AbstractConstipation is considered to play a part in causing haemorrhoids and the regular use of a bulk‐forming aperient has been advocated in their management. The incidence of constipation in 140 patients with haemorrhoids was only 10 per cent. A double blind trial on 40 patients designed to compare a bulk‐forming aperient (sterculia) with a non‐bulk‐forming placebo (starch) showed a slight but insignificant advantage for st
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