Post-Hemorrhoid Banding Concerns: What to Expect After Surgery

Questions about hemorrhoids?

Hello Doctor: I experienced the rubber band ligation procedure for hemorrhoids, and on the fourth day, the rubber band fell off.
Upon touching, I noticed that the hemorrhoid has indeed shrunk, but it is still present and did not fall off with the rubber band.
I have a couple of questions: 1.
Do I need to return for another ligation immediately? If I am unable to return right away, will the hemorrhoid that was not successfully ligated continue to grow? 2.
After the rubber band fell off, I experience pain in the hemorrhoid whenever I stand, sit, or walk.
Is this a normal phenomenon? Thank you, Doctor, for your response.

Xiaorong, 20~29 year old female. Ask Date: 2017/10/21

Dr. Ke Fangxu reply Surgery

1.
The rubber band ligation will typically fall off about a week later, but it is common for it to detach within 3-4 days.
Over time, the ligated hemorrhoids will naturally shrink or detach, and there is no need for an immediate follow-up appointment.

2.
Mild pain or bleeding at the ligation site is normal.
It is advisable to take warm sitz baths or apply topical ointments to alleviate discomfort.

3.
It is essential to maintain regular bowel movements.
Deliberately reducing bowel movements can lead to constipation, which may adversely affect wound healing.

Reply Date: 2017/10/21

More Info

After undergoing hemorrhoid banding surgery, it is common for patients to have concerns about the healing process and what to expect in the days following the procedure. Here are some insights regarding your questions:
1. Need for Immediate Follow-Up: If the rubber band has fallen off and the hemorrhoid is still present, it is advisable to consult your doctor as soon as possible. The effectiveness of the banding procedure can vary from patient to patient. In some cases, the hemorrhoid may shrink significantly or even resolve on its own after the banding, but if it remains, it may require further intervention. If you are unable to return immediately, it is important to monitor the hemorrhoid for any changes in size or symptoms. While it is possible for the hemorrhoid to grow larger if left untreated, this is not a certainty. However, it is crucial to have a professional evaluation to determine the best course of action.

2. Pain After Banding: Experiencing pain when standing, sitting, or walking after the rubber band has fallen off can be a normal part of the healing process. Hemorrhoid banding can cause inflammation and irritation in the area, which may lead to discomfort. This pain is often due to the body's response to the procedure and the healing of the tissue. However, if the pain is severe or worsening, or if you notice any signs of infection (such as increased swelling, redness, or discharge), it is important to seek medical attention promptly.

Additional Considerations
- Post-Operative Care: After hemorrhoid banding, it is essential to follow your doctor's post-operative care instructions. This may include recommendations for dietary changes (such as increasing fiber intake), staying hydrated, and possibly using stool softeners to prevent straining during bowel movements. Straining can exacerbate hemorrhoid symptoms and hinder the healing process.

- Signs of Complications: While some discomfort is expected, be vigilant for signs that may indicate complications. These include:
- Severe or worsening pain that does not improve with over-the-counter pain relief.

- Bleeding that is more than a small amount or persists beyond a few days.

- Signs of infection, such as fever, chills, or unusual discharge.

- Long-Term Management: If the hemorrhoid does not resolve after the banding, or if you experience recurrent symptoms, further treatment options may be necessary. These can include additional banding, sclerotherapy, or surgical options depending on the severity and type of hemorrhoids.

- Follow-Up Appointments: Regular follow-up appointments with your healthcare provider are crucial for monitoring your recovery and addressing any ongoing concerns. These visits allow your doctor to assess the effectiveness of the banding and make any necessary adjustments to your treatment plan.

In conclusion, while some discomfort and the presence of the hemorrhoid after banding can be normal, it is essential to maintain communication with your healthcare provider. They can provide personalized advice based on your specific situation and help ensure a smooth recovery process. If you have any further questions or concerns, do not hesitate to reach out to your doctor for guidance.

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