Dr. Howard Smith Oncall

Ibuprofen Increases Bleeding After Tonsillectomy

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Synopsis

  Vidcast:  https://youtu.be/FopRSkMu_F8   If your child has a tonsillectomy, don’t use ibuprofen, Motrin or Advil, to control post-operative pain.  A study from Harvard’s Boston Children’s Hospital shows that these drugs increase the risk of bleeding following tonsillectomy by 36%.   The study analyzed more than one-half million children under 18 years who underwent tonsil removal between 2004 and 2015.  Another NSAID, ketoralac, a non-steroidal anti-inflammatory drug often used in the recovery room, increased the bleeding risk by nearly 40%.   How do you then help your kid get through recovery.  Use acetaminophen, Tylenol, every 4 hours and give them plenty of sugar.  I put my tonsillectomy patients on the Twinkie diet since sugar does damp pain.   https://journals.sagepub.com/doi/full/10.1177/0194599820970943   #bleeding #tonsillectomy #ibuprofen #nsaids