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rubber band ligation | banding hemorrhoids | hemorrhoid banding | hemorrhoid banding procedureHemorrhoid treatment options include both invasive and non-invasive methods. Non-invasive or minimally invasive techniques include rubber band ligation, infrared coagulation and sclerotherapy.

While infrared coagulation – photocoagulation – uses an infrared light to stop the blood supply to the affected vessels, sclerotherapy consists of injecting a solution which makes the affected blood vessel shrink within a few days. With regards to banding hemorrhoids, the results are usually better and the recurrence rate is lower compared to other non-invasive techniques.

More invasive alternatives are usually recommended to patients affected by advanced internal hemorrhoids or thrombosed hemorrhoids, in which other procedures proved to be ineffective. Invasive methods refer to hemorrhoid surgery techniques, which are mainly surgical removal known as hemorrhoidectomy or stapling, referred to as stapled hemorrhoidectomy.

As mentioned before, rubber band ligation is the most effective minimally invasive procedure for reducing hemorrhoids symptoms and their removal. This approach is performed to eliminate existing painful hemorrhoids, associated with persistent bleeding that usually contain blood clots. Although this procedure will rapidly and effectively remove hemorrhoids, it can cause pain and discomfort in the first few days after it is performed. Recurrence however is possible unless the underlying issues, which have contributed to the development of the condition have have not been taken into consideration as part of the treatment management.

Hemorrhoid Banding

The procedure itself requires a specific banding tool, which consists of a small tube holding the rubber band. This band is elastic and held in place by a trigger that is removed when the tube is placed in the right position. In other words, after the hemorrhoid is located, the tube is inserted into the anal canal, covering the entire blood vessel. After this, the rubber band is released onto the vessel’s base, stopping the blood flow. With no blood supply to it the hemorrhoid shrinks and falls off by itself in a few days. As you can imagine, this step in the hemorrhoid banding procedure is the one that causes pain to the sufferer, so the doctor can use local anesthetic to reduce the discomfort if desired.

Following the rubber band ligation procedure the patient can use analgesic and anti inflammatory medication during the recovery period. Herbal and natural products are very efficient and they have no side effects at all. Also, sitz baths or ice cubes applied to the affected area and pharmaceutical hemorrhoid creams can help in cases where the bleeding persists. It’s extremely important to keep a strict diet following the rubber band ligation procedure, in order to prevent constipation, which can of course aggravate the condition and therefore compromise the results. So please try to include more fiber in your daily diet, drink more fluids and avoid foods that can lead to hard stools.

Although banding hemorrhoids is very popular and very common these days, this treatment method has another minor disadvantage besides the pain and the discomfort during the recovery period. If the problematic blood vessel is larger, it takes two to four procedures to completely remove it and these cannot be performed from in a short period of time. Rubber band ligation interventions usually require a five to seven weeks period in between them, so if the patient has more than one affected vessel, hemorrhoid banding may not be the best alternative for them.


Banding Hemorrhoids -  Internal Hemorrhoid Following a Rubber Band Ligation Procedure

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Find out more about the different types of hemorrhoid surgery procedures:

Infrared Coagulation of Hemorrhoids

Infrared coagulation or infrared photocoagulation is a minimally invasive, non-surgical procedure used to remove internal hemorrhoids. The method is quite similar to sclerotherapy and rubber band ligation, as all these three techniques are based on the same principle. Infrared coagulation of hemorrhoids acts by obstructing the blood-flow to the swollen anal vessels and without any blood supply… [...read more]

Hemorrhoid Laser Treatment

Hemorrhoids laser treatment is used mainly in severe hemorrhoids, when other therapies – such as herbal remedies or home treatments – bring no result. Also, hemorrhoids laser surgery is recommended in patients with several recurrences of hemorrhoids, as this method is more precise and accurate than other similar techniques, such as sclerotherapy or rubber band ligation. [...read more]


Sometimes hemorrhoids surgery becomes the only treatment option, especially when the anal blood vessels are severely swollen, cause intense pain and these hemorrhoid symptoms end up detrimentally impacting on a patient’s life. Hemorrhoid surgery may also be undertaken in cases of medical emergency induced by infected or bleeding hemorrhoids leading to severe rectal pain. [...read more]