MIDDLESEX SURGICAL ASSOCIATES, INC. 955 MAIN STREET, SUITE G2A WINCHESTER, MA 01890 VOICE: 781-729-2020 FAX: 781-729-6846 AFFILIATED WITH TUFTS UNIVERSITY SCHOOL OF MEDICINE WILLIAM L. BRECKWOLDT, M.D., F.A.C.S. KELLEY M. CORNELL, M.D., F.A.C.S. PATRICK F. BROPHY, M.D., F.A.C.S. MARTA QUIJANO, M.D. NAYOMI EDIRISINGHE, M.D., F.A.C.S. LIMARIS BARRIOS, M.D., F.A.C.S. KATHLEEN SLOPER, A.N.P. INSTUCTIONS AFTER RUBBERBAND LIGATION OF INTERNAL HEMORRHOIDS You may have some discomfort for 48 hours or longer. Fill the pain medicine prescription if you need it. Much of the pain is due to muscle spasm. A hot tub bath is often very helpful. You may see some blood when the hemorrhoid falls off in about 48 hours. If you see a lot of blood (large clots in the bowel), please call us. Refrain from using aspirin, Motrin or Aleve for five (5) days after banding. If you do not move your bowels for 48 hours after the banding take on ounce of Milk of Magnesia