Rubber Band Ligation Complications and Recovery Time - Surgery

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Rubber band ligation method: rubber band detachment?


I underwent rubber band ligation treatment for hemorrhoids on the morning of May 27 at 9 AM.
That night at 9 PM, I noticed that the rubber band had fallen off, but I am unsure if it was one or two bands.
Since then, I have been experiencing pain every day, especially after using the restroom, where the pain becomes quite severe, preventing me from resting or sleeping well.
I would like to ask the doctor when would be the earliest I could undergo another rubber band ligation treatment to alleviate my daily pain.

Mr. Wu, 40~49 year old female. Ask Date: 2021/05/31

Dr. Ke Fangxu reply Surgery


After completing the rubber band ligation, do not get caught up in concerns about whether it will fall off.
The key point is that if there is pain or bleeding, you should seek medical attention again.
Whether another ligation is necessary should be assessed by a physician.
If there is currently pain, it is generally not advisable to perform another ligation in the short term.

Reply Date: 2021/05/31

More Info


Rubber band ligation is a common procedure used to treat hemorrhoids, particularly 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. While this procedure is generally safe and effective, complications can arise, and recovery can vary from person to person.

In your case, it seems that you experienced some discomfort following the procedure, which is not uncommon. Pain after rubber band ligation can occur due to several reasons, including inflammation, the presence of residual hemorrhoids, or complications such as infection or thrombosis (blood clot formation) in the hemorrhoidal tissue. The fact that you noticed the rubber band falling off shortly after the procedure may indicate that it was not retained long enough to achieve the desired effect, or it could be a sign of a complication.

Typically, the pain associated with rubber band ligation should gradually decrease over time. Most patients report that the pain peaks within the first few days after the procedure and then subsides significantly within a week or two. However, if you are experiencing severe pain, especially after bowel movements, it is essential to consult your healthcare provider. They may want to examine you to rule out any complications, such as an infection or the need for additional treatment.

Regarding your question about when you can undergo another rubber band ligation, it is generally advisable to wait for at least a few weeks after the initial procedure to allow the area to heal. The exact timing can depend on the severity of your symptoms and the findings during a follow-up examination. If your pain persists or worsens, your doctor may recommend delaying further treatment until the underlying issues are addressed.

In the meantime, there are several measures you can take to help manage your pain and promote healing:
1. Pain Management: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help alleviate discomfort. However, consult your doctor before taking any medication, especially if you have any allergies or contraindications.

2. Warm Baths: Soaking in a warm bath can provide relief from pain and help relax the anal sphincter, which may reduce discomfort during bowel movements.

3. Dietary Changes: Ensure you are consuming a high-fiber diet to prevent constipation and straining during bowel movements. Staying hydrated is also crucial.

4. Avoid Straining: Try to avoid straining during bowel movements, as this can exacerbate pain and discomfort.

5. Follow-Up Care: Schedule a follow-up appointment with your healthcare provider to discuss your symptoms and determine the best course of action. They may recommend additional treatments or interventions based on your condition.

In summary, while rubber band ligation is a generally safe procedure, complications can occur, leading to pain and discomfort. It is essential to monitor your symptoms closely and seek medical advice if they persist or worsen. Your healthcare provider will be able to assess your condition and determine the appropriate timing for any further treatments, ensuring that you can achieve relief from your symptoms effectively and safely.

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