Evidence supporting the use of: Psyllium
For the health condition: Hemorrhoids

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Synopsis

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

Psyllium is widely used as a bulk-forming laxative, and its use to support or treat hemorrhoids is justified by scientific evidence. Hemorrhoids are swollen veins in the lower rectum or anus, often caused or aggravated by straining during bowel movements and chronic constipation. Psyllium is a soluble fiber that absorbs water to form a gel-like mass, which increases stool bulk and softens its consistency. This action helps to promote regular, softer stools, thereby reducing the need for straining during defecation—a key factor in both the development and exacerbation of hemorrhoids.

Clinical guidelines, such as those from the American Society of Colon and Rectal Surgeons, recommend fiber supplementation as first-line therapy for hemorrhoids. Multiple randomized controlled trials have shown that fiber supplements, including psyllium, improve symptoms such as bleeding, pain, and prolapse compared to placebo. For example, a meta-analysis published in the American Journal of Gastroenterology (2005) found fiber supplementation significantly reduced the risk of persistent symptoms and recurrence.

While psyllium does not treat the hemorrhoids directly, it addresses a major contributing factor—constipation and hard stools. The evidence base supporting its use is strong, though not absolute; it works as part of a broader management plan that may include other dietary, behavioral, or medical interventions. Overall, psyllium is considered a safe and effective adjunct in the management and prevention of hemorrhoidal symptoms.

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