Why ointment such as Smuth Cream, not enough for piles? Shubham Gupta Asked: August 12, 2020In: Allopathy Piles cream and suppository provide temporary relief from pain and itching. After regular application of these ointments they may temporarily mask the symptoms but they can not shrink or destroy hemorrhoids permanently. They may not be able to go away forever as the underlying condition may still exist and piles recur after a certain point of time. There are permanent solutions available for the treatment of piles. Therefore, consult the proctologist to get rid of piles permanently. August 12, 2020 Pristyn Care 1 people found this helpful Was this answer helpful?