“Anal Fissure” from Stool. Ow TMI

I am about 7 weeks pregnant now with 1st. Anal fissure... I’ve had this for a couple years and comes and goes, it’s basically my annus like a hemorrhoid, right near the hole. XL hard stools cause bleeding/tearing but then it heals usually.

Having the *worst* constipation despite taking fiber, senna etc. I tore (painfully) the fissure last week and it won’t heal. I bleed every time I poop. It literally drips into the toilet which it has before. It’s absolutely not coming from my vagina.

I’m wondering how much blood is too much? I don’t like the OB I’ve been to and my PCP who knows about my history is on maternity. ER visit? 😳

Anyone with experience? Does this happen with episiotomies? HELP PLEASE!