Banding of Hemorrhoids: An Effective Treatment for Hemorrhoidal Relief

Hemorrhoids are a common medical condition characterized by swollen blood vessels in the rectum and anus. They are also called piles or bawaseer in local language. They can cause discomfort, pain, itching, and bleeding, affecting individuals of all ages. Fortunately, there are several treatment options available to alleviate the symptoms and promote healing. One effective and minimally invasive procedure for treating hemorrhoids is called banding. In this article, we will explore the process of banding, its benefits, and considerations for patients seeking relief from hemorrhoids.

Understanding Hemorrhoids:

Before delving into banding, it is important to have a basic understanding of hemorrhoids. Hemorrhoids are veins present in the back passage and can be internal or external. Internal hemorrhoids occur inside the rectum and are typically painless but may cause bleeding. External hemorrhoids develop under the skin around the anus and may cause itching, discomfort, and pain. Hemorrhoids can be triggered by factors such as straining during bowel movements, prolonged sitting, obesity, and pregnancy.

The Concept of Banding of Haemorrhoids:

Banding, also known as rubber band ligation, is a non-surgical procedure aimed at treating internal hemorrhoids. It involves the placement of small rubber bands around the base of the hemorrhoidal tissue, cutting off its blood supply. Without a blood supply, the hemorrhoid shrinks and eventually falls off, typically within one to two weeks. The procedure is performed in a outpatient setting and does not require anaesthesia in most cases.

The Banding Procedure for Haemorrhoids:

During the banding procedure, the patient will be positioned comfortably, either lying on their side or in a kneeling position. The doctor will use an anoscope, a small tube-like instrument, to visualize the hemorrhoidal tissue. Then, a specialized tool will be used to place one or more small rubber bands at the base of the haemorrhoid. The bands will be tight enough to cut off the blood supply but not overly uncomfortable for the patient.

Benefits and Efficacy of Banding of Haemorrhoids:

Banding offers several benefits as a treatment option for haemorrhoids. Firstly, it is a relatively simple and quick procedure, typically taking only a few minutes to complete. The recovery time is minimal, allowing patients to resume their normal activities shortly after the procedure. Banding is highly effective, with a success rate of approximately 80-90% in relieving hemorrhoidal symptoms and reducing the risk of recurrence.

Post-Banding Care:

After the banding procedure, patients may rarely experience mild discomfort, a sensation of fullness, or a slight urge to have a bowel movement. These symptoms are usually temporary and can be managed with over-the-counter pain relievers, warm sitz baths, and dietary modifications to ensure soft bowel movements. It is important to avoid straining during bowel movements and to maintain good hygiene in the anal area to promote healing.

Considerations and Potential Risks of Banding of Hemorrhoids:

While banding is generally safe and well-tolerated, there are a few considerations and potential risks to be aware of. Some patients may experience mild bleeding or a small amount of discharge following the procedure. Rarely, there can be more significant bleeding or infection, which should be promptly reported to the doctor. Patients with certain medical conditions or taking specific medications may not be suitable candidates for banding, so it is important to discuss individual circumstances with your doctor.

When to Seek Medical Advice for Hemorrhoids

While banding can provide relief for many individuals with haemorrhoids, it is important to consult a healthcare professional for an accurate diagnosis and appropriate treatment plan. It is recommended to seek medical advice if hemorrhoidal symptoms persist, worsen, or if there is excessive bleeding, severe pain, or signs of infection.

Conclusion:

Banding, or rubber band is a very good option to treat almost 80% of the patients presenting with haemorrhoids in our colorectal clinic.