Rubber Band Ligation for Hemorrhoids: What to Expect - Surgery

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Rubber band ligation (RBL) is a common and effective 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. Over time, the hemorrhoid shrinks and eventually falls off, usually within a week or two. Here’s what you can expect during and after the procedure, as well as some insights into your specific situation.


What to Expect from Rubber Band Ligation
1. Procedure Overview: The procedure is typically performed in a doctor's office or outpatient setting. You may be given a local anesthetic to minimize discomfort. The doctor will use a special instrument to place the rubber band around the hemorrhoid.

2. Post-Procedure Symptoms: After the ligation, you might experience some mild discomfort, a feeling of fullness, or pressure in the rectal area. This is normal and usually resolves within a few days. Some patients report a sensation similar to having a bowel movement, but this should not be painful.

3. What Happens to the Hemorrhoid: After the ligation, the hemorrhoid will begin to shrink as it loses its blood supply. It typically falls off within 7 to 14 days. You may notice some changes in your bowel movements, such as slight bleeding or mucus discharge, which can occur as the hemorrhoid detaches.

4. Follow-Up: It’s essential to follow up with your doctor after the procedure to ensure that everything is healing correctly. If you have any concerns, such as increased pain, significant bleeding, or signs of infection, you should contact your healthcare provider immediately.


Your Specific Situation
In your case, you mentioned that you had your first rubber band ligation about ten days ago and are unsure if the hemorrhoid has fallen off since you are not experiencing pain. Here are some points to consider:
- Changes in Appearance: The fact that the hemorrhoid appears slightly flatter is a good sign that the ligation is working. However, it may take some time for it to completely fall off and for the area to heal.

- Persistence of the Hemorrhoid: It is common for the hemorrhoid to remain visible for a while after the procedure. As the ligation takes effect, you should notice it gradually shrinking and eventually disappearing. If it remains prominent or if you have concerns about its appearance, it’s advisable to discuss this with your doctor during your follow-up visit.

- Multiple Treatments: Since your doctor has recommended three ligation sessions, it’s important to adhere to this plan. Each session targets different hemorrhoids, and completing the full treatment can lead to better long-term results.

- Lifestyle Adjustments: In addition to the procedure, maintaining a high-fiber diet, staying hydrated, and avoiding straining during bowel movements can help prevent the recurrence of hemorrhoids. Regular exercise can also promote healthy bowel function.


Conclusion
Rubber band ligation is a safe and effective method for treating internal hemorrhoids. While it may take some time for the hemorrhoid to completely resolve, the changes you are observing are likely part of the normal healing process. If you have any concerns or if the hemorrhoid does not seem to be improving, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Regular follow-ups and adherence to your treatment plan will help ensure the best outcomes.