This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Ear, Subject name: ENT
Ramu, 15 yrs of age presents with haemorrhage 5 hrs after tonsillectomy. Treatment of choice is 
Select and explain. 
A. External gauze packing, B. Antibiotics & mouth wash, C. Irrigation with saline, D. Reopen immediately
D: Reopen immediately
Answer: D: Reopen immediately 
Explanation: Ans. is 'd' i.e Reopen immediately Post tonsillectomy haemorrhages can be of two types :Primary or reactionary- occurs with in a few hrs of the operation (by definition within 24 hrs)Secondary haemorrhage- usually seen between 5th to 10th post - op dayIt is due to infection.*MxPrimary - return to the operation theatre where the bleeding vessel is ligated under anesthesia.Secondary - Patient should be readmitted to hospital;An appropriate dose of morphine for adults or heroin for children is injectedA course of systemic antibiotics.Bleeding vessel is searched and ligated if the conservative methods fail which is not common.Remember:MC vessel responsible for post tonsillectomy haemorrhage*- Palatine vein {also called as external palatine vein)