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longer if pain or desk-sitting discomfort persists."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Any complication after banding, mainly pain and minor bleeding; serious ones such as sepsis under 1%."},"contraindications":["Suspected anorectal cancer or unevaluated rectal bleeding","Active anorectal infection or abscess","Uncontrolled bleeding disorder or anticoagulation (relative; needs specialist planning)","Severe immunosuppression or anorectal inflammatory bowel disease (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Office procedure; patient leaves within about an hour."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Light activity next day; strenuous exercise and heavy lifting after several days if comfortable."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"After the last banding session; 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Severe pain is uncommon and needs prompt review.","preparation":["Colonoscopy or sigmoidoscopy beforehand if indicated","Review blood thinners with the specialist","Fiber and fluids to avoid constipation","Enema or empty bowel as advised","Eat normally; no fasting usually required","Avoid NSAIDs and aspirin unless advised"],"recovery_timeline":[{"phase":"Day 0-3","description":"Rectal fullness or mild aching; small amount of spotting possible.","restrictions":["Avoid straining","Avoid NSAIDs and aspirin","Avoid heavy lifting"]},{"phase":"Day 4-10","description":"Bands and treated tissue slough off; light bleeding can occur around day 5-10.","restrictions":["Keep stools soft","Avoid long-distance travel if bleeding concerns"]},{"phase":"Weeks 2-6","description":"Ulcer heals and symptoms improve; reassess for further banding.","restrictions":["Continue fiber and hydration","Avoid prolonged toilet sitting"]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Time to ordinary comfort and function; depends on band count and individual pain tolerance."},"result_longevity":"Symptom relief often lasts years, but recurrence occurs in a notable minority. Diet, stool regulation and avoiding straining help maintain results.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Repeat banding or surgery for recurrent symptoms within about 2-5 years; surgery needed in under 10%."},"scars":"No external incisions or visible scars. The banded internal tissue forms a small healing ulcer that resolves within weeks.","sessions_or_stages":{"sessions":{"min":1,"max":3,"unit":"visits","qualifier":"Usually one to three banding sessions, often one to two hemorrhoids each."},"stages":[{"code":"first_banding","label":"First banding session","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of initial treatment."}},{"code":"repeat_banding","label":"Repeat banding if symptoms persist","after":{"min":28,"max":42,"unit":"days","qualifier":"Interval of about 4-6 weeks between sessions."}}],"qualifier":"Sessions depend on hemorrhoid grade, number of columns and symptom response."},"success":{"metric":"Symptom improvement after rubber band ligation","value":80,"unit":"percent of patients","horizon":"1-3 months after last session","population":"Adults with symptomatic grade I-III internal hemorrhoids","evidence_status":"limited"},"techniques":[{"name":"Rubber band ligation","suits_whom":"Persistent grade I–III internal hemorrhoids","recovery":"Office procedure; 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A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site 4. Pus or drainage from the operation site","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Redness or swelling at the operation site","urgency":"contact_clinic","general":false,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/haemorrhoid-surgery-surgery-for-piles/","host":"leedsth.nhs.uk","quote":"1. A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Prolonged or severe pain","urgency":"contact_clinic","general":true,"source":{"url":"https://www.leedsth.nhs.uk/patients/resources/haemorrhoid-surgery-surgery-for-piles/","host":"leedsth.nhs.uk","quote":"1. A temperature 2. Fresh bleeding or bruising 3. Redness or swelling at the operation site 4. Pus or drainage from the operation site 5. 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