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(Hemorrhoid Ligation; Rubber Band Ligation for Hemorrhoids)
Reasons for Procedure
- Severely bleeding hemorrhoids
- Severely painful hemorrhoids
- Hemorrhoid containing a blood clot (thrombosed hemorrhoid)
- Hemorrhoids that protrude through the anus (prolapsed hemorrhoids)
|Grade 2 Hemorrhoid|
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- Recurrence of hemorrhoids
- Swelling and pain from remaining hemorrhoids
- Adverse reaction to the local anesthetic (if used)
What to Expect
Prior to Procedure
- Physical exam
- Rectal exam
- Anoscopy—the visual examination of the inside of the anus using a short tube (anoscope) to help keep the sphincter open
- Sigmoidoscopy —the use of a specialized endoscope (a tube attached to a viewing device) to examine the inside of the anus, rectum, and lower intestine
Description of the Procedure
How Long Will It Take?
Will It Hurt?
- Ask your doctor about when it is safe to shower, bathe, or soak in water. If your doctor says it is okay, take sitz baths as recommended. Sitz baths will help relieve discomfort and clean the area. For a sitz bath, sit in warm water for 10-15 minutes. Pat the area dry. Do not wipe or rub vigorously. You may be advised to take a sitz bath every four hours and after every bowel movement. Devices are available to place on top of the toilet to make this process easier.
- Move your bowels as soon as you feel the urge.
- Do not strain, bear down, or hold your breath during a bowel movement.
- Do not sit on the toilet for long periods of time.
- To prevent constipation and straining during bowel movements, use a stool softener, exercise, drink plenty of fluids, and eat plenty of high-fiber foods (such as fruits, vegetables , beans, and whole grains ).
- Apply creams or ointments as directed by your doctor.
- Avoid heavy lifting for two or three weeks.
- Be sure to follow your doctor’s instructions .
Call Your Doctor
- Passing large amounts of blood
- Signs of infection, including fever and chills
- Pain that you cannot control with the medicines you have been given
- Constipation or trouble urinating
- An aching feeling develops in the area between the rectum and the genitals
American Society of Colon and Rectal Surgeons http://www.fascrs.org
National Digestive Diseases Clearinghouse http://digestive.niddk.nih.gov
Canadian Digestive Health Foundation http://www.cdhf.ca
Health Canada www.hc-sc.gc.ca
American Society of Colon and Rectal Surgeons website. Available at: http://www.fascrs.org .
- Reviewer: Daus Mahnke, MD
- Review Date: 09/2013
- Update Date: 09/30/2013