When dealing with non-bleeding piles (hemorrhoids), using a cream can often help relieve symptoms such as itching, swelling, and discomfort. However, it's important to:

• Check the cream's ingredients: Some creams contain steroids, local anesthetics, or other agents that can reduce inflammation and pain.
• Follow the instructions: Use the cream exactly as directed on the package or by your healthcare provider.
• Consult a healthcare professional: Before starting any new treatment, especially if you have other health conditions or are on other medications.

If your symptoms persist or worsen, or if you develop bleeding, it's important to seek medical advice for proper evaluation and treatment. Creams can be helpful for symptom relief but are usually part of a broader management plan including dietary changes, hygiene, and sometimes other treatments.

I recommend consulting a colorectal surgeon or a gastroenterologist for personalized advice and appropriate management.