Pain and Swelling After Hemorrhoid Banding: Is It Normal?

Painful boils can make it difficult to walk?

I went to the clinic due to bleeding, and the doctor immediately applied a rubber band.
The problem is that before the banding, I only experienced mild bleeding and no significant pain.
However, after the banding, my hemorrhoid became swollen and very painful, and it won't retract.
Walking is quite painful.
Is this normal?

Lin Chang-Hong, 30~39 year old female. Ask Date: 2016/02/26

Dr. Ke Fangxu reply Surgery

If the rubber band ligation is performed too close to the anal opening, this situation may occur.
Generally, the pain will last for one to two weeks.
It is recommended to enhance sitz baths and consult a physician for evaluation.
If necessary, medication or topical treatments can be used to alleviate the symptoms.

Reply Date: 2016/02/26

More Info

After undergoing hemorrhoid banding, it is not uncommon to experience pain and swelling in the affected area. Hemorrhoid banding, also known as rubber band ligation, is a minimally invasive procedure used to treat hemorrhoids by cutting off their blood supply, causing them to shrink and eventually fall off. While this procedure is generally safe and effective, it can lead to discomfort and complications in some patients.

The pain you are experiencing after the banding procedure can be attributed to several factors. First, the ligation itself can cause irritation and inflammation in the anal region, leading to pain and swelling. This is a normal response as the body reacts to the procedure. Additionally, the process of having a rubber band placed around the hemorrhoid can create pressure and discomfort, especially during bowel movements.

It is important to note that while some level of pain and swelling is expected, severe pain that prevents you from walking or performing daily activities may indicate a complication. Possible complications from hemorrhoid banding include:
1. Infection: Although rare, an infection can occur at the site of the banding, leading to increased pain, swelling, and possibly fever.

2. Thrombosis: Sometimes, a hemorrhoid can become thrombosed (filled with blood clots) after banding, which can cause significant pain and swelling.

3. Necrosis: In rare cases, the tissue around the banded hemorrhoid may not receive adequate blood supply, leading to tissue death (necrosis), which can be painful and require further medical intervention.

4. Anal fissures: The trauma from the procedure or straining during bowel movements can lead to the development of anal fissures, which can cause sharp pain during and after bowel movements.

Given your symptoms of significant pain and swelling, it is crucial to communicate with your healthcare provider. They may recommend pain management strategies, such as over-the-counter pain relievers, sitz baths, or topical anesthetics to help alleviate discomfort. They may also want to examine the area to rule out any complications.

In the meantime, here are some general recommendations to help manage your symptoms:
- Avoid straining during bowel movements: Straining can exacerbate pain and swelling. Consider using a stool softener or increasing your fiber intake to make bowel movements easier.

- Stay hydrated: Drinking plenty of water can help soften stools and reduce the risk of straining.

- Use warm sitz baths: Soaking in warm water can help soothe the area and reduce swelling.

- Apply ice packs: If swelling is significant, applying ice packs to the area for short periods can help reduce inflammation.

- Rest: Allowing your body time to heal is essential. Avoid activities that may aggravate the area.

In conclusion, while some pain and swelling after hemorrhoid banding can be normal, it is essential to monitor your symptoms closely. If your pain worsens or if you experience any signs of infection (such as fever or discharge), seek medical attention promptly. Your healthcare provider can provide the best guidance tailored to your specific situation and ensure that you receive the appropriate care.

Similar Q&A

Is Pain and Bleeding Normal After Hemorrhoid Banding?

Doctor, I had a hemorrhoid ligation a week ago, and I experience a sharp pain during bowel movements. Is this normal? Occasionally, there is some bleeding.

Dr. Zhang Shuhao reply Surgery
After rubber band ligation for internal hemorrhoids, there may be slight swelling, pain, and bleeding for one to two weeks, but it should not be severe. It is advisable to take warm sitz baths and increase fluid intake to aid in bowel movements. If symptoms are more severe, a fol...

Post-Surgery Concerns: Managing Pain and Swelling After Hemorrhoid Banding

Hello Doctor, I would like to ask – about 10 days after undergoing ligation for an internal hemorrhoid, I have developed a swollen lump about the size of a BB pellet near my anus. It is swollen and cannot be pushed back in, and it is more painful than before the ligation. Warm si...

Dr. Ke Fangxu reply Surgery
This situation is likely due to thrombosed external hemorrhoids caused by the ligation. It should be treated with topical medications and warm sitz baths. If the pain and swelling persist, you may need to have the physician who performed the ligation examine you for any other iss...

Is Swelling Normal After Rubber Band Ligation for Hemorrhoids?

Last week, I went to the hospital for rubber band ligation. The doctor mentioned that it was approximately a grade 2 hemorrhoid, and there was also some ulceration. When I returned for a follow-up a few days ago, both the doctor and the nurse said that the band would likely fall ...

Dr. Zhang Shuhao reply Surgery
Sometimes, ligation of internal hemorrhoids can constrict blood vessels, leading to poor blood flow and swelling of external hemorrhoids. It is advisable to take warm sitz baths and use anti-inflammatory pain relievers, which will often provide relief. However, if symptoms persis...

Is Bleeding and Swelling Normal After Using a Band for External Hemorrhoids?

Hello... Recently, I have been using a band for external hemorrhoids. After 2 to 3 days, there is bleeding and swelling. Is this normal?

Dr. Ke Fangxu reply Surgery
External hemorrhoids typically do not require ligation treatment as it can lead to pain and bleeding. Although swelling and bleeding are not normal occurrences, performing ligation on external hemorrhoids can result in these symptoms. It is advisable to ask your physician who per...