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What is a Hemorrhoidal Banding?

Hemorrhoids are pockets of swollen blood vessels inside the anus. While they can be uncomfortable, they’re relatively common in adults. Hemorrhoid banding, also called rubber band ligation, is a treatment method for hemorrhoids that don’t respond to home treatments. It’s a minimally invasive technique that involves tying the base of hemorrhoids with a rubber band to stop blood flow to hemorrhoids.

What Is It Used To Treat?

Hemorrhoids often cause pain, bleeding, and itching. Hemorrhoidal Banding helps to remove hemorrhoids by putting tight bands around the swollen veins in the lower rectum and anus. The anus is the opening where bowel movements pass out of your body. The rectum is the end of the intestines just inside the anus.

When Doctor Suggests To Get Hemorrhoidal Banding?

Your doctor may recommend you banding if your hemorrhoids are not responding to other treatments or are bothering you.

How To Prepare For the Procedure?

You may or may not need to take your regular medicines till the day of the procedure. Some medicines (like aspirin) may increase the risk of bleeding during or after the procedure. Consult with your doctor about all medicines and supplements that you take. Ask your provider if you need to avoid any medicine before the procedure. A doctor will also provide guidance on what to do before going to the hospital. For example, they will advise the person to avoid food and drink for several hours before the procedure. Follow all the instructions given to you by your doctor.

What Will Happen During the Procedure?

A doctor performs an upper GI endoscopy in a hospital. You’ll be asked to lie on your side on an exam table. The doctor will carefully pass the endoscope down your esophagus and into your stomach and duodenum. A small camera mounted on the endoscope will send a video image to a monitor, allowing close examination of the lining of your upper GI tract. The endoscope pumps air into your stomach and duodenum, making them easier to see.

What Will Happen During the procedure?

Your doctor will put a short, lighted tube called an anoscope into your rectum. He will use the scope to see the hemorrhoids and put 1 or 2 tiny rubber bands around the base of each hemorrhoid. The bands cut off blood flow to the hemorrhoids. The lack of blood flow will cause the hemorrhoids to dry up and fall off within 1 to 2 weeks. The doctor may also cut the hemorrhoids and remove any blood clots.

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How One Will Feel After the Procedure?

You can go home after the procedure. You may have light bleeding for a few days. The banded areas usually take about 2 weeks to heal completely. As the area heals, the hemorrhoids shrink and dry up and will pass out of your body with bowel movements. This will get better over several hours. You can return to your normal activities 24 hours after the procedure. After initial banding treatment, your doctor will repeat your upper endoscopy at regular intervals and apply more bands if necessary until the esophageal varices are gone or small enough to reduce the risk of further bleeding. You may have trouble controlling gas and bowel movements for a few days after this procedure due to swelling in the area around the banded hemorrhoids.

You may feel some discomfort for a few days after hemorrhoid banding, including:

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