Is Blood in Stool Normal After Hemorrhoid Banding? - Gastroenterology and Hepatology

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Post-operative bleeding after hemorrhoid ligation?


Hello doctor, I had my third hemorrhoid ligation on Thursday (January 11) and today (January 13) I noticed a bit of blood in my stool.
Is this a normal occurrence? After undergoing hemorrhoid ligation, is it common to have some blood in the stool?

D, 20~29 year old female. Ask Date: 2024/01/13

Dr. Yang Zhichao reply Gastroenterology and Hepatology


Hello Mr.
D: This is considered a normal phenomenon; however, if the symptoms persist, please return to the hospital where you had the vasectomy for an evaluation.
Thank you for your inquiry.

Reply Date: 2024/01/13

More Info


After undergoing hemorrhoid banding, it is not uncommon to notice some blood in your stool, especially in the days immediately following the procedure. Hemorrhoid banding, also known as rubber band ligation, is a minimally invasive procedure used to treat internal hemorrhoids. During this procedure, a rubber band is placed around the base of the hemorrhoid, cutting off its blood supply. This causes the hemorrhoid to shrink and eventually fall off.

In the days following the procedure, it is normal to experience some bleeding, particularly if you are having bowel movements. The presence of blood can be attributed to several factors:
1. Healing Process: After the banding, the tissue around the hemorrhoid is healing. This can lead to minor bleeding, especially if the area is irritated during bowel movements.

2. Bowel Movements: Straining during bowel movements can exacerbate bleeding. It is essential to maintain soft stools to minimize strain. This can be achieved by increasing fiber intake, staying hydrated, and possibly using stool softeners if recommended by your healthcare provider.

3. Normal Post-Procedure Symptoms: Some patients may experience slight bleeding for several days to a week after the procedure. This is generally considered normal, provided the bleeding is not excessive.

However, while some blood in the stool can be expected, it is crucial to monitor the situation closely. Here are some guidelines to help you determine when to seek medical attention:
- Amount of Blood: If you notice a small amount of blood mixed with your stool or on the toilet paper, it is usually not a cause for concern. However, if you see large amounts of blood or if the blood is bright red and persistent, you should contact your healthcare provider.

- Associated Symptoms: If you experience severe pain, dizziness, or fainting, or if the bleeding is accompanied by other concerning symptoms (such as fever or significant changes in bowel habits), you should seek medical attention immediately.

- Duration of Symptoms: If the bleeding continues beyond a week or worsens over time, it is advisable to consult your doctor for further evaluation.

In summary, while some blood in the stool after hemorrhoid banding can be normal, it is essential to monitor the situation and consult with your healthcare provider if you have any concerns. They can provide personalized advice based on your specific situation and ensure that your recovery is progressing as expected. Remember to maintain a healthy diet and follow any post-procedure care instructions given by your doctor to promote healing and minimize complications.

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