Post-Hemorrhoid Banding: Bleeding and Future Screening Needs

Q: Post-Hemorrhoid Banding: Bleeding and Future Screening Needs

Hello： In response to your questions. <br>1. <br>It is possible to experience a small amount of bleeding after hemorrhoid ligation. <br>As long as the bleeding is not significant (such as large amounts of bright red blood or blood clots), it is generally not a concern. <br>2. <br

Post-hemorrhoid ligation?

I noticed a small amount of blood on the toilet paper after having a bowel movement, so I visited a colorectal specialist.
He performed a hemorrhoid ligation and mentioned that it might take about three sessions since the hemorrhoids are not small.
However, after returning home, I had two bowel movements, and the amount of blood during these two times was significantly more than before the procedure.
Previously, there would only be one or two drops on the toilet paper, and it wouldn’t drip into the toilet.
Yet, after the hemorrhoid ligation yesterday, it dripped into the toilet.
Is this normal?
My second question is that I used to experience lower abdominal pain after eating, but it would only last for a short time and would resolve after having a bowel movement.
The stool consistency is not always diarrhea, but sometimes when I wipe, I notice a lot of mucus on the toilet paper (sometimes it’s there, sometimes it’s not).
Is this irritable bowel syndrome or inflammation?
Additionally, since my grandmother passed away from colon cancer at around 65 years old, do I need to undergo a colonoscopy? At what age should I have related screenings done? (I’ve heard that it can be hereditary.)

guests, 20~29 year old female. Ask Date: 2005/08/14

Dr. Ke Fangxu reply Surgery

Hello: In response to your questions.
1.
It is possible to experience a small amount of bleeding after hemorrhoid ligation.
As long as the bleeding is not significant (such as large amounts of bright red blood or blood clots), it is generally not a concern.
2.
Your grandmother is a second-degree relative, and since her age at diagnosis was over 50, your risk of developing colorectal cancer is not higher than that of the general population.
If you are still concerned, it is generally recommended to begin screening after the age of 40.

Reply Date: 2005/08/14

More Info

After undergoing hemorrhoid banding, it is not uncommon to experience some bleeding, especially in the days following the procedure. The increase in bleeding you described, where you noticed more blood than before the banding, can be concerning but may also be a normal part of the healing process. Hemorrhoid banding involves placing a rubber band around the base of the hemorrhoid, which cuts off blood flow to the tissue. As the hemorrhoid shrinks and eventually falls off, some bleeding can occur. However, if the bleeding is significant or persists, it is crucial to contact your healthcare provider for further evaluation.

In terms of your second question regarding abdominal pain and the presence of mucus on toilet paper, these symptoms can be indicative of several gastrointestinal issues. The transient abdominal pain that resolves after a bowel movement could be related to various factors, including dietary choices, bowel habits, or even conditions like irritable bowel syndrome (IBS). The presence of mucus can also be associated with IBS, inflammatory bowel disease (IBD), or other gastrointestinal conditions. It is advisable to discuss these symptoms with your doctor, who may recommend further evaluation or diagnostic tests to rule out any underlying issues.

Regarding your family history of colorectal cancer, particularly with your grandmother having passed away from the disease, it is prudent to be proactive about screening. The general recommendation for average-risk individuals is to begin screening for colorectal cancer at age 45. However, given your family history, especially if your grandmother was diagnosed at a relatively young age, you may need to start screening earlier. It is advisable to consult with your healthcare provider about your specific risk factors and to determine the appropriate age for you to begin screening, which may include a colonoscopy.

In summary, while some bleeding after hemorrhoid banding can be normal, it is essential to monitor the situation and seek medical advice if it worsens or does not improve. Additionally, your gastrointestinal symptoms warrant further discussion with your healthcare provider to rule out any significant conditions. Lastly, due to your family history of colorectal cancer, early screening is recommended, and your doctor can guide you on the best course of action. Regular follow-ups and open communication with your healthcare provider are key to managing your health effectively.

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