Hemorrhoid Banding

A hemorrhoid can be described as clumps of tissue (piles) that can form either internally or externally and are made up of blood vessels, muscle and elastic fibers. Hemorrhoid banding, also known as rubber band ligation is an outpatient treatment usually used for second-degree internal hemorrhoids.

How The Procedure Is Performed

First an anoscope (a tube-like instrument with a light) is inserted into the anus. An instrument holds the hemorrhoid while one or two tiny rubberbands are placed around the base of the internal hemorrhoid. This stops the blood supply from flowing to the hemorrhoid causing it to shrivel and die within a week.

Preparing For The Procedure

Usually a local anesthetic is administered to the area being worked on, but other than that the patient remains awake and feels no pain.


Dr. Balasubramaniam will discuss with you what to expect before, during and after surgery. Usually after the procedure is done the patient should not take any sort of aspirin product for at least 14 days, should not do any heavy lifting or strenuous activity, and should avoid straining to have a bowel movement. Acetaminophen, Ibuprofen, and warm baths for about 10 minutes two to three times a day may help with discomfort. A stool softener may also be recommended once a day for about three days.

After the procedure it is relatively normal to experience minimal bleeding for up to fourteen days after the treatment. The wound takes about two weeks to heal and you should have a follow up with the doctor within three to four weeks.


Possible complications can include pain, infection, thrombosed hemorrhoids, bleeding, band slippage or breakage, anal fissure, and pelvic sepsis.