Indian J Surg (December 2017) 79(6):578–579 DOI 10.1007/s12262-017-1664-5 LETTER TO EDITOR Hemorrhoid Treatment Needs a Relook: More Room for Conservative Management Even in Advanced Grades of Hemorrhoids 1,2 Pankaj Garg Received: 18 May 2017 /Accepted: 12 June 2017 /Published online: 19 June 2017 Association of Surgeons of India 2017 Dear Editor, 500 ml of water. There is a strong rationale behind this. I read the article  with great interest. There are few An average adult requires up to 38–40 g of dietary fiber points which I would like to add to the recommendations per day and the diet of most individuals these days made in the article. These points are quite relevant in consists of only 15–20 g fiber [2, 3]. So there is deficit of about 20–25 g of fiber intake per day which needs to treating hemorrhoids. First, there is now increasing evidence available of be replenished. Therefore, the requirement of the fiber the role of conservative management especially fiber supplement is 4–5tsf (20–25 g). For this to be fully supplement (Psyllium husk) in the treatment of hemor- effective, it needs to be taken with adequate water rhoids including advanced hemorrhoids (grade III and (500 ml)
Indian Journal of Surgery – Springer Journals
Published: Jun 19, 2017
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