Banding for Piles
Hemorrhoids are vascular structures in the anal canal. They become pathological or piles when swollen or inflamed. Internal hemorrhoids usually present with painless rectal bleeding while external hemorrhoids present with pain in the area of the anus.
Symptomatic IH are treated with conservative measures like high fiber diet, excess of fluids and sitz bath. Techniques to treat IH are based on the principle of removing or to cause sloughing of excess hemorrhoid tissue along with scarring that fixes the residual tissue to the underlying anorectal muscular ring. The non-surgical techniques include rubber band ligation (BL).
The colonoscopic hemorrhoidal band ligation is an effective and safe therapy for symptomatic large hemorrhoids. It offers additional advantage of treating concomitant lesions such as rectal varices and AV malformations in the same sitting.
Rubber band ligation is a procedure in which the hemorrhoid is tied off at its base with rubber bands, cutting off the blood flow to the hemorrhoid. This treatment is only for internal hemorrhoids.
To do this procedure, a doctor inserts a viewing instrument (anoscope) into the anus. The hemorrhoid is grasped with an instrument, and a device places a rubber band around the base of the hemorrhoid. The hemorrhoid then shrinks and dies and, in about a week, falls off.
A scar will form in place of the hemorrhoid, holding nearby veins so they don't bulge into the anal canal.
The procedure is done in a doctor's office. You will be asked whether the rubber bands feel too tight. If the bands are extremely painful, a medicine may be injected into the banded hemorrhoids to numb them.
After the procedure, you may feel pain and have a sensation of fullness in the lower abdomen. Or you may feel as if you need to have a bowel movement.
Treatment is limited to 1 to 2 hemorrhoids at a time if done in the doctor's office. Several hemorrhoids may be treated at one time if the person has general anesthesia. Additional areas may be treated at 4- to 6-week intervals.