Banding of piles is done as an outpatient treatment and only takes a few minutes. Using a short telescope, tiny rubber bands are placed inside the back passage above the piles. This constricts (tightens) and cuts off the blood supply to the piles. Over the next few weeks, the piles then shrivel up, hopefully leading to an improvement in your symptoms.
Immediately after the banding there may be a sensation of needing to have your bowels open. This is normal – do not worry. It then fades to a mild discomfort or ache lasting a couple of days. You may feel a little light headed shortly after the procedure. It is usually advisable to sit quietly to let things settle down for 20 to 30 minutes before driving or catching public transport in case you feel faint. Over the next few days you can take some mild
pain relief, as you would normally take for a headache, such as paracetamol to help with any discomfort.
After 7 to 10 days the tissue in the band falls away. You may get some dark red bleeding from the back passage at this
stage. This is normal – do not worry.