Internal haemorrhoids are varicose veins running under the rectum’s mucous membrane. Haemorrhoids can be of varying size and cause different types of inconvenience (extrusion, bleeding, itching, pain). The rubber band ligation of internal haemorrhoids is nowadays the most common, easiest type of care.
The rubber band ligation can be performed as a separate procedure or in connection with colonoscopy. The actual procedure is quite quick and usually almost painless.
In the procedure, tight rubber bands are attached to the base of the largest 1-3 haemorrhoids. This is done by entering the haemorrhoid inside a special suction instrument that allows putting the rubber band in place. The compression induced by the rubber band results in necrosis of the haemorrhoid tissue in 5–10 days, and scar tissue forms on the mucous membrane.
There may be some bleeding from the anus immediately after the procedure. Sometimes pain can occur in the anus and the pelvic floor on the days following the procedure. The pain is due to the necrosis of the haemorrhoid and the formation of scar tissue. Common anti-inflammatory medicines can be administered for the pain.
The rectum’s mucous membrane does not usually feel pain, and strong pain often suggests that the rubber band has been placed too close to the skin of the anus. If the pain is exceptionally severe, the rubber band can be removed. Very severe pain and fever may require consultation with a physician. In that case contact the treating physician or your local surgical outpatient department.
You should avoid strong effort in bowel movement for 3–4 days in the recovery phase.
To ensure a good care result, the rubber band ligation should be performed 1–3 times every 1–2 months, for example.
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