(Hemorrhoid Ligation; Rubber Band Ligation for Hemorrhoids)
Editorial Staff and Contributors
are enlarged, bulging blood vessels in the anus and lower rectum.
Hemorrhoid banding is a procedure to remove
Reasons for Procedure
Banding is used to treat painful, swollen hemorrhoids. The procedure is most often done for the following reasons:
- Severely bleeding hemorrhoids
- Severely painful hemorrhoids
- Hemorrhoid containing a blood clot (thrombosed hemorrhoid)
- Hemorrhoids that protrude through the anus (prolapsed hemorrhoids)
Grade 2 Hemorrhoid
Copyright © Nucleus Medical Media, Inc.
Complications are rare, but no procedure is completely free of risk. If you are planning to have hemorrhoid banding, your doctor will review a list of possible complications, which may include:
- Recurrence of hemorrhoids
- Swelling and pain from remaining hemorrhoids
- Adverse reaction to the local anesthetic (if used)
What to Expect
Prior to Procedure
Your doctor may do the following:
- Physical exam
- Rectal exam
- Anoscopy—the visual examination of the inside of the anus using a short tube (anoscope) to help keep the sphincter open
- Sigmoidoscopy—the use of a specialized endoscope (a tube attached to a viewing device) to examine the inside of the anus, rectum, and lower intestine
The procedure does not typically call for anesthesia. A local anesthesia may be used in some cases to numb the area.
Description of the Procedure
An anoscope will be inserted through the anus. The doctor will look through the tube to see inside the rectum and locate the hemorrhoid. The doctor will then use a special banding tool. The tool will place a small rubber band around the hemorrhoid. The band cuts off the blood supply. This will make the hemorrhoid fall off. More than one hemorrhoid may be banded. The band and the hemorrhoid will fall off in about 1-2 weeks.
How Long Will It Take?
This is a relatively quick procedure. The length of time depends on how many hemorrhoids need treatment.
Will It Hurt?
Patients often report some discomfort during and after this procedure. If you feel sharp or severe pain, tell the doctor immediately. Mild pain medicine will help you manage discomfort during recovery.
For a few days, you may have difficulty controlling the passage of gas and bowel movements. When you return home after the procedure, do the following to help ensure a smooth recovery:
- Ask your doctor about when it is safe to shower, bathe, or soak in water. If your doctor says it is okay, take sitz baths as recommended. Sitz baths will help relieve discomfort and clean the area. For a sitz bath, sit in warm water for 10-15 minutes. Pat the area dry. Do not wipe or rub vigorously. You may be advised to take a sitz bath every four hours and after every bowel movement. Devices are available to place on top of the toilet to make this process easier.
- Move your bowels as soon as you feel the urge.
- Do not strain, bear down, or hold your breath during a bowel movement.
- Do not sit on the toilet for long periods of time.
and straining during bowel movements, use a stool softener, exercise, drink plenty of fluids, and eat plenty of high-fiber foods (such as
fruits, vegetables, beans, and
- Apply creams or ointments as directed by your doctor.
- Avoid heavy lifting for two or three weeks.
Be sure to follow your doctor’s
Expect some bleeding when the hemorrhoid falls off. See your doctor for a follow-up 3-4 weeks after the procedure.
Call Your Doctor
After arriving home, contact your doctor if any of the following occurs:
- Passing large amounts of blood
- Signs of infection, including fever and chills
- Pain that you cannot control with the medicines you have been given
- Constipation or trouble urinating
- An aching feeling develops in the area between the rectum and the genitals
In case of an emergency, call for medical help right away.
American Society of Colon and Rectal Surgeons
National Digestive Diseases Clearinghouse
Canadian Digestive Health Foundation
American Society of Colon and Rectal Surgeons website. Available at:
Last reviewed October 2012 by Peter Lucas, MD
Last Updated: 10/11/2012
Copyright © 2013 EBSCO Publishing All rights reserved.
Sponsored by iHerb.Com
Positively the best overall value for natural products!
Statements made, or products sold through this web site, have not been evaluated by the Food and Drug
Administration. They are not intended to diagnose, treat, cure, or prevent any disease. Read More
Copyright 1997-2013 iHerb Inc. All rights reserved.