Piles (haemorrhoids) - Treatment 

Treating piles (haemorrhoids) 

Constipation

Constipation can be a common cause of haemorrhoids. Eating fibre, drinking enough fluid and regular exercise can help you get over constipation

Media last reviewed: 21/02/2013

Next review due: 21/02/2015

External haemorrhoids

External haemorrhoids are small lumps that develop on the outside edge of the anus.

External haemorrhoids that cause mild to moderate pain usually get better without treatment within 7-10 days. If necessary, you can use painkillers, creams and ointments, and laxatives to treat constipation.

Thrombosed external haemorrhoids

If you have an external haemorrhoid that is causing severe pain, a blood clot may have formed inside it. This is known as a thrombosed external haemorrhoid.

If you are diagnosed with a thrombosed external haemorrhoid within 72 hours of the pain starting, you may be immediately admitted to hospital to have it drained under local anaesthetic.

However, if it is diagnosed more than 72 hours after the pain started, the following treatments may be recommended:

  • painkillers
  • bed rest
  • a cold compress (a cloth or flannel soaked in cold water) 
  • warm baths

The pain should improve within a few days.

Compare your options

Take a look at a simple guide to the pros and cons of different treatments for haemorrhoids

Haemorrhoids (piles) often settle down after a few days without treatment. However, there are a number of treatments that can help reduce any itching and discomfort.

Making simple lifestyle changes through diet and exercise is usually the first recommendation.

Dietary changes

If constipation is the cause of your haemorrhoids, you need to keep your stools soft and regular. This will help you avoid straining to pass stools.

Increase the fibre in your diet and aim to eat 25-30g of insoluble fibre a day, such as wholegrain bread, cereal, and fruit and vegetables.

The body is unable to digest insoluble fibre, so it passes through the bowels and helps other food and waste move through more easily.

Also drink plenty of water. Aim to drink at least six to eight glasses of fluid a day and avoid too much caffeine (found in tea, coffee and cola).

Self care

Follow the advice below when going to the toilet:

  • avoid straining to pass stools because it may make your haemorrhoids worse
  • after passing a stool, use moist toilet paper rather than dry toilet paper to clean your bottom 
  • using baby wipes can help ease any discomfort that you have after passing a stool
  • pat the area around your bottom rather than rubbing it

Creams, ointments and suppositories

Creams, ointments and suppositories, available over-the-counter from pharmacies, can be used to relieve any swelling and inflammation that you have around your back passage. However, they will only treat your symptoms and will not cure the haemorrhoids themselves.

These types of medicines should only be used for five to seven days at a time. If you use them for longer than this, they may irritate the sensitive skin around your anus. Any medication you use should be combined with the diet and self care advice above.

There is no evidence to show that one preparation is more effective than another. Ask your pharmacist for advice about which product is most suitable for you. Also, always read the patient information leaflet that comes with your medicine before using it.

Do not use more than one product at the same time because they may contain similar ingredients.

Corticosteroid cream

If you have severe inflammation in and around your back passage, your GP may prescribe corticosteroid cream. This cream contains powerful hormones called steroids.

You should not use corticosteroid cream for more than a week at a time because it can make the skin around your anus thinner.

Painkillers

Painkilling medication, such as paracetamol, can relieve pain caused by haemorrhoids.

Products that contain local anaesthetic (painkilling medication) may also be prescribed to treat painful haemorrhoids. They should only be used for a few days because they can make the skin around your back passage more sensitive.

Laxatives

If you are constipated, your GP may prescribe a laxative. This is a type of medicine that can help you empty your bowels. Laxatives can be:

  • bulk-forming – which contain fibre to make your stools heavier and softer
  • osmotic – which increases the amount of water in your bowels to make your stools softer

Read more about laxatives.

Banding

Banding is a procedure that is sometimes used to treat second and third degree haemorrhoids.

Banding involves a very tight elastic band being placed around the base of your haemorrhoids to cut off their blood supply. The haemorrhoids should fall off within seven days of having the treatment.

Banding is usually carried out as a day procedure and you should be able to return to work the following day. However, you may feel some pain or discomfort for a day or so. Normal painkillers are usually effective but, if necessary, your GP may prescribe something stronger.

You may not realise the haemorrhoids have fallen off because they should pass out of your body when you go to the toilet. If you notice some mucus discharge within a week of the procedure, it usually means that the haemorrhoid has fallen off.

