An anorectal Haemorrhoids is not a primary disease of concern but it is a Secondary Disease & surgical  intervention/ consultation is in need to manage the complications in  Haemorrhoids. A Primary cause could be : Pregnancy ( gestational haemorrhoids) Hormonal/dietary(constipation) :       A poor diet management      Thyroid disease     Adrenal & parathyroid disease     Pituitary disease  Hypertension / portal hypertension  Abdominal malignancy   If we try to evaluate & treat the cause, Anorectal Haemorroidal will automatically regress & ONLY SECONDARY complications shall need SURGICAL INTERVENTION in present era of medicine.

What is the opinion of the medical fraternity engaged at present?