Procedural Information – Hemorrhoid Banding

What is Hemorrhoid Banding?

Rubber band ligation is a procedure in which the hemorrhoid is tied off at its base with rubber bands, cutting the blood flow to the hemorrhoid. To do this procedure, a doctor inserts a viewing instrument into the anus. The hemorrhoid is grasped with an instrument, and a device places a rubber band around the base of the hemorrhoid. The hemorrhoid then shrinks and dies and in about a week falls off. A scar will form in place of the hemorrhoid, holding nearby veins so they don’t bulge into the anal canal.

The procedure is done in a doctor’s office. And an anaesthetising cream is used to alleviate pain symptoms. After the procedure you may feel pain and have a sensation of fullness in the lower abdomen. Or you may feel as if you need to have a bowel movement.

Treatment is limited to 1-3 hemorrhoids at a time, if done in a doctor’s office. Several hemorrhoids may be treated at one time if a person agrees to general anesthesia at an appropriate day procedure centre.

How to prepare for Hemorrhoid Banding?

1. Purchase Fleet Enema (latex free 133ml) over the counter from your local pharmacy.
2. Continue your medication as usual before & after your procedure.
3. Arrive at our clinic 1 hour prior to your scheduled procedure time. Our nurse will administer fleet enema and ask you to wait an hour for it to take effect. The fleet enema will have an immediate laxative effect.

What to expect after treatment?

People respond differently to this procedure. Some are able to return to regular activities, (but avoid heavy lifting) almost immediately. Others may need a few extra days of bed rest. Pain is likely for 24-48 hours after rubber band ligation. You may use Paracetomol to alleviate pain symptoms. A Sitz bath which is a special pharmacy prepared solution that you place in a shallow tub of warm water and sit in for 15 minutes can also relieve discomfort. Bleeding may occur 7-10 days after procedure, when the hemorrhoid falls off. Bleeding is usually slight and stops by itself. We recommend you take stool softeners, and drink more fluids to ensure smooth bowel movement, as straining during bowel movements can cause hemorrhoid to return. Our nurse will contact you the day after your procedure, should you have any questions please let us know.