Rubber Band Ligation for Piles | PristynCare

Risk Factors for Hemorrhoids

Factors that increase the risk of developing hemorrhoids requiring RBL include:

• Chronic constipation or straining during bowel movements
• Prolonged sitting, especially on the toilet
• Low-fiber diet and inadequate water intake
• Pregnancy and childbirth
• Obesity and sedentary lifestyle
• Family history of hemorrhoids
• Heavy lifting or strenuous physical activity

Who is a Candidate for RBL?

Rubber band ligation is recommended for patients with grade 1, 2, or 3 internal hemorrhoids who have not responded to conservative treatments such as dietary changes, fiber supplements, or topical medications. It is not suitable for external hemorrhoids or patients with bleeding disorders. A proctologist will evaluate your condition through physical examination and proctoscopy.

Diagnosis

Diagnosis of hemorrhoids suitable for rubber band ligation includes:

• Digital rectal examination: Manual assessment of hemorrhoid size and location
• Proctoscopy: A small scope visualizes internal hemorrhoids and confirms grade
• Colonoscopy: Recommended for patients over 40 or with persistent rectal bleeding
• Anoscopy: Examines the lower rectum and anal canal with a short tube

Treatment with Rubber Band Ligation

Rubber band ligation is the preferred office-based procedure for symptomatic internal hemorrhoids. Using a ligator device, the doctor places a tiny rubber band around the base of the hemorrhoid, restricting blood flow. The treated hemorrhoid shrinks and detaches within 7 to 10 days. Most patients require 1 to 3 sessions spaced 4 to 6 weeks apart. Pristyn Care uses advanced anoscopes and ligator devices for a precise and virtually painless experience.

Rubber Band Ligation Steps

1. Preparation: The patient empties the bowel before the procedure. No general anesthesia is required
2. Positioning: The patient lies in a comfortable left lateral or knee-chest position
3. Anoscope insertion: A lubricated anoscope is gently inserted to visualize the hemorrhoid
4. Band placement: A ligator device pulls the hemorrhoid tissue and places a rubber band around its base
5. Multiple banding: Additional bands may be placed in subsequent sessions if needed
6. Discharge: The patient is observed and discharged within 30 to 60 minutes

Recovery After Rubber Band Ligation

Most patients recover quickly after rubber band ligation:

• Mild anal discomfort or fullness for 1 to 2 days is normal
• The rubber band and hemorrhoid tissue fall off within 7 to 10 days
• Avoid strenuous activities and heavy lifting for 3 to 5 days
• Eat a high-fiber diet and drink plenty of water to ensure soft stools
• Sitz baths 2 to 3 times a day help relieve discomfort
• Pain relievers such as ibuprofen or paracetamol may be taken as needed

Complications of Rubber Band Ligation

Rubber band ligation is generally safe but may rarely cause:

• Mild pain or discomfort immediately after the procedure
• Rectal bleeding during or after the band falls off
• Infection or abscess formation in rare cases
• Urinary retention, more common in men
• Slippage of the rubber band before full effect
• Thrombosis if the band is placed too close to the external area