What is the primary conservative treatment for hemorrhoids?

The primary conservative treatment for hemorrhoids is a high-fiber diet. Increasing fiber intake is essential because it helps soften the stool, which reduces straining during bowel movements—a significant contributing factor to the development and exacerbation of hemorrhoids. A well-balanced diet high in fiber, supplemented with fluids, can lead to improved bowel regularity and overall gastrointestinal health, thereby alleviating the symptoms associated with hemorrhoids.

While analgesics might provide temporary relief from pain, they do not address the underlying issue of straining or constipation. Warm sitz baths can be beneficial for symptomatic relief and promoting comfort, but they primarily serve as a supplementary treatment rather than the main approach. Topical antihistamines may help with itching but are not standard treatment for hemorrhoids and do not tackle the root causes. Therefore, a high-fiber diet stands out as the most effective primary intervention for managing and preventing hemorrhoidal symptoms.