During the brief and painless procedure, the physician places a small rubber band around the tissue just above the internal hemorrhoid where there are few pain-sensitive nerve endings. Unlike traditional banding techniques that use a metal-toothed clamp to grasp the tissue, we use a gentle suction device, reducing the risk of pain and bleeding. Advanced cases where the diagnosis is both internal and external hemorrhoids may require additional therapy as rubber banding alone may not be suitable.
Our banding procedure works by cutting off the blood supply to the hemorrhoid. This causes the hemorrhoid to shrink and fall off, typically within a day or so. You probably won’t even notice when this happens or be able to spot the rubber band in the toilet. Once the hemorrhoid is gone, the wound usually heals within one to five days.

Preparing for the Procedure

Your Charleston GI physician or nurse will provide you with any preparation instructions prior to your examination.

What to Expect

The first appointment will typically consist of a consultation and physical exam. During the diagnosis you may receive a physical examination. There is no need for anesthesia, fasting or other preparation. You and your Charleston GI physician will determine an appropriate treatment for your diagnosis during your examination.
If your diagnosis includes hemorrhoids, treatment may start immediately. In the event of multiple hemorrhoids, often the largest, most symptomatic hemorrhoid is banded first. Additional appointments are then scheduled to treat the remaining hemorrhoids at two week intervals with a final check-up two or more weeks after the last remaining hemorrhoid is banded.

Afterwards

Following hemorrhoid banding, we recommend normal activities as tolerated, except for heavy lifting, rigorous exercise or similar activities. You can resume full activity the next day.