In a toddler post-tonsillectomy, which finding indicates a sign of hemorrhage?

Frequent swallowing is an important sign to monitor in a toddler who has undergone a tonsillectomy, as it can indicate a potential hemorrhage. This occurs when the child swallows more frequently to clear blood or fluid from the throat, which may be a response to bleeding. After a tonsillectomy, the risk of hemorrhage is a significant concern in the post-operative period, generally within the first few days.

While low-grade fever, restlessness, and visible throat redness may occur after surgery, they are not specific indicators of hemorrhage. A low-grade fever can be a normal post-operative finding as the body responds to surgical trauma. Restlessness can have various causes, including discomfort, anxiety, or the effects of anesthesia. Visible throat redness is common following surgery due to inflammation but does not definitively indicate active bleeding. Frequent swallowing, therefore, stands out as a more direct and concerning sign that should prompt further assessment for potential hemorrhage.