After internal hemorrhoid ligation, you can usually determine whether the hemorrhoids have been dislodged through some methods, such as observing the stool, rectal palpation, anoscopy and so on. 1. Observation of stool: if there is a ligature line or ligature ring in the stool, it means that the hemorrhoids have been dislodged. 2. Rectal diagnosis: the locally ligated tissues will bulge, so you can determine whether the hemorrhoids have been dislodged by rectal diagnosis. If the ligated tissue is touched, it means that the hemorrhoids have not been detached, otherwise it means that the hemorrhoids have been detached. 3. anoscopy: anoscopy can intuitively determine whether the hemorrhoids are off, anoscopy if found ligated tissue, that hemorrhoids are not off. If the anoscopy did not find the ligature of the tissue, but found that the local scar, indicating that the ligature has been detached. The ligated portion of internal hemorrhoids will usually fall off about 7-10 days after ligation, and in slower cases, it will fall off within half a month. The exact way of judgment needs to be decided by the competent doctor according to the recovery of the condition.