Signs of Bowel Endometriosis That Are Often Misdiagnosed

January 26, 2026

Signs of Bowel Endometriosis That Are Often Misdiagnosed in Houston, TX

By Dr. Ritha Belizaire

Quick Insights

Bowel endometriosis symptoms occur when endometrial tissue grows on or into the intestinal wall. This causes painful bowel movements, bloating, and changes in bowel habits. Endometriosis and irritable bowel syndrome (IBS) share overlapping symptoms, which can lead to diagnostic challenges and potential misdiagnoses. The rectum and sigmoid colon are affected in up to 90% of cases. Many patients receive an IBS diagnosis for years before the true cause is identified.

Key Takeaways

Women with bowel endometriosis often experience painful bowel movements that worsen during menstrual periods.
Symptoms include alternating diarrhea and constipation, rectal bleeding during periods, and severe abdominal cramping.
Deep infiltrating endometriosis can penetrate the bowel wall, requiring specialized imaging like MRI or ultrasound.
Accurate diagnosis typically requires evaluation by a colorectal surgeon familiar with endometriosis patterns.

Why It Matters

Understanding these gastrointestinal endometriosis signs helps you recognize when digestive issues need specialist evaluation. Persistent bowel symptoms that align with your menstrual cycle deserve more than an IBS diagnosis. Early identification can prevent years of unnecessary discomfort and guide you toward appropriate treatment options that address the underlying condition.

Introduction

As a board-certified colorectal surgeon serving Houston, some women report that their digestive symptoms were initially attributed to irritable bowel syndrome, leading to delays in the accurate diagnosis of endometriosis.

Bowel endometriosis symptoms occur when endometrial tissue grows on or into the intestinal wall, causing painful bowel movements, bloating, and changes in bowel habits that closely mimic IBS. The rectum and sigmoid colon are affected in up to 90% of cases, yet many patients receive an IBS diagnosis without imaging or specialist evaluation.

If your digestive symptoms worsen during your menstrual cycle, you may need more than dietary changes or fiber supplements. At Houston Community Surgical, I provide specialized imaging and evaluation for bowel endometriosis symptoms that require a colorectal surgeon familiar with this condition.

This article explains the specific signs that suggest bowel involvement and when specialist evaluation is appropriate.

What Is Bowel Endometriosis and Why Is It Overlooked?

Bowel endometriosis occurs when endometrial tissue grows on or into the intestinal wall. This tissue responds to your menstrual cycle just like the lining of your uterus. During your period, it swells and bleeds, causing inflammation in the bowel wall.

Deep infiltrating endometriosis can penetrate several millimeters into the bowel wall. The rectum and sigmoid colon are most commonly affected because of their proximity to the uterus and ovaries.

In my Houston practice, I see patients whose symptoms were attributed to IBS for years. The key difference is timing. Bowel endometriosis symptoms typically worsen during menstruation, while IBS symptoms follow no predictable pattern related to your cycle.

Many physicians don't consider endometriosis when evaluating digestive complaints. Standard IBS workups include blood tests and sometimes colonoscopy, but these tests often appear normal in bowel endometriosis. The tissue grows on the outside of the bowel wall, not inside where a colonoscopy can see it.

This diagnostic gap leaves many women managing symptoms without addressing the underlying cause.

Common Bowel Endometriosis Symptoms in Houston That Mimic IBS

The most common bowel endometriosis symptoms include painful bowel movements, bloating, and alternating diarrhea and constipation. These mirror classic IBS complaints, which explains why misdiagnosis is so frequent.

Research shows that symptom variability makes diagnosis challenging. You might experience severe cramping with bowel movements one week, then constipation the next. This inconsistency often leads physicians to conclude that you have a functional disorder rather than a structural disease.

Dyschezia—difficulty or pain with bowel movements—is particularly common. Studies describe this symptom as one of the most reliable indicators of bowel involvement. The pain typically feels deep in the pelvis or rectum and intensifies with straining.

Some women notice rectal bleeding during their periods. This isn't the bright red blood you'd see with hemorrhoids. Instead, it appears as dark blood mixed with stool, occurring only during menstruation.

I've observed that patients often describe a feeling of incomplete evacuation. You feel like you need to have a bowel movement, but nothing happens when you try. This sensation results from inflammation and swelling in the bowel wall during your cycle.

