Many people in Karachi feel shy to talk about piles (hemorrhoids). They keep suffering with pain, bleeding, or itching. Some try home remedies, but the problem comes back. If you are having rectal bleeding or swelling inside your back passage, band ligation can be a good choice. It is a quick, clinic-based treatment that helps most patients with internal hemorrhoids.
Hi! I am Dr. Abdullah Iqbal, Colorectal and Laser Surgeon in Karachi, treats piles, fissure, and fistula every day. I do offer not just band ligation for hemorrhoids but also advanced laser surgery for piles and fissures that bleed or don’t heal.
What is Band Ligation?
Band ligation, also called rubber band ligation, is a simple way to treat internal piles. I place a very small rubber band around the base of the swollen vein inside your anus. The band blocks its blood supply, so the pile dries up and falls off in a few days when you pass stool.
This is only for internal hemorrhoids (grades 1 to II and in some cases grade III). It doesn’t work for big external lumps or when the pile is too advanced.
When I Suggest Band Ligation to You
I usually recommend this treatment if:
- You have bleeding during stool
- There is small swelling that slips out but goes back inside
- Your pain is mild or not there all the time
- You want a treatment that doesn’t need a hospital stay
If you are pregnant, have infection around anus, or your piles are big, I will discuss other treatments with you.
How I Do the Procedure
Let me explain step by step, so you don’t feel worried:
- I check your piles with a small scope (proctoscope).
- You lie on your side in a comfortable position.
- With a special instrument, I place a rubber band around the base of the hemorrhoid.
- The whole process takes around 5–10 minutes. Most of you feel only light pressure, but no pain.
- After 5–10 days, the dried lump drops off naturally when you go toilet.
You can walk out of my clinic after the procedure.
How to Take Care After Band Ligation
Recovery is quick if you follow some simple tips:
- Drink 8 to 10 glasses of water every day.
- Eat food high in fibre like fruits, vegetables, brown bread, or daal.
- Don’t lift heavy weights for a week.
- Try not to push too hard when passing stool.
- You may take mild pain medicine if you feel discomfort.
- Call me right away if you see heavy bleeding, fever, or severe pain.
Keeping your toilet routine soft and regular will help you stay free from piles in future.
Why My Patients Choose Band Ligation
Many of you prefer this treatment because:
- There is no cutting or stitching
- It is done in my clinic, no need for hospital admission
- You can return to work same or next day
- Cost is less than surgery
- Success rate is very good for internal piles
If your piles are very large or keep coming back, I also offer laser surgery for hemorrhoids and fissures. Laser gives less pain and faster healing than older open surgeries.
Cost of Band Ligation in Karachi
Prices depend on clinic and how many bands we need. In private clinics it usually starts from PKR 15,000 to 35,000. Government hospitals may charge less but waiting times are longer.
I always tell patients: do not consider the price, choose a doctor who treats piles every day because experience matters. Remember, not every bleeding is piles. Anal fissure, polyps, fistula or even cancer can cause similar signs. I always check carefully before giving you any treatment.
For big or stubborn piles, laser hemorrhoid surgery or stapler hemorrhoidectomy can be better.
I also treat:
- Anal fissure (painful small tear)
- Fistula in ano
- Pilonidal sinus
- Small anal polyps
All are done with safe, modern tools.
How You Can Prevent Piles After Treatment
Good habits will save you from piles again:
- Drink 8–10 glasses of water daily (more in hot weather).
- Eat fibre-rich food.
- Walk or do light exercise every day.
- Don’t sit too long on toilet or strain.
- If bleeding starts again, visit me quickly.
About Me – Dr. Abdullah Iqbal
I work as a General and Colorectal Surgeon at Hill Park General Hospital, near Shahrah-e-Faisal, Karachi. My main focus is on piles, fissure, fistula, pilonidal sinus and other anal problems. I have trained in laser proctolog, and I have done thousands of cases safely.
My clinic timings at Hill Park Hospital are Tuesday, Thursday, Saturday – 5 PM to 8 PM.
You can call or WhatsApp for appointment: +92-321-2363611 / +92-333-2877351.
