so I saw my PCP on Monday as scheduled, and an exam confirmed no external hemorrhoid or fissure, so she gave me a referral to a specialist and said that if they didn't call me by Friday to schedule an appointment, I should call them
My PCP did recommend me a gentle laxative that does seem to be effective at easing the symptoms, so the situation is not as bad as it could be, but also. not knowing is the worst part, y'know?