Directly after the procedure, you may notice some blood on the toilet paper after going to the toilet. This is normal, but there should not be a lot of bleeding. If you pass a lot of bright red blood or blood clots (solid lumps of blood), go to your nearest accident and emergency (A&E) department immediately.

Infections or ulcers (open sores) can occur at the site of the banding. However, these complications are rare and can be easily treated.

Injections (sclerotherapy)

Sclerotherapy is another common treatment for internal haemorrhoids. It can be used as an alternative to banding.

A chemical solution is injected into the blood vessels in your back passage. This relieves pain by numbing the sensory nerve endings at the site of the injection. It also hardens the tissue of the haemorrhoid so that a scar is formed. After about four to six weeks, the haemorrhoid should decrease in size or shrivel up.

After the injection, avoid strenuous exercise for the rest of the day. You may experience minor pain for a while and may bleed a little. You should be able to resume normal activities, including work, the day after the procedure.

Infrared coagulation

Infrared coagulation, also know as infrared light, can also be used to treat haemorrhoids.

A special device is used to burn the haemorrhoid tissue. One or two bursts of infrared light can cut off the circulation to small internal haemorrhoids, such as grade one or two haemorrhoids.

Surgery

Surgery is sometimes recommended to treat large internal haemorrhoids, or those graded as three or four.

Read more about surgery for haemorrhoids.


Page last reviewed: 24/04/2012

Next review due: 24/04/2014

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Comments

The 28 comments posted are personal views. Any information they give has not been checked and may not be accurate.

dougie76 said on 01 January 2014

Have suffered from piles for a number of years which usually flare up at xmas with poor diet and excess alcohol. Had a big bleed two days ago (thought it wasnt going to stop) howevere using sudocrem (yes nappy rash cream!) helped as did ointment recommended by my dad (a gp) called scheriproct helped greatly helped. Would suggest anyone suffering from bouts of pile asks their gp to prescribe scheriproct ointment or suppositories if you need them as the stuff is amazing. It brings instant relief from pain and itching and seems to shrink the piles very quickly. Also, make sure your diet has plenty of fruit and veg. I also take a fybogel satchet every night (but ran out just before christmas) which I think contributed to recent flare up as last affected just over a year ago before changing my diet and starting on fybogel. PS I don't represent a drug company but think its useful for other sufferers to hear about ointments which actually work. Have tried anusol and prep h a few years ago and found them to be a waste of time. In fact anusol cream gave me thrush just to add to the misery of piles!!!

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Elaine0303 said on 11 December 2013

I guess the most similar to THD is the banding. I had mine removed with this method half a year ago. It's known to be less ppainfull and faster than most other treatments that remove haemorrhoids permanently but I was terrified before the appointment. I have to say it couldn't have gone better for me. I went home the same day, felt a bit of pressure for a few days but after a week I was pretty much ok. I can only recommend it.

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Mumto1 said on 08 December 2013

I had a hemorroidectomy and banding 6 days ago in Scotland. After reading all the horror stories on the internet i prepared myself for the worst, almost cancelling at the last minute. I have suffered from piles for years but they got worse after having my daughter 5 years ago. I had 1 external and some internal.

When I woke up after surgery I was in a bit of pain and had the urge to go to the loo but this passed in about half an hour and I was given pain killers. The pain was bearable though, prob a 4 out of 10.

I took pain relief for two days but reduced this to just paracetomel after that. The pain was nowhere near as bad as I expected. I was out Christmas shopping on day 4! My first BM which wasn't much was on day 3 and only stung a little, nothing compared to the pain I've suffered with piles! My second BM which was day 6 was more but again not much pain. There was some blood but if you have piles you will be used to this anyway and once healed it will stop.

Good luck to anyone going for this op and don't read the horror stories. Im so glad I've had it done and would have it done again if need be.

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Geoffmann said on 02 December 2013

I was due to have the banding procedure until I came across a product online. I have tried many ointments, creams and sprays but I thought I would give this product a go as a last resort. The cream is called Analcare cream and I have to say that I am really pleased I decided to give it a try. I have now decided to cancel the banding operation as this cream is really having some great results. The piles are starting to shrink and the pain and itching has completely disappeared. I am so pleased that it looks like I wont require the banding, touch wood this cream continues to its job.

