Can Rubber Band Ligation Treat Long-Standing Grade 2 Hemorrhoids? - Surgery

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Rubber Band Ligation for Hemorrhoids


Hello, doctor! I would like to ask you about my visit to the hospital today.
I saw a doctor for my hemorrhoids, and he diagnosed me with grade 2 hemorrhoids that have been present for quite some time.
There is one that protrudes and needs to be pushed back in.
I want to get rid of it but do not want to undergo surgery.
Can I still use rubber band ligation for hemorrhoids that have been present for a while? Thank you.

C, 20~29 year old female. Ask Date: 2016/02/22

Dr. Yu Mingchang reply Surgery


Hello: Please take some time to visit the Department of Colorectal Surgery for an examination.
The Ministry of Health and Welfare Changhua Hospital cares about you.

Reply Date: 2016/02/22

More Info


Rubber band ligation is a common and effective treatment for hemorrhoids, particularly for those classified as Grade 2 or Grade 3. In your case, since you have Grade 2 hemorrhoids that have been present for a while and are protruding, rubber band ligation could be a suitable option for you. This procedure involves placing a small rubber band around the base of the hemorrhoid, which cuts off its blood supply. Over time, the hemorrhoid will shrink and eventually fall off, typically within a week.

One of the advantages of rubber band ligation is that it is a minimally invasive procedure. It can often be performed in an outpatient setting, meaning you won't need to stay in the hospital. The procedure is usually quick, taking only a few minutes, and it can be done with local anesthesia, which minimizes discomfort.

However, it's important to consider a few factors before proceeding with rubber band ligation. First, the presence of any complications, such as significant bleeding or thrombosis (a blood clot in the hemorrhoid), may affect the suitability of this treatment. If your hemorrhoids are causing severe pain or if there are other complications, your doctor may recommend a different approach.

Additionally, while rubber band ligation is generally safe, there are potential risks and side effects. These can include pain, bleeding, and, in rare cases, infection. It's crucial to discuss these risks with your healthcare provider to ensure that you are fully informed before making a decision.

If you are hesitant about surgery and prefer a less invasive option, rubber band ligation is a reasonable choice for Grade 2 hemorrhoids. However, it is essential to have a thorough discussion with your healthcare provider about your specific situation, including the duration and severity of your hemorrhoids, any associated symptoms, and your overall health. They can provide personalized advice and help you weigh the benefits and risks of the procedure.

In summary, rubber band ligation can effectively treat long-standing Grade 2 hemorrhoids, especially if you wish to avoid surgical intervention. Make sure to consult with your doctor to determine the best course of action for your condition and to address any concerns you may have about the procedure. Regular follow-up appointments will also be important to monitor your recovery and ensure that the treatment is effective.

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