Severe bloating that worsens throughout your period is another hallmark sign. Your abdomen may become visibly distended, and clothing that fit comfortably days earlier suddenly feels tight.

Red Flags That Suggest More Than IBS

Certain patterns should prompt you to seek specialist evaluation rather than accepting an IBS diagnosis. The most significant red flag is symptom timing that aligns with your menstrual cycle.

If your digestive symptoms consistently worsen during your period, this suggests hormonal influence. IBS symptoms fluctuate based on stress, diet, and other factors, but they don't follow a monthly pattern tied to menstruation.

Diagnostic pathways and imaging become essential when symptoms persist despite standard IBS treatments. If you've tried dietary modifications, fiber supplements, and medications without improvement, further investigation is warranted.

Clinical guidance suggests that lesions larger than one centimeter or those penetrating more than five millimeters into the bowel wall require surgical evaluation. These measurements can only be determined through specialized imaging.

Pain with intercourse, especially deep penetration, combined with bowel symptoms raises suspicion for deep infiltrating disease. The proximity of the rectum to the vagina means that endometrial tissue affecting one area often impacts the other.

In my experience with Houston-area patients, women who describe their pain as "different" from typical cramping deserve thorough evaluation. If your pain feels sharp, stabbing, or localized to one side rather than generalized across your lower abdomen, this warrants imaging studies.

How Bowel Endometriosis Is Diagnosed in Houston

Accurate diagnosis requires imaging that can visualize tissue outside the bowel wall. Standard colonoscopy only examines the inside of your colon, missing external lesions entirely.

Multidisciplinary diagnostic approaches typically include pelvic MRI or transvaginal ultrasound performed by specialists experienced in identifying endometriosis. These imaging studies can show thickening of the bowel wall, nodules, and the relationship between endometrial tissue and surrounding structures.

MRI with bowel preparation provides the most detailed visualization. You'll drink contrast material that fills your colon, allowing radiologists to see how deeply tissue has infiltrated the bowel wall. This information guides treatment decisions.

I often coordinate with gynecologists who specialize in endometriosis to ensure comprehensive evaluation. Your symptoms may involve multiple pelvic organs, and treatment planning requires understanding the full extent of disease. Local medical institutions such as Baylor College of Medicine serve the broader Houston community with specialized diagnostic services.

Physical examination can sometimes detect nodules in the rectovaginal septum—the tissue between your vagina and rectum. This finding strongly suggests deep infiltrating endometriosis and prompts immediate imaging.

Blood tests and stool studies help rule out other conditions but don't diagnose bowel endometriosis. Normal inflammatory markers don't exclude this diagnosis. The inflammation is localized to the bowel wall and may not elevate systemic markers.

Definitive diagnosis ultimately requires surgical visualization, but imaging guides decisions about whether surgery is appropriate and what approach to use.

Specialized Colorectal Services and Advanced Treatment Options

When it comes to managing bowel endometriosis symptoms, individualized treatment is essential. My practice at Houston Community Surgical offers specialized colorectal care tailored to each patient's unique needs, including medical and minimally invasive surgical approaches.

For those experiencing fecal incontinence as a result of deep infiltrating endometriosis or pelvic floor dysfunction, we also offer Axonics sacral neuromodulation, an advanced treatment for improving bowel control and quality of life.

One Patient's Experience

I've learned that the most valuable feedback often comes from patients who felt heard after years of uncertainty.

"Dr Belizaire is awesome. I recommend her 100% because of her excellent bedside manner, operative skills, and experience. She is also just a top notch human being. Thank you for taking care of me, Dr Belizaire!!!"

— Sarah

This is one patient's experience; individual results may vary.

When patients come to my practice after struggling with misdiagnosed symptoms, I focus on careful evaluation and clear explanations. Every patient deserves to understand what's happening in their body and to have their concerns taken seriously, especially when symptoms have been dismissed for years.

Conclusion

If your digestive symptoms consistently worsen during your menstrual cycle, you need more than an IBS diagnosis. Research demonstrates that minimally invasive surgical approaches can provide significant relief when bowel endometriosis is accurately identified and treated by a specialist familiar with this condition.

As a board-certified general and colorectal surgeon, I've helped hundreds of women finally get answers after years of dismissed symptoms. The key is recognizing that bowel endometriosis symptoms follow a predictable pattern tied to your menstrual cycle something IBS doesn't do.

Studies show that appropriate surgical intervention commonly provides pain relief and improved quality of life when conservative treatments have failed.

