Hemorrhoid Banding

What is hemorrhoid banding?
Hemorrhoid banding is a procedure in which the hemorrhoid is tied off at the base with a rubber band, cutting off the blood flow to the hemorrhoid causing it to shrink and fall off in 1-2 weeks. Hemorrhoid banding is performed to treat severely bleeding hemorrhoids and hemorrhoids that protrude through the anus (called prolapsing hemorrhoids).

How do I prepare for the procedure?
On the day of your procedure, wear comfortable clothing that is easy to remove. You may eat your regular diet and take your medications as usual. Colon cleansing preparations are not required for the procedure. You will be allowed to drive home after the procedure.

What should I expect during the procedure?
The procedure will be performed at your doctor’s office. Your doctor will review your medical history and perform a rectal exam. The doctor will insert a viewing instrument (anoscope) into the anus. The hemorrhoid is treated with a special banding tool and a rubber band is placed at the base of the hemorrhoid. Patients may report some discomfort during and after this procedure. If you feel sharp or severe pain, tell the doctor immediately. Hemorrhoid banding often requires multiple treatments and your doctor will let you know when you should return for another appointment.

Are there any complications associated with hemorrhoid banding?
Complications associated with this procedure are rare. However if you if you have an infection, excessive bleeding, difficulty urinating, difficulty passing stool, swelling and pain from remaining hemorrhoids, notify your doctor right away.

What should I expect after the procedure?
Expect some bleeding and discomfort. Your doctor may also recommend sitz baths (warm baths). For a few days after the procedure, you may have difficulty controlling passage of gas and bowel movements. Use a stool softener, exercise, drink plenty of fluids, and eat plenty of high-fiber foods (fruits, vegetables, beans, and whole grains) to prevent constipation and straining during bowel movements. 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. Apply creams or ointments as directed by your doctor. Avoid heavy lifting for two or three weeks.