The Effectiveness of Honey in Reducing Pain in Post Tonsillectomy Patients: A Literature Review
DOI:
https://doi.org/10.37287/ijghr.v8i1.423Keywords:
honey, pain, post operative, tonsillectomyAbstract
Tonsillectomy ranks among the most frequently conducted surgical operations, however it is frequently accompanied by moderate to severe postoperative pain. Pain management is typically carried out using analgesics, although their use may result in adverse side effects. Therefore, there is a need for safe and effective complementary therapies, one of which is the use of honey. This review aims to examine the effectiveness of honey in reducing pain in post-tonsillectomy patients. The research method employed is a literature review. Relevant literature was searched through databases including Google Scholar, PubMed, Cochrane, and Mendeley between June and August 2025. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) method was used to guide the article selection process. From an initial 815 articles identified, 6 relevant studies met the inclusion criteria and were analyzed. The majority of studies reviewed demonstrated that honey significantly reduced post tonsillectomy pain compared to standard care or placebo. In addition to pain relief, honey was also reported to promote wound healing and reduce the need for additional analgesics. No serious adverse effects were noted. Based on the reviewed literature, honey effectively reduces pain levels in patients after tonsillectomy.
References
Anderson, J., & Paterek., E. (2023). Tonsillitis. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK544342/
Andwidatu, F., Riyanto, E., & Purnamasari, F. (2025). Characteristics of Tonsilectomy Patient in Waled General Hospital Cirebon for the Period of 2022 – 2023. Ibnu Sina: Jurnal Kedokteran Dan Kesehatan-Fakultas Kedokteran Universitas Islam Sumatera Utara, 24(1), 213–221.
Annisa, S. B., & Rosyid, F. N. N. (2023). The Effectiveness of Using Herbal Packages (VCO, Honey, Black Seed) as Alternative Treatment for Covid-19 in the Community. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 5(3), 788. https://doi.org/10.30829/contagion.v5i3.15379
Diyanto, V. P., & Nur, R. F. (2021). The Effect of Cold Compress Application on Pain in Post- Hemorrhoidectomy Patients. Jurnal Keperawatan Soedirman, 16(1907–6637), 86–90. http://jks.fikes.unsoed.ac.id/index.php/jks/index
Dr. Gehan Refat Hefnawy. (2022). Effect Of Taking Oral Honey In Reducing Postoperative Tonsillectomy Pain And Analgesic Dosage. Journal of Pharmaceutical Negative Results, 13(9), 2270–2275. https://doi.org/10.47750/pnr.2022.13.s09.271
Dr. Shaalini S. (2023). A Randomized Clinical Study on Post Tonsillectomy Pain Relief with Honey. PARIPEX - INDIAN JOURNAL OF RESEARCH, 12(09).
El-Seedi, H. R., Eid, N., Abd El-Wahed, A. A., Rateb, M. E., Afifi, H. S., Algethami, A. F., Zhao, C., Al Naggar, Y., Alsharif, S. M., Tahir, H. E., Xu, B., Wang, K., & Khalifa, S. A. M. (2022). Honey Bee Products: Preclinical and Clinical Studies of Their Anti-inflammatory and Immunomodulatory Properties. Frontiers in Nutrition, 8(January). https://doi.org/10.3389/fnut.2021.761267
Fadya Febyola, F., Fardian, N., Iskandar Putri, B., & Surayya, R. (2025). The Relationship Between Age, Food Consumption, and Oral Hygiene with the Symptoms of Tonsillitis in Children at State Elementary School 1 Banda Sakti, Lhokseumawe City. Journal of Pharmaceutical and Sciences, 8(2), 726–739. https://doi.org/https://doi.org/10.36490/journal-jps.com
Geißler, K., Schulze, M., Inhestern, J., Meißner, W., & Guntinas-Lichius, O. (2020). The Effect of Adjuvant Oral Application of Honey in The Management of Postoperative Pain After Tonsillectomy in Adults: A pilot study. PLoS ONE, 15(2), 0–10. https://doi.org/10.1371/journal.pone.0228481
Hermawan, G. D., & Rosyid, F. N. (2024). The Effect of Benson Relaxation Technique to Reduce Acute Pain in Postoperative Patients: A Case Report. Malahayati International Journal of Nursing and Health Science, 7(2), 190–195. https://doi.org/10.33024/minh.v7i2.117
Hosseini, S. J., Hosseini, S. R., & Firooz, M. (2025). Complementary Medicine for Post-Tonsillectomy Pain Management in Children: A Network Meta-Analysis. Annals of Medicine & Surgery, 87(7), 4426–4434. https://doi.org/10.1097/ms9.0000000000003381
Jensen, D. R. (2021). Pharmacologic Management of Post-Tonsillectomy Pain in Children. World J Otorhinolaryngol Head Neck Surgery, 7(3), 186–193. https://doi.org/doi: 10.1016/j.wjorl.2021.03.004.