I serve Houston and nearby communities such as Houston Heights, Montrose, and surrounding areas with specialized colorectal care. If you're experiencing any of these symptoms, don't wait.

Schedule a same-day consultation to take the next step toward relief. Not local? I also offer virtual second opinion case reviews at www.2ndscope.com—so no matter where you are, expert help is just a click away.

This article is for educational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment options.

Never disregard professional medical advice or delay in seeking it because of something you have read in this article.

Frequently Asked Questions

How do I know if my bowel symptoms are endometriosis or IBS?

The most reliable indicator is timing. Bowel endometriosis symptoms consistently worsen during your menstrual period, while IBS symptoms fluctuate based on stress, diet, and other factors without following a monthly pattern.

If you experience painful bowel movements, bloating, or changes in bowel habits that align with your cycle, specialist evaluation with imaging studies is appropriate. Standard IBS treatments that fail to provide relief also suggest the need for further investigation.

Can a colonoscopy detect bowel endometriosis?

Colonoscopy typically appears normal in bowel endometriosis because the tissue grows on the outside of the bowel wall, not inside where the scope can visualize. Accurate diagnosis requires specialized imaging like pelvic MRI or transvaginal ultrasound performed by radiologists experienced in identifying endometriosis.

These studies can show bowel wall thickening, nodules, and the depth of tissue infiltration. Physical examination may detect nodules in the rectovaginal area, which prompts immediate imaging.

What happens if bowel endometriosis goes untreated?

Untreated bowel endometriosis can lead to progressive symptoms including worsening pain, increasing bowel dysfunction, and potential bowel obstruction in severe cases. The inflammation and scarring can deepen over time, making surgical treatment more complex.

Many women experience years of unnecessary discomfort and reduced quality of life when the condition isn't properly diagnosed. Early specialist evaluation allows for appropriate treatment planning and may prevent progression to more extensive disease requiring complex surgical intervention.

Where can I find bowel endometriosis treatment in Houston?

Dr Ritha Belizaire at Houston Community Surgical provides physician-led evaluation and treatment for bowel endometriosis symptoms. Located in Houston, my practice focuses on clear answers, respectful care, and evidence-based options. If you're unsure what's causing your symptoms, scheduling a visit can help you understand the next steps.

If you want to stay informed about cutting-edge treatments for gastrointestinal endometriosis signs and receive physician updates, subscribe to my colorectal health newsletter.

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Rubber Band Ligation for Hemorrhoids: What Patients Need to Know

