Hemorrhoids, one of the most common anorectal condition is defined as the symptomatic enlargement and/or distal displacement of anal cushions, which are prominences of anal mucosa formed by loose connective tissue, smooth muscle, arterial and venous vessels.1,2 Hemorrhoids impose a significant medical and socioeconomic burden as they tend to affect millions of people around the world. Constipation and prolonged straining are the associated etiological factors for hemorrhoids development. Hemorrhoids have been regarded as major cause of morbidity and impose both economical and social impact on society. Its social impact could be associated with lifestyles, such as interpersonal, and impacted by food and hygienic and sexual habits. Its economic burden on health systems is directly associated with direct cost and working days lost. It significantly affects the quality of life of patients due to its sensitive symptoms such as anal bleeding, pain and itching sensation thus creating both physical and psychological discomfort.