Post-Banding After Care 

You have undergone rubber band ligation of internal hemorrhoids today. This is a safe and effective outpatient procedure designed to treat internal hemorrhoids by cutting off their blood supply, leading to shrinkage and sloughing of the tissue within 7-10 days. 

 

What to Expect:

• Mild discomfort or pressure in the rectum for several days is normal.

• Minor rectal bleeding may occur, especially when the banded hemorrhoid sloughs off (typically around day 7-10).

• Passage of the band in the stool is normal and does not require action. 

 

Some patients experience no discomfort at all, while others may feel moderate pressure.

 

Follow-up

• Multiple sessions are often necessary to achieve optimal symptom control. 

 

Pain Management

• You may use acetaminophen (Tylenol) or an NSAID (e.g. Ibuprofen, unless contraindicated) if discomfort occurs. 

• Avoid opioid medications if possible, as they may cause constipation 

 

Dietary Recommendations 

• Increase fiber intake (whole grains, vegetables, fruits, fiber supplements such as psyllium)

• Maintain adequate fluid intake (8-10 glasses of water per day)

• Avoid straining during bowel movements

• You may use a stool softener if needed (e.g. Docusate sodium)

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When to Seek Medical Attention

Contact our office or go to the nearest Emergency Department if you experience:

• Severe pain not relieved by over the counter medications

• Heavy or persistent rectal bleeding

• Fever, chills or increasing perianal pain/swelling

• Difficulty passing urine (urinary retention)