By Dr. Ritha Belizaire • April 23, 2026

By Ritha Belizaire, MD, FACS, FASCRS | Board-Certified General and Colorectal Surgeon Quick Insights Rubber band ligation is an in-office procedure that treats internal hemorrhoids by placing a small elastic band around the hemorrhoid base to cut off its blood supply, causing the tissue to shrink and fall off within about a week. The procedure typically takes only a few minutes, does not require general anesthesia, and allows most patients to return to normal activities the same day. Research suggests rubber band ligation effectively controls bleeding and prolapse in many patients with grade I to III internal hemorrhoids, with less postoperative pain and faster recovery than surgical hemorrhoidectomy. At my practice, I also offer nitrous oxide for patients who want added comfort during the procedure. Key Takeaways Rubber band ligation treats internal hemorrhoids only; external hemorrhoids cannot be banded and may require a different approach. The procedure is performed in-office in minutes, and most patients resume normal activities the same day. Studies indicate rubber band ligation can effectively control bleeding and prolapse for grade I to III internal hemorrhoids, though some patients may need repeat sessions. Research suggests rubber band ligation offers less postoperative pain and faster recovery than surgical hemorrhoidectomy, making it a reasonable first-line option for appropriate candidates. Why It Matters For adults managing internal hemorrhoid symptoms, the impact on daily life can be significant. Rectal bleeding during bowel movements, a sensation of tissue pushing out, or persistent discomfort during activity, exercise, or work can wear on your quality of life. Many patients delay care for months or years, often because they assume treatment requires surgery and meaningful downtime. Understanding how an in-office procedure like rubber band ligation works, what the evidence supports, and how it compares to other options helps you make an informed decision about a common condition that many adults encounter during their lifetime. Rubber Band Ligation Hemorrhoids: An Evidence-Based In-Office Treatment If you have been searching for information about rubber band ligation hemorrhoids, you are not alone. Internal hemorrhoid symptoms are common, but they are also commonly undertreated. In my practice, I regularly meet patients who have tolerated bleeding, pressure, or prolapse for years because they feared that treatment meant surgery. Rubber band ligation is a well-established, minimally invasive procedure that I perform in my office to treat internal hemorrhoids. The procedure takes only a few minutes, does not require anesthesia, and is supported by decades of clinical evidence as a first-line office therapy. The American Society of Colon and Rectal Surgeons recommends rubber band ligation for appropriate patients with grade I to III internal hemorrhoids ( Diseases of the Colon and Rectum, 2011 ). As a board-certified general and colorectal surgeon who has spent years caring for patients with anorectal conditions, I want to give you a clear, practical overview of what this procedure can do and where it fits among other treatment options. In this article, I cover how rubber band ligation works, what the research shows about effectiveness and recurrence, who is a good candidate, and what a visit looks like at my office. Important Safety Information Rubber band ligation is safe for most patients with symptomatic internal hemorrhoids, but it is not appropriate for everyone. If you are taking blood thinners, have a bleeding disorder, have active anorectal infection, or have inflammatory bowel disease, talk with your colorectal surgeon about whether this procedure is right for you. The procedure treats internal hemorrhoids only. External hemorrhoids sit below the dentate line and cannot be treated with banding; mixed disease sometimes needs a different approach. Rare but serious complications can include severe pain, bleeding, infection, or pelvic sepsis. Contact your physician immediately if you develop fever, inability to urinate, or severe pain after the procedure. This article is for educational purposes and does not replace a consultation with your colorectal surgeon. How Rubber Band Ligation Works to Treat Internal Hemorrhoids Internal hemorrhoids are swollen vascular cushions inside the anal canal. When they enlarge or slip downward, they can bleed with bowel movements or prolapse through the anal opening. Rubber band ligation works by placing a small elastic band around the base of the hemorrhoid tissue. The band cuts off the blood supply, and within roughly 5 to 7 days the banded tissue dies and falls off, often without the patient noticing. The remaining tissue scars down, which helps prevent future prolapse. A key reason banding is so well tolerated is anatomic. Internal hemorrhoids sit above the dentate line, a transition zone in the anal canal where pain-sensing nerves change. Because the band is placed above that line, most patients feel only mild pressure or cramping during and after the procedure, not sharp pain. External hemorrhoids, on the other hand, sit below the dentate line where pain receptors are abundant, which is why banding external tissue is not safe or appropriate. Patient education from major academic centers like the Cleveland Clinic describes this same mechanism and recovery pattern, and the National Institute of Diabetes and Digestive and Kidney Diseases lists banding as a standard office-based option for hemorrhoid management. Rubber band ligation has been used for decades and remains one of the most commonly recommended first-line office procedures for grade I to III internal hemorrhoids. What the Research Shows About Effectiveness and Recurrence Symptom Control Compared to Surgery For grade II and III internal hemorrhoids, the most direct comparison patients ask about is banding versus surgical hemorrhoidectomy. A systematic review and meta-analysis published in Techniques in Coloproctology (2021) by Dekker and colleagues pooled data from eight randomized controlled trials. The authors