Rubberband ligation (or haemorrhoid banding) is a minimally invasive treatment for symptomatic haemorrhoids; it may not be suitable for larger haemorrhoids. The procedure is performed under light sedation (usually at the time of colonoscopy) and a local nerve block.

Small specialised bands are placed around the base of the haemorrhoid tissue, usually 3 bands.

The bands cut off the blood supply and the haemorrhoid tissue separates and falls off about 5-10 days later, you may or may not notice this happening.

One of the bands may fall off soon after the procedure but usually at least one or two bands will remain intact for several days to have effect.

This technique is also used to remove minor prolapsing tissue.

Post-banding you may see some light bleeding for 4-5 days; there may also be an episode of bright bleeding 1-2 weeks later as the haemorrhoid tissue comes away, this usually settles without concern.

Post procedure

• There may be some light bleeding for 4-5 days; there may also be an episode of bright bleeding 1-2 weeks later as the haemorrhoid tissue comes away, this usually settles without concern.

• You may experience temporary discomfort for a few days; regular paracetamol maybe adequate; a stronger analgesic may also be prescribed.

• Warm salt baths (or showers) twice a day or after bowel motions help relieve discomfort and anal spasm.

• Constipation and straining should be avoided with a high fibre diet and adequate fluids. A soluble fibre supplement (e.g. Benefiber) may be helpful to maintain a softer stool consistency.

• Strong laxatives, enemas and suppositories should be avoided, the gentle laxative macrogol (brand names movicol, osmolax and clearlax) is recommended if needed to prevent straining.

• Avoid excessive physical activity for 1-2 weeks

Please contact our rooms or seek medical attention after hours if any concerns;

• Persistent pain not relieved with analgesia as prescribed
• Persistent bleeding
• Difficulty passing urine
• Temperature over 38 c
•  Any other concerns