Post-Hemorrhoid Banding: Frequent Urination and Bloody Stool Concerns

After hemorrhoid ligation, symptoms of frequent urination and bloody stools during bowel movements have appeared?

Hello Dr.
Chen, I sought medical attention due to blood in my stool, and the doctor diagnosed me with a ruptured internal hemorrhoid and performed a hemorrhoid ligation.
However, after the surgery, I experienced symptoms similar to prostatitis, including frequent urination.
Additionally, the next day, after eating too much at lunch, I had a bit of diarrhea and went to the bathroom four times, resulting in blood-stained stool with a large amount of blood clots.
Does this indicate that my hemorrhoid ligation was unsuccessful?

Joey, 30~39 year old female. Ask Date: 2020/10/03

Dr. Chen Shidian reply Gastroenterology and Hepatology

Please return to your original treating physician's clinic as soon as possible.

Reply Date: 2020/10/03

More Info

Post-hemorrhoid banding, or hemorrhoid ligation, is a common procedure used to treat symptomatic hemorrhoids, particularly internal hemorrhoids. While the procedure is generally safe and effective, patients may experience a range of postoperative symptoms, including changes in bowel habits, urinary symptoms, and rectal bleeding.
In your case, the frequent urination you are experiencing could be related to several factors. After any surgical procedure, especially one involving the pelvic area, it is not uncommon for patients to experience urinary symptoms. This can be due to irritation of the surrounding tissues, inflammation, or even anxiety related to the surgery. If you are experiencing symptoms similar to prostatitis, such as increased frequency of urination, urgency, or discomfort, it is essential to discuss these symptoms with your healthcare provider. They may want to evaluate you for a urinary tract infection or other underlying conditions.

Regarding the bloody stool you mentioned, it is not unusual to see some blood in the stool following hemorrhoid banding. The procedure involves placing a rubber band around the base of the hemorrhoid, which cuts off its blood supply. As the hemorrhoid tissue dies and sloughs off, it can lead to some bleeding. However, if you are seeing "large blood clots" or experiencing significant amounts of blood, this could indicate a complication. It is essential to differentiate between normal postoperative bleeding and signs of a more severe issue, such as a failed ligation or other complications.

The presence of blood clots in your stool, especially if accompanied by diarrhea, could be concerning. Diarrhea can irritate the rectal area, potentially leading to increased bleeding from the site of the ligation. If you have had multiple bowel movements with blood and clots, it is advisable to seek medical attention promptly. Your healthcare provider may perform a physical examination and possibly a colonoscopy to assess the situation further and ensure that there are no complications from the procedure.

In summary, while some postoperative symptoms are expected after hemorrhoid banding, such as mild bleeding and changes in bowel habits, significant bleeding or urinary symptoms warrant further evaluation. It is crucial to communicate openly with your healthcare provider about your symptoms, as they can provide the best guidance and determine if any additional treatment or intervention is necessary. Always prioritize your health and seek immediate care if you feel your symptoms are worsening or if you have concerns about your recovery.

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