It has been almost three weeks since the rubber band ligation for internal hemorrhoids, and there is still slight bleeding when wiping?
I don't have a habit of eating spicy foods or drinking alcohol, and I drink water normally.
However, since my internal hemorrhoid ligation, I still occasionally see blood on the toilet paper when wiping, or sometimes I notice bleeding when I have harder stools.
There are no traces of blood in the toilet, just on the toilet paper.
When I apply ointment, I don't feel any foreign body sensation in the anal area.
I've also been going to bed late, around 1 to 2 AM, could this be the cause? I would like to ask how long it takes for the ligation site of internal hemorrhoids to heal.
Is it normal to have blood three weeks after the procedure? If I experience bleeding from time to time, should I return to the hospital for a follow-up?
jack, 20~29 year old female. Ask Date: 2019/01/23
Dr. Ke Fangxu reply Surgery
After the ligation of internal hemorrhoids, it is normal to experience some bleeding within the first week.
If bleeding persists beyond this period, it may be due to residual internal hemorrhoids.
If the bleeding is not severe, it is usually not a concern; however, you may want to consult your physician for further evaluation if it continues.
Reply Date: 2019/01/23
More Info
After undergoing hemorrhoid banding, it's not uncommon to experience some bleeding, especially in the initial weeks following the procedure. Hemorrhoid banding, also known as rubber band ligation, is a minimally invasive procedure aimed at treating internal hemorrhoids by cutting off their blood supply, leading to their eventual shrinkage and fall off. However, the healing process can vary from person to person, and some bleeding can occur as part of the recovery.
What to Expect After Hemorrhoid Banding
1. Bleeding: It's typical to see some blood on toilet paper after wiping, especially if you have hard stools. This can happen due to irritation or minor trauma to the healing tissue. If the bleeding is minimal and not accompanied by significant pain or other symptoms, it may not be a cause for concern.
2. Stool Consistency: Hard stools can exacerbate bleeding. It's crucial to maintain a diet high in fiber and to stay well-hydrated to ensure softer bowel movements. Consider incorporating fiber supplements or stool softeners if necessary.
3. Healing Time: The healing process for hemorrhoid banding typically takes about 1 to 2 weeks, but complete healing can take longer. Seeing some blood up to three weeks post-procedure can be within the normal range, especially if you are experiencing occasional bleeding with bowel movements.
4. Signs of Complications: While some bleeding is normal, you should be vigilant for signs that may indicate complications. If you experience:
- Heavy bleeding (more than a few drops or blood that fills the toilet bowl)
- Severe pain that is not relieved by over-the-counter pain medications
- Fever or signs of infection (increased redness, swelling, or discharge)
- Persistent bleeding that does not improve or worsens over time
In such cases, it would be prudent to return to your healthcare provider for further evaluation.
Lifestyle Factors
Regarding your concern about staying up late, while lack of sleep can affect overall health and recovery, it is less likely to be a direct cause of bleeding post-surgery. However, adequate rest is essential for healing, and chronic sleep deprivation can lead to increased stress and potentially exacerbate gastrointestinal issues.
When to Seek Medical Attention
If you continue to see blood on the toilet paper after three weeks, or if the bleeding becomes more frequent or heavier, it would be wise to consult your healthcare provider. They may want to examine the area to ensure there are no complications such as residual hemorrhoids, infection, or other issues that may require intervention.
In summary, while some bleeding can be expected after hemorrhoid banding, it is essential to monitor the situation closely. Maintaining a healthy diet, staying hydrated, and ensuring adequate rest can aid in your recovery. If you have any concerns or if your symptoms change, do not hesitate to reach out to your healthcare provider for guidance.
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