Postoperative Ibuprofen Use and Risk of Bleeding in Pediatric Tonsillectomy

Inclusion Criteria: * Male and female patients ages 2-18 undergoing tonsillectomy with or without adenoidectomy by electrocautery alone for all indications * Patients with complex medical conditions and craniofacial abnormalities will be included. * Family must understand and be able to read English. * Only patients who are not pregnant will be included. * Informed consent and, child assent (when appropriate) will be required for enrollment. Patients will provide signed and dated informed consent form. * Subjects will be willing and able to comply with all study procedures and be available for the duration of the study. Exclusion Criteria: * Patients with a known personal or family history of a bleeding disorder. * Patients with a history of asthma, kidney or liver problems. * Patients with tonsillectomy or adenoidectomy performed using a cold knife technique, microdebrider, coblation or plasma knife. * Patients on NSAIDs for other medical conditions or those who have taken NSAIDs within 1 week of surgery * Patients with allergy to aspirin or other NSAIDs, acetaminophen, Red Dye #40 or Red Dye #33 * Patients found to be pregnant will be excluded from participation. Pregnancy testing using urine beta-HCG will be performed on all children \> 13 years of age, or those younger than 13 who are menstruating; this is the testing protocol used at the Children's Hospital of Boston. Patients unwilling to enroll in the study will have the tonsillectomy with or without adenoidectomy …