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prettyinpink12 said on 29 November 2013

I had 3 banded yesterday early morning. Apart from feeling very sick after sedation I have had no pain at all! Haven't even needed a paracetamol. 2 came out this morning as I went to the toilet ( I noticed 2 bands) with little blood. Very minor discomfort now. Be aware that people with bad experiences are more likely to post them, and if they are very painful before treatment then it increases the chance of pain after, so be aware of that. I was terrified after reading all this. Just make sure you trust the doctor and find out everything you want to know, including risks etc. Good luck!

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thoughtful said on 27 November 2013

I had banding done yesterday. I was told this is a simple straightforward outpatient treatment. It may be for the nhs but it was not for me. I had arranged to be taken home but I do not know how I managed the 25 minute journey. On arriving home I felt nausea, I was so cold I struggled to get warm and I was shaking. I had been warned that the feeling reached a "crescendo" and this was true. I was in pain and had been told to have hot baths, but I could not get in or out of a bath, so I placed a hot water bottle wrapped in a pillow case on the area and that helped the pain. The painkillers did little to help. Having given birth without even gas and air I have always thought I could manage pain, but this morning I awoke to a feeling that I had been violently kicked at the base of the spine. I have kept warm all day and have just put up with the feeling of discomfort. Let's hope it has all been worth it and the treatment works. I have heard of laser treatment being effective with less pain and if further treatment is required I may look into this, as I will not subject myself to this again.

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whitebunny said on 02 August 2013

I had banding done in 2011. The treatment was a little painful, and for a few hours afterwards the pain was around 5-6/10 - I went straight to the pub and had a pint whilst sweating at the throbbing downstairs. It was bearable. Pain went away later that evening, and I felt nothing afterwards. Piles improved somewhat after the procedure. I need to have more banding done as the things have regrown though not as bad as before. Alcohol in my experience is the main culprit of these damned things appearing. There is a line in your rectum below which any banding done is excruciating, anything above is painless as there are no nerves there. Make sure your surgeon keeps away from the lower down piles. Good luck, its worth getting piles sorted.

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mlmmlm said on 12 June 2013

I thought I'd add my experiences.
Last November I was in agony for about 6 weeks and had creams & suppositories that did nothing. When I say agony I mean pain so bad I couldn't walk, drive, sleep etc.
Anyway, the pain stopped but the bleeding started, which is annoying but at least the pain had stopped. I finally saw a specialist last week and was examined by a finger followed by an endoscope. Most uncomfortable but only just verging on the painful. He then inserted something he called a telescope and injected my piles with something. I walked away with barely any discomfort and have had no bleeding since. It's only been 6 days but fingers crossed.
I looks like different people react differently.

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Sore said on 27 May 2013

I am writing on behalf of my husband. I have watched a human being coping with intense pain with as much dignity as they can. I liken the comments of the above to the experiences of my friends who have been through childbirth. When I had my second child I did understand those who wondered why I had made such a fuss about my first experience( First one was hell, second one popped out). As always everyone has a different experience. At least with childbirth, on the whole your pain is monitored and dealt with in order to keep both mother and child safe. My experience with my husband has been that he has been left out to dry by the medical profession. The pain relief is inadequte and the aftercare is none existant. I am hoping that into day 8 he will be able to function for a few hours without pain. He has not managed to get back to work a day after his procedure. (anal fissure,botox. haemorrhoid banding 1) as he was told he could. He is still not at work and can't see being back for a few days now.

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6shazza9 said on 24 May 2013

I had this procedure done recently and was absolutely amazed to read all of the negative comments on here.

The procedure was virtually painless. I would describe the feeling as "minor discomfort". I was back home in less than 2hrs which included 15 minutes waiting for a taxi. The procedure itself was over in less than 5 minutes.

The only pain relief I took was paracetamol and that was primarily because I also had a toothache, which was unrelated. If it hadn't have been for that, I would probably not have had to take anything.

