Excessive phlegm and frequent spitting after tonsillectomy

Excessive phlegm and frequent expectoration after tonsillectomy may be a normal physiological phenomenon, or could result from pathological factors such as colds or infections. Treatment generally depends on identifying and addressing the underlying cause.

I. Physiological Factors

After tonsil surgery, mild pain during wound healing may irritate the local mucous membranes, leading to increased phlegm production. This is usually a normal physiological response and symptoms tend to gradually subside as the wound heals.

II. Pathological Factors

1. Common Cold

A cold may occur during postoperative recovery due to decreased immunity. Pathogens can irritate the upper respiratory mucosa, causing inflammatory exudation and phlegm production. Under a doctor's guidance, appropriate medications targeting the specific cause can be used. For instance, if caused by a viral infection, traditional Chinese medicines with antiviral properties—such as Pudilan Oral Liquid, Siji Kangbingdu Oral Liquid, or Lanqin Oral Liquid—may be selected to alleviate symptoms by inhibiting viral replication.

2. Infection

Infection may develop if proper postoperative care is not maintained, leading to wound contamination. Local irritation from the infection can increase secretions. Management typically involves improved wound care and using anti-infective medications as prescribed. These medications help control infection and relieve symptoms by inhibiting or eliminating bacteria. Commonly used drugs include Cefixime Dispersible Tablets, Amoxicillin Capsules, and Cefuroxime Axetil Tablets.

After tonsillectomy, it is generally recommended to maintain a light diet and avoid spicy or irritating foods to prevent inflammatory reactions that may impair recovery.