Post-Surgery Concerns: Increased Bleeding After Hemorrhoid Banding - Surgery

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Internal hemorrhoid concerns?


Hello, Doctor: I underwent a laparoscopic tubal ligation surgery yesterday, but in the two days following the procedure, I have noticed an increase in the amount of blood in my stool.
Is it possible that the rubber band was not applied correctly or has fallen off? Prior to the surgery, I had not experienced blood in my stool for the past month or two, except for a few instances where there was slight blood on the toilet paper.
Now, after the surgery, the bleeding seems to have increased, and I feel pain when I exert myself slightly during bowel movements.
Should I schedule a follow-up appointment to have this checked?

Zhìchuāng kùnrǎo, 40~49 year old female. Ask Date: 2015/08/20

Dr. Ke Fangxu reply Surgery


In the first two days after undergoing rubber band ligation for internal hemorrhoids, there may be an increase in bleeding, which is caused by bleeding from the ligation site.
This usually improves within 2-3 days.
If the bleeding is significant or persists for more than a week without improvement, it is important to consult a physician.
Typically, after the procedure, patients will be prescribed stool softeners or oral medications to control bleeding, so be sure to take them as directed.

Reply Date: 2015/08/20

More Info


After undergoing hemorrhoid banding surgery, it is not uncommon for patients to experience increased bleeding in the days following the procedure. This can be concerning, especially if you have noticed a significant increase in blood during bowel movements. Here are some insights into what might be happening and what steps you should consider taking.

Firstly, it is essential to understand that hemorrhoid banding involves placing a rubber band around the base of the hemorrhoid, which cuts off its blood supply. Over the next few days, the tissue will necrose (die) and eventually fall off, which can lead to some bleeding. This bleeding is typically expected and should gradually decrease as the area heals. However, if the bleeding is excessive or if you are experiencing significant pain, it may indicate a complication.

In your case, the increase in bleeding after the procedure could be due to several factors:
1. Normal Post-Operative Bleeding: As mentioned, some bleeding is expected after hemorrhoid banding. The tissue around the banded hemorrhoid may be inflamed, leading to increased blood flow and bleeding during bowel movements.

2. Band Slippage or Improper Placement: If the rubber band did not secure properly or if it slipped off, it could lead to increased bleeding. This situation might require a follow-up with your healthcare provider to assess the banding site.

3. Straining During Bowel Movements: If you are experiencing pain and are straining during bowel movements, this can exacerbate bleeding. It is crucial to avoid straining, as this can put additional pressure on the surgical site and lead to further complications.

4. Infection or Other Complications: Although less common, infections or other complications can occur post-surgery. Signs of infection may include increased pain, swelling, or discharge from the surgical site.

Given your symptoms of increased bleeding and pain, it is advisable to follow up with your healthcare provider. They can perform an examination to determine whether the bleeding is within the normal range or if there is an underlying issue that needs to be addressed. It is better to err on the side of caution, especially if you are feeling uncertain about your recovery.

In the meantime, here are some general recommendations to help manage your symptoms:
- Stay Hydrated: Drink plenty of fluids to help soften your stool, which can reduce straining during bowel movements.

- Dietary Adjustments: Incorporate high-fiber foods into your diet, such as fruits, vegetables, and whole grains, to promote regular bowel movements and prevent constipation.

- Avoid Straining: When using the bathroom, try to relax and avoid straining. If you feel the urge to push, take a moment to breathe and allow your body to do its work naturally.

- Pain Management: If you are experiencing pain, over-the-counter pain relievers may help. However, consult your doctor before taking any medication to ensure it is safe for your situation.

In conclusion, while some bleeding after hemorrhoid banding can be normal, significant increases in blood loss and pain warrant a follow-up with your healthcare provider. They will be able to assess your condition and provide guidance on the best course of action for your recovery. Remember, your health and peace of mind are paramount, so do not hesitate to seek medical advice when in doubt.

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