Rubber Band Ligation for Hemorrhoids: A Patient’s Guide
As a proctologist with over 15 years of experience, I understand that the thought of hemorrhoid treatment can be intimidating. Let me walk you through what to expect during rubber band ligation, one of the most common and effective procedures for internal hemorrhoids.
What is Rubber Band Ligation?
Rubber band ligation is a non-surgical procedure where a small rubber band is placed around the base of an internal hemorrhoid. This cuts off blood supply, causing the hemorrhoid to shrink and fall off within about a week.
Before the Procedure
- No special preparation or fasting is usually required
- Inform your doctor about any medications you’re taking
- Tell your doctor if you have any bleeding disorders
- A bowel movement before the procedure can be helpful
During the Procedure
- The procedure typically takes 5-10 minutes
- No anesthesia is usually needed
- You’ll lie on your side
- A small device called an anoscope is inserted
- The doctor places the rubber band using a special tool
- You may feel a slight pinch or pressure
Expected Sensations
| Sensation | Duration |
|---|---|
| Pressure/Fullness | 24-48 hours |
| Mild Pain | 2-3 days |
| Minor Bleeding | When hemorrhoid falls off (5-7 days) |
When to See a Doctor
Contact your healthcare provider immediately if you experience:
- Severe pain lasting more than 24 hours
- Heavy bleeding
- Fever over 101°F
- Inability to urinate
- Severe swelling
Post-Procedure Care
- Resume normal activities immediately
- Avoid heavy lifting for 24 hours
- Take warm baths (sitz baths) 2-3 times daily
- Use prescribed pain medication if needed
- Maintain soft stools with fiber and water
Frequently Asked Questions
- Is the procedure painful?
Most patients experience minimal discomfort during the procedure. - How many treatments will I need?
Typically, only one hemorrhoid can be banded per session, with sessions spaced 4-6 weeks apart. - What is the success rate?
About 80% of patients experience relief after treatment. - Can I drive home after?
Yes, you can drive yourself home after the procedure. - Will I need time off work?
Most patients return to work the same day or next day.
Remember, while rubber band ligation is generally safe and effective, it’s important to follow all post-procedure instructions and maintain good bowel habits to prevent future hemorrhoids.
