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Tonsillectomy- why , how and when – ENT Surgeon Bangalore

Tonsillectomy 

What is a Tonsillectomy?

Tonsillectomy is a procedure done to remove the tonsils situated on the side of your throat.

Though there are many reasons your doctor may advise you to remove the tonsils ,the international guidelines  in majority situations are:-

Absolute indications[Compulsory removal]

◦Enlarged tonsils that cause upper airway obstruction, severe swallowing problem[dysphagia], sleep disorders[sleep apnoea], or cardiopulmonary complications[heart -lung problems]

◦Peritonsillar abscess -If a child or adult has had a peritonsillar abscess in the past the recommendation is to remove the tonsils after recovery as there is chance for such severe infections again in the future .

◦Tonsillitis resulting in febrile convulsions[ fits/ seizures]

◦Tonsils requiring biopsy to define tissue pathology  as in doubt of cancer or other diseases.

Other indications

◦3 or more tonsil infections per year despite adequate medical therapy

◦Persistent foul taste or breath [halitosis]due to chronic tonsillitis that is not responsive to medical therapy

◦Chronic or recurrent tonsillitis

◦Unilateral tonsil hypertrophy that is presumed to be neoplastic[cancer]. One sided tonsillar enlargement is especially notorious for harboring diseases such as cancer hence if your doctor finds a one sided enlargement or a suspicious looking tonsil he/ she may recommend removal of the tonsil and histopathological examination [ examination under the microscope]

Is it inadvisable to remove the tonsils?

The tonsils are a vestigeal structure in our body and no harm comes from removal of the tonsils .On the other hand keeping a diseased tonsil with clear cut indications for removal will do more harm to the body.

In certain situations the removal of the tonsils are not recommended.Such situations are:-

Bleeding disorders such as haemophilia

Anaemia[low Hemoglobin]

Poor Anaesthesia Risk

During the episode of Acute infection [Ongoing infection with severe pain and fever] 

 How is tonsillectomy done?

Tonsillectomy is safest done under  general anaesthesia[the patient will be sleeping during the procedure].Various techniques may be used to prform a tonsillectomy and you may discuss the modality best suited for you with your ENT Surgeon

Techinques of Tonsillectomy

Tonsillectomy can be done by various methods

Cold Knife

LASER

Dissection method

How long does the procedure take?

Though the actual removal of the tonsils takes only some minutes the whole process including the anaesthesia may take about half an hour to one hour.

When can I / my child go home?

In selected cases tonsillectomy can be done as a daycare procedure, that is you can go home the same day. In other cases you may go home next day morning.

What are the complications of tonsillectomy?

The main complication of tonsillectomy is bleeding and that is why in certain cases  doctor may advise you to stay overnight to be on the safe side.

Will I have pain after the procedure?

Some amount of pain will occur after the procedure and your ENT Surgeon will give you pain killers to take care of it.

What  are the precautions after tonsillectomy?

• You will be prescribed antibiotics and pain killers after the tonsillectomy.Take the medicines prescribed by your ENT Doctor on time.
• Pain killers are generally best taken after food so as to avoid gastric irritation.
• Try to gargle with salt water or the medication prescribed as frequently as possible as this helps tremendously in early healing and pain relief.
• Special medicated analgesic[pain relieving] gargles will be prescribed by your ENT Surgeon depending on the individaul case- If there is pain on eating ,you may  gargle with these medicines 10 minutes before eating so as to enable you to eat and drink well.
• Drink enough water and have adequate food – both these allow early healing and optimal recovery.
• Maintain a good oral hygiene by brushing the teeth twice a day.
• Be careful while eating fish with thorns.
• Avoid hard chips such as banana and tapioca chips for  10 days after the tonsillectomy

Dr Sonia Suprabha Venugopal

Consultant ENT & Head & Neck Surgery,Bangalore

Website:http://drsoniasv.webs.com

http://my.opera.com/soniasv

ENT Specialist Bangalore

About the Author

Dr Sonia S V is a Consultant ENT , Head & Neck Surgeon with expertise in advanced otolaryngology including endoscopic sinus surgery, microlaryngeal surgery and neurotology[ treatment of hearing loss, dizziness, tinnitus,ear diseases].Dr Sonia S V is at present practising in Bangalore.

Dr Sonia Suprabha Venugopal
MBBS MS ENT[AIIMS]
Consultant ENT & Head & Neck Surgery
Sonia & Prateek’s ENT Speciality Center,Sahakaranagar, Bangalore
Mobile:9742201211
Website: http://drsoniasv.webs.com
http://my.opera.com/soniasv
ENT Specialist Bangalore 

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Constipation Symptoms That You Must Know

constipation symptoms. If you have a routine to the toilet 2-3 times a day, but if one day you experience a change, go to the toilet to three times a week and you feel pain during defecation, you can bet you are experiencing, constipation symptoms, due to constipation can be defined the circumstances in which the intestines can not eject faces that have been dried and hardened.

Constipation Causes.
The cause of constipation is influenced by various factors; the most common cause of constipation is lack of fluid intake and also the lack of fiber that enters the body. Several drug classes also become one of the factors causing constipation. The drugs include: drug allergies, colds medicines, depression medicines, antacids, hypertension drugs, and diuretics, anti inflames, non-steroidal drugs, supplements of iron and calcium. Spinal cord disease and paralysis, and disease that you suffer Parkinson also cause constipation. A cause of constipation that occurs in older people due to the function of the muscles of the abdomen and pelvis was not able to function properly.

The Constipation Symptoms.

To find out, you are getting constipation or not, you should know constipation symptoms first. The most common symptoms of constipation and the most easily identifiable is the frequency of bowel movements are rarely, feces, or faces are hard and dry, which is too strong straining, abdominal bloating, abdominal pain, and a huge desire to defecate, but the intestine is not able to remove it.
Dizziness, headache, pale skin, tongue coated, and halitosis is also included, constipation symptoms, another.

The frequency of defecation, desire to defecate very well as dry and hard stools that are, constipation symptoms, can vary in each person.

Constipation Treatments.
Pear fruit has many benefits for the treatment of constipation. To get the ease of bowel movement, you can consume one medium sized pear fruit every morning over breakfast or after dinner. In cases of chronic constipation, patients should consume pear fruit as often as possible to get enough fiber or drinking pear juice for a few days.

Using mineral oil enema or drinking a lot of warm water can reduce constipation symptoms. Lactulosa and special electrolyte solution is strongly recommended for children and adults who suffer from chronic constipation.

Bisacodyl rectal suppository containing works by stimulating the colon to perform movements that can push the stool out. Glycerin suppository-based mixed with sodium stearate and fatty acids also serve to stimulate the defecation reflex movement.

About the Author

Musyrifin who had studied at the faculty of mathematics and natural sciences are dedicated to your health information in the form of an article, visit the constipation web site for details and find the other information on all about constipation

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