I’m suffering from piles and it is just initial stage. I haven’t consulted a doctor, but purchased Himalaya pliex cream and tablets.
I just want to know if I can use this cream and tablets without consulting a doctor.
Depending on how severe they are, you do not have to contact a doctor. I'm not sure where you are based but I'm in UK and 'Anusol' cream is very good, the cream you have maybe similar. You need to use it after every bowel movement and spread it liberally over the area. another good thing is to apply some Witch Hazel Liquid on some lint. It will help shrink the skin.
However, if you have very large piles or have heavy bleeding it is best to contact your doctor.