get some popsicles, sherbert and keep ginger - ale in the house. Stir out most of the fizz before giving it to him. Stay away from dairy as that will make mucous and you don't need that. Some vomiting may occur as he will no doubt swallow blood. Usually once and that will be it.
Hope all goes well.
M. - pediatric nurse

My son was 4 when he had his second surgery for tubes and to remove his adenoids. I too was terrified about the whole ordeal being he was old enough to understand, unlike the first surgery.
They gave him a "kiddie cocktail" that made him very loopy!! When the time came he jumped into the surgeons arms and off they went. There was no drama at all. I was very relieved! I found it to be more stressful when we went into the OR with him and stayed while they sedated him. There was something about that that seemed very unsettling to me.
I too noticed that it was harder for him to come out of it then when he was a baby. But after a few hours we were home and everything was fine.
The scariest part is the waiting. Just try to keep your mind busy.
I am sure everything will go well for you!
Good Luck!

When our daughter had hers taken out when she was 8 yo she asked that my husband go to the OR w/her - they allowed my husband to stay w/her until she went under the anesthesia. Prior to doing that they did give her a cocktail to get her a little sleepy. Although the procedure was over in no time at all, it did feel like an eternity so try to stay busy. I think I must've read every magazine in the waiting room! Afterwards just try to find every flavor jello (except for red) and type of popsickle on hand. Another thing that my daughter wanted just afterwards was sherbert - I know that was one of my favorites when I had mine out at the ripe age of 19. It's nerve wracking & all, but definitely worth it. All my best to you! She also had tubes put in when she was 18 months and they basically did the same thing. I think they are more understanding w/the little ones and realize the concern.

Hi C., I think it's normal that you are worrying so much, it's your job as a mom. I actually worked with an ENT for a couple of years so I have that point of view. And my daughter had both her tonsils and adenoids removed two summers ago when she was 4, so I can speak about that experience as well. I don't know which hospital you are going to but we were at Our Lady of Mercy here in the Bronx. And my experience is pretty much the same as the few responses I read. After I changed her into her little gown, I also had to put on some paper scrubs and hat and shoes. Then I was allowed to go into the OR with her until they put her to sleep. She wasn't really scared, I was standing there next to her while the mask was just placed in front of her face, talking to her. After the procedure they came to get me and told me she was waking up. This was the hard part because she was groggy but crying a lot. All she kept saying was that her throat hurt :( The only battle I don't wish on anybody, was the fact that she didn't want to eat ANYTHING. No milkshakes, ice cream, jell-o, soup. Nothing. She actually lost weight, even though I was making her milkshakes with pediasure and ice cream. Anyway, I wish you and your child the best of luck. I do suggest though, that when you go to the hospital for the labwork and prescreening stuff, stop by ambulatory surgery. Ask the nurses there any questions you might have, maybe even take you on a little tour of things you will see/experience. This way both you and your son will be more prepared. Best of luck, everything will turn out okay.

My son had the same procedure done and it went remarkably well! This was one procedure that I was not allowed to see him into the O/R until he was put under. I was with him up until the very point when he went into the O/R.

The recovery was extremely quick afterwards and he didn't have any problems eating soft foods. It was amazing how quickly he was breathing better and how he didn't have that "drawn" look on his face (from breathing thru his mouth for so long)

I am VERY big into the natural approach but unfortunately, adnoids and tonsils HAD to be surgically removed. I use the Neti pot for me and my kids sinus', soap for restless leg syndrome, vics vapor for eczyma/dry skin/psoriasis and home made chicken soup with lots of herbs for illnesses!! So, I totally understand!!

I hope I was helpful!

Both my sons have under gone this surgery of course the first time my son was 1yr old with severely swollen adenoids. They did not give him anything before hand but they let me carry him into the OR and hold him until he went to "sleep" as another mom said that was the worst thing ever. I would not choose to do that again. My 3 yr old was given a "kiddie cocktail" before he went in and was off in La La land when they took him so going in was not a problem. I found that the 3 yr old had a harder time coming out of if than the baby. But it was quick and but the time we got home they were both back to normal.

Good Luck

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