Instructions

Post-Operative

Rubber Band Ligation of Hemorrhoids

Hemorrhoid ligation usually takes 5 minutes per hemorrhoid. Up to three hemorrhoids may be ligated at one visit. Some patients may require 2 or more treatments at 2 to 4 week intervals.

After the Ligation:

  1. Keep yourself on a high fiber diet and take [_______] tablespoon(s) of Konsyl, Metamucil, or Citrucel so your bowel movements will be soft. (Consult with Dr. Kafka for appropriate dosage).
  2. Sit in a warm tub of water 2-3 times daily for the first 2-3 days, as needed to soothe the area.
  3. You may expect some pressure in the anal or rectal area for 1-3 days. This may give you the false feeling of needing to have a bowel movement. If you do not have a bowel movement, recognize what is going on and do not strain.
  4. Do not take any medication containing aspirin or similar medicines (see list) as these increase the risk of bleeding. You may take acetaminophen (Tylenol, etc) 1-3 tablets every 4 hours, as needed for pain.
  5. Rarely patients, especially males, will have difficulty urinating. If this occurs, try urinating while sitting in a warm bath. If you remain unable to urinate after 8 hours, please call Dr. Kafka.
  6. If you develop any of the following, call Dr. Kafka immediately:
    • Fever
    • Increasing or excessive pain
    • Increasing or excessive bleeding
    • Inability to urinate (see above)