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Effect of fiber supplements on internal bleeding hemorrhoids
M Perez-Miranda1, A Gomez-Cedenilla, T León-Colombo
1Gastroenterology Department, Hospital de Ia Princesa, Universidad Autónoma de Madrid, Spain.
Hepato-Gastroenterology
|November 1, 1996
Summary
Dietary fiber supplementation, specifically Plantago Ovata, can significantly reduce bleeding episodes and cushion congestion in patients with internal hemorrhoids over time. This non-invasive approach offers a viable alternative for those avoiding or awaiting other treatments.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Dietary Science
Background:
- Internal hemorrhoids are a common condition often presenting with bleeding.
- Current treatments may be invasive or unsuitable for all patients.
- The role of dietary fiber in managing hemorrhoidal symptoms requires further investigation.
Purpose of the Study:
- To prospectively evaluate the efficacy of dietary fiber supplementation in treating bleeding internal hemorrhoids.
- To assess the impact of Plantago Ovata on hemorrhoidal prolapse, cushion congestion, and contact bleeding.
Main Methods:
- A randomized controlled trial involving 50 patients with bleeding internal hemorrhoids.
- Patients were assigned to receive either Plantago Ovata preparation or a placebo.
- Endoscopic evaluation before and after treatment assessed key hemorrhoidal parameters.
Main Results:
- The Plantago Ovata group showed a significant reduction in bleeding episodes by the second and third treatment phases (p < 0.05 and p < 0.001, respectively).
- A statistically significant decrease in the number of congested hemorrhoidal cushions was observed in the fiber group (p < 0.01).
- Contact bleeding resolved in all patients treated with fiber, whereas prolapse degree remained unchanged.
Conclusions:
- Dietary fiber supplementation, such as Plantago Ovata, demonstrates a therapeutic effect on internal bleeding hemorrhoids, although not immediately.
- Fiber addition is recommended for patients who decline invasive procedures, are awaiting definitive treatment, or have contraindications.
- This study supports fiber as a conservative management option for bleeding hemorrhoids.