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Internal hemorrhoids — ABFM Board MCQ

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ModerateGI/HepatologyInternal hemorrhoidsABFM Board

A 48-year-old man has intermittent painless bright red rectal bleeding. Colonoscopy is normal except for internal hemorrhoids. He asks how to reduce recurrence. Which of the following would you advise this patient?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Increase dietary fiber and fluids

Initial management of symptomatic internal hemorrhoids includes fiber supplementation, hydration, avoidance of straining, and toileting behavior changes. Procedures are reserved for persistent or severe symptoms.

Reference: ASCRS Hemorrhoids Clinical Practice Guideline