The use of plum fruit (Prunus domestica) for the support or treatment of hemorrhoids is primarily rooted in traditional medicine rather than strong scientific validation. Historically, plums and especially dried plums (prunes) have been employed in various cultures as a natural remedy for constipation due to their high fiber and sorbitol content. Since constipation and straining during bowel movements can exacerbate or contribute to the development of hemorrhoids, traditional herbalists and folk medicine practitioners have recommended plums as a supportive measure to soften stools and promote regular, gentle bowel movements. The laxative effect of prunes is well documented and accepted in both traditional and modern contexts for mild constipation. However, direct clinical evidence specifically investigating the use of plums for treating hemorrhoids is lacking. Most of the supporting rationale is extrapolated from their effect on bowel regularity rather than any direct anti-hemorrhoidal property. Thus, while plums are not a direct treatment for hemorrhoids, their use is justified in traditional medicine as a supportive measure to reduce aggravating factors. Scientific support for their laxative effect exists, but not specifically for hemorrhoid treatment. Overall, the evidence supporting plum fruit use for hemorrhoids is mostly traditional and indirect.