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 viewing instrument (anoscope) is inserted into the anus.
After rubber band ligation, you may feel pain and have a feeling of fullness in your lower belly, or you may feel as if you need to have a bowel movement. This usually goes away within several days after the surgery. You may need pain medicine during this time.You may have a small amount of bleeding from your anus about 7 to 10 days after surgery, when your hemorrhoid falls off. This is normal.Some people are able to return to regular activities right away. Others may need 2 to 3 days of bedrest.
InFaRed coagulation is a medical procedure used to treat small- and medium-sized hemorrhoids. This treatment is only for internal hemorrhoids. During the procedure, Dr. Widmeyer uses a device that creates an intense beam of infrared light. Heat created by the infrared light causes scar tissue, which cuts off the blood supply to the hemorrhoid. The hemorrhoid dies, and a scar forms on the wall of the anal canal. The scar tissue holds nearby veins in place so they don't bulge into the anal canal. Only one hemorrhoid can be treated at a time. Other hemorrhoids may be treated at 10- to 14-day intervals.
Bleeding from the anus occurs 7 to 10 days after the procedure, when the hemorrhoid falls off. Bleeding is usually slight and stops by itself. To reduce the risk of bleeding, avoid taking aspirin and other non-steroidal anti-inflammitory drugs (NSAIDs) for 4 to 5 days both before and after infrared coagulation.