Synopsis

Source of validity: Scientific
Rating (out of 5): 3

Methylcellulose is a bulk-forming laxative commonly used to treat constipation. Its relevance to hemorrhoids lies primarily in the management of one of the core factors contributing to hemorrhoids: straining during bowel movements due to hard stools or constipation. Scientific evidence supports that softening the stool and increasing its bulk can reduce the need for straining, which, in turn, relieves pressure on hemorrhoidal veins and lessens symptoms. Methylcellulose works by absorbing water in the gut, which increases stool mass and softens it, making bowel movements easier and less painful.

Clinical guidelines and reviews, such as those from the American Society of Colon and Rectal Surgeons, endorse the use of bulk-forming agents like methylcellulose in the supportive treatment of hemorrhoids. Randomized controlled trials and experience with other bulk-forming agents (e.g., psyllium) provide moderate evidence for improved symptom relief in hemorrhoidal disease by decreasing bleeding and discomfort associated with defecation.

However, methylcellulose does not directly treat hemorrhoids or reduce their size; rather, it addresses constipation and straining, which are aggravating factors. While the overall evidence base is not vast or specific to methylcellulose alone (hence a moderate evidence rating of 3), its use is scientifically justified as part of a conservative management strategy for hemorrhoids, alongside dietary fiber, fluids, and other non-surgical interventions.

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