What to Do If Your Rubber Band Falls Off After Hemorrhoid Ligation? - Surgery

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The rubber band fell off just 5 days after the hemorrhoid ligation, but the hemorrhoid is still present?


Hello Doctor, I would like to ask about my condition.
It has only been 5 days since I had a hemorrhoid banding procedure, and the hemorrhoid has prolapsed.
When I tried to push it back in, the rubber band came off.
What should I do? Should I see a doctor immediately? The doctor mentioned that this area is more external.
Thank you for your help!

Xiao Wang, 30~39 year old female. Ask Date: 2018/03/05

Dr. Ke Fangxu reply Surgery


After hemorrhoid banding, the rubber band will fall off in 5-7 days.
As long as there is no pain or bleeding, there is no need to worry.
You can enhance your recovery by taking warm sitz baths and applying topical ointments.
However, if you experience swelling, pain, or fever, you should seek medical attention immediately; otherwise, you can wait until your next follow-up appointment for the doctor to check.

Reply Date: 2018/03/05

More Info


If your rubber band falls off after hemorrhoid ligation, it is important to take the situation seriously, but there is no need to panic. Hemorrhoid ligation, also known as rubber band ligation, is a common procedure used to treat hemorrhoids by cutting off their blood supply, causing them to shrink and fall off. However, complications can arise, and it is essential to understand the appropriate steps to take if something goes wrong.

First and foremost, if the rubber band has fallen off within the first week after the procedure, it is advisable to contact your healthcare provider or the doctor who performed the ligation. They will be able to assess your situation and determine if any further action is necessary. It is not uncommon for the rubber band to fall off prematurely, but it is crucial to ensure that the ligation was effective and that there are no complications, such as excessive bleeding or infection.

In the meantime, monitor your symptoms closely. If you experience any of the following, you should seek medical attention immediately:
1. Severe Pain: While some discomfort is expected after the procedure, severe pain that is not manageable with over-the-counter pain relief may indicate a complication.

2. Bleeding: A small amount of bleeding is normal after the procedure, but if you notice bright red blood or if the bleeding is significant, you should contact your doctor.

3. Signs of Infection: Symptoms such as fever, chills, or increased redness and swelling around the area may indicate an infection.

4. Changes in Bowel Habits: If you experience significant changes in your bowel habits, such as diarrhea or constipation, it is important to discuss this with your healthcare provider.

In terms of aftercare, it is essential to follow your doctor's instructions regarding diet, hydration, and bowel habits. A high-fiber diet and adequate fluid intake can help prevent constipation, which can put additional strain on the area and complicate recovery. Over-the-counter stool softeners may also be recommended to ease bowel movements.

If the rubber band has fallen off but you are not experiencing any concerning symptoms, your doctor may advise you to continue monitoring the situation. Sometimes, the body can still resolve the hemorrhoid without the rubber band, especially if the ligation was initially effective.

In conclusion, while it is important to take the situation seriously, there is no need for immediate panic if your rubber band falls off after hemorrhoid ligation. Contact your healthcare provider for guidance, monitor your symptoms, and follow their recommendations for aftercare. Remember that effective communication with your healthcare team is key to a smooth recovery process.

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