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blogger66 said on 26 April 2013

I have just created an account so I can add my experiences. I have suffered from tolerable piles/tags for years, and the odd application of prepH when necessary. Following a colonoscopy, the consultant thought they were bad enough to put me through a 'procedure'. 3 months later I got an appointment, and the doc decided to band 3 of them. (Oooh, those are juicy...') He suggested I might want to stop on the way home for some ibuprofen to ease the pain. Well, I fairly leapt out of the car on the way home as by that stage the pain was intense. No sleep that night, and stayed at home the following day praying for relief. Bleeding became commonplace, and clots took the place of stools. I finally very nearly passed out in a meeting due to blood loss, just managed to make it to the loo in time.
The bleeding settled down eventually, but the piles were, I think, made worse as a result of the banding, as if the procedure had diverted the pressure elsewhere causing more to appear. A family holiday to Thailand (12 hour flights there and back) was not fun. I'm now on suppositories, ointment, witch hazel ice and ibuprofen, all of which provide minor and temporary relief only, and I dread long car journeys, going to the loo, feel stressed and lose sleep at night. Reading comments on here and elsewhere, I don't fancy any more 'procedures'. As Dazzzle says - surely there must be a better way?

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Mr Arif Khan said on 06 April 2013

THD is a new and minimally invasive procedure to treat second and third degree haemorrhoids. It causes minimal dyscomfort and majority of patients can return to work on the next day.

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Isis7219 said on 21 March 2013

So just last Friday I had my initial consultation and was told my appointment would be within 5 weeks but on Monday I received a telephone call telling me they had an appointment for me that afternoon!

I've previously read these comments but luckily I wasn't given much time to fret and worry over them.

I had 3 bandings done and I didn't have any pain relief. I found it to be an uncomfortable experience which made grip onto the bed rail and grit my teeth but it was all over and done with in less than 10 minutes.

I rested for about half an hour and was given a hot drink and biscuits, took a couple of painkillers just in case before I drove myself home.

The first night and morning after was uncomfortable as whilst doing the procedure air is put into you to allow them to see properly and it is this that gave me a bit of a gripey belly. For me, a cup of ginger tea helped to get rid of the wind.

To be honest, although my bottom has been quite tender, I've been lucky in that I've not needed to take any painkillers.

I don't understand how the article says you can go back to work the following day as I'm a relatively fit person but a short walk to my local shop tires me out.

I'm glad I've had the procedure done so quickly as it really didn't give me time to dwell on it - just hope it works!

Hope all goes well for anyone else who is due to have this done.

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Ausieguy514 said on 25 January 2013

I don't want to go into too much detail about my problem, but it happened overseas. I used ice to bring down the swelling and wiped with aloe vera and witch hazel. Also fixed up my diet and a few other things. There was a blog (I can't remember it now) that put me onto: Don't Panic They're Just Hemorrhoids. Pretty cheap if anyone wants to check it out. Hope it helps.
Dave

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cats eye 28 said on 21 January 2013

I had a hemorrhoidectomy 13 years ago which I remember as being very painful and taking 2 weeks off work. I vowed I wouldn't do it again, however I went on to get married and have 2 big babies which resulted in piles again. I had some piles banded in April last year as well as an anal fissure treated and a couple of skin tags removed under a general anaesthetic. The pain afterwards was terrible (worse than child birth) and despite having a Botox injection in my sphincter muscle (which is meant to stop it from contracting so you can poo easier), it didn't help at all. I really struggled to pass any stools even though soft, as my sphincter muscle wouldn't dilate wide enough which was scary and very sore. I went back to my surgeon who said i was one of a small percentage who has problems following surgery and prescribed a hydrocortizone cream which didn't really help. It took a few weeks to improve but I was left with a large skin tag. Ten months later after a consultation with the surgeon, I have had the skin tag removed plus one other, stupidly thinking it couldn't be as bad as less surgery - I was wrong. I am still in pain 10 days later and despite having a Botox injection again, taking Fibogel, Lactulose and drinking lots of fluids, I am struggling to pass stools. When I do the pain is so bad I question why I have done this again?! Do think very carefully before you have this procedure. For those who didn't have much pain, you are truly lucky, I wish my recovery had been as fast. I just want to get back to a normal life, pain free.

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Notlew777 said on 12 January 2013

I had two bindings done on Wednesday, I too was told it would be 'uncomfortable' I can honestly say I was in so much pain I thought they had done something wrong and I was going to die this may sound extreme but its true, I have had two natural births with no pain relief and they were less painful than what I went through on Wednesday, afterwards I was given water and told I could go I stood up and fainted 10 mins later I was told I could go again I met my husband fainted again outside the hospital the rest of he day was a painful and blurry I keep thinking about the procedure and crying I have been completely traumatised I don't know who or where to complain but procedures like this cannot carry on without pain relief or at least giving patients the correct information

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sweedlepipe said on 26 December 2012

My experience is the same as Mr Magic's

Only a little discomfort fixed by two paracetamol.

