Instructions for after Hemorrhoid Banding  
These simple instructions will answer most of your routine questions and facilitate your recovery from this simple but very useful procedure.   

You have undergone a simple office procedure for the treatment of your hemorrhoids. The hemorrhoid and the rubber band will fall off between three to seven days after application. There are several things you should be aware of after this procedure:  

• Some individuals feel as if there is fullness in the rectum for a day or two. Sitting in a tub of warm water for 5-10 minutes two or three times a day should help relieve this sensation. Tylenol is usually sufficient to alleviate this sensation between soaks.  
• It is important to avoid constipation. A well-hydrated, high fiber diet is recommended. A fiber supplement is recommended with each meal for those who do not tolerate a high fiber diet. If you do develop constipation, it is acceptable to take a mild laxative such as milk of magnesia. Having a bowel movement will not injure either the band or the hemorrhoid.  
• Minor amounts of bleeding are common after a banding procedure. Should the bleeding be persistent or in large amounts, you should call the doctor immediately or go to the emergency room.  
• Infection is quite rare following this procedure. If you develop a fever, inability to urinate or increasing pain, you should call the doctor or go to the emergency room immediately.  
• The band is quite small and is most often not noticed when it passed. This will usually occur during a bowel movement.  It is not necessary for you to see the band to be assured it has passed.  

If you have any questions or concerns, please call the office at 814-453-2777.