Fiber-first approach highlighted in new AGA hemorrhoid guidelines

The American Gastroenterological Association’s updated guidelines advocate a simple, lifestyle-centered approach to hemorrhoids, with increased dietary fiber as a reasonable first-line therapy to soften stool and reduce straining. Most Americans don’t meet the recommended daily fiber intake (22–28 g for women, 28–45 g for men). The guidelines also advise avoiding long bathroom sessions, warn against overusing topical steroids beyond two weeks, require a physical exam before starting treatment, and note that persistent or severe cases may require office-based procedures or surgery.