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

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Rubber band ligation (RBL) is a common and effective procedure used to treat internal hemorrhoids, particularly those that are symptomatic. 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, typically within a week or so. Understanding what to expect after this procedure can help alleviate concerns and ensure a smoother recovery.


What to Expect After Rubber Band Ligation
1. Pain and Discomfort: It is common to experience some pain or discomfort after the procedure. Many patients report that the pain is manageable and subsides significantly after the first day. As you mentioned, your pain was minimal after the first day, which is a positive sign. Pain levels can vary from person to person, and it is essential to follow your doctor's recommendations for pain management.

2. Bleeding: Light bleeding, especially during the first bowel movement post-procedure, is not unusual. This can occur as the area adjusts to the ligation and as the hemorrhoid begins to shrink. If the bleeding is minimal and stops quickly, it is generally not a cause for concern. However, if you experience heavy bleeding or if the bleeding persists, you should contact your healthcare provider.

3. Bowel Movements: After RBL, it is crucial to maintain soft stools to avoid straining during bowel movements. Straining can increase discomfort and potentially dislodge the rubber band. Using stool softeners, increasing fiber intake, and staying hydrated can help facilitate this.

4. Feeling of Pressure or Fullness: It is common to feel a sensation of pressure or fullness in the rectal area after the procedure. This sensation may be more pronounced when passing gas, as you described. This feeling should gradually diminish as the area heals and the hemorrhoid shrinks.

5. Rubber Band Displacement: The rubber band is designed to stay in place until the hemorrhoid falls off. While it is unlikely for the band to dislodge during normal activities, if you experience significant discomfort or unusual symptoms, it is wise to consult your doctor. They may want to check to ensure that the band is still in place and that healing is progressing as expected.

6. Follow-Up Care: It is essential to attend any scheduled follow-up appointments with your healthcare provider. They will assess your healing process and address any concerns you may have. If you notice any signs of infection (such as increased pain, swelling, or discharge) or if you have any worries about your recovery, do not hesitate to reach out to your doctor.


Conclusion
Overall, your experience seems to align with typical recovery patterns following rubber band ligation for internal hemorrhoids. The initial discomfort, light bleeding, and sensations of pressure are common and usually resolve within a few days to a week. Maintaining a diet that promotes soft stools and avoiding straining during bowel movements will be crucial in your recovery process. If you have any doubts or experience unusual symptoms, it is always best to consult your healthcare provider for personalized advice and reassurance. Your health and comfort are paramount, and your doctor is there to support you through your recovery journey.