Can I Use Suppositories After Rubber Band Ligation for Hemorrhoids? - Surgery

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Can suppositories be used after rubber band ligation for internal hemorrhoids?


Hello, doctor.
I underwent a vasectomy on May 4th, and the doctor prescribed me suppositories for hemorrhoids, instructing me to use them twice a day.
However, when I tried to insert the suppository, I felt as if something was blocking it, making it difficult to insert.
Before the rubber band ligation, I was able to insert the suppository (Hiyu hemorrhoid suppository) without any issues.
I would like to ask, after the rubber band ligation, is it common to experience this situation? Should I continue using the suppositories, or would it be better to switch to an external ointment? Thank you.

Diao, 40~49 year old female. Ask Date: 2021/05/04

Dr. Ke Fangxu reply Surgery


After hemorrhoid ligation, there may be slight swelling, which can cause a feeling of resistance when using suppositories.
Regarding whether to continue using suppositories after the ligation, opinions among doctors vary.
Some believe it is acceptable to continue, while others recommend resting for 1-2 weeks.
Ultimately, the decision on whether to use suppositories should be based on the advice of the physician who performed the ligation.

Reply Date: 2021/05/04

More Info


After undergoing rubber band ligation for hemorrhoids, it is not uncommon to experience some discomfort or changes in the anal area that may affect the ability to insert suppositories. The procedure itself involves placing a rubber band around the base of the hemorrhoid to cut off its blood supply, which can lead to swelling, inflammation, and even some temporary changes in the anatomy of the anal canal.
Given your experience of difficulty inserting the suppository, it is possible that the swelling or irritation from the procedure is creating a sensation of blockage. This is a common occurrence post-procedure, and many patients report similar feelings. The tissue around the area may be more sensitive and swollen, making the insertion of suppositories uncomfortable or seemingly impossible.

In terms of whether you should continue using the suppositories, it is essential to follow your doctor's instructions. If your doctor prescribed the suppositories for pain relief or to help with inflammation, it is generally advisable to continue using them unless you experience significant discomfort or pain. However, if you find that you cannot insert the suppository at all, it may be more effective to switch to an external ointment or cream that can provide similar relief without the need for insertion.

You should also consider the following points:
1. Consult Your Doctor: If you are experiencing significant difficulty or discomfort, it is crucial to reach out to your healthcare provider. They can assess your situation and determine if the suppositories are still appropriate or if an alternative treatment is necessary.

2. Alternative Treatments: If suppositories are not feasible, topical treatments such as ointments or creams can be effective in managing symptoms. These can be applied externally and may provide relief without the discomfort associated with insertion.

3. Post-Procedure Care: After rubber band ligation, it is important to maintain good hygiene and follow any specific care instructions provided by your healthcare provider. This may include avoiding straining during bowel movements, using stool softeners if necessary, and ensuring that you are drinking plenty of fluids.

4. Monitor Symptoms: Keep an eye on your symptoms. If you notice increased pain, bleeding, or any signs of infection (such as fever or unusual discharge), contact your healthcare provider immediately.

5. Time for Recovery: Remember that recovery from rubber band ligation can take time. Swelling and discomfort may gradually decrease over the days following the procedure. Patience is key, and many patients find that their symptoms improve significantly within a week or two.

In summary, while it is possible to use suppositories after rubber band ligation, your current difficulty suggests that it may be wise to consult your doctor for personalized advice. They can provide guidance on whether to continue with the suppositories or switch to an alternative treatment that may be more comfortable for you.

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