Hemorrhoid Banding: A Simple Solution for a Common Problem

Hemorrhoids are a common yet uncomfortable condition that affects millions of people worldwide. They can disrupt daily life. They often cause symptoms like rectal pain, itching, swelling, and bleeding. If you’re dealing with internal hemorrhoids that don’t respond to overt the counter therapies or conservative treatments, hemorrhoid banding may be an effective solution. This minimally invasive procedure takes only minutes to do and offers relief without the need for hemorrhoid surgery.

What are hemorrhoids?

Hemorrhoids are swollen veins in the rectum or anus, often caused by increased pressure in the area. They can be internal (inside the rectum) or external (around the anal opening). Common triggers include:

• Straining during bowel movements
• Chronic constipation or diarrhea
• Pregnancy and childbirth
• Prolonged sitting, especially on the toilet

While many cases of hemorrhoids improve with lifestyle changes such as a high-fiber diet, increased water intake, and over-the-counter treatments, persistent or severe cases may require medical intervention.

What is hemorrhoid banding?

Hemorrhoid banding, also known as rubber band ligation, is a quick and effective outpatient procedure used to treat internal hemorrhoids. This procedure is primarily used for internal hemorrhoids, which are located inside the rectum and are not visible or felt unless they protrude. Hemorrhoid banding is not done for external hemorrhoids.

During the procedure, your gastroenterologist places a small rubber band around the base of the hemorrhoid. This cuts off the blood supply, causing the hemorrhoid to shrink and eventually fall off within a few days. The procedure is performed in-office and typically takes less than 10 minutes. Because it’s minimally invasive, patients can often return to their normal activities immediately afterward.

How does hemorrhoid banding work?

The procedure for hemorrhoid banding is relatively simple and typically performed in an outpatient setting, meaning you can go home the same day. Here’s how it works:

1. Preparation: The procedure is done while you are awake. Because no anesthesia is used, you can go home immediately after the procedure. The patient is asked to lay on their left hip and shoulder. Your doctor may use a local anesthetic to numb the area, ensuring minimal discomfort during the procedure.
2. Placement of the Rubber Band:  The doctor uses an anoscope, a small tube-like instrument, to visualize the hemorrhoid. A special device is then used to place a tiny rubber band around the base of the hemorrhoid. The band cuts off the blood supply to the hemorrhoid, causing it to shrink.
3. Post-Procedure: After the banding, the hemorrhoid gradually shrinks and falls off within 3-10 days, and the band is expelled naturally during a bowel movement. This allows improvement in symptoms from the internal hemorrhoids such as bleeding, rectal pain, swelling or itching.

Benefits of Hemorrhoid Banding

Hemorrhoid banding offers several key benefits that make it an attractive option for treating hemorrhoids:

• Minimally Invasive: It doesn’t require cuts or incisions, making it a low-risk procedure compared to traditional hemorrhoid surgery.
• Quick Recovery: Since the procedure is minimally invasive, recovery is typically quick. Most patients can return to normal activities within the same day after the hemorrhoid banding.
• Effective: Studies show that hemorrhoid banding has a high success rate, with many patients experiencing long-term relief from hemorrhoid symptoms.
• Cost-Effective: Hemorrhoid banding is often less expensive than more invasive treatments, such as hemorrhoidectomy (surgical removal of hemorrhoids).

Aftercare and Recovery

After hemorrhoid banding, it’s essential to follow your gastroenterologist’s instructions to ensure a smooth recovery:

• Eat a high-fiber diet and drink plenty of water to prevent constipation.
• Avoid heavy lifting or strenuous activities for a few days.
• Use a stool softener or laxative if needed to make bowel movements more comfortable.
• Report any unusual symptoms, such as excessive bleeding or severe pain, to your doctor immediately.

Is Hemorrhoid Banding Right for You?

Hemorrhoid banding is best suited for patients with moderate to severe internal hemorrhoids that haven’t responded to conservative treatments. Hemorrhoid banding offers a safe, effective, and minimally invasive treatment for internal hemorrhoids that can significantly improve quality of life for those suffering from this common condition. If you have been struggling with hemorrhoids, consult with a gastroenterologist to see if hemorrhoid banding is the right choice for you. With proper care, diet, and follow-up, hemorrhoid banding can provide lasting relief, helping you get back to feeling comfortable and healthy.

Conclusion

At Gastroenterology Associates, we’re committed to providing personalized care for all your digestive health needs. Contact us to learn more about our hemorrhoid treatment options and start your journey to relief today.

Written by Dr. Hiren Vallabh, Gastroenterologist