Rubber Band Ligation for Piles: How It Works

Rubber band ligation is one of the most common treatments for internal haemorrhoids. It's quick, doesn't need a general anaesthetic, and is usually done in clinic.

How it works

A small elastic band is placed at the base of an internal pile. The band cuts off the pile's blood supply, so over the following days it shrinks and drops off, usually unnoticed during a bowel movement. The area then heals.

What the procedure is like

It's a brief outpatient procedure. Because internal piles sit above the sensitive area, banding is generally not painful, though you may feel a dull ache or fullness for a short time afterwards.

Afterwards

• Mild discomfort or a sensation of needing to go to the toilet can occur briefly.
• A small amount of bleeding when the pile drops off, a few days later, can be normal.
• Keeping stools soft helps recovery and reduces recurrence.

Is it effective?

Banding works well for many grade I–III internal haemorrhoids. Sometimes more than one session is needed, and larger or external piles may require a different approach.

When to seek advice

Contact your team if you have significant bleeding, severe pain or difficulty passing urine after banding.

This article provides general information and is not a substitute for individual medical advice. Please consult a qualified clinician about your own circumstances.