Post-Surgical Symptoms After Rubber Band Ligation

Symptoms after rubber band ligation?

Dear Doctor: I had a rubber band ligation four weeks ago, and I have been experiencing a dull pain at the ligation site both before and after passing gas, as well as a feeling of fullness and urgency.
Is this normal? Could this be a sign of a failed ligation? Thank you for your response.

Ms. Hsu, 20~29 year old female. Ask Date: 2021/03/08

Dr. Ke Fangxu reply Surgery

After hemorrhoid ligation, mild discomfort may occur.
As long as there is no severe pain or significant bleeding, it is generally not a concern.
You can use topical ointments or suppositories to alleviate discomfort.
If symptoms do not improve, you should consult the physician who performed the ligation for further evaluation.

Reply Date: 2021/03/08

More Info

After undergoing rubber band ligation, it is not uncommon to experience certain post-surgical symptoms, including dull pain and a sensation of fullness or urgency in the area where the ligation was performed. These symptoms can be attributed to several factors related to the procedure and the body's healing process.

Firstly, rubber band ligation is a minimally invasive procedure commonly used to treat conditions such as hemorrhoids. During the procedure, a rubber band is placed around the base of the hemorrhoid to cut off its blood supply, causing it to shrink and eventually fall off. The dull pain you are experiencing could be a result of the body's inflammatory response to the ligation. Inflammation is a natural part of the healing process and can lead to discomfort in the affected area.

The sensation of fullness or urgency you describe may also be related to the healing tissues and the body's adjustment to the changes caused by the ligation. After the procedure, the surrounding tissues may be swollen or sensitive, leading to these sensations. It is important to note that while some discomfort is expected, it should gradually improve over time.

However, it is crucial to differentiate between normal post-operative symptoms and signs of complications. If the pain worsens, becomes sharp, or is accompanied by other symptoms such as significant swelling, fever, or bleeding, it may indicate a complication, such as infection or failure of the ligation. In such cases, it is essential to seek medical attention promptly.

In terms of the ligation being "failed," it is important to understand that the effectiveness of the procedure can vary from person to person. Some individuals may experience complete resolution of their symptoms, while others may require additional treatments. If you have concerns about the effectiveness of the ligation, it is advisable to follow up with your healthcare provider. They can assess your symptoms, perform a physical examination, and determine if further intervention is necessary.

In summary, while dull pain and a sensation of fullness after rubber band ligation can be normal, it is essential to monitor your symptoms closely. If you notice any concerning changes 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 you with the best advice tailored to your specific situation and help ensure a smooth recovery.

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