1. Mild discomfort from the surgery should be relieved by Tylenol.

2. A small amount of drainage, possibly even blood-tinged drainage, is common during the first few days after the tubes are placed. If the drainage continues for more than 3 days, call your doctor.

3. Water should be kept out of the ears while the tubes are in place. If water enters the ear canal and enters the middle ear through the tube, an infection can occur. While bathing, place cotton balls covered with vaseline in the ears. Swimming is discouraged, but ear plugs must be worn when your child is in the pool.

4. The ear may drain mucus or pus at any time after surgery. This may be due to getting water in the ear, allergies or a cold. If this happens, call your doctor. You will likely be instructed to start ear drops.

5. The tubes usually stay in place for 6-12 months, then fall out on their own. Sometimes they fall out sooner. Rarely, they must be removed surgically.

6. Pain may be felt in the throat and ears after the adenoidectomy. There may also be some blood streaked mucus draining from the nose for 1-2 days. If there is a large amount of blood coming from the nose or the mouth, call your doctor.

7. Nasal regurgitation of fluids and solids sometimes occur. This is almost always self-limited.

8. The throat will feel raw and sore for several days following surgery.

9. The ear will probably hurt, but this is normal and does not indicate an ear infection or problems with the ears.

10. The uvula may become swollen and may cause a choking sensation for the first 24 hours.

11. Consumption of fluids is very important and should be repeatedly encouraged. Avoid spicy foods; avoid citrus juices like orange juice, lemonade, etc., as it will cause a burning sensation. Avoid any food with sharp or ragged edges, such as, taco chips, corn flakes, et cetera. Ice cream, Popsicles, and Jell-O usually tastes good; advance diet to soft foods as tolerated. It is not necessary to eat hard solid foods for several weeks.

12. If any questions or problems arise, contact the Head and Neck Surgery clinic at union city (510) 675-4241, fremont (510)248-3085.