More than half of people over 50 experience hemorrhoids, according to the National Institutes of Health. The American Gastroenterological Association (AGA) recently issued updated guidelines in the journal Clinical Gastroenterology and Hepatology, emphasizing simple lifestyle changes over quick-fix products.
Hemorrhoids are swollen veins that develop internally and externally, causing pain and rectal bleeding. Experts estimate one in 20 Americans suffer from them, with prevalence increasing with age and during pregnancy.
The AGA labels increased fiber intake a “reasonable first-line therapy.” Fiber softens stool and reduces straining, a key cause of flare-ups. Most Americans fall far short of the USDA’s recommended 22-45 grams daily: 90% of women and 97% of men don’t meet the target.
The guidelines also warn against prolonged bathroom time, especially with smartphones, as it increases pressure and risk. Topical steroids, while effective short-term, can thin skin if used beyond two weeks. A proper diagnosis is critical, since rectal bleeding may signal more serious conditions. For persistent cases, office procedures or surgery may be necessary.