Banding

Piles (haemorrhoids)

Banding is a treatment for internal piles. It's a safe, routine procedure in the outpatient department without an anaesthetic.

Your symptoms usually get better in 10 to 14 days.

During banding

We place a small instrument called a proctoscope into your bottom. We use this to put a tight elastic band around the inside part (internal section) of the piles.

The band cuts off the blood supply to the piles. This makes them fall off, which usually happens 3 to 7 days later.  

The banding only takes a few minutes. It is not painful. 

After banding

You might feel a dull ache for about 5 hours after the banding procedure. This is normal and you can take regular painkillers, such as paracetamol, if needed. 

Try not to have a poo until the day after your banding, but do not worry if this is not possible. 

Please avoid using creams or applicators directly into your bottom after your treatment.

You can have a bath or shower as you would usually. It is best to avoid heavy exercise, such as jogging or riding a bike, for the rest of the day. 

You should be able to get back to your usual activities the day after banding.

You might see the pile and band in your poo when you go to the toilet. This is normal.

Infection

There is a small risk of infection inside the bottom after banding. If you get an infection, we can treat it with antibiotics. 

Bleeding

You might have some bleeding over the next couple of days. This is normal. The amount of blood should be less than an egg cupful each day. Over the next few days, the bleeding should reduce. 

Go to your nearest emergency department (A&E) if:

  • your bleeding is heavy or lasts longer than a few days
  • you feel unwell
  • you have pain
  • you have a high temperature (fever)

Tell the emergency department that you had your piles banded.

Follow-up appointment

It's important you go to your follow-up appointment to check that the treatment has worked. This is usually about 8 weeks after your banding. 

If you have several piles, you might need the banding to be repeated. We usually only band 2 piles at a time. This is to reduce your discomfort and the chance of bleeding. 

If you have not received your appointment 2 to 3 weeks after your banding, please call the clinic clerks on 020 7188 6208. You can then book an appointment in the peri-anal follow-up clinic.  

If your piles come back

Piles can return. Avoiding constipation and straining can sometimes help your symptoms and treat small, internal piles. You can read more information about making lifestyle changes.

Resource number: 0570/VER7
Last reviewed: March 2022
Next review: February 2024

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Contact us

If you would like more advice or information about piles, please contact the colorectal nurse specialist.

Phone: 020 7188 2568, Monday to Friday, 9am to 5pm

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Contact our Patient Advice and Liaison Service (PALS)

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