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Posted 11/28/2022 by Amelia Grant

What to Know About Hemorrhoid Banding

What to Know About Hemorrhoid Banding

Hemorrhoids are inflamed veins that form around the anus or inside the lower rectum. If you have recurring hemorrhoids that cause discomfort, you should seek medical attention.

Internal hemorrhoids are treated by surgeons using a surgical procedure known as hemorrhoid banding (those located in the rectum). Rubber band ligation is another name for this treatment. The medical procedure also helps to keep them from returning.

This article examines the hemorrhoid banding procedure as well as alternative hemorrhoid treatments.

What Is Hemorrhoid Banding?

Internal hemorrhoids are treated with hemorrhoid banding, which is a medical procedure. According to a 2019 study, banding is an effective and low-cost treatment for hemorrhoids. If you have internal hemorrhoids that bleed a lot, are very painful, have a blood clot, and protrude from the anus, your doctor may recommend a banding procedure.


A healthcare provider will most likely ask you the following questions before the procedure:

  • Do you suffer from any allergies?

  • Are you on any medications or taking any supplements?

  • Is there someone who can pick you up after the procedure?

Before the procedure, a Fleet's enema may be administered.


This procedure is typically performed in an outpatient setting, often right in the doctor's office.

A surgeon will wrap a rubber band around any hemorrhoids inside your rectum during a hemorrhoid banding procedure. This stops blood flow, causing hemorrhoids to shrink and eventually disappear.

Your healthcare provider will insert a special rubber banding tool through a speculum to band the hemorrhoid at its base during the rubber band procedure. They may use suction or forceps to hold hemorrhoid in place while applying the rubber band.

Your doctor will use a local anesthetic to reduce pain during and immediately after the procedure. They may also prescribe a topical ointment to alleviate post-operative pain.

The procedure is unlikely to take long, but the timing is dependent on the number of hemorrhoids you have.


The hemorrhoid tissue usually dies and falls off after about a week. Meanwhile, you should expect some discomfort in the week following the procedure. Because we all have different pain thresholds, this will vary from person to person. You may also experience anal fullness. Bleeding is another possibility.

To relieve any pain or discomfort caused by the banding procedure, you may find it helpful to take over-the-counter (OTC) Tylenol (acetaminophen). Advil (ibuprofen), Aleve (naproxen), and aspirin should be avoided for four to five days before and after the procedure because they may increase the risk of bleeding.

Sitting in a shallow tub of warm water, also known as a sitz bath, is another option for reducing discomfort. Taking stool softeners, staying hydrated, and eating plenty of fiber can also help make bowel movements more comfortable.

In some cases, healing and recovery can take up to two weeks. Depending on the size and severity of the hemorrhoids, you may need multiple banding treatments to completely remove them.

The Bottom Line 

Internal hemorrhoids can be effectively treated with hemorrhoid banding, which is a non-invasive procedure. It is an outpatient procedure that can be performed in the office of your healthcare provider. Hemorrhoids' circulation is cut off by banding. Within a week, the banded portion falls off, leaving you hemorrhoid-free.

During and after the procedure, you may feel some pain and discomfort. Healing takes about a week for most people.

While hemorrhoids are generally not a cause for concern, they can be uncomfortable. Internal hemorrhoids that are causing you pain can be effectively treated with banding.

Knowing what to expect from the banding procedure can help to reduce anxiety. If you have any further questions about what to expect, please contact your healthcare provider.

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