Hemorrhoid Banding

If you take a medication to thin your blood and have not already discussed this with our office, please call us at 612-871-1145.
If you take aspirin, you may continue to do so.
If you are or may be pregnant, please discuss the risks and benefits of this procedure with your doctor.
If you must cancel or reschedule your appointment, please call 612-871-1145 as soon as possible.

PREPARATION
To ensure a successful exam, please follow all instructions carefully.

The day of your procedure:
• There are no dietary restrictions.
• Preparation is not required.
• Continue all medications as usual.
• Wear loose fitting clothing to the appointment.

When you leave for your procedure:
• Bring a list of all of your current medications, including any allergy or over-the-counter medications.
• Bring a photo ID as well as up-to-date insurance information, such as your insurance card and any referral forms that might be required by your payer.
• Co-pays are required on the day of your appointment.

DESCRIPTION OF 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).

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.

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.

What are the possible 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.

12/21/2009