Treatment for Hemorrhoids

Hemorrhoids

2/25/2025

What to Expect from Rubber Band Ligation and Sclerotherapy for Hemorrhoids

Overview

  • This article explores what you can expect during rubber band ligation and sclerotherapy for treating hemorrhoids.
  • Each procedure offers relief but comes with its own set of expectations, side effects, and recovery considerations.
  • Diosmin + Hesperidin (Daflon® 1000) is recommended as a supplementary treatment to ease inflammation and improve vein health.

 

Introduction

Hemorrhoids can cause significant discomfort and even pain in everyday life, particularly when they become swollen or inflamed. Fortunately, there are various treatment options available to manage them effectively, including medications like Diosmin + Hesperidin (Daflon® 1000), an oral treatment that works to improve vein health and reduce inflammation.

In addition to medications, certain procedures can also provide targeted relief, like rubber band ligation and sclerotherapy, which are two of the most widely recommended procedures for hemorrhoids. Each one offers patients a pathway toward healing, but they differ in approach and expectations1.

In this article, we’ll explore both treatments, outlining what you can expect during and after each, to help you feel more informed and at ease when considering your options.

 

rubber band ligation

What is Rubber Band Ligation for Hemorrhoids?

Rubber band ligation is a simple, minimally invasive procedure used to treat internal hemorrhoids. It involves placing a small rubber band around the base of the hemorrhoid, cutting off its blood supply1. As the blood flow is stopped, the hemorrhoid shrinks and eventually falls off after a few days. It’s performed in a doctor’s office and doesn't require anaesthesia, though a local numbing agent may be used to minimize discomfort2.

 

rubber band ligation procedure

What Can You Expect from Rubber Band Ligation?

During the procedure, you will be asked to lie on your side while the doctor uses a special instrument to place a rubber band around the hemorrhoid. Most patients report feeling a slight sensation of pressure or discomfort, but the procedure itself is quick, usually lasting just a few minutes2.

Afterward, you might experience mild to moderate discomfort in the treated area. It’s normal to feel fullness or a sensation of pressure. The area may also be sore for a few days.

Over-the-counter pain relief and warm baths can help alleviate this discomfort. Many people can return to their normal activities shortly after the procedure, but it’s a good idea to avoid strenuous physical activity for a few days3.

The hemorrhoid will fall off within a week. In some cases, there may be mild bleeding when this happens, which is generally nothing to worry about. However, if you notice excessive bleeding or persistent pain, it’s essential to contact your doctor4.

 

sclerotherapy for hemorrhoids

What is Sclerotherapy for Hemorrhoids?

Another non-surgical treatment option for hemorrhoids is sclerotherapy. This treatment involves injecting a chemical solution into the hemorrhoidal tissue, causing it to shrink and harden. The chemical solution irritates the blood vessels, leading to scarring and the eventual shrinkage of the hemorrhoid. This procedure is used for smaller internal hemorrhoids and can be done in a doctor’s office5.

What Can You Expect from Sclerotherapy?

The process of sclerotherapy is relatively simple and quick. The doctor will inject the sclerosing solution directly into the hemorrhoid. Some patients report a slight sting or discomfort from the injection, but the procedure itself is well-tolerated and does not require anesthesia6.

After the procedure, you may feel a mild ache or discomfort around the treated area, but this resolves within a few days. Most patients can return to normal activities right away, though some might experience mild swelling or a feeling of fullness in the anal area7.

The effects of sclerotherapy may take a few weeks to become fully apparent as the hemorrhoid shrinks and disappears. It’s also possible that more than one treatment session may be required to achieve optimal results.

 

Comparing Rubber Band Ligation and Sclerotherapy

Both rubber band ligation and sclerotherapy for hemorrhoids are effective treatments, but they each have unique benefits and considerations.

 

satisfied patient

Effectiveness

Rubber band ligation is often the first choice for treating moderate to large internal hemorrhoids. It’s a highly effective procedure, however, it’s not always suitable if you have external hemorrhoids7.

Sclerotherapy, on the other hand, is more commonly used for smaller hemorrhoids or in cases where rubber band ligation isn’t an option7. Though its success rate may be slightly lower than rubber band ligation, it’s still an effective treatment, particularly if you are seeking a less invasive option8.

 

patient suffering from side effects

Risks and Side Effects

Both treatments are considered safe, but like any medical procedure, they come with some risks. With rubber band ligation, there’s a small risk of bleeding, infection, and a rare condition known as “rubber band slippage”9, where the band might move out of place. There is also a chance of the hemorrhoid tissue becoming infected or ulcerated, leading to further discomfort.

Sclerotherapy carries a low risk of complications, such as mild bleeding, infection, or swelling. In some rare cases, the injected solution can cause tissue damage, but these complications are minimal10.

 

cost of hospitalization

Cost and Availability

In terms of cost, rubber band ligation is more affordable than sclerotherapy7. It is widely available in most clinics and is often covered by insurance, depending on the severity of your condition. However, both treatments are considered cost-effective when compared to more invasive surgeries.

 

Key Takeaway

Both rubber band ligation and sclerotherapy for hemorrhoids can offer effective treatment for managing your hemorrhoids, providing you with safe, minimally invasive options. Regardless of the method chosen, both procedures offer relief and can significantly improve your quality of life11.

In addition to these treatments, Diosmin + Hesperidin (Daflon® 1000) can support your recovery and help you manage and prevent further discomfort from hemorrhoids. When you consider incorporating Diosmin + Hesperidin (Daflon® 1000) into your treatment plan, you may experience enhanced relief, faster healing, and a smoother recovery process.

If you're dealing with hemorrhoids, consult your doctor to see if Diosmin + Hesperidin (Daflon® 1000) could be a helpful part of your overall care plan, alongside procedures like rubber band ligation or sclerotherapy. Taking a proactive approach to treatment can help you feel better, sooner, and back to your normal routine with greater comfort.

REFERENCES

  1. https://www.mayoclinic.org/diseases-conditions/hemorrhoids/multimedia/rubber-band-ligation-of-hemorrhoid/img-20007751
  2. https://www.healthlinkbc.ca/health-topics/rubber-band-ligation-hemorrhoids
  3. https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ud1361
  4. https://www.medicalnewstoday.com/articles/326742#what-to-expect
  5. https://www.exroid.com/haemorrhoid-advice/sclerotherapy-treatment
  6. https://pmc.ncbi.nlm.nih.gov/articles/PMC9022405/
  7. https://www.crssny.com/sclerotherapy-injections-for-hemorrhoids-common-questions/
  8. https://www.ncbi.nlm.nih.gov/books/NBK558967/
  9. https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-022-01688-8
  10. https://link.springer.com/article/10.1007/s10151-023-02908-w
  11. https://pmc.ncbi.nlm.nih.gov/articles/PMC9761374/

2025