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Robynne Chutkan, MD, Gastroenterology, answeredHemorrhoids respond best to bulking up the stool so it can be more easily expelled. This can be done by increasing your fiber intake with a goal of at least 30 grams a day, accompanied by a liter or more of water to keep the stool moist. Most patients benefit greatly from a fiber supplement like psyllium husk. In addition to aiding passage of the stool and shrinking hemorrhoids, the psyllium leads to what I like to call "the clean wipe" -- a big, bulky, magnificent stool that falls easily into the toilet and leaves no messy smear on the toilet paper.