English

Abstract

INTRODUCTION: Tonsillectomy is a commonly performed ENT surgical procedure in the age groups of 7 to 40 years, for various indications like recurrent post infection Hypertrophy of Tonsils, Sleep apnea and 4 weeks following Peri-tonsillar abscess and cysts or tumors of the tonsil. The children tolerate post-operative pain better than adults. Apart from Cold steel dissection and snare method different modalities are used for tonsillectomy like Laser, Coblation, radio-frequency; In an attempt to minimize post-operative pain in patients. The post –operative pain is usually managed by NSAID drugs like diclofenac sodium, ketorol, ibuprofen and acetaminophen given over a period of 7days after surgery. Many patients in addition to the pain at the site of surgery complain of dryness of the throat, radiating pain to the jaws and ears. They also complain of sharp lancinating pain with every swallow. The post-operative healing process is important following tonsillectomy because unattended it would lead to morbid recuperation post surgically. In view of varying responses to the standard treatment with NSAIDs by the individuals undergoing tonsillectomy the present study is conducted to evaluate post tonsillectomy pain and other associated morbid symptoms. Honey is used since time immemorial for medicinal purposes. It is described in Indian Medicine, Unani medicine, Chinese medicine to name a few. It has nutritive value as well as healing properties when applied to wounds. Use of Bees honey or its products is called Apitherapy which is a science by itself. To name a few varieties Tualang honey, Manuka Honey and Indian Honey and Chinese Honey. Honey is prepared by honey bees from the natural sugar solutions called the nectar obtained from flowers or other secretions of plants and contains mixture of sugars. By addition of enzymes and evaporation of water in it, honey bees transform it into a sweet liquid. It was the sweetening agent known to the early man, and naturally found its way into traditions, rituals, customs and food of Indian households. It is the most complete natural food and ensures to get the daily doses of essential nutrients like, carbohydrates, minerals, amino acids, proteins and vitamins. (7)Honey provides 3000 calories per kilogram and a table spoon of honey provides 100 calories. In this study the patients are given 10ml oral honey 6th Hourly with the help of subjective description as well as VAS. METHODOLOGY: Study includes 78 patients divided into 2 groups, one group receiving honey in addition to parenteral antibiotic, Diclofenac sodium, and acetaminophen. The patients are divided into two groups consisting of 39 each. Group ‘A’ patients consisted of Tonsillectomy patients receiving Honey available from super markets, in addition to parenteral antibiotic, Diclofenac sodium, and acetaminophen. The group ‘B’ consisted of Patients who were treated with only parenteral antibiotic, Diclofenac sodium, and acetaminophen. The severity of pain is measured in both the groups from day 1 to 8 using VAS. In addition other morbid symptoms are also evaluated by using a questionnaire. RESULTS: Group B had a significant low scales of VAS from day 1 DOI: 10.14260/jemds/2015/115