• Thrombosed hemorrhoids (those that contain a blood clot).
• Prolapsed internal hemorrhoids (swelling that originate from within but has come
out of the anus due to swelling).
Rubber Band Ligation is not recommended for external hemorrhoids or those that protrude
outside the body and are not restored to it original internal position once the swelling
is gone. The procedure is not also recommended for 1st degree hemorrhoids as there
are no swollen tissues where the bands can be attached.
The procedure involves placing one or two rubber bands around the base of the hemorrhoids.
This cuts off the supply of blood on the swollen vessel and the hemorrhoid falls
off after a week or more due to the absence of blood supply.
This procedure can be very painful during and after the banding. Your doctor will
give you a local anesthesia that will numb the area that is treated. While waiting
for the hemorrhoids to fall off, you are to take oral pain relievers or anesthetic
The procedure might be a little primitive if you examine closely but this is among
the most effective treatment there is, with no side effects whatsoever. This is also
very affordable and can be performed right in your doctor’s office.
It is recommended that banding of hemorrhoids will only be done for one or two swollen
pile at a time. If there are multiple hemorrhoids left, further procedures can be
scheduled in four to six weeks interval. Doctors also perform multiple banding for
patients who want to have everything gone in a single phase. However, this will require
that the procedure be done in an operating room because of the possibility of extreme
pain requiring a general anesthesia. You might have to be confined in a medical institution
while the bands are still in place if you experience intolerable pain.
Once the bands are in place, expect to feel continuous pain for the next 24 or 48
hours where you will be prescribed pain medications. You might also feel the sensation
of fullness in your lower abdomen and the need to have a bowel movement. These are
normal sensations and should not be a cause for alarm.
Recovery from hemorrhoid banding might take two to three weeks after the hemorrhoids
fall off. This is the period where the wounds are healing. After such, you will be
required to visit your doctor for a follow up check up.
Risk And Benefits
While hemorrhoid banding is cheap, easily performed and the post banding condition
does not require professional care, it is not for everybody. Some people may have
allergic reactions to anesthesia and caution must be taken if you have this condition.
It is best to discuss with your doctor regarding the need for a procedure vis-à-vis
the risks involved. Also, if you have a very low pain tolerance level, you might
find the whole experience excruciating and very inconvenient.
There are a lot of pain sensors in you anal area and it might be possible that banded
hemorrhoids are also located in these areas. A local anesthesia is usually not enough
to totally stop the pain from being felt.