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Hemorrhoid Banding

Hemorrhoid Banding is a non-surgical treatment for symptomatic internal hemorrhoids using endoscopic placement of a rubber band placed on the hemorrhoid in the rectum

Hemorrhoid Banding

What to Expect

You will be given medication through your vein to sedate you. The doctor will use an anoscope. It is inserted into the rectum to allow access to the hemorrhoid. This is a small tube with a light on the end. A small tool called a ligator is inserted through the anoscope. The ligator will be used to place a rubber band at the base of the hemorrhoid. This restricts blood flow to the hemorrhoid. If you have more hemorrhoids, the doctor will continue this process for all of them.

If you have any blood clots, the doctor will remove them during the procedure. In most cases, hemorrhoid banding will only take a few minutes. If you have several hemorrhoids, it can take longer.

Applicable Conditions


Prior to hemorrhoid banding, the doctor will make sure you understand the procedure and instruct you on any steps you should take to prepare. Make sure to discuss any medications you are taking with your physician, including prescribed medications, over-the-counter medications, supplements or herbal remedies you take. In general, preparation consists of one or two enemas prior to the procedure, but may also include a laxative or dietary modifications. Because you will receive anesthesia, you will need to avoid eating or drinking eight hours before the procedure.

You will need an adult who can drive you home safely following the procedure. Since you are sedated for this procedure, your reflexes may be slowed, and your judgment altered. You will be instructed to refrain from driving for the rest of the day.

It is also a good idea to have someone stay with you for a few days after the hemorrhoid banding procedure. They can help you around the house so you can avoid straining. This may help you avoid complications.

After a hemorrhoid banding procedure, the hemorrhoids will dry up and fall off on their own. This can be a one to two-week process. You probably will not even notice that they go away. They usually pass with your bowel movements after they are dried up.

For a few days, you may experience some discomfort such as:

  • Gas
  • Abdominal pain
  • Constipation
  • Abdominal swelling

The doctor may recommend taking a laxative to help relieve bloating and constipation. Or, they may suggest a stool softener. For a few days, you may notice some bleeding. This is normal. However, if it doesn’t stop in two or three days, contact the doctor.

Hemorrhoid banding is a safe procedure. As with most medical procedures, there are a few risks. These include:

  • Infection
  • Fever and chills
  • Excessive bleeding with bowel movements
  • Difficulty urinating
  • Recurring hemorrhoids

If you notice any of these symptoms, call the doctor as soon as you can. It is important that you refrain from rigorous activities right after the procedure to help reduce the risk of complications.

After you get home, you should call the doctor if any of these occur:

  • If you start passing large amounts of blood
  • If you have any signs of infection including chills or fever
  • Constipation or difficulty urinating
  • Pain that is not controlled by the medications you’ve been given
  • If you develop aching in the area between your rectum and genitals

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