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Mild pain is more common."},"contraindications":["Anticoagulant/antiplatelet therapy or bleeding disorder (relative; specialist assessment needed)","Thrombocytopenia or coagulopathy","Severe immunosuppression or neutropenia","Acute anorectal sepsis or thrombosed/strangulated external hemorrhoids","Grade IV (irreducible) hemorrhoids or large external component","Severe anal fissure or untreated anorectal IBD (relative)","Portal hypertension with rectal varices (relative)","Latex allergy if latex bands are used"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Performed as an office/clinic procedure with no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0.5,"max":1,"unit":"weeks","qualifier":"Strenuous exercise and heavy lifting usually avoided for several days to a week."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"After the course of banding sessions; symptom relief builds as banded tissue sloughs and fixes."},"fly_home_after_days":{"min":1,"max":2,"unit":"days","qualifier":"Short flights usually fine next day; delayed bleeding risk peaks days 5-14, so clinicians may advise waiting."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Review of response and, if needed, next banding session."}},{"purpose":"other","requirement":"conditional","after":{"min":1,"max":14,"unit":"days","qualifier":"Urgent review for heavy bleeding, severe pain, fever or urinary retention."}}],"indications":["Symptomatic grade I–III internal hemorrhoids with bleeding or prolapse","Hemorrhoids not controlled by diet, fiber and medical measures"],"main_risks":["Pelvic or anal pain and rectal fullness/tenesmus","Bleeding, usually at band slough (days 5–14), occasionally significant","Urinary retention","Vasovagal reaction","Thrombosed external hemorrhoid","Rare pelvic sepsis: severe pain, fever, retention need urgent care"],"pain":"Usually mild to moderate: dull ache or pressure for 1–3 days, controlled with simple analgesics and sitz baths; severe pain is a warning sign.","preparation":["Anoscopy to confirm internal hemorrhoids and exclude other pathology","Colonoscopy considered per age/risk or bleeding evaluation","Review of bleeding risk and medications with the clinician","Often no bowel prep or an enema only","Avoid constipation; fiber and fluids"],"recovery_timeline":[{"phase":"Day 0–4","description":"Rectal pressure or mild ache; light activity possible.","restrictions":["Avoid straining","Avoid heavy lifting"]},{"phase":"Day 5–14","description":"Band falls off with a small amount of bleeding or spotting possible; report heavy bleeding or fever urgently.","restrictions":["Avoid heavy lifting until about day 7","Avoid constipation and prolonged straining"]},{"phase":"Weeks 2–6","description":"Healing of the ulcer at the banding site and symptom improvement.","restrictions":[]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Return to ordinary function after a single banding session."},"result_longevity":"Symptom relief often lasts several years, but hemorrhoids can recur in roughly 10-30% of patients within 5 years. 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