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Anal Sac Inflammation and ScootingSigns & symptoms · Diagnosis · Treatment · Related articlesAnal Sac Inflammation And Scooting medical terms: Anal sacculitis, Anal fistulas, Rectal, PerinealWhat are anal sacs?All dogs and cats have two anal sacs just under the skin below the anus. Anal sacs are round little pouches approximately pea-sized in small pets and grape-sized in large pets. They secrete a thin, yellow-to-brown, foul-smelling material that is automatically dripped onto your pet’s feces as it defecates. This material communicates information to other animals. To find the anal sacs, lift your pet’s tail, and look in the 4 o’clock and 8 o’clock positions around the anus. Normally, sacs are barely visible because they are soft and compressible, but the opening of a single tiny duct that travels upward from each of the sacs may appear as a light dot. If the anal sacs appear obviously swollen and visibly large, or if they are hard, your pet has a medical problem. Some call the anal sacs “anal glands,” but the glands are actually inside the sacs and produce the material that is secreted. The terms anal, rectal, and perinealAnal, rectal, and perineal are adjectives that refer to the anus, rectum, and perineum. These are different areas under your pet’s tail. Anal is technically limited to the anus, which is the muscular outlet of the digestive tract; and rectal refers to the last few inches of the digestive tract. Perineum is the entire area of your pet's bottom from under the tail around and down to the vulva or scrotum. Although many use the words anal, rectal, and perineal interchangeably, in this article, anal refers to the anus and the area just around it, which includes the anal sacs that empty through ducts at the anus. Perineal refers to your pet's entire bottom area.What is anal sac inflammation (anal sacculitis)?When anal sacs are irritated or infected, blood flow to the area increases. The anal area becomes hot, swollen, and painful. This inflammation causes the tiny ducts that empty the anal sacs to swell shut. With the ducts swollen shut, the material within the sac dries out and hardens, first into a paste, then into a hard, gritty material. If the sac is not expressed manually or opened surgically, it bursts, creating an open, draining tract through the skin.
Perianal fistulas, like inflamed anal sacs, are very painful and have a foul odor. What’s the difference between anal sac inflammation and anal fistula?Anal sac inflammation is caused when material cannot drain from the anal sacs. With enough swelling, the anal sac bursts open and drains. Perianal fistulas are tunneling tracts under the tail that may, or may not, involve the anal sacs. Dogs with perianal fistulas have low, clamped tails. Both anal sac inflammation and anal fistulas cause pain and a foul odor. Both may cause pets to lick or chew the area obsessively and to snap if the area is touched. What is scooting?When your pet scoots, it slides across the floor on its bottom as though it is scratching an itchy, painful, or dirty anus. Scooting is not a healthy activity because it drives bacteria into the skin and into the anal sac ducts. Your pet’s entire bottom can become hot, swollen, and infected. Food allergies and anal sac inflammation are two common causes of scooting. Scooting is as unhealthy for the floor as it is for your pet because it deposits bacteria, a foul odor, and sometimes fecal material, on the floor. Anal sac inflammation and scooting is a chicken and egg scenario because inflammation caused by any factor—such as fleas, ringworm, or food allergies—can lead to scooting and scooting can lead to inflammation.
ItchingPerineal itching is caused by food allergies, biting fleas, ringworm, yeast, intestinal parasites such as tapeworms, and allergy-inducing perfumes, soaps, or sprays.
PainPerineal pain is caused by anal sac inflammation, constipation, cancer, skin fold infections, anal fistulas, and clipper burns caused by grooming.
Dirty bottomA dirty bottom is common when pets have diarrhea, long hair, obesity, or stiffness that prevents cleaning.
What causes licking or chewing on the anal area?Pets lick or chew their bottoms for all the reasons listed above for scooting. In addition, females in heat, incontinent females dribbling urine, and females giving birth will lick the vulva and perineum. Females with infection of the uterus (pyometra) may lick the vulva. Who develops anal sac inflammation (anal sacculitis)?Anal sac inflammation is common in small dogs, such as Dachshunds, Poodles and Chihuahuas, perhaps because the ducts draining their anal sacs are very tiny and easily occluded with inflammation. It also occurs in Retrievers and Spaniels more often than in many other breeds. Anal sac inflammation is common in the following circumstances:
Anal sac inflammation is rare in cats. Who develops anal fistulas?Anal fistulas are common in German Shepherds and Irish Setters. These are breeds with low-set tails that keep their tails clamped down. In addition to having anatomical predisposition to anal fistulas, these breeds may have genetic immune deficiencies predisposing them to develop anal fistulas.
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| This information is for educational purposes only and is intended to be a supplement to, and not a substitute for, the expertise and professional judgment of your veterinarian. The information is NOT to be used for diagnosis or treatment of your pet. You should always consult your own veterinarian for specific advice concerning the treatment of your pet.
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