Skip to main content

Rubber Band Ligation Hemorrhoid Treatment

Treating Anal Fissures

Hemorrhoids can alter your lifestyle. Usually, you can know that you have hemorrhoids if you experience these symptoms:

  • Swelling in or around the anus.
  • Feeling of a balloon-like swelling inside the anus.
  • Bloody stools.
  • Fecal incontinence.
  • Itching & irritation in the skin around the anus.
  • Pain when defecating.
  • Difficulty moving bowels.

The good news is, there is an excellent, minimally-invasive treatment available, which can offer relief from hemorrhoids in a matter of days. Called the rubber band ligation treatment, it is a procedure to treat large hemorrhoids with minimal pain and in a minimally-invasive manner.

At Huntington Colorectal Surgeons, our doctors specialize in hemorrhoid banding in Pasadena.

Contact us today to book a consultation.

Why do hemorrhoids become bigger?

Your anal blood vessels are sensitive to pressure. Excessive strain on them can cause them to get inflamed, resulting in the formation of hemorrhoids. These hemorrhoids can become bigger when more pressure and friction are experienced by the damaged blood vessels.

Hemorrhoids can get prolapsed in many serious cases when the hemorrhoid tissues weaken because of the inflammation, causing it to bulge out of the anus.

Enlarged and prolapsed hemorrhoids can make it very challenging to do simple tasks like walking, sitting, or passing stools. Often, non-surgical and non-invasive treatments fail to produce the desired outcomes in such serious hemorrhoids. The rubber band ligation treatment can help you by effectively eliminating hemorrhoids and giving you relief.

What is rubber
band ligation?

In the prodecure for hemorrhoid banding, Pasadena colorectal surgeons place a medical-grade rubber band at the hemorrhoid base, cutting off the source of blood that feeds it. Once this blood flow is stopped, hemorrhoids start to dry up, until they fall off on their own.

The procedure is very safe and does not involve any incision, resulting in no scarring. It is performed as an outpatient procedure and you won’t even need to stay overnight at our facility.

Schedule a


Which hemorrhoid grades is this treatment useful for?

Hemorrhoids are graded based on their severity, structure, and location. The grades are:

  • Grade I – These are mild hemorrhoids that are located in the lumen and don’t push out of the anus.
  • Grade II – These are hemorrhoids that sometimes prolapse outside the anus, but they reduce in size and return to their natural position on their own without medical intervention.
  • Grade III – These are hemorrhoids that prolapse, but often require manual reduction to return to their normal position.
  • Grade IV – These are very serious hemorrhoids whose size cannot be reduced without complete surgical removal. They are very painful and can contain large blood clots.

The rubber band ligation procedure is ideal for hemorrhoid grades I to III. The more severe Grade IV hemorrhoids can be treated with traditional surgery in the form of a hemorrhoidectomy.

logo for colorectal surgeons in Pasadena

The rubber band ligation treatment procedure

Preparing for the treatment
The process starts with a consultation. Once you come in, we will check your hemorrhoid to understand its severity, placement, and eligibility for hemorrhoid banding in Pasadena.

Once you qualify for the treatment, our surgeons give you a list of instructions that you need to follow before the treatment. You must inform us if you’re currently on any specific medication or are taking anticoagulants. These medications can increase your risk during the treatment. We will evaluate your medical history and advise you whether you can take these pharmaceuticals on the day of the procedure or not.

During the treatment
First, a thin device called an anoscope is inserted into the anus. This tool is a hollow tube with a light attached at one end. The light allows us to see the hemorrhoid clearly. Next, a ligator is pushed through the anoscope. This is used to place the rubber bands in the right place.

Carefully, the medical-grade bands are placed securely at the base of the hemorrhoid and the ligator and anoscope are gently pulled out. The entire procedure takes minutes to be completed. If you have multiple hemorrhoids, they will be treated during subsequent sessions usually several weeks apart.

Post-operative recovery

This procedure has little downtime. You can return home immediately.

Your anal region may feel mildly tender and swollen for a day or two. There may be minor bleeding from the region, but this is normal and will stop in a few days. To soothe the pain and help with hemorrhoid reduction, you can sit in a warm bath for 15 to 20 minutes every day.

You may feel a little bloated, flatulent, or constipated after the procedure. We can prescribe laxatives to treat this. Our surgeons will also advise you on the right diet and exercise you need to adopt to ensure the hemorrhoid heals and doesn’t recur.

You’ll notice that the hemorrhoids reduce in size within a few days of the treatment and in about 10 to 15 days, they will have completely dried up and fallen off.

For more information about the rubber band ligation procedure or to book your treatment, please contact our Pasadena colorectal specialists.


Schedule a Consultation

Contact Us (626) 397-5896