What Is Hemorrhoid Banding?

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Hemorrhoids form when blood vessels and connective tissues in the anal area become swollen and inflamed.
They are very uncomfortable and are often a source of embarrassment for the person with hemorrhoids.
They cause pain, itchiness, and sometimes, bleeding.
They make passing stool very difficult, especially if one is constipated and has to strain, which is usually the case when hemorrhoids are present.
There are two types of hemorrhoids: internal or external.
The internal type is often painless, but more prone to bleeding and prolapse.
With hemorrhoid prolapse, the affected parts may be seen hanging outside the anus.
External hemorrhoids are more painful, and they are prone to skin irritation, which in turn can cause itchiness and bleeding.
In most cases of hemorrhoids, mild treatment will cure the condition.
Creams and suppositories relieve the inflammation.
Taking lots of water and fiber-rich food will make stool movement easier and prevent further hemorrhoid formation.
Warm sitz baths and hot-and-cold treatments also relieve the symptoms.
After a few days, the hemorrhoids heal naturally.
There are people, however, who experience recurrent hemorrhoids, or who try the standard home treatments but they don't work.
For them, hemorrhoid banding may be a good option.
This is a procedure that removes hemorrhoids permanently.
The doctor places a rubber band around the base of the hemorrhoid, cutting off blood circulation.
The process is painful, and so the doctor uses a local anesthetic.
If many hemorrhoids are to be banded, he may even use general anesthesia.
After a few days, the hemorrhoid necroses or dies, and then it falls off spontaneously.
However, as the person recovers, he may continue to experience pain, bleeding and flatulence.
He may also frequently feel an urge to defecate, even if he does not actually need to.
The recovery period can take up to two weeks after the hemorrhoid falls off.
This long, discomfort-laden recovery period often deters patients from opting for a hemorrhoid banding to treat their hemorrhoids.
Hemorrhoid banding is not a good option for hemorrhoids that do not protrude significantly outside the anus, because such are difficult to tie.
It is also not recommended for people who underwent the procedure two or three times in the past.
Other options such as injection sclerotherapy, laser coagulation and hemorrhoidectomy may be explored, although these will likely be more expensive than hemorrhoid banding.
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