I had three banded and it is now as if I'd never had hemorrhoids. The repeated prolapsing is gone as is the internal itching.

I felt a little queasy afterwards but I feel this was through reading all these negative comments and so getting psyched up the wrong way.

I have sympathy for those who found it painful but one should note two things.

First, if these bad experiences were common, I can't see how the procedure would be allowed to continue being used.

Second, i think people are more prone to complain about a bad experience than to compliment a good one.

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Donnio said on 24 December 2012

I had it done today, was told that it was uncomfortable and paracetamol would cure the pain.
Like OMG as if. I felt dizzy and sick during the procedure and it hasn't gone yet. I am still shaking. My whole body is tense and even ibuprofen and 2x 30/500 cocodamol hasn't took it off.
I feel shocking and wish I had read the above first.
Think it's barbaric to not even to be given gas and air for the procedure.
I had grade 3 hemorriods and wish I'd been give the other options available to me.
Been asked to go back in 6weeks. To have them checked. I think not. It's a one way system for a reason and think unless I'm suddated no way cos they may want to do it again and I could not take the risk.
Can not believe they would do this knowing it can have this reaction to people on Xmas eve. :(

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Mr Magic said on 02 November 2012

Had banding done on Wednesday for 3 piles. No general, not pleasant experience! Felt dizzy afterwards and was painful (like a dull ache). Went home, had two paracetamol's and went to bed!

Next day, Voila no problem. Went to loo OK, although a bit nervy, and a smear of blood but no discomfort.

Second day in now, and still good. Itching and discharge associated with the piles gone and minimal bleeding.

The doc said that the banding and piles will fall off after 3 - 5 days so hopefully that'll be the case.

Thought I'd post this as so many negative comments which could put people off this treatment. In my experience the actual treatment wasn't nice, but so far so good.

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Timbellina said on 01 November 2012

I had haemorrhoids banding done this week and I wish that I had done more research on the procedure. My pain threshold is high and I can endure a lot!!! But having banding done without any anaesthesia or any other pain relive, despite asking for it, was like having a jagged knife stuck through my flesh. I’ve never experience such a terrible, excruciating, nauseating sharp pain.
When I asked for pain killers after procedure I was told to go home and take one at home.
I cried when my husband drove me home, for the next 12 hours I thought I was going to die !!! In a morning I called hospital to be told to call my GP. Well after calling my GP at 8am my pain prescription was ready by 3pm. I wished I could vanish as I could not stand the pain any more.
There is no way I will have this done again. I’d rather suffer than have a colonoscopy and haemorrhoids banding done without sedation, gas or any other local anaesthetic. This procedure is done abroad under general anaesthesia and patients are kept overnight. They are also given pain killers so they do not suffer any pain. I had this done two days ago and I cannot talk about it without breaking down in the floods of tears. I wish I suffered in silence without having procedure. I feel so down that I had it done, the pain that I went through was not worth it.!!!!!!!!!

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giraffe1610 said on 22 October 2012

I had my piles banded on Friday 28th September 2012. This is the second time I have this operation which was done under a general. The first time the pain was unbearable and I was admitted back to hospital where I remained for 5 days in an attempt to control the pain as the strongest of painkillers were of no use. With this operation I was off sick for 5 weeks so anyone who says that you will only need a couple of hours or days rest don't know what they are talking about! I am still recovering from my second operation where I thought I was having a large skin tag removed from my anus but woke up to find that I had been banded again! The pain is horrendous and I am still bleed heavily from a pile that I did not have before. The best advice I could give to anyone suffering from piles is to change your diet, drink plenty of fluids and if need be use a good cream. I would not recommend banding to my worse enemy. There are no words to describe the hell I have been through previously and what I am now still going through.

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jhw1965 said on 10 October 2012

I had my piles banded yesterday at the John Radcliffe Hospital in Oxford, It was an uncomfortable procedure but not painful. I am at work today, I have a certain amount of discomfort and a small amount of pain. Bit nothing severe. Am waiting for all the symptoms everyone esle has written about but so far - nada.

So if you need this procedure would recommend the JR.

