To relieve itching and burning, you can use over-the-counter hemorrhoidal creams containing lidocaine or hydrocortisone. Taking stool softeners or fiber supplements (like psyllium husk) will prevent straining. For bleeding, a doctor may prescribe oral flavonoids (like Daflon). Yes, piles can be permanently cured. Mild cases often resolve completely with lifestyle modifications, including a high-fiber diet, drinking plenty of water, and taking warm sitz baths. For persistent or severe piles, medical procedures like rubber band ligation or surgery offer a permanent cure. Please consult a doctor in person to get a proper evaluation and prescription.