Rubber Band Ligation for External Hemorrhoids: What to Expect - Surgery

More Info

---

Rubber band ligation (RBL) is a common and effective procedure used to treat hemorrhoids, particularly internal hemorrhoids, but it can also be applied to external hemorrhoids in certain cases. It involves placing a small rubber band around the base of the hemorrhoid, cutting off its blood supply. Over time, the hemorrhoid shrinks and eventually falls off, usually within a week. However, the experience and recovery can vary significantly from person to person.

Understanding Your Experience:
1. Pain and Discomfort: It is not uncommon to experience significant pain after the procedure, especially in the first few days. The pain you are feeling four days post-procedure can be attributed to the inflammation and irritation caused by the ligation. The external hemorrhoid may still be present, and the ligation process can exacerbate discomfort in the area. Pain management is crucial, and over-the-counter pain relievers like ibuprofen or acetaminophen can help alleviate some of the discomfort. If the pain becomes unbearable or is accompanied by other symptoms like fever or excessive bleeding, you should contact your healthcare provider.

2. Rubber Band Falling Off: The fact that you noticed a black rubber band falling off is a good sign, as it indicates that the ligation process is working. The rubber band is designed to cut off blood supply to the hemorrhoid, leading to its eventual necrosis and detachment. However, if you still feel the hemorrhoid is present, it may be that the ligation was not entirely successful, or there may be residual tissue that has not yet shrunk.
3. Expectations Post-Procedure: After RBL, it is normal to have some swelling and discomfort for several days. The area may remain sensitive as it heals. You should expect some changes in your bowel movements as well, such as increased urgency or mild bleeding, especially if you are straining during bowel movements. It is essential to maintain a high-fiber diet and stay hydrated to avoid constipation, which can exacerbate hemorrhoid symptoms.

4. Follow-Up Care: It is crucial to follow up with your healthcare provider to assess the effectiveness of the procedure. They may perform a physical examination to determine if the hemorrhoid has shrunk or if additional treatment is necessary. In some cases, multiple ligation sessions may be required for complete resolution.

5. When to Seek Help: If you experience severe pain that does not improve with medication, significant bleeding, or signs of infection (such as fever, increased redness, or swelling), you should seek medical attention promptly.
6. Long-Term Management: After the procedure, consider lifestyle changes to prevent future hemorrhoids. This includes maintaining a high-fiber diet, staying hydrated, and avoiding prolonged sitting or straining during bowel movements. Regular exercise can also help improve bowel function and reduce the risk of hemorrhoids.

In conclusion, while your experience of pain and discomfort is not unusual following rubber band ligation, it is essential to monitor your symptoms and maintain communication with your healthcare provider. They can provide guidance tailored to your specific situation and ensure that you receive the appropriate care for your recovery.