General
Anal Fissure Consult
Virtual visit

Anal Fissure Consult

Get expert care for your Anal Fissure Consult by completing a brief questionnaire and video consult with our medical team.

Licensed providers in all 50 states

Expert-guided, evidence-based treatments

Skip the trip to the doctor's office

Visit options

We'll check any insurance and show you your options before you book.

Video Visit

$25

Est. or $100 w/o insurance

Most insurance accepted

Board-certified

No hidden fees

Available nationwide

What to expect from a Anal Fissure Consult visit

1

Share your health story

Answer a few questions about your goals and concerns. And, we'll gather your full health history from past providers.

2

Meet your clinician

Pick a time that works for you to speak with a licensed clinician. They'll review your health story beforehand, so your visit can be used to listen and dig deeper.

3

Get your care plan

Leave with clear next steps and a personalized care plan. If you need medication, labs, or to see a specialist, your clinician will take care of the details for you.

4

Own your health

Track your progress, schedule follow-ups, and adjust care as your needs evolve. Your care team and General AI is only a few taps away.

Virtual visit with clinician

Ongoing support, always available.

You’ll be supported by experienced clinicians who care for a wide range of health needs, from everyday concerns to more complex conditions.

Our clinicians track your progress over time and adjust your care as needed. If medication is prescribed, we’ll manage dosing and monitor for side effects. If lab testing is recommended, we review results and refine your plan accordingly. You’re never left to navigate care on your own.

All your care in one place. That’s the General Medicine difference.

We help you understand your options, connect you to the right clinicians, manage prescriptions, coordinate any needed evaluations, and keep an eye on your overall health along the way. It’s comprehensive care that looks at the full picture — your goals, your history, your lifestyle — and makes it simple to move forward with confidence.

Your care plan
Clinician

Reasons to book your anal fissure visit

Pain after every bowel movement is exhausting — and very treatable. This visit confirms what's causing it and gets you on a plan that promotes healing.

You have sharp or burning pain during or after bowel movements

You've noticed bright red blood on toilet paper or in the bowl

The pain is severe enough to make you dread going to the bathroom

Constipation or straining seems to be making things worse

Symptoms have been going on for more than a week without improvement

You want to know whether prescription topical treatment or a procedure is needed

What our customers have to say

“I feel like I’m finally on the right path to improving my health with the right support now! It’s so refreshing and reassuring.”

Emerald

“My experience with General Medicine was amazing. The understanding and care that was taken to figure out what is exactly going on with me. I feel like a weight has been lifted off of me.”

Kaylee

“I couldn’t be happier with my experience with General Medicine! They are fast, responsive, kind and knowledgeable. It is much easier, more affordable and faster.”

Nika

Get the care you need, without the wait.

Frequently Asked Questions

What is an anal fissure and what causes it?

An anal fissure is a small tear in the lining of the anal canal — most commonly caused by passing hard or large stools. It causes sharp pain during and after bowel movements, often with small amounts of bright red blood on toilet paper. Chronic fissures involve tightening of the internal anal sphincter, which impairs healing.

How is an anal fissure treated without surgery?

First-line treatment focuses on softening stools with increased fiber, fluid, and stool softeners, along with topical medications — nitrate cream or calcium channel blockers — to relax the internal sphincter and improve blood flow to the area. Sitz baths provide additional relief. Most acute fissures heal within 4–8 weeks.

Why do some anal fissures become chronic?

Chronic fissures result from a cycle where sphincter spasm reduces blood flow to the fissure, preventing healing — which perpetuates the spasm. Fissures present for more than 6–8 weeks are considered chronic and are less likely to resolve without topical sphincter-relaxing therapy or procedural intervention.

When is botulinum toxin or surgery considered?

Botulinum toxin injection into the sphincter is an office-based option for fissures that haven't responded to topical therapy — effective in 60–80% of cases. Lateral internal sphincterotomy (minor surgery) is more definitive with higher cure rates but carries a small risk of fecal incontinence.

What side effects are associated with anal fissure treatments?

Topical nitrate cream commonly causes headache due to systemic vasodilation — applying a small amount minimizes this. Calcium channel blocker cream has fewer systemic effects. Botulinum toxin injection may cause temporary incontinence in a small percentage of patients. Sphincterotomy carries a long-term incontinence risk of 1–5%. Anal Fissure Consult visit What to expect from a Anal Fissure Consult visit
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