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Hemorrhoid Banding

What is hemorrhoid banding?

Hemorrhoids are veins in the tissues at the opening of the anus that become enlarged. They can cause pain, bleeding, and/or itching. A person who has hemorrhoids may also have clots forming in the hemorrhoid tissue. Your bowel may treat the clots like a bowel movement and try to push them out of your body.

Hemorrhoid banding is a procedure in which the doctor puts a tight band around the hemorrhoid to control bleeding. Then the doctor will either remove the blood clot or let it wither and heal on its own.

When is it used?

Hemorrhoid banding is one method of treating hemorrhoids. Examples of alternatives to this procedure are:

bulletto remove the hemorrhoids with a laser or with regular surgery
bulletto use a fluid to harden the hemorrhoids
bulletto freeze the hemorrhoids
bulletto try anesthetic ointments and sitz baths
bulletto choose not to have treatment, recognizing the risks of your condition.

You should ask your doctor about these choices.

How do I prepare for hemorrhoid banding?

Plan for your recovery and care following the operation. Follow instructions provided by the doctor.

What happens during the procedure?

You may need no anesthesia or you may receive a local anesthetic. A local anesthetic numbs part of your body while you remain awake. It should keep you from feeling pain.

The doctor will put an anoscope (a tubelike instrument for examining the lower rectum and anal canal) into your anus and expose the affected hemorrhoids. He or she will put a tight band around the enlarged vein and either cut the hemorrhoid open, remove the blood clot, and let the vein heal, or let the hemorrhoid dry up and fall off.

What happens after the procedure?

You will need to take sitz baths, use stool softeners, and apply ointments to the area. Avoid all heavy lifting for 2 or 3 weeks. You may return to work in a few days or weeks, depending on the type of work you do. You also may have trouble passing urine and controlling gas and bowel movements for a few days after this operation.

Ask your doctor what other steps you should take and when you should come back for a checkup.

What are the benefits of this procedure?

You will be relieved of itching, painful, and bleeding hemorrhoids.

What are the risks associated with this procedure?

bulletA local anesthetic may not numb the area quite enough and you may feel some minor discomfort. Also, in rare cases, you may have an allergic reaction to the drug used in this type of anesthesia.
bulletYou may have trouble urinating.
bulletThe wound may scar and leave a smaller opening in the rectum, making it difficult to have bowel movements.
bulletThe remaining hemorrhoids may become inflamed.
bulletThe hemorrhoids may recur.
bulletThere is a risk of infection and bleeding.

You should ask your doctor how these risks apply to you.

When should I call the doctor?

Call the doctor immediately if:

bulletYou begin to bleed a lot.
bulletYou develop worsening pain in the area.
bulletYou develop a fever.
bulletYou are unable to urinate or have bowel movements.

Call the doctor during office hours if:

bulletYou have questions about the procedure or its results.
bulletYou want to make another appointment.

Barium Esophagram
Cholecystectomy
Colonoscopy
Colon Cancer Screening
EGD
ERCP
Esophageal Dilation
Esophageal Manometry
Esophageal pH
Fundoplication
Hemorrhoid Banding
Hemorrhoidectomy
Lactose Tolerance Test
Liver Biopsy
LGI-Barium Enema
PEG
Sigmoidoscopy
Stool Acidity Test
Upper GI Series

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