Hemorrhoids! Don't call the surgeon yet.
Two hundred and twenty-four consecutive patients seen for the first time with symptomatic hemorrhoids were given a high fiber diet supplemented by ispaghula husk. Patients were seen at 1, 3, 6 and 12 months and showed improvement. The results suggest that conservative treatment using only a high fiber diet supplemented by Metamucil is highly effective in the symptomatic treatment of patients with piles.
Murshid
K R
KR
Department of Surgery, King Khalid University Hospital, Riyadh, Saudi Arabia.