Anal fissure guide

Anal fissure treatment online in Virginia and West Virginia

This guide is for the typical tearing pain of an anal fissure with bowel movements, not for heavy bleeding, fever, a lump, or pain lasting more than 8 weeks.

Start online

Start a $59 online review for Anal fissure.

Review for adults with the typical pattern of an anal fissure: sharp, tearing pain during a bowel movement that lingers afterward, with a streak of bright red blood on the paper. The plan is stool softening, fiber and fluids, warm sitz baths, and, at the physician's discretion, one bounded course of a compounded relaxing ointment composed by hand.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response windows

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response windows: 24/7, every day

Common symptoms

Sharp, tearing, or burning pain with a hard bowel movement
Pain that lingers minutes to hours afterward
A small streak of bright red blood on the toilet paper

May fit online care

Adults 18 and older
No fever, swelling, or pus near the anus
No heavy or ongoing rectal bleeding
Pain lasting less than 8 weeks
No prior anal surgery or inflammatory bowel disease

Look for another care setting

Heavy or ongoing rectal bleeding, black stools, dizziness, or fainting
Fever or chills with a painful swelling next to the anus
A new lump, swelling, or pus draining next to the anus
Severe headache or fainting after applying a prescribed ointment

What to have ready

How long the pain has lasted and its pattern with bowel movements
Any use of erection medicines such as sildenafil or tadalafil
Whether you are pregnant or breastfeeding
Your current fiber and fluid intake

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after sign-in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD — board-certified, cardiology-fellowship-trained, and Alpha Omega Alpha. Licensed in Virginia and West Virginia — your care is never handed off.

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What is the usual treatment?

Fiber, fluids, and warm sitz baths after bowel movements are the foundation. When appropriate, the physician can compose a short course of a topical relaxing ointment (nifedipine or diltiazem) by hand to help the fissure heal.

When does a fissure need an in-person exam instead?

Heavy bleeding, fever, a lump or swelling near the anus, pain lasting more than 8 weeks, or a fissure positioned off to the side rather than front or back all need an examination rather than online treatment.

Can nitroglycerin ointment be used?

No — if you use sildenafil, tadalafil, or another erection medicine, nitroglycerin ointment cannot be combined with it safely, so the physician chooses a different option.

Related conditions we treat

Not quite what you have? These are the closest concerns this service covers.

Diarrhea (sudden & traveler's)Anal itching Bloating & gas Constipation (functional)Heartburn & acid reflux (GERD)H. pylori treatment