Hemorrhoid Q&A

What are Hemorrhoids-Piles Banding

Below you will learn about common questions regarding hemorrhoids, also known as piles. 

If you have additional questions about hemorrhoid treatment options,

please give us a call at 816-207-0000

1. What are hemorrhoids

Hemorrhoids are cushions of tissue containing swollen blood vessels in the lower rectum or around the anus. Hemorrhoids can cause discomfort, itching, bleeding, and sometimes severe pain. Piles is another term for Hemorrhoids

2. What Do Hemorrhoids Look Like?

External hemorrhoids appear on the anus. You may not always be able to see external hemorrhoids even though they exist outside of your body. If you can see external hemorrhoids, they may look like red lumps that appear in bunches around the anus.


A protruding internal hemorrhoid bulges outside of the anal opening and appears as a red, moist lump. If you have a thrombosed hemorrhoid, you may notice a bluish color around the hemorrhoid.

3. What are the causes of hemorrhoids?

Hemorrhoids are caused by too much pressure in the veins of the rectum, which can be the result of a variety of factors. Hemorrhoids can be linked to diet, constipation, diarrhea, obesity, pregnancy and childbirth, and even sitting for extended periods of time.

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Fast & Effective

The procedure takes about 1 minute to perform and is 95% effective.


No Recovery Time

Most patients can resume normal activities the same day.


Painless

The procedure is painless and typically no pain medication is required after the procedure.


Covered by Insurance

The procedure is covered by Medicare and most insurance plans.

This non-surgical procedure has been performed over 800,000 times on patients across the country.


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  • 4. How do I know if what I have is a hemorrhoid, or something else?

    See our Hemorrhoid Signs and Symptoms page for help in determining if you’re suffering from hemorrhoids. The best way to be sure of the source of your discomfort, though, is to come in for a consultation.

  • 5. How can I prevent hemorrhoids?

    Hemorrhoids can’t always be prevented, but you can reduce your chances by avoiding some of the main hemorrhoid causes, like constipation. Whether you’ve had hemorrhoid treatment before or not, it’s a good idea to:

    • Get enough fiber.
    • Reduce your intake of high-fat, low-fiber foods, like red meat and dairy, which can cause constipation.
    • Drink eight glasses of water a day.
    • Avoid straining during bowel movements. If you don’t have a bowel movement within a few minutes of sitting on the toilet, come back later, which can help you avoid straining.
    • During periods of extended sitting, stay hydrated, eat fiber, and walk around as often as you are able.
  • 6. Do hemorrhoids always require surgery?

    Over 95% of hemorrhoids can be treated using the CRH O’Regan System®, meaning less than 5% of hemorrhoids require surgery. The sooner you seek treatment for a hemorrhoid, the lower your chances of needing surgery will be

  • 7. How does the CRH O’Regan System of banding work?

    A tiny rubber band is placed around the base of the hemorrhoid, which cuts off blood supply to the area. Within a few days, the banded tissue and band will shrink and fall off, usually without you noticing.

  • 8. How many treatments are necessary?

    Everyone has three hemorrhoid columns and most often, when one is affected, all three are affected. Generally speaking, a patient will require three treatments, with one band placed during each visit.

  • 9. Does banding hurt?

    No. With the procedure we use (the CRH O’Regan System®), band placement is painless and over 99% of patients experience no significant post-procedural pain.

  • 10. How Common Is Hemorrhoid Banding?

    Rubber band ligation is the most commonly used non-surgical hemorrhoid treatment in the world. Regarding the CRH O’Regan System, thousands of physicians nationwide treat patients with this banding technique.

  • 11. Can I Band My Own Hemorrhoids?

    A trained doctor must perform hemorrhoid banding, and you should never attempt this procedure yourself. Many DIY treatments can be dangerous or simply ineffective, so it’s usually best to consult your doctor first.

  • 12. Can Hemorrhoid Banding Fall off Too Soon?

    Typically, the banded hemorrhoid won’t fall off for at least two days, but if you find the rubber band floating in the toilet in less than 48 hours, there’s no need to panic. Sometimes rubber bands come off in less than two days but still produce the desired results. If your band comes off in less time than you expected, you may want to speak to your doctor for reassurance.



  • 13. How Long After Hemorrhoid Banding Can I Poop?

    Pooping does not need to be postponed after hemorrhoid banding, and you can go to the bathroom as you usually would. Doctors recommend moving your bowels as soon as you need to.


    Although it’s safe to pass stool immediately after a banding procedure, it’s still critical you try not to strain after treatment to allow the area to heal. Your doctor may recommend taking a stool softener to prevent constipation and straining.

  • 14. Will I have to miss work or other activities?

    You can typically return to work and resume your normal activities immediately following the procedure (but refrain from vigorous activity until the following day).


    Unless your job involves strenuous tasks, you don’t have to worry about missing work with hemorrhoid banding. We only recommend avoiding vigorous activities on the day of CRH O’Regan treatment. Most patients with office jobs can go back to work immediately after their appointment.

  • 15. How Much Does Hemorrhoid Banding Cost?

    Compared to hemorrhoid surgery, hemorrhoid banding is a cost-effective solution. However, it’s important to note that the cost of hemorrhoid treatment varies depending on the technique used. The CRH O’Regan System is one of the most affordable treatments available and covered by most insurers.