found that surgical hemorrhoidectomy offered better long-term symptom control, but at the cost of more postoperative pain and more complications, including bleeding, urinary retention, and anal continence issues. Patients treated with rubber band ligation reported less pain and, in at least one trial, returned to work sooner. Patient satisfaction between the two groups was comparable. In other words, the clinical decision is rarely "which procedure works." It is "which trade-off makes sense for this patient right now." The American Society of Colon and Rectal Surgeons practice parameters acknowledge that all office-based procedures carry some recurrence risk and that repeat banding may be needed, which is consistent with what I discuss with patients before we schedule the procedure. Technique Refinements for Higher-Grade Hemorrhoids Banding technique matters, especially for patients with more prolapsed grade III hemorrhoids. A randomized trial published in Annals of Palliative Medicine (2020) by Jin and colleagues compared a modified rubber band ligation approach to traditional Milligan-Morgan hemorrhoidectomy in 120 patients with grade III internal hemorrhoids. Modified banding achieved a recurrence rate comparable to surgery but with significantly less postoperative pain, less bleeding, and less urinary retention. Resting anal pressure stayed stable after banding, which matters for patients worried about continence. Different Banding Methods How the band is placed also influences the experience. A randomized controlled trial in Surgical Endoscopy (2023) by Tian and colleagues compared endoscopic hemorrhoid-only ligation to combined ligation of the hemorrhoid plus adjacent mucosa in 70 patients with symptomatic grade I to III internal hemorrhoids. Both techniques achieved similar overall success and recurrence rates, but combined ligation was associated with more postoperative pain (74.2% vs. 45.2%). Findings like these help colorectal surgeons tailor the technique to the patient rather than using a single approach for everyone. Minimally Invasive Advantages and Emerging Alternatives The practical appeal of rubber band ligation is that it fits into real life. The procedure is done in-office, usually does not require anesthesia (although nitrous oxide can be offered based on the procedure and patient needs), and most patients return to normal activities the same day. For busy adults who cannot take a week or more off for surgical recovery, this matters. Newer minimally invasive options continue to evolve, and patients often ask about them. A randomized trial published in BMC Surgery (2024) compared laser hemorrhoidoplasty to rubber band ligation in 70 patients with grade II internal hemorrhoids. In the first two weeks after the procedure, laser hemorrhoidoplasty was associated with less postoperative pain, less bleeding, and less sensation of anal distension. At one-year follow-up, recurrence rates were similar between the two groups, and longer-term quality-of-life data remain limited. In my view, rubber band ligation remains the more established first-line option because of its strong, long-standing evidence base, while laser techniques are promising but still accumulating long-term data. Minimally invasive colorectal surgery options are most useful when they are matched carefully to the hemorrhoid grade, symptom pattern, and the patient's preferences and history. Accessing In-Office Hemorrhoid Treatment in the Houston Heights Many patients I see at my practice have been living with bleeding or prolapse for far longer than they needed to. Some had been told "it's just hemorrhoids" and left without a plan. Others assumed any treatment would mean a hospital, an operating room, and significant recovery time. That is often not the case. In-office rubber band ligation can fit into a lunch break for the right candidate. My practice offers same-day and next-day appointments, in-office procedures with a nitrous oxide comfort option when clinically appropriate, and care from a colorectal surgeon with an academic medicine background. I previously served as an assistant professor of surgery at UT Health Houston before opening my practice, and I bring that same training into a community-based setting close to home. My goal is a judgment-free, compassionate approach to anorectal conditions, because the hardest part of getting help is often just deciding to start the conversation. When Should You Consider Talking to a Colorectal Surgeon About Hemorrhoid Banding? Rectal bleeding and hemorrhoid symptoms are common, and they are nothing to feel embarrassed about. Many of my patients have quietly managed symptoms for months or years before reaching out, and I want you to know that asking for help is the right step. There are a few specific patterns that often prompt a conversation about banding. Consider scheduling an evaluation if you notice recurrent rectal bleeding with bowel movements that has not improved with dietary changes or over-the-counter treatments, internal hemorrhoid tissue that you feel you have to push back in after bowel movements, or symptoms that are interfering with work, exercise, or your daily routine. It is also reasonable to seek a specialist opinion when creams, suppositories, and sitz baths have only provided temporary relief. If you have already been told you have grade I to III internal hemorrhoids, or you are uncertain what is causing your symptoms, a colorectal consultation can clarify the options. In-office procedures like rubber band ligation are designed to fit into your life with minimal disruption. What to Expect During a Hemorrhoid Banding Visit A typical banding visit at my office starts with a conversation. I want to hear what symptoms you are having, what you have already tried, and what concerns you most. We then move to a focused examination, which usually includes anoscopy. An anoscope is a small, lighted instrument that allows me to visualize the internal hemorrhoids and confirm that banding is appropriate for your situation. If we proceed with rubber band ligation, I position you comfortably, place the anoscope, and use a specialized