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

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Synopsis

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

Psyllium is a soluble fiber commonly used as a bulk-forming laxative. Its use in the management of hemorrhoids is supported by scientific evidence. Hemorrhoids are frequently aggravated by straining during bowel movements and hard stools. Psyllium works by absorbing water in the gut, increasing stool bulk and moisture, which facilitates softer and more regular bowel movements. This reduces the need for straining and decreases irritation of hemorrhoidal tissue.

Several clinical guidelines, including those from the American Society of Colon and Rectal Surgeons, recommend fiber supplementation, such as psyllium, as a first-line, non-surgical intervention for symptomatic hemorrhoids. Randomized controlled trials and meta-analyses have demonstrated that fiber supplements can significantly reduce symptoms such as bleeding, pain, and recurrence associated with hemorrhoids. For example, a 2005 Cochrane review concluded that fiber supplementation decreases the risk of persisting symptoms and bleeding by approximately 50% compared to placebo in people with hemorrhoids.

While psyllium is not a cure for hemorrhoids, its ability to soften stools and ease defecation is a well-established, evidence-based strategy for symptom management and prevention of exacerbations. Therefore, its use for this indication is justified by substantial scientific validation.

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