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Rubber Band Ligation for Hemorrhoids

Rubber band ligation is a procedure in which the base of the hemorrhoid is tied with a rubber band to block blood flow to hemorrhoid. This treatment is only for inner hemorrhoid. To perform this procedure, a doctor inserts a viewing instrument (an anoscope) into the anus. The hemorrhoid is grasped with instruments and the device places a rubber band around the base of the rubber hemorrhoid. Hemorrhoid then contracts and dies, falling off in about a week.

A scar will form in place of hemorrhoid, holding nearby veins so they don't bulge into the anal canal. The procedure takes place at the doctor's office. You will be asked if you feel the rubber bands are too tight. If the bands are very painful, you may want to inject a drug into the paralyzed too.

After surgery, you may feel pain and bloat in the lower abdomen. Or you may feel that you need a bowel movement. When performed in the clinic, treatment is limited to one to two hemolyses at a time. If a person is under general anesthesia, Several hemorrhoids may be treated at one time. Additional areas may be processed at intervals of 4-6 weeks.

Pain can last 24-48 hours after rubber band ligation. Use acetaminophen (such as Tylenol) and sit in a shallow hot tub (Sitz bath) for 15 minutes at a time to relieve discomfort.

To reduce the risk of bleeding, do not take aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) for 4-5 days before and after rubber band ligation.

Bleeding can occur 7 to 10 days after surgery when hemorrhoid falls off. Bleeding is usually slight and stops spontaneously.

Doctors recommend taking stool softeners containing fiber and drinking more fluids to ensure smooth bowel movements. Straining during bowel movements can cause hemorrhoids to come back.

Why it is done

Rubber band ligations are the most widely used treatment for internal hemorrhoids. If symptoms persist after 3-4 treatments, surgery may be considered.

If there is not enough tissue to retract into the banding device, rubber band ligations cannot be used. This procedure is not appropriate for 4 degree hemorrhoids.

Rubber Band Ligation Cost

Rubber band ligation is one of the most important, cost-effective treatments for internal hemorrhoids.