1.9K Reviews | 4.7 Star Rating | 20+ years of experience | 72k+ Patients Treated
Painless Banding: A Guide to Minimally Invasive Hemorrhoid Relief
About half of all people experience hemorrhoids by time they reach the age of 50. These swollen blood vessels can cause itching, pain, swelling, and even bleeding.
Hemorrhoids affect millions each year, causing discomfort, itching, and even bleeding. Many fear surgery, but there is good news. Non-surgical treatments, like rubber band ligation (hemorrhoid banding), are effective and quick. In this guide, Dr. Bharat Pothuri, a trusted Houston GI doctor, explains how hemorrhoid banding can provide relief. Learn about the procedure, what to expect, and how this treatment could help you avoid surgery.
What Are Hemorrhoids?
Hemorrhoids are swollen veins in the anus or rectum, and there are two types:
Internal hemorrhoids: Located inside the rectum
External hemorrhoids: Found around the anus
Internal hemorrhoids may bleed without pain. In some cases, they can bulge when you strain. External hemorrhoids can be painful, especially if they develop a clot.
If untreated, hemorrhoids can impact your daily life, causing you to avoid sitting or certain activities. But surgery isn’t always necessary. Let’s explore hemorrhoid banding as a non-surgical solution.
Non-Surgical Relief: Start Here
Before considering a procedure, try these simple steps to alleviate mild hemorrhoids:
Eat More Fiber
Aim for 25–30 grams of fiber daily
Drink plenty of water
Avoid straining while using the bathroom
Use Creams and Soaks
Try OTC wipes or creams (e.g., witch hazel, hydrocortisone)
Take sitz baths (soak in warm water for 10–15 minutes, 2–3 times daily)
Adjust Daily Habits
Exercise regularly to improve digestion
Don’t delay when you feel the urge to go
These changes may help prevent worsening symptoms. If hemorrhoids persist, consider rubber band ligation.
What Is Rubber Band Ligation?
Rubber band ligation is a quick, in-office treatment for internal hemorrhoids. A small rubber band is placed around the base of the hemorrhoid, cutting off blood flow. Within a week, the tissue will fall off.
Quick Facts:
Done in the clinic (no general anesthesia needed)
Takes just 5–10 minutes per hemorrhoid
Most people resume normal activities the same day
High success rate (90%) for moderate internal hemorrhoids
Dr. Pothuri says, "It's safe, effective, and a preferred non-surgical option."
How It Works: A Simple Process
Step 1: Prep
You’ll lie on your side or back
A lighted scope helps the doctor see the hemorrhoid
Step 2: Band Placement
The hemorrhoid is pulled gently into a tube
A rubber band is placed at the base
Step 3: Cut Off Blood Supply
The band blocks blood flow to the hemorrhoid
The hemorrhoid shrinks and dies
Step 4: It Falls Off
Within 5–7 days, the hemorrhoid falls off naturally
A small scab forms and heals naturally
Is It Really Painless?
Most people describe the feeling as pressure, not pain. Here's what to expect:
A light tugging sensation during the procedure
Mild discomfort, which can be managed with over-the-counter pain relievers like Tylenol
No sedation is usually required
"Less than 10% of patients need stronger pain relief," says Dr. Pothuri.
Recovery: What to Expect
Day 1:
Rest for 15–30 minutes, then you can go home
Avoid heavy lifting or long drives
Days 2–7:
Return to normal activities
Keep up fiber, water, and sitz baths
Mild bleeding is normal when the hemorrhoid falls off
Weeks 2–4:
Healing is almost complete
Follow-up visit to your doctor
Recovery is much quicker than surgery, which may take weeks.
Compare Your Options
Treatment
Pain Level
Recovery Time
Success Rate
Best For
Rubber Band Ligation
Low to Mild
1–2 days off work
80–90%
Internal hemorrhoids
Sclerotherapy
Mild
Same day
60–70%
Small hemorrhoids
Infrared Coagulation
Mild to Moderate
1 day
70–80%
Internal hemorrhoids
Electrocoagulation
Moderate
1–2 days
75–85%
Internal hemorrhoids
Top Benefits of Banding
No cuts or stitches required
Quick and easy procedure
Lower cost than surgery
High success rate (80–90%)
Done in the office, no hospital stay required
"This is one of our top non-surgical treatments," adds Dr. Pothuri.
At Gastrodoxs, we offer advanced hemorrhoid care across Houston, from Montrose to the Galleria. Dr. Pothuri and his team use state-of-the-art tools to help you get the relief you need.
Why Patients Choose Gastrodoxs
Local experience and expertise
Friendly, compassionate staff
Hundreds of satisfied patients
Convenient locations in Montrose, Galleria, and West U
Conclusion
If you’re wondering, "Is hemorrhoid banding painless?"—the answer is yes for most. It’s quick, effective, and doesn’t require surgery. Let Dr. Bharat Pothuri and the Gastrodoxs team help you get relief. Visit Gastrodoxs.com or call our Montrose office today.
When you're pain-free, you can enjoy everything Houston has to offer—without worry.
About the Author
Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.