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Greystreak said on 09 October 2012

I was offered banding today after a routine rectal exam & having read the above comments I am glad. I have for years used vaseline & germaloid ointment before & after motions to reduce any straining & ease the passage of waste matter. The other technique which can also help before motions is rectal massage using the ointments with sterile, disposable (no latex) gloves; it can also be relaxing & a means of easing tension. The insertion of the finger does not have to be deep, not even up to the knuckle & just enough to relax the anal sphincter muscle before a motion. Obviously it takes more time & requires care with hygiene for hands & glove disposal. By this method I have for years avoided straining & bleeding; I leant this technique from a Yoga tutor.

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alexec1 said on 21 September 2012

I was due to have banding done next week, but due to the comments on this, and many other websites, I have decided against it.

Every piece of medical advice tells us that banding is a relatively painless procedure. Every blog post by a victim of said procedure describes 'a living hell', 'alien from Prometheus movie crawled up my bottom', and 'burning devil in my belly'. Can anyone clarify that this is really the case, or is it simply bad luck for these few individuals?

I'm 27 and have suffered with hemms for two to three years. I have recently made some significant changes to my diet including more fibre (Fibrogel), omission of certain bad foods, and the introduction of a probiotic called kefir (Google it - it's fantastic, although it tastes a bit funky).

So far these changes have all made a positive difference. I still suffer badly when I walk for a long time, but strangely not when I run.

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whitelightning said on 11 September 2012

Lets not get hysterical, however discomfort does not describe the pain level which can result. I've had banding twice now. The first time I thought by coincidence I had a stomach bug on the same day as my treatment, I felt ill on the way home and nearly passed out in the street. Felt really bad for two days. I now realise I was possibly suffering same reaction as Dazzzle.
Not so bad this time, but pain prevented me going to work next day. Ended up alternating Paracetomol and Ibuprofen, appying Anusol and taking Dulcolax so I could try and carry on as normal. I to began to dread passing a motion. It is better each day, (12 days in), although dispite upping my fruit and fibre the toilet can be a bit arduous and uncomfortable.
So bear these things in mind.
1) Hosiptal told me 7-10 days sometimes as much as 14.
2) I would take someone with you to the hospital and not try to go home straight away.
3) I would not assume you can go back to work next day.
4) If you have a low pain threshold I would think carefully about this treatment.
Good luck.

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007Kxxg said on 26 July 2012

I couldn't believe reading through the description post banding pain as mild. I had banding dine on Monday afternoon - no anaesthetic it was rather painful. When I Asked the hospital staff for some pain relief e.g. Ibuprofen they said they didn't have any and that the pain would settle soon. I spent next 24 hours in hell as pain was excruciating beyond belief despite taking all painkillers available OTC before ending at A&E. I am still in bed taking 3 different types of painkillers prescribed by the doctor at the emergency and dreading to go to the loo... I think the NHS should review the information in this article as it is brossly misleading

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dee2012 said on 21 July 2012

I agree with you Dazzle but in a different way. I had the banding procedure done on wed, the nurses and doctors told me it wasnt painful, just uncomfortable so i opted for procedure with no antithetic, what a mistake it was very painful!
The procedure sent my body on self distruct - on no website have i read any symptoms which i have got!
I started to feel hot, dizzy and sick straight after procedure. I had severe stomach cramps within 5 minutes of procedure and felt i needed toilet all the time. Ten minutes later i collapsed on the hospital floor.
I was so worried about my bowel movements i ensured i took something make them softer as my bottom still hurt 3 days later (the leaflet and doctors said 2-3 hours not days!) I spent these same 3 days being sick - had to get anti-sickness tablets!
It is now 3 days later and i have weird sensations in my legs, dizzy spells and feel faint and light headed. Its like all the nerves in my body have gone into shock or overload! I would not recomend this procedure to anyone.
No one can explain my health problems apart from the fact that banding of the blood vessels have affected my central nervous system.
I have had to have time off work due to the weakness of my body and legs, aswell as the pain i have had to endured during the last few days.

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Dazzzle said on 01 July 2012

"normal activities the day after the procedure" - who writes this rubbish and how do they get away with it? Unfortunately, I believed that and opted for banding. I am a strong, fit bloke. I had my procedure last Wednesday a m and it is now Sunday p m. The pain has reduced from horrific to intense and I have still not had a bowel movement. I would never put myself through this again. I am unable to sit, stand or lie down comfortably - perhaps the person who wrote the piece on the website could suggest another humanly possible position - so lack of sleep is adding to the ordeal. Put up with the inconvenience, spend a few minutes longer in the bathroom and don't put yourself through this. It's 2012 for goodness sake - there must be a better way.

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