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CRH O'Regan System | Frequently Asked Questions


What are hemorrhoids?

Hemorrhoids are swollen veins located in the lower rectum or anus. There are two types of hemorrhoids: internal and external. Depending on the location, symptoms may include pain, inflammation, itching, and a feeling of fullness following a bowel movement. Additionally, there may be bright red blood covering the stool, on the toilet tissue or in the toilet bowl.

What causes hemorrhoids?

Hemorrhoids result from an increase in pressure in the veins of the rectum. This may be caused by constipation, pregnancy, childbirth, obesity, heavy lifting, long periods of sitting, or diarrhea. In Western countries, constipation is associated with diets low in fiber and high in fat.

Who gets hemorrhoids?

Hemorrhoids affect both men and women. The incidence of hemorrhoids increases after age 30, and by age 50, about half of the population will have experienced the condition.

How does the procedure work?

A small disposable syringe like device is used to attach a tiny rubber band around the internal hemorrhoid – with the blood supply cut off, the hemorrhoid dies and falls off.

Can you treat external hemorrhoids?

Yes. Most hemorrhoidal symptoms are from dilated internal hemorrhoids and or anal fissures. The banding of internal hemorrhoids usually shrinks the external hemorrhoids as well and is highly effective in relieving the symptoms of pain and bleeding. After banding is completed there may be an external component or skin tag that persists, but usually they do not cause much in the way of symptoms. An acute thrombosis of an external hemorrhoid can be very painful. Our physicians are fully trained and can perform office based procedures as required to care for these external hemorrhoidal conditions.

How many bands are necessary?

There are three sites where hemorrhoids form frequently, and it is not uncommon for all three sites to require treatment. We generally only band one hemorrhoid site at a time in separate visits, as multiple bandings have been found to increase complications. Also, some extreme large hemorrhoids may require additional banding sessions. Thus, as many as six bands total may be used in severe cases, but one to three is standard

Is it effective?

Yes it is 99.1% effective, and the best thing is that it is non-surgical, so there is no pain, medication or recovery time needed. Most of our patients go back to work the same or next day.

How long will this take?

The procedure takes about 60 seconds, but the entire visit is about 15-30 minutes.

Is the procedure covered by Insurance?

The procedure is covered by most insurance plans, including Medicare. As insurance coverage varies, however, we would need to verify your particular insurance. (the financial policy of your practice should be inserted here)

Will it hurt?

No. Thanks to our improved instrument and technique, band placement is painless. You may experience a feeling of fullness or dull ache in the rectum for the first 24 hours, but this can generally be relieved by over-the-counter pain medication. A recent study of our banding technique shows that 99.8% of patients experience no post-procedure pain.

Will I have to miss work or other activities?

Your first appointment in our office will probably be the longest, as it involves a consultation, medical history and diagnosis. We suggest you allot up to an hour. Subsequent treatment sessions will be shorter, around 15-30 minutes total. After a hemorrhoid banding procedure, we recommend that you rest the remainder of the day at home and resume full activity the next day. However, many patients with office jobs find they can return to work immediately following their appointment.


Will I need to do any preparation at home prior to the procedure?

No prep is needed prior to the procedure.


Will I need a driver or can I drive home myself?

You will not need a driver, in fact most patients return to normal activity immediately following the procedure.


Will the hemorrhoids come back after the treatment?


With proper dietary changes the hemorrhoids should not return.



Who else offers the CRH O’Regan banding?

This patented procedure is only available through a select few healthcare providers who have been licensed and trained to offer the CRH O’Regan System in their practice.


Where can I get more information about CRH-O'Regan System?


More information may be found at http://www.crhsystem.com