Instructions for Patients Following Office Hemorrhoid Treatments
Office hemorrhoid treatment consists of either rubber band ligation or infrared coagulation, or sometimes both. The rubber band works by cutting off the blood supply to the hemorrhoid, causing it to die and drop off, almost always within a week. The infrared coagulation works the same way, only using heat to destroy the nternal hemorrhoid. The body then produces a scar which supports the rest of the hemorrhoidal tissue.
Nearly all of us have three hemorrhoids, but we only treat one hemorrhoid at a time to keep side effects to a minimum. After the treatment, you can go back to normal activities. You can eat, drink, and exercise. If you don’t feel completely comfortable after a treatment, refrain from exercise until you feel normal again.
Normal after treatment:
Treatment can cause an “aching,” “throbbing,” or “pressure” in the rectum. The sensation that you need to have a bowel movement is normal. Advil or Tylenol and a warm bath can help with discomfort. If the pain worsens or does not subside after 2 or 3 days, please call the office.
Bleeding is normal following the treatment for 2-3 weeks. Bleeding should only be WITH a bowel movement and should stop afterward. If you do bleed with a bowel movement, stand up from the toilet after you are done to let the muscle close. If you stay seated, you will continue to bleed.
Infection is extremely rare but possible. PLEASE CALL IMMEDIATELY IF YOU DEVELOP ANY FEVER, DIFFICULTY URINATING, OR ANY UNUSUAL SYMPTOMS.
Please call immediately if you bleed WITHOUT a bowel movement and then it continues. If this occurs, it usually happens 7-14 days after hemorrhoid treatment. If this happens, we need to see you urgently and can usually stop the bleeding with a simple stitch. If this occurs out of the office hours, go to the nearest emergency room and they can contact me or the surgeon on-call.