Post-Banding Surgery Concerns: Symptoms and Recovery

After undergoing rubber band ligation?

Hello, Doctor.
I have a concern.
On June 28, I underwent a rubber band ligation procedure at E-Da Hospital.
After the outpatient procedure, the doctor prescribed a sedative, an anti-flatulence medication, and a suppository.
The doctor did not mention any postoperative conditions and told me I did not need to return for a follow-up.
However, since the procedure, every time I have a bowel movement, I notice mucus that resembles nasal discharge with blood in the initial segments.
The color has gradually changed from bright red to darker red with blood streaks.
Since the ligation, I have not seen the hemorrhoidal tissue fall off (will it be noticeable? How many days does it take to fall off? It has been eight days).
I read online that bleeding occurs only on the day the hemorrhoidal tissue falls off.
I am worried that there might be an infection at the surgical site.
Other than this concern, I have no other discomfort, but sometimes I feel bloated and painful when I need to have a bowel movement.
After passing gas or finishing a bowel movement, the symptoms resolve.
Is this normal after a rubber band ligation? Could it be rectal inflammation? I had a colonoscopy in February of this year.
What should I do? I'm so scared.

qaz700510, 20~29 year old female. Ask Date: 2008/07/06

Dr. Hou Yongji reply Surgery

1.
Attached are the precautions for hemorrhoid ligation at our hospital.

2.
Regarding abdominal pain and improvement after passing gas, the colonoscopy performed in February of this year was normal, so it is likely a functional issue.
Please relax, as this should help improve your condition.

Reply Date: 2008/07/06

More Info

After undergoing a rubber band ligation procedure on June 28, it is understandable to have concerns regarding your symptoms and recovery. The presence of blood-tinged mucus during bowel movements, especially in the early days following the procedure, can be alarming. However, it is important to recognize that some bleeding and discharge can be a normal part of the healing process after such a procedure.

Rubber band ligation is a common treatment for hemorrhoids, where a rubber band is placed around the base of the hemorrhoid to cut off its blood supply. Over time, the hemorrhoid shrinks and eventually falls off, typically within a week or two. The bleeding you are experiencing, particularly the transition from bright red to darker red, suggests that the initial bleeding may be tapering off, which is a positive sign. The presence of mucus mixed with blood can also occur as the body heals and the tissues adjust post-procedure.

It is crucial to monitor the amount and nature of the bleeding. If the bleeding becomes heavy or if you experience significant pain, fever, or other concerning symptoms, it would be wise to consult your healthcare provider. Infections or complications, while not common, can occur, and early intervention is key to managing any potential issues.

Regarding the timeline for the hemorrhoid to fall off, it can vary from person to person. Typically, you might expect to see the hemorrhoid detach within 7 to 14 days after the procedure. If you have not seen any changes after eight days, it may still be within the normal range, but you should keep an eye on it. If you are concerned about the lack of visible changes or if you experience worsening symptoms, it is advisable to reach out to your doctor for further evaluation.

As for the discomfort and pressure you feel when trying to have a bowel movement, this can also be a normal sensation as your body adjusts post-surgery. The rectal area may be sensitive after the procedure, and straining can exacerbate discomfort. It is essential to maintain a diet high in fiber and stay well-hydrated to promote softer stools, which can help ease the process of bowel movements and reduce straining.

In summary, while some bleeding and discomfort can be expected after rubber band ligation, it is essential to monitor your symptoms closely. If you notice any significant changes or have concerns about infection or complications, do not hesitate to contact your healthcare provider. They can provide reassurance, evaluate your symptoms, and ensure that your recovery is on track. Remember, your health and peace of mind are paramount, and seeking guidance from your physician is always a prudent choice when in doubt.

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