Yesterday I had my second visit to a doctor since the beginning of my AF experience 1.5 years ago.
He took a look and told me he did not see any fissure. He told me that I had very small internal hemorrhoids.
I almost cancelled my appointment because I was so nervous of what he would do and possible injure me during the exam. That was not the case and I am so glad that I went.
Having this reassurance helps with the mindset which is a large percentage of dealing with this problem. I feel that after a year and a half I can finally say that I am getting better.