** 1. red/black mass coming out from anus could be possible prolapsed thrombosed piles, thus opinion of surgeon is required for examination and evaluation. [conservative or surgical treatment] 2. wet dressing till swelling reduces, I won t prescribe any alternate remedies, till it has been checked by a surgeon. [to differentiate perianal abscess from prolapsed thrombosed piles or other forms of anal lesions] PS. till next appointment you may use OTC [over the counter] drugs like Ibuprofen, and a good antibiotic 3. You can also incorporate following methods to alleviate the symptoms: . hot hip bath: sit in a tub of warm water for 10 minutes [2 times a day] . do not strain while passing stool,and use warm water or wet toilet paper but without perfume or alcohol(without soap) to clean your anus after each motion . avoid cold/tap/jet (western seat) water. . taking amla & aloe vera juice will help in cleansing the liver to speed up the metabolism. . In Ayurveda we hold Piles to be due to low digestive fire and since butter milk has digestive properties you can take it along with ingredients like asafoetida, coriander leaves, ginger, currey leaves and sea salt to enhance its digestion-aiding properties.