How long does it take for the hemorrhoid ligation band to fall off after surgery?
Nov 14, 2025
Source: Cainiu Health
Dr. Li Jingxiang
Introduction
If postoperative care is properly managed—keeping the anal area clean and dry, avoiding strenuous activity and straining during bowel movements—the blood supply to the ligated tissue will gradually be cut off, leading to normal necrosis and detachment. Most individuals complete the shedding process within 7–14 days. During this period, minor rectal bleeding or mild sensation of heaviness may occur, which are normal phenomena. No special intervention is required; simply allow the tissue to detach naturally.
Under normal circumstances, the ligated tissue following hemorrhoid ligation surgery typically falls off naturally within 7–14 days. However, improper postoperative care may delay this process or require medical intervention. If there are any concerns, it is advisable to seek medical consultation promptly. Detailed analysis is as follows:
If proper postoperative care is maintained—such as keeping the anal area clean and dry, avoiding strenuous exercise and straining during bowel movements—the blood supply to the ligated tissue will gradually be cut off, leading to normal necrosis and detachment. Most individuals complete this process within 7–14 days. Minor bleeding during bowel movements or a slight sensation of heaviness may occur during this period, which are considered normal and do not require special treatment; natural detachment should be allowed to proceed.
If postoperative care is inadequate—for example, excessive straining during bowel movements causing uneven stress on the ligated site, or poor anal hygiene leading to infection—the necrosis process of the ligated tissue may be affected, resulting in delayed detachment beyond 14 days. In cases where the ligated hemorrhoidal tissue is relatively large, the natural necrosis and detachment process may be slower, and incomplete detachment might even occur. Such situations require timely medical evaluation, and if necessary, clinical intervention by a physician.
After hemorrhoid ligation surgery, patients should use prescribed medications to prevent infection, maintain regular bowel movements, and avoid constipation. Close attention should be paid to the detachment process and any bodily reactions. In case of heavy rectal bleeding, severe pain, or significantly delayed detachment, self-treatment should be avoided and immediate medical attention sought.
