After Hemorrhoid Banding

Hemorrhoid banding involves placing a tight elastic band around tissues in the
upper anal canal. The band is so tight that it cuts off the circulation to that encircled
tissue, causing it to slough off within 3 or 4 days. When tissue loses its blood supply,
it does cause a pain reaction so patients who have banding can anticipate feeling
pain in the rectal area for 2 to 7 days.

It is impossible to predict who will have modest pain and who will have a lot of
pain. For this reason, banding is best scheduled when the patient has a few days
afterward with the option to rest at home and not work. The type of pain is a dull
ache as opposed to a sharp pain. It is generally tolerable with the help of Tylenol
Extra Strength tablets. It is best to stay ahead of this type of pain by taking two
tablets right after or just before the banding, even when the pain is not there yet,
then take two tablets every 3 to 6 hours for the next 24 hours in order to keep the
pain at manageable levels. You must not take aspirin or Advil or any other type of
ibuprofen product for pain as these will potentially increase the amount of bleeding
when the band cuts through.

In addition, because there is some tissue that is in the process of sloughing off,
it is best to limit physical activity for at least 3 to 4 days, including avoiding gym
workouts, running and other forms of exertion.

There is usually some bleeding when the band cuts though, sometime between 2
and 7 days. This is rarely significant. In approximately 1 in 500 cases, the bleeding
will be greater, and in such cases the Clinic should be contacted and/or you should
seek help at the nearest emergency room if the bleeding seems to be excessive.

Following the procedure, is best to avoid travel away from the Clinic area for a few
days where surgical help may not be available.

Hemorrhoid banding may cause a general spasm in the pelvic floor muscles, and this
may make it difficult to pass urine for a day or so. This issue affects men primarily.
So it is best to limit fluids on the day of the procedure and avoid caffeinated drinks,
which act as a diuretic and will cause the bladder to fill and be difficult to empty.

WHAT TO WATCH FOR:
Contact the Clinic at (604) 730-5810 immediately if you have severe pain that you
cannot control with Extra Strength Tylenol, inability to pass urine, nausea, vomiting,
fever, shakes/chills, more than a modest amount of bleeding.

Feel free to contact the office at any time if you have questions or concerns about
the treatment or your condition.

© Pezim Clinic, Vancouver, British Columbia, Canada