Post-Banding Discomfort After Internal Hemorrhoid Treatment

Post-operative issues after hemorrhoid ligation?

Hello! I underwent hemorrhoid ligation for internal hemorrhoids a little over two weeks ago.
For the past three to four days, I have been experiencing pain after bowel movements and a feeling of discomfort inside, as if there is something there.
Additionally, I occasionally feel uncomfortable while sitting or standing.
Is this a sign that my internal hemorrhoids were not successfully ligated, or is this a normal situation? There has been no bleeding during bowel movements.
Thank you.

Li Hai, 30~39 year old female. Ask Date: 2020/03/27

Dr. Chen Shidian reply Gastroenterology and Hepatology

Please return to the original hospital or clinic for your appointment.

Reply Date: 2020/03/27

More Info

Post-banding discomfort after internal hemorrhoid treatment is a common experience for many patients. After undergoing a procedure such as banding, which involves placing a rubber band around the base of the hemorrhoid to cut off its blood supply, it is not unusual to feel some discomfort or pain in the days and weeks following the treatment.
The symptoms you describe, such as pain during bowel movements and a sensation of fullness or discomfort in the rectal area, can be attributed to several factors. Firstly, the banding procedure itself can cause inflammation and irritation in the surrounding tissues, leading to discomfort. This is particularly true in the first few days after the procedure when the body is adjusting to the changes.
Additionally, the sensation of having something inside can be a result of the hemorrhoid itself or the banding process. Sometimes, the band may not fully detach from the hemorrhoid, leading to ongoing discomfort until it falls off naturally, which typically occurs within a week or two after the procedure.
It is also important to consider the role of bowel habits in your recovery. Straining during bowel movements can exacerbate discomfort, so maintaining soft stools through adequate hydration and dietary fiber is crucial. If you are experiencing pain but no bleeding, it is generally a good sign, as bleeding could indicate complications such as infection or a failure of the banding procedure.

However, if the discomfort persists beyond a few weeks, worsens, or is accompanied by other symptoms such as fever, significant swelling, or bleeding, it is essential to follow up with your healthcare provider. They may want to examine you to ensure that there are no complications, such as an infection or a retained hemorrhoid.

In terms of recovery, most patients find that discomfort decreases significantly within a few weeks as the body heals. Engaging in gentle activities, avoiding heavy lifting, and using over-the-counter pain relief as needed can help manage symptoms.
In summary, while some discomfort after internal hemorrhoid banding is normal, it is essential to monitor your symptoms closely. If you have concerns about the effectiveness of the procedure or if your symptoms do not improve, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. They can provide personalized advice and reassurance based on your specific situation.

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