Lubis, A. S., Herwanto, H. R. Y., Rambe, A. Y. M., Munir, D., Asroel, H. A., Ashar, T., & Lelo, A. (2023). The Effect of Honey on Post-Tonsillectomy Pain Relief: A Randomized Clinical Trial. Brazilian Journal of Otorhinolaryngology, 89(1), 60–65. https://doi.org/10.1016/j.bjorl.2021.08.007
Permata Sari, A. T., & Rosyid, F. N. (2024). The Correlation Between Pre Operative Anxiety Levels and Post Operative Pain Intensity in Femoral Fracture Patients. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 6(1), 627. https://doi.org/10.30829/contagion.v6i1.19786
Puspariny, C., & Cikwanto, C. (2025). Giving Honey And Vitamin C Supplements On The Intensity Of Dysmenorrhea Pain. JKM (Jurnal Kebidanan Malahayati), 11(7). https://doi.org/10.33024/jkm.v11i7.21198
Raoufian, H., Nasiri, E., Ghafari, R., & Akbari, H. (2020). The Effect of Gargling Cold Normal Saline in Comparison to Normal Saline Mixed with Honey on Postoperative Pain Relief in Tonsillectomy or Adenotonsillectomy: A Randomized Clinical Trial. Iranian Red Crescent Medical Journal, 21(12). https://doi.org/10.5812/ircmj.94971
Rini Indah Pratiwi, & Dian Hudiyawati. (2024). Penerapan Teknik Relaksasi Genggam Jari terhadap Penurunan Rasa Nyeri pada Pasien Post Operasi Kraniotomi. Jurnal Ventilator, 2(2), 92–101. https://doi.org/10.59680/ventilator.v2i2.1188
Smith, K. L., Hughes, R., & Myrex, P. (2023). Tonsillitis and Tonsilloliths: Diagnosis and Management. American Family Physician, 107(1), 35–41. https://pubmed.ncbi.nlm.nih.gov/36689967/
Sommerfield, D., Sommerfield, A., Evans, D., Hauser, N., Vijayasekaran, S., Bumbak, P., Herbert, H., Locher, C., Lim, L. Y., Khan, R. N., & von Ungern-Sternberg, B. S. (2025). Impact of Honey on Post-Tonsillectomy Pain in Children (BEE PAIN FREE Trial): A Multicentre, Double-blind, Randomised Controlled Trial. Anaesthesia, October 2024, 946–958. https://doi.org/10.1111/anae.16619
Swain, S. K. (2021a). Current Treatment of Post-Tonsillectomy Pain: a review. International Journal of Otorhinolaryngology and Head and Neck Surgery, 7(10), 1708. https://doi.org/10.18203/issn.2454-5929.ijohns20213911
Swain, S. K. (2021b). Post-Tonsillectomy Pain Management in Pediatric Patients-A Review. Wulandari, N., Rosyid, F. N., Handayani, T., & Mulyadi. (2023). Penerapan Terapi Distraksi Dan Relaksasi Terhadap Penurunan Tingkat Nyeri Penderita Kanker Payudara: Literature Review. Health Information : Jurnal Penelitian, 15(3), 1–10.
International Journal of Contemporary Pediatrics, 8(9), 1637. https://doi.org/10.18203/2349-3291.ijcp20213336
Wiratama, P. J., Yudhanto, D., & Dirja, B. T. (2023). Sebuah Tinjuan Pustaka: Tonsilitis Kronis. Jurnal Medika Hutama, 4(02 Januari), 3244–3250. https://www.jurnalmedikahutama.com/index.php/JMH/article/view/599
Yeoh, M. F., Sommerfield, A., Sommerfield, D., & von Ungern-Sternberg, B. S. (2024). The Use of Honey in The Perioperative Care of Tonsillectomy Patients—A Narrative Review. Paediatric Anaesthesia, 34(10), 988–998. https://doi.org/10.1111/pan.14938
Yunyaty Harianja, W., & Septyani, A. (2021). The Effect Of Giving Pure Honey Drink on The Reduction of Menstrual Pain (Dysmenorrhea) In Adolescent Private Vocational School. Jurnal Profesi Bidan Indonesia (JPBI), 1(1), 2798–8856. https://pbijournal.org/index.php/pbi
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