When banding may be considered
A clinician may discuss banding for bleeding or prolapsing internal haemorrhoids that remain troublesome despite measures such as fibre, fluids and avoiding straining. It is an office-based option for selected internal haemorrhoids, not a treatment for every anal symptom or for external haemorrhoids.
Rectal bleeding should not automatically be attributed to haemorrhoids. Examination and, depending on age, symptoms and history, further investigation may be needed to check for another cause before treatment is chosen.
What to expect
After assessment, a small instrument is used to place one or more bands around the selected tissue. The band is placed above the sensitive anal canal; the procedure is usually brief. A pressure sensation, urge to pass stool or mild discomfort can occur. The banded tissue commonly separates over several days, sometimes with a small amount of bleeding.
The number of areas treated and whether repeat sessions are appropriate depend on the findings and symptoms. The treating team should explain preparation, medicines that affect bleeding, aftercare and who to contact before the procedure.
Risks and other options
Possible effects include pressure, pain, bleeding when the banded tissue separates, and difficulty passing urine. Rare but serious complications include heavy bleeding or infection. Seek urgent care for heavy bleeding, fever, severe or increasing pain, or difficulty urinating.
Options depend on the diagnosis and severity: bowel-habit changes, other office treatments, or surgery may be discussed. Banding does not guarantee that symptoms will not return. A clinician should review personal risks, including blood-thinning medicines, before deciding.
Professional guidance
Related conditions
A related condition does not mean this procedure is suitable; decisions require individual assessment.