Hemorrhoid Banding Post-Op Instructions

Dr. Nowain's hemorrhoid banding post-op careHemorrhoid banding is a minimally invasive procedure used to eliminate internal hemorrhoids. The recovery time after hemorrhoid banding is minimal with very little pain and discomfort. It is important to be mindful and take care of the area after the procedure to avoid a recurrence of the hemorrhoids.

Dr. Nowain has years of experience in treating hemorrhoids with a quick, in-office, pain free banding procedure. Following correct post procedure instructions will help ensure you have lower risk of complication, a high success rate, and minimal to no pain for the patient.

If you have any further questions, please don’t hesitate to contact Beverly Hills hemorrhoid doctor Ari Nowain, MD today at (310) 657-4444.

Resuming Normal Activities Post-Op

You can resume normal activities fairly quickly. After the procedure, Dr. Nowain advises his patients to rest and take it easy for the rest of the day. Patients can resume normal activities the next day. It is advisable to avoid lifting heavy objects as this is a risk factor for hemorrhoids.

Pain Relief from Hemorrhoids

The hemorrhoid banding procedure itself is not very painful. The rubber bands are placed in a region where there are less pain-receptive nerves. However, it is fairly normal for patients to experience a sense of fullness or pressure after the procedure. If the pressure is uncomfortable, Tylenol or Motrin will easily alleviate the discomfort.

Things to Do Post-Op

  • Take fiber supplements to avoid constipation
  • Tighten your buttocks muscles 10-15 times every two hours
  • Take 10-15 deep breaths every 1-2 hours
  • Drink plenty of water
  • Engage in moderate exercise
  • Take a sitz bath – soaking in a tub of warm water – to cleanse the anus. Do this after every bowel movement

Things to Avoid Post-Op

  • Do not stay seated for more than 2-3 hours
  • Do not rub or scrub the anus vigorously
  • Do not bear down during a bowel movement – if you cannot go, stop and try again later
  • Do not insert anything up the anus for two weeks – unless you have been prescribed anorectal medication by Dr. Nowain
  • Avoid alcohol as it can dehydrate you and lead to constipation

What If You See Blood After Hemorrhoid Banding?

Occasionally, you may have more bleeding than usual after the hemorrhoid banding procedure. This is often from the untreated hemorrhoids rather than the treated one. Do not be concerned if there is even a tablespoon or so of blood. However, should there be more blood than that, lie flat with your bottom higher than your head and apply an ice pack to the area. If the bleeding does not stop within a half-hour and you feel faint, call our office at 310-657-4444 or go to the emergency room.

When to Call a Gastroenterologist

Problems are not common. However, if there is a substantial amount of bleeding, severe pain, chills, fever or difficulty passing urine (very rare) or other problems, you should call us at 310-657-4444 or report to the nearest emergency department. Next, read real hemorrhoid patient testimonials.

More Follow Up Care Instructions

1. The hemorrhoid banding procedure places a small rubber band over one hemorrhoid each session. There are usually 3 banding sessions required at 2 week intervals with a final check-up a few weeks later.

2. The procedure you have had is relatively painless since the banding of the area involved does not have nerve endings and there is no pain sensation. The rubber band cuts off the blood supply to the hemorrhoid the band may fall off as soon as 48 hours after the banding (the band may occasionally be seen in the toilet bowl following a bowel movement). You may notice a feeling of fullness in the lower bowel passage which should respond adequately to plain Tylenol or Motrin.

3. Following the banding, rest at home that evening and resume full activity the next day. A sitz bath (soaking in a warm tub) or bidet is useful for cleansing the area after every bowel movement until the area heals. This is especially helpful if you have had a minor surgical procedure such as removing an anal tag in addition to the banding procedure.

4. To avoid constipation, take two tablespoons of natural wheat bran, natural oat bran, flax, Benefiber or any over the counter fiber supplement with 7-8 glasses of water.

5. Unless you have been prescribed anorectal medication, do not put anything inside your rectum for two weeks: No suppositories, enemas, fingers or other devices.

6. Occasionally, you may have more bleeding than usual after the banding procedure. This is often from the untreated hemorrhoids rather than the treated one. Don’t be concerned if there is a tablespoon or so of blood. If there is more blood than this, lie flat with your bottom higher than your head and apply an ice pack to the area. If the bleeding does not stop within a half an hour and you feel faint, call our office at 310-657-4444 or go to the emergency room.

7. Problems are not common. However, if there is a substantial amount of bleeding, severe pain, chills, fever or difficulty passing urine (very rare) or other problems, you should call us at 310-657-4444 or report to the nearest Emergency Department.

8. Do not stay seated for more than 2-3 hours. Tighten your buttock muscles 10-15 times every two hours and take 10-15 deep breaths every 1-2 hours.

9. If you are traveling out of the country or by airplane take your fiber supplement with you along with plenty of water. Do not drink alcohol on the flight as this tends to cause dehydration. Walk about every hour for a few minutes.

10. Do not spend more than a few minutes on the toilet bearing down if you cannot empty your bowel; instead re-visit the toilet at a later time.

Contact Ari Nowain, MD for a Consultation

If you have any questions or wish to make a hemorrhoid banding appointment, please contact Dr. Nowain today to meet with him at his Beverly Hills office. You can fill out the contact form in the website sidebar or call his office at (310) 657-4444.

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