Hemorrhoid Banding: Recovery Timeline and Concerns

Sterilization Issue #165964 Follow-up

Hello, regarding the previous question, this is my last internal hemorrhoid.
It was banded on February 4th, and the doctor scheduled a follow-up appointment for February 8th.
The examination indicated that it has not yet fallen off (both the hemorrhoid and the rubber band), and then a follow-up appointment was arranged for May.
I would like to ask the doctor about the earlier detachment of blood supply mentioned in the previous response—how early can it fall off? I saw your earlier reply stating that blood supply can be cut off within two hours, and that the hemorrhoid will gradually fall off.
On February 25th, which marks three weeks, I went to see the doctor because I was concerned.
The doctor said the rubber band had fallen off, but the hemorrhoid had not yet detached.
He assured me that it would eventually fall off and that I should give it time.
I wonder why he is so certain? Additionally, could my recovery be slower due to having a cold and persistent cough after banding the third hemorrhoid? I have many questions; thank you, doctor.
This is my first experience with hemorrhoids, and the previous two fell off and healed within three weeks.
The doctor mentioned that this one is located closer to the outside; could that be why the recovery is slower? I am feeling quite anxious.

Perry, 20~29 year old female. Ask Date: 2021/03/04

Dr. Ke Fangxu reply Surgery

The timing of when a rubber band ligation for internal hemorrhoids falls off is not the focus of treatment.
The key point is whether the purpose of the ligation (such as controlling bleeding or preventing prolapse) was achieved at the time of the procedure.
If the treatment goals have been met and there are no subsequent complications, there is no need to be overly concerned about the falling off process.
Additionally, since I have not personally examined you or compared your condition before and after, I cannot provide a definitive answer.
In summary, rubber band ligation is merely a symptomatic treatment and not a curative method.
If symptoms reappear later, please consult a physician for further examination and treatment.

Reply Date: 2021/03/04

More Info

Hemorrhoid banding, also known as rubber band ligation, is a common procedure used to treat internal hemorrhoids. It involves placing a small rubber band around the base of the hemorrhoid to cut off its blood supply, causing it to shrink and eventually fall off. Understanding the recovery timeline and addressing concerns about the procedure can help alleviate anxiety and promote a smoother recovery.

Typically, after the banding procedure, patients can expect the hemorrhoid to fall off within a few days to a few weeks. The exact timeline can vary based on several factors, including the size and location of the hemorrhoid, individual healing responses, and any underlying health conditions. In your case, since the banding was performed on February 4th and the doctor indicated that the rubber band had fallen off by February 25th, this aligns with the expected timeframe for the procedure. It is not uncommon for the hemorrhoid itself to take a bit longer to detach, especially if it is located closer to the anal verge, as you mentioned.

The doctor’s assurance that the hemorrhoid will eventually fall off is based on the typical healing process following banding. The ligation effectively cuts off the blood supply, and the tissue will necrose (die) and slough off as the body heals. This process can take longer for some individuals, particularly if there are factors such as inflammation or infection that may delay healing.

Regarding your concern about whether your recent cough and cold could affect the recovery process, it is generally unlikely that a respiratory illness would directly impact the healing of a hemorrhoid after banding. However, persistent coughing can increase intra-abdominal pressure, which might exacerbate discomfort or pressure in the anal area. It is essential to manage any coughing or straining to avoid additional strain on the surgical site.

As for the recovery timeline, while most patients experience resolution of symptoms within a few weeks, some may take longer, especially if the hemorrhoid is larger or if there are complications. The fact that your previous hemorrhoids resolved within three weeks suggests that you may have a similar experience, but individual healing can vary.

If you continue to experience discomfort or if the hemorrhoid does not fall off as expected, it is crucial to follow up with your healthcare provider. They may recommend additional treatments or interventions if necessary. It is also important to maintain a high-fiber diet, stay hydrated, and avoid straining during bowel movements to promote healing and prevent the recurrence of hemorrhoids.

In summary, while it is understandable to feel anxious about the recovery process, it appears that your experience is within the normal range for hemorrhoid banding. The rubber band's detachment and the eventual falling off of the hemorrhoid can take time, and your doctor’s reassurances are based on typical outcomes. If you have further concerns or if symptoms persist, do not hesitate to reach out to your healthcare provider for guidance and support.

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