Rubber Band Ligation for Hemorrhoids


  • Rubber band ligation is a procedure in which the hemorrhoid is tied off at its base with rubber bands, cutting off the blood flow to the hemorrhoid.
  • This treatment is only for internal hemorrhoids.
  • To do this procedure, a doctor inserts a viewing instrument (anoscope) into the anus.
  • The hemorrhoid is grasped with an instrument, and a device places a rubber band around the base of the hemorrhoid. The hemorrhoid then shrinks and dies and, in about a week, falls off.
  • A scar will form in place of the hemorrhoid, holding nearby veins so they don't bulge into the anal canal.
  • Patient will be asked whether the rubber bands feel too tight.
  • If the bands are extremely painful, a medicine may be injected into the banded hemorrhoids to numb them.
  • After the procedure, you may feel pain and have a sensation of fullness in the lower abdomen. Or you may feel as if you need to have a bowel movement.

  • Treatment is limited to 1 to 2 hemorrhoids at a time without anesthesia.
  • Several hemorrhoids may be treated at one time if the person has general anesthesia.
  • Additional areas may be treated at 4- to 6-week intervals.
  • Pain is likely for 24 to 48 hours after rubber band ligation.
  • You may use acetaminophen (for example, Tylenol) and sit in a shallow tub of warm water  for 15 minutes at a time to relieve discomfort.
  • To reduce the risk of bleeding, avoid taking aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) for 4 to 5 days both before and after rubber band ligation.
  • Bleeding may occur 7 to 10 days after surgery, when the hemorrhoid falls off. Bleeding is usually slight and stops by itself.


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