Post-Procedure Bleeding After Internal Hemorrhoid Ligation: What to Expect

Post-banding bleeding after internal hemorrhoid ligation?

Hello, doctor.
I underwent an outpatient procedure for hemorrhoid ligation yesterday, and after using the restroom today, I noticed a small amount of bleeding.
Is this normal, and how long is the bleeding likely to last?

Niming, 20~29 year old female. Ask Date: 2018/10/23

Dr. Ke Fangxu reply Surgery

Mild bleeding after a vasectomy is a normal occurrence and usually resolves within three to five days.
If the bleeding persists for more than a week, it is advisable to consult a physician for further evaluation.

Reply Date: 2018/10/23

More Info

After undergoing an internal hemorrhoid ligation, it is not uncommon to experience some bleeding in the days following the procedure. This is particularly true if you notice a small amount of blood after a bowel movement. The ligation procedure involves placing a rubber band around the base of the hemorrhoid, which cuts off its blood supply. As the tissue dies and sloughs off, some bleeding can occur.
In general, minor bleeding can be expected for a few days post-procedure, and it should gradually decrease. However, if the bleeding is persistent, increases in volume, or is accompanied by severe pain, fever, or other concerning symptoms, it is crucial to contact your healthcare provider.
Typically, the initial bleeding should resolve within a week. During this time, it is essential to manage your bowel movements carefully to avoid straining, which can exacerbate bleeding. Here are some recommendations to help with recovery:
1. Dietary Adjustments: Increase your fiber intake through fruits, vegetables, and whole grains to help soften stools. Staying hydrated by drinking plenty of water is also crucial.

2. Stool Softeners: Over-the-counter stool softeners can be beneficial in preventing constipation and straining during bowel movements.

3. Warm Baths: Taking warm sitz baths can help soothe the area and promote healing. This can also alleviate discomfort.

4. Pain Management: If you experience pain, over-the-counter pain relievers such as acetaminophen or ibuprofen can be used, but always follow your doctor's recommendations.

5. Follow-Up Care: Attend any scheduled follow-up appointments with your healthcare provider to monitor your recovery and address any concerns.

While minor bleeding is generally normal, it is essential to be vigilant about your symptoms. If you notice significant changes, such as heavy bleeding (more than a few tablespoons), or if you develop other symptoms like dizziness or fainting, seek medical attention immediately.
In summary, while some bleeding after internal hemorrhoid ligation can be expected, it should be minimal and decrease over time. Proper care and monitoring are vital to ensure a smooth recovery. If you have any doubts or concerns, do not hesitate to reach out to your healthcare provider for personalized advice and reassurance.

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