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Hemorrhoid banding is a minimally invasive procedure used to treat symptomatic hemorrhoids in which the hemorrhoid is tied off at its base with rubber bands, cutting off the blood flow. The procedure can be used to treat both internal and external symptoms.
Hemorrhoid banding is typically recommended when conservative treatments and lifestyle changes have not provided relief for hemorrhoid symptoms. Here are some common situations when hemorrhoid banding may be needed:
The procedure takes place in our office and lasts roughly 60 seconds. You can expect your total visit to last between 15-30 minutes. The procedure itself is painless; during the first 24 hours, you may experience a feeling of fullness or a dull ache in the rectum, but over-the-counter pain medication will provide sufficient relief.
If you have multiple hemorrhoids, you’ll likely need to return for separate treatments for each one. This approach allows gastrointestinal specialists to monitor your progress closely and ensure the complication rate is kept to an absolute minimum.
Before the procedure, you should tell your gastrointestinal doctors about any prescription medications, over-the-counter drugs, or herbal supplements you use.
If you are having anesthesia, you may need to avoid eating or drinking for several hours before the procedure. Consult with your gastroenterologists to find out if you need to fast.
While the procedure is straightforward, it is always a good idea to have a ride home after hemorrhoid banding. To avoid straining, which could lead to complications, you might also benefit from having someone stay with you and help around for a day or two after the procedure.
You may benefit from hemorrhoid banding if you have large hemorrhoids that are not responding to non-surgical treatment. Our doctors always recommend patients try lifestyle and diet changes first, of course, but banding is an effective solution when conservative approaches fail.
Before considering hemorrhoid banding, try these home remedies:
Topical treatments - suppositories or over-the-counter creams containing hydrocortisone may help shrink hemorrhoids
A high-fiber diet - consisting of fruits, vegetables, and whole grains helps soften stools, which makes the stool easier to pass and helps prevent straining that can worsen hemorrhoid symptoms
A warm bath or sitz bath – simply soaking your anal area in plain warm water for about 10 to 15 minutes, two to three times per day, can help
Oral pain relievers - such as acetaminophen, ibuprofen, and aspirin can provide temporary pain relief
There are no nerve endings at the base of the hemorrhoid, which means hemorrhoid banding is virtually painless.
Your doctor might recommend a clear liquid diet for a day following the procedure. Clear liquids include broth, juice, and clear soda.
In the days that follow, add foods that are high in fiber, such as beans, broccoli, berries, and whole grains. Avoid foods known to cause constipation, such as processed foods, red meat, and dairy.
Recovery time from hemorrhoid banding depends largely on the individual patient and the technique used. Hemorrhoids will fall off a few days after the procedure, but it will take one to two full weeks for the treated tissue to heal.
As long as your job or other activities do not involve heavy lifting, you may be able to return to your normal routine after the procedure. Over-the-counter pain relievers, such as acetaminophen, should be enough to manage discomfort. Consult with your doctor for more information on when you can resume your normal activities.
Hemorrhoid banding works by placing a small rubber band around the base of the hemorrhoid, cutting off its blood supply. This causes the hemorrhoid to shrink and eventually fall off.
Hemorrhoid bands are small, typically cylindrical rubber bands that are placed around the base of the hemorrhoid during the banding procedure. They are made of medical-grade materials and are sterile to minimize the risk of infection. While they share similarities with regular rubber bands, hemorrhoid bands are intended for use in medical treatments and are not the same as standard rubber bands used for everyday purposes.
Common side effects of hemorrhoid banding include pain, discomfort, bleeding, and swelling around the anus. In rare cases, more severe complications such as infection or urinary retention may occur. Contact your doctor if you start experiencing severe symptoms.
Hemorrhoid banding is not always permanent. While it can provide long-term relief for many individuals, there is a possibility of hemorrhoids recurring over time, especially if underlying factors such as constipation or straining during bowel movements are not addressed.
Hemorrhoid banding is generally considered safe when performed by a qualified healthcare professional. However, like any medical procedure, there are risks involved, including infection, bleeding, and rare complications such as anal fissures or narrowing of the anal canal.
Some bleeding after hemorrhoid banding is normal and expected. However, if bleeding is excessive or persists for an extended period, it's essential to contact your healthcare provider for further evaluation and management.
Hemorrhoid banding is highly effective in treating symptomatic internal hemorrhoids, with success rates ranging from 70% to 90%. However, individual outcomes may vary depending on factors such as the severity of the hemorrhoids and patient compliance with post-procedure care.
In many cases, insurance plans cover hemorrhoid banding when it is deemed medically necessary. However, coverage may vary depending on your insurance provider and specific policy details.
Check with your insurance company to determine your coverage options.
