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
When should I worry about hemorrhoids?
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How long after hemorrhoid banding do you feel better?
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How do you prepare for a hemorrhoid 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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