Banding Internal and External Hemorrhoids : How it Is Done

Banding Internal and External HemorrhoidsSuffering from hemorrhoids can reduce the quality of a person’s life.  However, it is not a condition that people should be ashamed of.

Once they are affected by this abnormal body condition, help should be sought rather than not acknowledge it.



There are blood vessels situated in the lower rectum and anal opening, which is nothing unusual.  When these blood vessels begin to swell up and enlarge, causing it to bulge out is when the hemorrhoid condition is triggered.

There are various treatment methods available to aid in its management, and banding is one such procedure done to remove this irksome and abnormal development.

The banding procedure as a treatment option is considered when hemorrhoids either –

–       Begin to bleed severely

–       Becomes very painful and difficult to deal with

–       Becomes thrombosed

–       Protrude or prolapse outward through the anal opening

Prior to performing the procedure, a through history and physical will be done.  Either of the following may also be done –

–       A digital rectal exam.

–       Visual examination of the insides of the anal canal with the help of an anoscope.

–       Or even an examination of the anal canal, rectum, as well as the lower end of the intestines with the use of a sigmoidoscope may possibly be carried out.

The physician will also give a list of complications that can occur after performing the banding procedure.  Though it is very rare for complications to occur, recurrence of hemorrhoids is a possibility; bleeding can persist; adverse reactions to the anesthetic used may be met with; or even the banding site can become infected.

Banding Hemorrhoids Procedure

A local anesthesia may be used to numb the area prior to the procedure, only if the patient asks for it.

An anoscope will gently be passed through the anal opening through which the insides of the rectum will be examined to identify the location of the hemorrhoid.  With the use of a surgical instrument, the hemorrhoid will be grasped gently.  Then, a specialized banding device will be inserted which will place a rubber band around the base of the hemorrhoid.  The band will be tightly wrapped, enough to cut off blood supply to the hemorrhoid, causing it to shrink and fall off eventually.  It may take about a week to two week’s time to get rid of the hemorrhoid, and along with it, the band will fall off as well.

This is a quick procedure that can be opted for to treat hemorrhoids, but its quickness will depend on how many hemorrhoids will the banding need to be done on.

The patient is bound to experience some amount of discomfort after the procedure, especially while passing stools, and expelling stomach gas.  The person will also in all likelihood notice some bleeding when the hemorrhoid falls off.

The recovery period can be made smooth by –

–       Taking sitz bath as often as possible if it is okayed by the physician.

–       Not sitting on the toilet bowl for a very long time to have a bowel movement.

–       Drinking plenty of fluids and eating a fiber-rich diet to keep the stools soft, so as to avoid straining to move bowels.

–       Applying medicated creams as suggested by the physician.

–       Avoiding lifting heavy objects.

–       Wearing loose undergarments to avoid irritating the area any further.