Banding of Haemorrhoids
What are haemorrhoids?
Haemorrhoids, commonly known as piles, are swollen veins in the lower part of the rectum and anus. They can cause discomfort, itching, and bleeding, making daily life unpleasant for those who suffer from them. Fortunately, several treatment options are available, one of the most effective being the banding of haemorrhoids, also known as rubber band ligation. This procedure is usually done for internal haemorrhoids, as external ones may require different treatment.
When is banding of haemorrhoids recommended?
Mild haemorrhoid symptoms can often be managed with dietary adjustments or over-the-counter treatment from your local pharmacist or chemist. However, for small internal haemorrhoids, rubber band ligation is a common and effective procedure.
What does banding of haemorrhoids involve?
Banding of haemorrhoids can be carried out in the outpatient department. No preparation is usually necessary. Occasionally a patient may request sedation or a short anaesthetic, particularly if they have found examination of the back passage uncomfortable. During the procedure a proctoscopy is performed to identify the haemorrhoids, and the surgeon uses an applicator to place the band around the haemorrhoid. Usually, three bands are placed and the procedure takes around 10-15 minutes to complete.
What are the potential risks and complications?
There are small risks associated with any procedure but complications are rare. Bleeding is the main risk as most patients notice a little blood when the bands cut through the haemorrhoid, sometime between 5 and 10 days. Usually this is a small amount but rarely it can be quite a lot and, if that occurs, patients must seek medical advice. Most people feel a little uncomfortable after banding of haemorrhoids. Very rarely patients develop an infection at the banding site.
Banding of Haemorrhoids Recovery Time
Banding of haemorrhoids doesn’t usually cause much pain afterwards. Some patients may feel a dull ache, and simple pain relief such as paracetamol should be adequate for most patients. It’s likely patients may feel they need to open their bowels after the procedure; this is a normal sensation and results from swelling caused by the bands. Patients should resist the temptation to strain, and only go to the toilet as normal when needed. Stool softeners can be helpful but, if these are not available, then drinking plenty of water will help. A high-fibre diet can help prevent constipation and reduce straining during bowel movements, so include plenty of fruits, vegetables, and whole grains in your meals. When recovering from banding of haemorrhoids, patients should avoid any vigorous physical activities for 48 hours. Normally patients are reviewed in the clinic 4-6 weeks after the procedure, where a further examination will take place and most patients will find their symptoms have improved. Banding of haemorrhoids can be repeated if necessary or, if symptoms are not improved at all, another treatment may be recommended.
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