Managing Anal Fissure: The Direct Primary Care (DPC) Approach

Updated on: September 14, 2023

A small tear in the anus lining causes pain and bleeding during and after bowel movements. Despite the fact that most anal fissures heal on their own with simple home remedies, some may become chronic and require medical treatment. They can be caused by constipation, diarrhea, childbirth, or anal interaction.

A direct primary care model (DPC) enables patients to get primary care services directly from their physicians without the involvement of insurance companies or third parties. In a DPC practice, patients pay a monthly or annual fee for unlimited consultations, exams, care coordination, and laboratory services. The doctors at DPC practices do not accept insurance, but they recommend that their patients have high-deductible health plans to cover emergencies and specialized care.

How DPC Can Help Manage Your Anal Fissure

The following are some of the benefits of joining a DPC practice if you have an anal fissure:

  • You can have more time and attention from your physician. DPC practices typically have fewer patients than traditional practices, so your physician can spend more time with you during each visit. If you need to speak with your doctor by phone, email, or video chat, you can do so. You can discuss your symptoms, diagnosis, treatment options, and prevention strategies.

  • You can save money and avoid hassle. DPC practices charge a flat fee that covers all your primary care needs, without any copays or deductibles. You do not need to worry about insurance claims, billing codes, or prior authorizations. Your DPC practice can also offer discounts on medications, labs, imaging, and supplements.

  • DPC practices offer a holistic approach to health care that focuses on your individual needs and preferences. You can get customized anal fissure management. Your physician can tailor your treatment plan based on your medical history, lifestyle, goals, and values. You may also be referred to a specialist or surgeon if necessary.

The Benefits of DPC for Anal Fissure Patients

Your anal fissure condition can benefit from joining a DPC practice in the following ways:

  • The DPC practices can provide you with prompt and effective treatment for your anal fissure, such as topical creams, ointments, injections, or surgery, to speed up healing and recovery. Additionally, stool softeners, fiber supplements, sitz baths, or dietary advice can be used to prevent complications or recurrences.

  • The DPC can help you reduce the pain and discomfort caused by your anal fissures, as well as improve your emotional well-being by establishing a supportive and trusting relationship with your physician. As Benjamin Franklin said, "The best doctor gives the fewest medicines."

  • DPC practices can help you address the underlying causes of your anal fissure, such as chronic constipation or inflammation, and improve your overall health. Diabetes, hypertension, and obesity can also be treated comprehensively. "It is more important to know what kind of person has a disease than to know what kind of disease a person has," Hippocrates said.

Personalized Anal Fissure Management in DPC

Here are some steps you can take if you are interested in joining a DPC practice:

  • Find a DPC practice near you. You can search online for DPC practices in your area or ask for recommendations from friends or family members who have joined one.

  • Compare the fees and services offered by different DPC practices. You can check their websites or call them to find out their monthly or annual fees, what services are included or excluded, what discounts they offer on medications or labs, and what their policies are on referrals or cancellations.

  • Schedule an initial consultation with your chosen DPC practice. You can meet with your physician and discuss your medical history, current symptoms, treatment goals, and expectations. You can also ask any questions you have about the DPC model and how it works.

  • Sign up for a membership and start receiving care. You can pay your fee online or in person and get access to all the benefits of DPC. You can schedule appointments as often as you need them and contact your physician anytime you have a concern.

Published on: July 19, 2023
Doctors that manage anal fissure
  • Rebecca McClain, Concierge Family Medicine in Columbus
    Rebecca McClain, FNP-C
    Concierge Family Medicine
    Columbus, Ohio
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    My husband and I had a fantastic day with Dr. McClain! Dr. McClain's gentle approach and compassionate manner made the whole procedure bearable. She is someone I would recommend to relatives and friends. Thank you so much, Dr. McClain!
  • Shawn Bailey, Concierge Internal Medicine in Columbus
    Shawn Bailey, MD
    Concierge Internal Medicine
    Columbus, Ohio
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    I've seen dozens of doctors and specialists, in addition to those required by my husband and children. Dr. Bailey is without a doubt the best doctor our family has ever seen! He devotes attention to his patients. We are not just a number to him since he genuinely cares about and knows his patients.
  • LaTonya Carroll, DPC Family Medicine in Columbus
    LaTonya Carroll, DNP, APRN
    DPC Family Medicine
    Columbus, Ohio
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    Excellent experience! I made a same-day appointment and was able to go in right away. The front desk employees and the medical assistant were both quite kind and helpful. I will absolutely return and suggest the practice!
  • Richard J. Seidt, Concierge Family Medicine in Columbus
    Richard J. Seidt, MD
    Concierge Family Medicine
    Columbus, Ohio
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
  • Heather Bartlett, DPC Family Medicine in Columbus
    Heather Bartlett, MD
    DPC Family Medicine
    Columbus, Ohio
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
  • Desiree Hauenstein, Concierge Family Medicine in Columbus
    Desiree Hauenstein, PA-C
    Concierge Family Medicine
    Columbus, Ohio
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
  • Jeremy Jones, Concierge Family Medicine in Columbus
    Jeremy Jones, PA-C
    Concierge Family Medicine
    Columbus, Ohio
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
  • Lori Knight, Concierge Family Medicine in Columbus
    Lori Knight, FNP
    Concierge Family Medicine
    Columbus, Ohio
    Monthly Subscription Fee: Info Unavailable
    Max Patient In Panel: Info Unavailable
    Telehealth - Pending
    Home Visit - Pending
    Holistic/Lifestyle Med - Pending
    Got the professional care and consult I expected.