Introduction
Suppose you are experiencing swollen veins in the lower rectum and anus, it’s a high possibility that you are suffering from hemorrhoids. While over-the-counter treatments such as creams and lifestyle changes can provide some relief, more persistent cases may require medical intervention. However, one of the most effective methods to treat internal hemorrhoids is rubber band ligation. Let’s know more about this treatment in this guide.
What is Rubber Band Ligation?
According to a study, Hemorrhoid is a common condition that might affect 3 out of 4 adults in their lifetime. Many factors lay behind this condition from not having enough fibres to straining during bowel movements.
One of the most effective treatments is rubber band ligation. A non-surgical method called rubber band ligation is used to treat internal hemorrhoids. During the procedure, a small rubber band is placed at the base of the hemorrhoid, cutting off its blood supply. Without blood, the hemorrhoid gradually shrinks and eventually falls off within a week or two. This method is particularly effective for treating internal hemorrhoids, which are located inside the rectum and generally don’t cause pain due to the absence of nerve endings in the area.
The rubber band ligation of the hemorrhoid method is not only quick but also very efficient in addressing mild to moderate cases of internal hemorrhoids. External hemorrhoids, on the other hand, are not suitable for this treatment due to their location and the presence of pain-sensitive nerves.
Talking about hemorrhagic conditions, you may also want to read about: Hemorrhagic Ovarian Cyst: Everything To Know.
How Successful Is Rubber Band Ligation?
The success rate of this therapy falls between 70-97%. However, it depends on various factors from the Ligation grading and the technique used.
So, the physician will assess the need for rubber band ligation of hemorrhoid and then prescribe the most effective way to apply it.
How the Rubber Band Ligation Procedure is Done?
The procedure is simple and takes a few simple steps. However, after the application of the ligation, it may take 2-3 weeks to recover.
The ligation procedure is usually performed in a doctor’s office or an outpatient setting. It requires minimal preparation and no hospitalization. Here’s a step-by-step overview of how it’s done:
Preparation:
Before the procedure, the doctor may perform a digital rectal exam or anoscope to assess the hemorrhoids. No anesthesia is required as internal hemorrhoids are not sensitive to pain. However, a mild sedative or local anesthetic may be provided if necessary.
Procedure:
The doctor inserts an anoscope into the rectum to visualize the hemorrhoids. Using a specialized instrument called a ligator, the doctor places a tiny ligation around the base of the hemorrhoid. This stops the hemorrhoid’s blood supply.
Post-Procedure:
The hemorrhoid begins to shrink due to the lack of blood flow. In about 1-2 weeks, the dead hemorrhoid tissue falls off and is naturally passed during a bowel movement.
Benefits of Rubber Band Ligation
If we are saying that rubber band ligation is one of the best ways to treat it, then what is the reason? Here are some benefits of ligation making it a popular therapy for internal hemorrhoids:
Minimally Invasive:
Unlike surgery, ligation is a non-surgical approach, meaning there is no need for incisions or general anesthesia. It is performed on an outpatient basis, allowing patients to return home the same day.
Quick Recovery:
Since the procedure is minimally invasive, recovery time is relatively fast. Most patients resume their normal routine the day after treatment, experiencing only mild discomfort for a few days.
Highly Effective:
Rubber ligation is highly effective, especially for treating first- and second-degree internal hemorrhoids. The success rate is high, and in most cases, hemorrhoids are permanently eliminated.
Cost-Effective:
Compared to surgical treatments, rubber band ligation is a more affordable option, particularly for those with mild to moderate hemorrhoid conditions. It’s a cost-efficient solution with minimal risk.
Who is a Candidate for Rubber Band Ligation?
Rubber band ligation of hemorrhoid treatment is recommended for patients with first- to third-degree internal hemorrhoids. These hemorrhoids are those which protrude slightly but can be pushed back to the rectum. You can know them by their symptoms like bleeding, irritation, and discomfort during bowel movements. The foremost method of management or treatment could be through medications and lifestyle changes, However, if these methods fail, ligation is often the next step.
Not every patient, though, is a good fit for this operation. Patients with specific medical issues, such as bleeding disorders, or those with external hemorrhoids, may not be suitable. Furthermore, individuals with fourth-degree hemorrhoids—those that have become extensively prolapsed and are incapable of being manually forced back within the rectum—should not undergo ligation of their hemorrhoids.
What’s Recovery Like?
After the application of the ligation, what does the healing process look like? You might be surprised, but the healing process might take around 2-3 weeks.
The hemorrhoids dry up and fall off by themselves following the treatment. It may take a week or two for this to occur. Since hemorrhoids typically pass with bowel movements once they’ve dried up, you might not even notice them falling out.
For a few days following hemorrhoid banding, you might experience the following discomfort:
- Flatulence
- Gas
- Discomfort in the abdomen
- Bloating in the abdomen
- Constipation
To manage the condition, and avoid constipation and bloating, your doctor could advise taking a laxative. Stool softeners are also beneficial.
Potential Risks and Complications
There’s a risk factor associated with any medical procedure. Similar is the case with the rubber band ligation. While complications are rare, it’s essential to be aware of the possibilities:
Discomfort and Pain: Some patients may experience mild discomfort, pressure, or pain after the procedure. Over-the-counter pain relievers are typically sufficient to manage this.
Bleeding: It is common to experience light bleeding within a few days after the procedure as the hemorrhoid shrinks and eventually falls off. However, if heavy or prolonged bleeding occurs, it’s important to consult your doctor immediately.
Infection: Though rare, there is a slight risk of infection after rubber band ligation. Signs of infection may include fever, chills, or severe pain, and should be reported to a healthcare provider right away.
Band Slippage: In rare cases, the rubber band may slip off prematurely, causing the procedure to be less effective. This may require a second treatment session.
Conclusion
To conclude, rubber band ligation for hemorrhoid is a safe, effective, and minimally invasive treatment for internal hemorrhoids. It offers a quick recovery and long-lasting relief from the discomfort of hemorrhoids. If you’re struggling with persistent symptoms, it’s essential to consult a healthcare professional to determine if rubber ligation is the right solution for you. By addressing hemorrhoids early, you can avoid more invasive procedures and enjoy a better quality of life.
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