Post-Hemorrhoid Banding Surgery: Symptoms and Relief Strategies - Surgery

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Symptoms after hemorrhoid ligation surgery?


Hello, Doctor.
I underwent my first rubber band ligation for internal hemorrhoids a week ago.
On the fourth day post-procedure, the rubber band fell off, and this treatment has significantly improved my internal hemorrhoid bleeding and prolapse.
However, I have developed the following symptoms that are causing me considerable physical discomfort: severe abdominal bloating, a constant urge to pass gas or have a bowel movement, the sensation that stool is right at the anal opening, frequent pain and swelling in the anal area, and a strong need to rush to the bathroom.
Sometimes I only pass a small amount of stool, and other times nothing at all.
I find myself needing to use the restroom multiple times a day.
I would like to ask the doctor if these symptoms are normal and how I can manage them to reduce my discomfort.
Thank you, Doctor.

PC, 40~49 year old female. Ask Date: 2014/12/27

Dr. Ke Fangxu reply Surgery


Rubber band ligation for internal hemorrhoids can sometimes lead to increased sensitivity around the anus, which is caused by the ligation site being too close to the anal opening.
However, this symptom usually resolves within one to two weeks.
It is recommended to take warm sitz baths and apply hemorrhoid-specific ointments to alleviate symptoms.
If symptoms persist beyond two weeks, it is advisable to return to the clinic for a physician's evaluation.

Reply Date: 2014/12/27

More Info


After undergoing hemorrhoid banding surgery, it is not uncommon for patients to experience a range of symptoms as the body adjusts to the procedure and heals. Your description of symptoms, including significant abdominal bloating, a constant urge to pass gas or stool, and discomfort in the anal area, is something that many patients report following this type of treatment.
Firstly, it’s important to understand that hemorrhoid banding is a minimally invasive procedure designed to treat internal hemorrhoids by cutting off their blood supply, causing them to shrink and eventually fall off. While this procedure can effectively alleviate symptoms associated with hemorrhoids, such as bleeding and prolapse, it can also lead to temporary discomfort and changes in bowel habits as the body heals.

The symptoms you are experiencing, such as bloating and the sensation of incomplete evacuation, can be attributed to several factors:
1. Post-Operative Inflammation: After the banding procedure, the tissues around the anal area may be inflamed, which can lead to discomfort and a feeling of fullness or pressure. This inflammation can also affect bowel movements, making them feel more urgent or incomplete.

2. Changes in Bowel Habits: Following surgery, it is common for patients to experience changes in their bowel habits. This can include increased frequency of bowel movements, urgency, or difficulty in passing stool. The sensation of needing to go frequently, even when little is produced, can be frustrating and uncomfortable.

3. Dietary Factors: After surgery, dietary changes may be necessary to promote healing and prevent constipation. A diet low in fiber can lead to harder stools, which can exacerbate discomfort. It’s essential to ensure you are consuming enough fiber and staying hydrated to facilitate smoother bowel movements.

4. Psychological Factors: The anxiety associated with surgery and the fear of pain during bowel movements can also contribute to the sensation of urgency and discomfort. This is a common psychological response that can affect how one perceives bodily sensations.

To manage your symptoms and enhance your comfort, consider the following strategies:
- Increase Fiber Intake: Incorporate more fiber-rich foods into your diet, such as fruits, vegetables, whole grains, and legumes. This can help soften stools and promote regular bowel movements.

- Stay Hydrated: Drinking plenty of water is crucial for preventing constipation and ensuring that your digestive system functions smoothly.

- Warm Baths: Taking warm sitz baths can help soothe the anal area, reduce inflammation, and alleviate pain. This can be particularly beneficial after bowel movements.

- Over-the-Counter Pain Relief: If you are experiencing significant discomfort, over-the-counter pain relievers such as acetaminophen or ibuprofen may help. However, consult your physician before taking any medication.

- Avoid Straining: When using the bathroom, try to relax and avoid straining, as this can exacerbate discomfort and lead to further complications.

- Consult Your Doctor: If your symptoms persist or worsen, it is essential to follow up with your healthcare provider. They can assess your condition and determine if any additional treatments or interventions are necessary.

In summary, while the symptoms you are experiencing after hemorrhoid banding surgery can be uncomfortable, they are often temporary and can be managed with appropriate care and lifestyle adjustments. If you have any concerns or if your symptoms do not improve, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.

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