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.

More about psyllium
More about Hemorrhoids

Other ingredients used for Hemorrhoids

Aloe vera
green chiretta
apple
apricot
berry flavor
betel
bilberry
blackberry
butcher's broom
chamomile
citrus bioflavonoids
turmeric
dandelion
fiber blend (proprietary)
gotu kola
cellulose
horse chestnut
lemon
licorice root
Nettle
oregon grape
parsley
phellodendron amurense
plum fruit
prune
psyllium
rutin
slippery elm bark
Triphala
vitamin C
seaweed
Zinc
capsicum
punarnava
commiphora
blackboard tree
Caesalpinia crista
Rubia cordifolia
peony
Szechuan lovage
Morus
Myrrh
Morinda
birch
aster root
shepherd's purse
paw paw
geranium
sea salt
avens
apple cider vinegar
antler
anthraquinone
Ardisia
Angelica
Acacia
Agrimony
Allicin
Antirrhinum majus
Achyranthes
Abrus
Alchemilla
Aconite
Ajuga
Aerva lanata
American Liverleaf
Aescin
anthocyanidins
Agrimonia pilosa
Allium tuberosum
Amor seco
Baliospermum
Blepharis
Brassica
bayleaf
bran
Barleria
bael
banyan
bioflavonoids
black nightshade
borassus palm
Borassus aethiopum
black root
Bassia scoparia
Black Hellebore
Bergenia
Chinese silkvine
Cucurbita
coconut oil
cactus
cinquefoil
Cyathula
chard
cabbage
chestnut
Cynodon dactylon
castor oil
Carthamus
colocynth
Celosia
Clerodendrum indicum
Chondrus
Dianthus
Diosmin
elephant\'s head
escin
Embelia
fiber
Ficus simplicissima
hazelnut
Indian coraltree
Kokilaksha
lichen
Lycopodium
labrador tea
little ironweed
Methylcellulose
Mezoneuron benthamianum
Mountain Pepper
Mucilage
Morning glory
Nymphaea nouchali
Nimbidin
Oak
Oroxylum indicum
Oligomeric proanthocyanidins
Onosma bracteatum
pagoda tree
Pluchea
Prunus
Pentacyclic triterpenoids
proanthocyanidins
Portulaca
Persimmon
Papayotin
Polygonum
Rosabin
Ruscus
Ruscogenins
Rosa laevigata
Rutosides
rhubarb
Shark Liver Oil
Sanguisorba
Sarivan
Sumac
Sword Bean
Terminalia
Tannins
Taraxacin
Troxerutin
Tamarind
Varuna
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