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Understanding Hemorrhoid Banding

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What is Hemorrhoid Banding?

Hemorrhoid banding, also called rubber band ligation, is a treatment method for hemorrhoids that don't respond to home treatments. It's a minimally invasive technique that involves tying the base of the hemorrhoid with a rubber band to stop blood flow to the hemorrhoid.

About Endoscopic Banding:

Endoscopic hemorrhoid band ligation (HBL) is an important advancement in the treatment of symptomatic internal hemorrhoids. This procedure is simple, safe, and effective. Endoscopic banding requires a patient to prep by fasting, and to be sedated during treatment. Multiple rubber bands can be applied in one session, and further bands can be applied in subsequent sessions if a single session fails to completely eradicate the internal hemorrhoids. The treatment success rate is high, while the long-term recurrence rate is low.


Symptomatic hemorrhoids in adults is considered one of the most prevalent anorectal disorders. Hemorrhoids of different grades can be found in more than 80-90% of patients undergoing sigmoidoscopy or colonoscopy.

Endoscopy Banding / Endoscopic Hemorrhoid Band Ligations (HBL) - More:

What is it?

Hemorrhoid banding (sometimes called hemorrhoid ligation or rubber band ligation) is a procedure to remove internal hemorrhoids. It’s quick and doesn’t require an anesthetic or sedation.

How the Procedure Works

Your gastroenterologist will place a very thin, tight elastic band around the base of an internal hemorrhoid. This cuts off its blood supply, forcing it to shrink/wither. The hemorrhoid falls off within a week and is passed, along with the band, when you defecate.

Is Hemorrhoid Banding Painful?

You may feel some discomfort or mild pain after the procedure, but this is normal and standard painkillers should alleviate it. It’s also normal to notice a small amount of blood afterwards, but if you pass clots or a lot of fresh blood, see a physician immediately.

Hemorrhoid Banding Recovery

You should be able to return to your normal activities the next day. You may not notice you’ve passed the hemorrhoid, but you may notice a small mucus discharge, which signals the hemorrhoid has fallen off. If you have several hemorrhoids, this procedure may need to be repeated every few weeks until they’re cleared. However, it’s a very effective treatment that can keep hemorrhoids at bay more effectively than some other treatments.


Who Needs Hemorrhoid Banding?

Individuals suffering from internal hemorrhoids that are causing discomfort, such as itching and rectal bleeding may benefit from hemorrhoid banding ligation, also known as hem banding.


How do I Schedule an Appointment for Hemorrhoid Banding?

You will need to consult a gastroenterologist to further assessment before you schedule your hemorrhoid banding procedure.  You may request an appointment with a gastroenterologist by calling Atlanta Center for Gastroenterology, PC at 404-296-1986

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