Discharge advice following banding of piles

Piles are soft fleshy lumps just inside your back passage. They have a rich blood supply and bleed easily, usually causing fresh bright-red bleeding following a bowel movement. They can be internal (inside your bottom) or protrude through your anus (outside your bottom).

Piles have no nerve endings in their upper part (which is the part most affected), so they can be treated without anaesthetic. The technique of banding involves applying a tight elastic band around the pile which cuts off its blood supply. Banding will cause the pile to ‘shrink and die’ then fall off with the band within 10 to 14 days.

The banding only takes a few minutes to perform and is not painful.

Having your piles banded does not mean that they will never come back but you can try to avoid this by not straining when you open your bowels. Try to go to the toilet when you feel the urge rather than putting it off because you are busy. You should also make sure that you eat a healthy diet and drink plenty of water.

The main risk from banding is bleeding. A small amount of bleeding is normal, especially after a bowel movement. If the bleeding is heavy and does not stop, you will need to seek medical advice. Please see the section further down on this page for information about when to seek advice.

Following treatment you should avoid strenuous exercise, such as jogging or riding a bike for the rest of the day.

You will not be able to travel by air for at least 3 weeks following the banding procedure.

You can take your usual prescribed medications when they are next due unless otherwise stated by the Endoscopist or discharging nurse. For people taking blood thinning medications (anticoagulants) separate advice will be given.

• You may experience a dull ache for about 5 hours after the procedure. Pain relief such as paracetamol with help with this. Please follow the instructions within the packet.
• You may experience a feeling of urgency to open your bowels. This is normal and usually settles within 24 hours. It is important not to strain when you go to the toilet as this could cause the bands to pop off.
• You may notice a small amount of bleeding over the next couple of days when you have your bowels open. This is normal and should settle.

• A report will be sent to your GP.
• If a consultant follow up is needed you will receive an appointment letter in the post.

Banding of haemorrhoids is very safe and carries few risks but complications do occasionally occur. If you experience any of the following, please contact the Endoscopy Unit where you had your procedure.

• Severe bleeding from your bottom
• Increasing pain, swelling or discharge from your bottom
• Difficulty passing urine
• High temperature (fever) or you feel generally unwell

If you experience a lot of bleeding that does not stop, or if you feel unwell, feverish and have severe pain, please phone 999 or go to your nearest Accident & Emergency Department and explain that you have had your piles banded.

If you have any concerns, please contact one of the following for advice:
• Endoscopy Unit where you were treated
• Your GP
• NHS 111

Endoscopy Units

Gloucestershire Royal Hospital

Tel: 0300 422 8222

Monday to Friday, 8:00am to 6:00pm

Cheltenham General Hospital

Tel:0300 422 3370

Monday to Friday, 8:00am to 6:00pm

Cirencester Hospital

Tel: 0300 421 6294

Monday to Friday, 8:00 am to 6:00 pm

Stroud Hospital

Tel: 0300 421 8073

Monday to Friday, 8:00 am to 6:00pm

Between 6:00pm and 8:00am you should contact the:

Gloucestershire Hospitals Switchboard

Tel: 0300 422 2222

When prompted please ask for the operator. Ask the operator to contact the Site Management Team. The operator will then contact a senior nurse to advise you.

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