    If you have questions about hemorrhoid banding costs, please call the office where you plan to get treated for the most current pricing. You can also reach out to a local physician qualified to use the CRH O’Regan System and inquire about copays and treatment costs.

  • 16. Will my insurance cover banding?

    Most major insurance plans cover hemorrhoid banding (rubber band ligation). Call our office for cost details, or refer to your specific insurance policy for copay information.

  • 17. What Kind of Doctor Does Hemorrhoid Banding?

    Gastroenterologists typically perform hemorrhoid banding. However, not all doctors have the equipment or experience to perform hemorrhoid banding. Doctors who offer CRH O’Regan treatment, for example, must first be trained to use CRH technology.


    If you’re ready to look for a qualified gastroenterologist in your area, consider the following:


    • How much experience the doctor has treating hemorrhoids
    • If the doctor clearly explains the procedure
    • If the doctor is willing to discuss all treatment options

    If you want to learn more about the CRH O’Regan System from a trained doctor, our physician search tool will send you in the right direction.

  • 18. Can’t I just use an over-the-counter treatment, like Preparation H cream?

    You can use an over-the-counter treatment to help relieve hemorrhoid symptoms such as itching and swelling. However, these remedies don’t treat the cause of the hemorrhoid, and it is more likely that your symptoms will resurface eventually. For a long-term solution, a treatment like banding is likely your best option.

  • 19. What are piles?

    Piles is another term for hemorrhoids. Hemorrhoids are collections of inflamed tissue in the anal canal. They contain blood vessels, support tissue, muscle, and elastic fibers.

  • 20. Can I Pop a Hemorrhoid?

    You may be tempted to pop a hemorrhoid with a pin or your finger to relieve the pain it’s causing. However, it’s not a good idea to pop a hemorrhoid for several reasons.


    First, it’s hard to see a hemorrhoid on your own, and you could accidentally injure the surrounding tissue.


    Secondly, if you have not yet gone to a doctor, there’s no way to be sure the lump is a hemorrhoid or something else.


    If you pop a hemorrhoid, you’ll cause an open wound in an area that’s vulnerable to bacteria, and this could lead to an infection.


    Lastly, popping a hemorrhoid is extremely painful.


    If you’re experiencing hemorrhoid pain, your best bet is to contact your doctor.

  • 21. Do Hemorrhoids Burst?

    A hemorrhoid can burst if it becomes thrombosed. A thrombosed hemorrhoid will not burst in the way a pimple pops. Instead, it will secrete blood if it becomes too full. Thrombosed hemorrhoids cause intense pain before they burst, so most people seek medical attention before this happens.


    If a hemorrhoid bursts before you get to a doctor, make an appointment to have the area checked out as soon as possible. In the meantime, you can help keep the area clean and relieve pain by taking a sitz bath.

  • 22. Can Stress Cause Hemorrhoids?

    Stress cannot directly cause hemorrhoids, but it can lead to constipation, one of the main causes of hemorrhoids. When someone feels stressed, they may be more likely to eat unhealthy foods, sleep less, skip exercise or forget to drink enough fluids. All of these factors can cause constipation and strain during bowel movements, which may lead to hemorrhoids.

  • 24. What Can Hemorrhoids Be Mistaken For?

    Various conditions can cause hemorrhoid symptoms such as itching, pain and rectal bleeding. Other causes of hemorrhoid-like symptoms include:

    • Anal fissures
    • Rectal abscess
    • Polyps or tumors
    • Rectal prolapse
    • Inflammatory bowel disease
    • Pruritus ani

    Your doctor will take the necessary steps to determine the cause of your symptoms and the appropriate course of action.



  • 25. Do Hemorrhoids Cause Colorectal Cancer?

    Hemorrhoids do not cause colorectal cancer or increase the risk of getting colorectal cancer. However, since cancer and hemorrhoids can both cause bleeding, it’s crucial to get evaluated by a doctor if you experience rectal bleeding.

  • 26. Are Hemorrhoids a Disease?

    When someone experiences symptoms from hemorrhoids, they are considered to have hemorrhoid disease. By definition, a disease is an impairment of the normal state of a living animal. Diseases such as hemorrhoids cause bothersome signs and symptoms.

  • 27. Does Walking Help Hemorrhoids?

    Walking increases blood flow throughout your entire body, which can help tissues in the rectal area heal. Walking also stimulates bowel function and can help prevent constipation. By walking at least 30 minutes a day, you can help manage and prevent hemorrhoids.

  • 28. Does Sitting Make Hemorrhoids Worse?

    Sitting on the toilet for long periods can cause hemorrhoids and make them harder to treat. When you sit on the toilet, you put excess pressure on anal veins because there is no support beneath you. To prevent and help treat hemorrhoids, avoid sitting on the toilet for more than two minutes at a time.

how to treat hemorrhoids with banding

Rubber band ligation is the most commonly used non-surgical hemorrhoid treatment in the world. 

how to treat piles

The sooner you seek treatment for your hemorrhoids, the lower your chances of needing surgery will be.

what is hemorrhoid banding procedure

The best way to be sure of the source of your discomfort is to come in for a consultation.

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