What is Hemorrhoidal Banding?
Hemorrhoids are swollen and inflamed veins in the anus and rectum that can cause bleeding and discomfort. While they are relatively common in adults, they can be very annoying or cause great discomfort for some.
Hemorrhoidal banding, also known as rubber band ligation, is considered to be the most effective nonsurgical treatment for internal hemorrhoids over the long term. It is a minimally invasive method to stop the blood flow to the hemorrhoids, causing them to eventually fall off.
There are two different types of hemorrhoids: internal and external. External hemorrhoids are located under the skin around the anus, while internal hemorrhoids are located inside the rectum. Hemorrhoidal banding is used to treat internal hemorrhoids, which can be divided into stages, including:
First-Degree Internal Hemorrhoids
These bulge into the anal canal during bowel movements.
Second-Degree Internal Hemorrhoids
These hemorrhoids bulge from the anus during bowel movements but go back inside on their own.
Third-Degree Internal Hemorrhoids
These bulge from the anus during bowel movements but must be pushed back inside with a finger.
Fourth-Degree Internal Hemorrhoids
These hemorrhoids protrude from the anus at all times.
Hemorrhoidal banding is usually performed on grade 1 or 2 internal hemorrhoids. Once hemorrhoids reach grade 3 or 4, surgery is commonly recommended.
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How is Hemorrhoidal Banding Performed?
Hemorrhoidal banding is an outpatient procedure and is performed using topical or general anesthesia, depending on the severity of your hemorrhoids. A tube with a light at the end called an anoscope is placed into the rectum. Then, a small tool called a ligator will be placed through the anoscope to the area of the hemorrhoid. The ligator will be used to place 1-2 rubber bands around the base of the hemorrhoid to contract blood flow.
Following Hemorrhoidal Banding
Hemorrhoidal banding is typically an outpatient procedure, so you can return home to recover. Over the next couple of weeks, the hemorrhoid that was banded will shrivel up and fall off. Many individuals do not even notice when their hemorrhoid falls off, as they usually painlessly pass with bowel movements.
Following this treatment, some people may experience some bleeding, which is completely normal. Temporary discomfort may also occur, including gassiness, abdominal pain or swelling and constipation. Your doctor may recommend laxatives or stool softeners to help with bloating and constipation. Please do not hesitate to reach out to our office if you have any questions or concerns following your treatment.
Hemorrhoid and Hemorrhoid Banding FAQs
How long does it take for hemorrhoids to go away?
Hemorrhoids will usually go away by themselves within 2-7 days, depending on the size of the hemorrhoid. Large external hemorrhoids often take longer to heal. You may need to visit a South Denver GI provider for treatment if it does not heal itself within a few days.
Can hemorrhoids be cured?
Hemorrhoids often go away on their own but may need medical treatment (creams, suppositories, banding). However, this is not a cure and there is the possibility that more hemorrhoids will return.
When should I worry about hemorrhoids?
If you are in constant pain or notice bleeding before, during or after a bowel movement, you should visit a gastroenterologist since these can be signs of a more serious issue. You should also be concerned if you have changes to the color of your stool or notice an anal lump growth.
Can a hemorrhoid pop?
If a blood clot forms inside the hemorrhoid or too much blood builds up in a hemorrhoid, it can burst. However, this should not cause any damage and can usually be treated at home by soaking the area in a warm bath.
How long after hemorrhoid banding do you feel better?
After your procedure, you may experience a dull ache but you should feel better within two days after hemorrhoidal banding. The band may make you feel you need to have a bowel movement, which is a normal sensation.
How do you prepare for a hemorrhoid banding?
Tell your South Denver GI provider about any current medications you are taking.
Is hemorrhoid banding worth it?
Hemorrhoidal banding is a safe and effective non-surgical approach for removing hemorrhoids so it can be worth having if your hemorrhoid is large or painful. When deciding whether to have hemorrhoidal banding, its important to research qualified providers who will effectively and safely remove your hemorrhoid. At South Denver GI, our providers have expertise in hemorrhoidal banding using the CRH O’Regan System® - a simple treatment that can be performed in just minutes with little to no discomfort and no sedation needed.
How long does it take to recover from hemorrhoid banding?
Your hemorrhoids should shrink 1-2 weeks after hemorrhoidal banding. Avoid heavy lifting and strenous activity for two days after the procedure and try to avoid straining during your bowel movements since this can cause more hemorrhoids.
Is hemorrhoidal banding painful?
During the first day or two after your procedure, you may experience moderate pain that can be alleviated with Tylenol or acetaminophen. After this time, the pain should be minimal but you may feel some discomfort for 1-2 weeks after hemorrhoidal banding.
Your South Denver GI Team
At South Denver GI, our team of physicians and advanced practice providers have the expertise to provide you with outstanding care. If you would like to learn more about Hemorrhoidal Banding or need to schedule an appointment at our office, contact us today!
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