ligator to deploy a small elastic band around the base of the targeted hemorrhoid tissue. The banding itself takes only a few minutes per hemorrhoid. Most patients describe a pressure sensation rather than sharp pain. For patients who feel anxious about the experience, nitrous oxide is available based on the procedure and patient needs. Afterward, you can expect mild pressure, cramping, or a feeling of fullness for a few hours. I ask patients to avoid heavy lifting, straining, or vigorous exercise for 24 to 48 hours and to contact the office right away if they develop fever, inability to urinate, or severe pain. The banded tissue typically falls off within about a week, often without you noticing. A follow-up visit lets us assess results, and some patients need additional banding sessions if multiple hemorrhoids are contributing to symptoms. We aim to schedule appointments quickly, with same-day and next-day availability when possible. Comparing Rubber Band Ligation and Conservative Medical Management Many patients ask how in-office banding differs from sticking with creams, fiber, and lifestyle changes. Both have a role, and the right choice depends on your grade, symptom severity, and what you have already tried. A plain-language comparison: Approach: Rubber band ligation mechanically treats internal hemorrhoid tissue by cutting off its blood supply; the banded tissue then falls off and scars down. Conservative medical management focuses on symptom control through fiber, stool softeners, topical treatments, and lifestyle changes. Setting: Banding is performed in-office in minutes, with no operating room. Conservative care is managed at home with over-the-counter or prescription products. Recovery: Most banding patients resume normal activities the same day and avoid heavy lifting for 24 to 48 hours. Conservative care requires no recovery period, but daily management is ongoing. Symptom control: Research suggests banding can effectively control bleeding and prolapse in many patients with grade I to III internal hemorrhoids, with some needing repeat treatment. Conservative treatments provide symptom relief but do not remove the hemorrhoid tissue. Ideal candidates: Banding is typically considered for patients with symptomatic grade I to III internal hemorrhoids who have not improved with conservative care. Conservative management suits patients with mild symptoms or those who prefer to avoid procedures. Long-term outcomes: Research suggests banding is associated with lower recurrence than conservative care alone but higher recurrence than surgical hemorrhoidectomy. Conservative care often sees symptoms return without ongoing management. Taking the Next Step Toward Symptom Relief Rubber band ligation is a well-established, minimally invasive office procedure that research suggests can effectively treat bleeding and prolapse for many patients with grade I to III internal hemorrhoids. It typically offers less postoperative pain and faster recovery than surgery, though some patients may need repeat treatment, and it is not appropriate for external hemorrhoids. The procedure is supported by decades of evidence and by professional society guidelines, and it is designed to fit into patients' lives with minimal disruption. Internal hemorrhoid symptoms are common, treatable, and nothing to feel embarrassed about. If you are experiencing recurrent bleeding, prolapse, or anorectal discomfort, the best next step is a conversation with a colorectal surgeon who can help you understand which option fits your situation. If you're experiencing any of these symptoms, don't wait. Schedule a same-day consultation by calling my Houston office at 832-979-5670 to request a prompt appointment. Not local? I also offer virtual second opinion case reviews at www.2ndscope.com , so no matter where you are, expert help is just a click away. Medical Disclaimer The information provided in this article is for educational purposes only and is not intended as medical advice, diagnosis, or treatment. Reading this article does not create a physician-patient relationship. Always consult with a qualified healthcare provider regarding any questions about your individual medical condition, symptoms, or treatment options. Individual results and treatment outcomes vary. Do not disregard or delay seeking professional medical advice based on information contained in this article. Frequently Asked Questions Does rubber band ligation hurt? Most patients feel only mild pressure or cramping during banding because the band is placed above the dentate line, where there are no pain receptors. Some patients have a dull ache or pressure for a few hours afterward, which usually resolves on its own. Nitrous oxide is available for added comfort during the procedure based on the procedure and patient needs. How long does recovery take after hemorrhoid banding? Most patients return to normal activities the same day. I ask patients to avoid heavy lifting, straining, and vigorous exercise for 24 to 48 hours so the banded tissue can begin healing. The banded hemorrhoid typically falls off within about a week, often without you noticing, and the area heals over the following weeks. Will I need more than one rubber band ligation session? It depends on how many hemorrhoids are contributing to your symptoms and how they respond. Some patients have multiple internal hemorrhoids that are treated in separate sessions spaced a few weeks apart. Research suggests recurrence rates vary, and some patients may benefit from repeat banding months or years later if new hemorrhoids develop. Where can I get rubber band ligation for internal hemorrhoids in Houston Heights? I offer rubber band ligation at Houston Community Surgical, located at 427 W. 20th Street, Suite 710, in Houston. My practice serves patients across the Greater Houston area, with same-day and next-day appointments available. Call 832-979-5670 to schedule a consultation. Stay Connected Stay informed about the latest in colorectal health. Subscribe to my newsletter for evidence-based guidance on bowel, pelvic floor, and colorectal conditions delivered directly to your inbox.