Hierarchical forecasting with reconciliation requires forecasting values of a hierarchy (e.g.~customer demand in a state and district), such that forecast values are linked (e.g.~ district forecasts should add up to the state forecast). Basic forecasting provides no guarantee for these desired structural relationships. Reconciliation addresses this problem, which is crucial for organizations requiring coherent predictions across multiple aggregation levels. Current methods like minimum trace (MinT) are mostly limited to tree structures and are computationally expensive. We introduce FlowRec, which reformulates hierarchical forecast reconciliation as a network flow optimization, enabling forecasting on generalized network structures. While reconciliation under the $\ell_0$ norm is NP-hard, we prove polynomial-time solvability for all $\ell_{p > 0}$ norms and , for any strictly convex and continuously differentiable loss function. For sparse networks, FlowRec achieves $O(n^2\log n)$ complexity, significantly improving upon MinT's $O(n^3)$. Furthermore, we prove that FlowRec extends MinT to handle general networks, replacing MinT's error-covariance estimation step with direct network structural information. A key novelty of our approach is its handling of dynamic scenarios: while traditional methods recompute both base forecasts and reconciliation, FlowRec provides efficient localised updates with optimality guarantees. Monotonicity ensures that when forecasts improve incrementally, the initial reconciliation remains optimal. We also establish efficient, error-bounded approximate reconciliation, enabling fast updates in time-critical applications. Experiments on both simulated and real benchmarks demonstrate that FlowRec improves accuracy, runtime by 3-40x and memory usage by 5-7x. These results establish FlowRec as a powerful tool for large-scale hierarchical forecasting applications.