Digestive Health providers may treat symptomatic hemorrhoids at our clinic, usually after a colonoscopy has excluded more serious causes for your symptoms. This page helps you understand what to expect after treatment, based on the type of procedure performed. A high fiber diet is helpful after hemorrhoid treatment and on a long term basis. Kellogg’s All-Bran Bran Buds is an example of a good high fiber cereal product. Metamucil, Citrucel, Benefiber, Konsyl and FiberCon are examples of good fiber supplements.
Band ligation frequently leads to discomfort, which is usually minor and self limited. Serious complications however, while uncommon, can occur.
Discomfort
While most patients have no or minimal discomfort following band ligation, some discomfort or even moderate pain is not unusual. In most cases a sitz bath (sitting in a bathtub at usual tub temperature for 10-15 minutes) on arriving home. A nonsteroidal anti-inflammatory agent such as Motrin (ibuprofen) may be used, as can Tylenol, following the package instructions. Sitz baths may be repeated as necessary.
Bleeding
Minor bleeding is expected in the days following band ligation. Passing 1-2 tsp of blood with a bowel movement or seeing blood on the toilet paper is normal. No specific treatment is needed. Of course, high grade bleeding (more than a few tablespoons at a time, or repeatedly) should be reported to us.
Thrombosis
Some thrombosis (clot formation in the unbanded nearby hemorrhoidal channels) is expected after band ligation. Occasionally a large firm tender mass may form and protrude from the anal canal. This can be quite painful, but usually resolves with sitz baths and anti-inflammatory medication. Please report this type of problem to us.
Infection
Persistent, increasing or severe pain, particularly in association with fever or other body-wide symptoms, may be a sign of infection needing emergency attention. While rare, life-threatening pelvic infections following hemorrhoidal band ligation has been reported. These symptoms must be immediately reported to us.
Urinary difficulty
Men occasionally experience difficulty with urination after band ligation. In some cases this may require a trip to the hospital emergency department for placement of a temporary urinary tube (catheter) to help with voiding. Please report this type of problem to us.