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Discharge Information following Surgery for Banding of Haemorrhoids

Pain Management

You will have some pain for several days, especially with bowel motions. It typically peaks at day 2-3 after the operation, and then decreases.

Unless contraindicated, I would encourage you to take regular simple analgesia including paracetamol and ibuprofen. You may be discharged with a prescription for stronger medication such as Endone or Palexia to take in addition. Start with paracetamol, ibuprofen, or both.

If needed, add the prescribed medication for stronger pain relief.

If your pain is severe please seek medical attention.


You may become constipated after banding of haemorrhoids. Some pain relief drugs are also constipating. You can take a simple stool softener such as Coloxyl or Movicol daily until your bowel habit is regular. You can also take fibre supplements such as Metamucil.


There are no laws restricting driving post operatively. You should not drive 24 hours post general anaesthesia.

Bowel Motions

You may not move your bowels for 1-2 days after surgery. This is normal. Avoid constipation – take a high fibre diet, laxatives and fibre supplementation. If you have not had a bowel movement within 3 days or feel rectal pressure, use a laxative. If you are still having difficulty, please call us.

Do not use enemas or suppositories unless directed by your doctor.
You may see little rubber bands 1-3 days after the operation. This is normal and does signify that the bands have slipped off. Do not be alarmed.

Bottom Care

There are no wounds to dress. You can go to the toilet normally.
You may have some bright red or darker red bleeding; small volumes are normal. Seitz baths can be taken for comfort. Fill the bath with a few inches of lukewarm water and let your bottom bathe in this for 5-10 minutes. No salt is required. This will help with the pain. do not add any lotions or additives to the water. Do not drive if you are on strong painkillers.
If you cannot stand hard and fast on the brakes, wear a seatbelt or check your blind spot then you should not drive. This usually takes 2-4 weeks as a rough guide.

Physical Activity

Please walk several times each day. Prolonged sitting can cause soreness. You may resume most normal activities as soon as you wish. You should gently ease your way back into physical activity.

No strenuous sport or activities. You should avoid straining or heavy lifting until your follow up appointment. You may return to work when you feel able. Most people take off 2- 4 days


Eat as much fibre as possible including whole grain breads, cereals and oats. Drink 6-8 glasses of water/juice daily. Avoid spicy food until your follow up appointment. Avoid alcohol if you are taking strong pain medication.

Follow Up

You should already have a follow up appointment booked. Mr Yellapu will advise you if he needs to see you earlier. If you have any concerns post discharge from Hospital you can call Mr Yellapu’s rooms. There are times when the rooms are unattended. Do not leave a message.

If you cannot reach Mr Yellapu please call the Hobart Private Day Surgery Unit 7am to 7pm Monday to Friday 03 62143520, or after hours The Hobart Private Emergency Department 03 6214 3080 and they will contact Mr Yellapu.