American Gastroenterological Association update prioritizes lifestyle habits over common remedies for hemorrhoid relief

New AGA guidelines for hemorrhoids emphasize dietary fiber and bathroom habits over over-the-counter products and sitz baths.

By: AXL Media

Published: Apr 30, 2026, 9:25 AM EDT

Source: Information for this report was sourced from EurekAlert!

Returning to Basics for Hemorrhoid Management

Hemorrhoids remain one of the most common medical conditions globally, with approximately 50% of adults experiencing symptoms by the age of 50. Despite the abundance of commercial products marketed for relief, the American Gastroenterological Association (AGA) has released a clinical practice update suggesting that the most effective treatments are often the most accessible. Published in Clinical Gastroenterology and Hepatology, the update emphasizes that lifestyle modifications should serve as the primary intervention for patients, shifting the focus away from topical applications and toward foundational digestive health.

The Power of Fiber and Bathroom Habits

The cornerstone of the AGA’s recommendations involves two specific behavioral changes: increasing dietary fiber and minimizing time spent on the toilet. According to the expert guidance, reducing straining during bowel movements is the single most effective way to prevent and treat hemorrhoids. While many patients turn to pharmacy aisles first, gastroenterologists argue that addressing the mechanical causes of hemorrhoidal swelling—namely pressure and constipation—provides more sustainable long-term outcomes than temporary numbing agents.

Questioning the Efficacy of Common Remedies

The clinical update highlights a surprising lack of strong evidence for several widely used home and over-the-counter remedies. While sitz baths and topical creams are frequently recommended by peers and pharmacists, the AGA found limited data to support their long-term effectiveness in actually treating the underlying condition. Furthermore, the association issued a specific warning regarding topical steroids; these products should not be used for more than two consecutive weeks, as they carry a significant risk of thinning the skin and causing further irritation in sensitive areas.