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Even if it may be an embarrassing situation and something that is not often talked about, haemorrhoids are one of the most common conditions, and they can affect anyone.
Haemorrhoids, more commonly known as piles, are swollen veins found in the lower rectum. They can become abnormally engorged and swollen, leading to discomfort, itching or pain.
Haemorrhoids can usually be treated with a variety of methods, including lifestyle and dietary changes. However, in some cases, such remedies may prove ineffective, and that’s when you may be recommended to consider an alternative approach: piles ligation.
Piles ligation, also known as rubber band ligation, is a non-surgical procedure to treat internal haemorrhoids that protrude during bowel movement. A small rubber band is used to tie off the base of the haemorrhoid.
This cuts off the blood supply to the haemorrhoid, causing the haemorrhoid to die and fall off in a few days and the wound to heal within one to two weeks. A scar will be formed in the place of the haemorrhoid. It holds the surrounding veins to prevent them from bulging into your anal canal.
Piles ligation is usually recommended in the event that medications, topical creams, and dietary changes do not help alleviate and improve the condition.
Haemorrhoids, when left untreated, can cause significant discomfort, leading to itching and pain, which can disrupt your daily activities. Internal haemorrhoids can also lead to bleeding, which can cause greater discomfort. In such cases, piles ligation is usually recommended as the next course of action to treat the condition.
If your piles have not prolapsed, piles ligation will be suitable to treat your condition.
Piles ligation is commonly performed for recurrent haemorrhoids that cause significant pain, such as second-degree haemorrhoids. It is a simple procedure that can be done in the doctor’s clinic or as an outpatient case.
Piles ligation is generally highly effective for second-degree haemorrhoids, with 8 in 10 people recovering fully. One to two haemorrhoids can be removed in a single procedure, and a second procedure can be carried out after four to six weeks. It prevents the piles from returning, and repeat treatment is not needed.
However, this procedure is not suitable for third- or fourth-degree haemorrhoids where your piles have prolapsed and require surgery. A haemorrhoidectomy may be recommended in these cases.
Patients who are preparing to undergo piles ligation may be advised to fast for a period of six to eight hours before the procedure. You are also advised to inform our doctor of any medication or prescriptions that you are consuming. In some cases, you may be advised to stop some of these medicines in the days leading up to the procedure.
To prevent straining yourself after a rubber band ligation procedure, you are advised to avoid exercising or lifting heavy weights in the first two days after the procedure to avoid potential complications.
Piles Ligation is usually an outpatient procedure in the endoscopy centre. The procedure will be performed with general anaesthesia, so you will not be conscious and will be unable to feel pain during the entire process.
An anoscope, a tube used to view the lining of the anus and rectal walls, will be inserted into your rectum to locate the haemorrhoid(s).
Once located, our doctor will insert a tool called a ligator through the anoscope. The ligator is fixed with a rubber band that can be placed at the base of the haemorrhoid. As such, it restricts the blood flow in the region.
Once all the detected haemorrhoids have been banded, the anoscope is withdrawn, and you will be brought to a recovery room. The entire process may take less than an hour if there are no complications.
In some cases, where patients experience a frequent recurrence of haemorrhoids, a colonoscopy may be conducted along with the procedure to check for other potential causes, such as unusual growths or inflammation along the colon or rectum walls.
Piles Ligation is a relatively safe procedure; however, it is essential to note that, as with all procedures, some risks are involved. These risks include:
You are advised to contact our clinic if you experience any of the symptoms of a fever or increasing pain arising from the rectum in the days following the completion of the procedure.
On average, it may take one to two weeks for the haemorrhoids to dry up and fall off after the ligation. The dried haemorrhoid usually passes out with a bowel movement.
In the initial days after the procedure, it is normal to feel bloated and experience abdominal pain, but these symptoms should go away after a week.
Our doctor may also prescribe a laxative or a stool softener for you to prevent constipation and reduce straining during bowel movements. This will help to reduce the chances of potential complications arising.
It is also normal to notice some bleeding in the initial days after the procedure, but if the bleeding persists after two days and is appearing to be heavy, you are advised to seek our doctor’s advice immediately.
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Untreated piles can severely impact your daily activities. Piles ligation is one of the most common procedures used to treat stubborn haemorrhoids. The treatment is considerably effective in treating internal haemorrhoids and carries a low level of risk.
However, depending on the severity of the haemorrhoid and its stage of development, piles ligation is useful in treating haemorrhoids before they become prolapsed.
Early detection and treatment help address the condition before it worsens. In cases where haemorrhoids persist in recurring, you may be recommended to consider surgical intervention to remove them.
Piles surgery to remove excessive tissue causing the bleeding and protrusion is called haemorrhoidectomy and may be the last resort to treating piles.
To find out more about our haemorrhoids treatment at our clinic, feel free to get in touch with the helpful team at G & L Surgical. Our staff will be on hand to provide you with options and advice on the recommended course of action.
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G&L Surgical Clinic will do our best to provide you with an estimate of your out-of-pocket expenses before your procedure. With a comprehensive financing service, we endeavour to assist you in finding the most suitable financing option to enjoy a seamless and pleasant experience. Please do not hesitate to contact us with any questions. We are here to help you get the care you need.
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