Evidence supporting the use of: Fiber (unspecified)
For the health condition: Hemorrhoids

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Synopsis

Source of validity: Scientific
Rating (out of 5): 4

Dietary fiber is scientifically validated as a supportive treatment for hemorrhoids. Multiple clinical guidelines and systematic reviews recommend increasing fiber intake for individuals suffering from hemorrhoids, primarily due to its effects on stool consistency and bowel regularity. Fiber increases stool bulk and softens stool, making bowel movements easier and reducing straining—one of the primary risk factors for hemorrhoid development and exacerbation. Randomized controlled trials (RCTs) and meta-analyses have demonstrated that fiber supplementation (such as psyllium or methylcellulose) can significantly reduce symptoms like bleeding, pain, and recurrence rates in hemorrhoid patients compared to placebo. For example, a 2015 Cochrane review concluded that fiber supplementation results in a relative risk reduction for persistent symptoms and bleeding.

Professional societies, such as the American Society of Colon and Rectal Surgeons and the American Gastroenterological Association, include fiber supplementation as a first-line, conservative management option for hemorrhoids. The typical recommendation is 20–30 grams of fiber daily, achieved via diet or supplements. Fiber is generally considered safe and well tolerated, with minimal side effects. In summary, the use of fiber for hemorrhoid support is strongly backed by scientific evidence, particularly for symptom relief and prevention of recurrence, but it is not a cure for advanced disease requiring surgical intervention.

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