Protocol · Gastrointestinal/Proctological Health
Hemorrhoids Support Protocol
Fiber Supplement and Diosmin/Hesperidin (Flavonoids) are the core of this stack, with 3 supporting supplements. Each row gives the amount the protocol lists and the grade our evidence database holds for that supplement in Hemorrhoids Support.
We are re-verifying the studies cited on protocol pages; only confirmed citations are shown.
The stack
5 supplements · 1 graded · 1 graded A
| Grade | Supplement | Amount listed | Why it’s in the stack | Evidence on file | Shop |
|---|---|---|---|---|---|
| Primary stackThe core of this protocol | |||||
| Fiber Supplement | Amount listed: 20–35 g total fiber daily (supplement + diet) | Softens stool and reduces straining; foundational treatment for hemorrhoids | Not graded yet | ||
| Diosmin/Hesperidin (Flavonoids) | Amount listed: 500 mg diosmin + 50 mg hesperidin twice daily | Venotonic; improves microcirculation; reduces inflammation and bleeding
| Grade A for Hemorrhoid Symptoms | ||
| Supporting stackListed as additions to the core | |||||
| Horse Chestnut Extract | Amount listed: 300 mg standardized extract (50 mg aescin) twice daily | Aescin improves venous tone; reduces swelling and discomfort
| Not graded yet | ||
| Butcher's Broom | Amount listed: 150 mg standardized extract twice daily | Ruscogenins have venotonic and anti-inflammatory effects | Not graded yet | ||
| Witch Hazel (Topical) | Amount listed: Apply topical solution/wipes as needed | Astringent; soothes irritation and itching when applied topically | Not graded yet | ||
Shop the evidence-backed picks
The collection holds the supplements we grade A or B for its theme, in third-party tested products where the catalog has them. It opens in our Fullscript store. You can look through it without signing in; Fullscript asks for a free account to order.
Or shop one supplement
The supplement in this protocol graded A or B. Each opens third-party tested products, matched to the dose above where we can.
- Grade A
We earn from purchases made in our Fullscript store, and links to Fullscript, iHerb or Thorne carry our referral, so we may earn a commission at no extra cost to you. Grades come from the research and never change based on what we earn. Full disclosure
How this protocol works
In plain language
Hemorrhoids are swollen blood vessels in the rectum and anus. They're very common - about half of adults experience them by age 50.
TYPES:
- Internal hemorrhoids: Inside the rectum; usually painless but may bleed
- External hemorrhoids: Under skin around anus; can be painful
- Thrombosed hemorrhoids: Blood clot in external hemorrhoid; very painful
SYMPTOMS:
- Bright red blood during bowel movements
- Itching or irritation around anus
- Pain or discomfort
- Swelling around anus
- Lump near anus (external)
CAUSES/RISK FACTORS:
- Straining during bowel movements
- Chronic constipation or diarrhea
- Sitting on toilet for long periods
- Low-fiber diet
- Pregnancy
- Obesity
- Heavy lifting
- Aging
WHEN TO SEE A DOCTOR:
- Bleeding (to rule out other causes)
- Severe pain
- Symptoms not improving with home treatment
- Thrombosed hemorrhoid
- Changes in bowel habits
LIFESTYLE MODIFICATIONS:
- Increase fiber intake (fruits, vegetables, whole grains)
- Drink plenty of water
- Don't strain or sit too long on toilet
- Exercise regularly
- Go when you feel the urge
MEDICAL TREATMENTS:
- Topical creams (hydrocortisone, lidocaine)
- Rubber band ligation
- Sclerotherapy
- Infrared coagulation
- Hemorrhoidectomy (surgery for severe cases)
Fiber* is the foundation - reduces straining.
Flavonoids (diosmin/hesperidin)* improve vein health.
Venotonic herbs* provide additional support.
Expected timeline: Symptom relief with fiber within days to weeks. Flavonoids show benefit within 1-2 weeks.