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What happens if impacted glands go untreated?

If impacted anal glands go untreated, they can become infected, develop abscesses, rupture, and cause severe pain and further complications around the rectum.

Understanding the Consequences of Untreated Anal Gland Impaction in Dogs

Anal gland issues are a common yet often overlooked health concern in dogs. These paired glands, located on either side of a dog's anus, serve a role in scent marking and communication. While not essential for a dog’s overall health, when problems arise, they can significantly impact a dog's comfort and well-being.

What Are Anal Glands?

Anal glands, also known as anal sacs, are small, pea-sized structures situated at approximately the 4 and 8 o’clock positions around the dog’s anus. They produce an oily, foul-smelling secretion used by dogs to mark territory and identify one another.

In healthy dogs, natural pressure from firm stools typically squeezes this fluid out during defecation. However, various factors can interfere with this natural emptying process and lead to problems.

What Happens If Anal Gland Impaction Is Left Untreated?

When the anal glands fail to empty properly, the secretion inside thickens and builds up, leading to impaction. If not addressed, this condition can progress through several stages of worsening severity:

  • Impaction: The glands become clogged with thick material, causing swelling and significant discomfort.
  • Infection (Anal Sacculitis): Impacted glands can attract bacterial infections, causing inflammation and pus buildup within the ducts.
  • Abscess Formation: If the infection worsens, it may lead to an abscess—an accumulation of pus that causes severe pain and visible swelling. This abscess may eventually rupture, creating painful draining sores or fistulas.
  • Spread of Infection: Once ruptured, the infection can spread into surrounding tissues, complicating treatment and increasing the risk of recurrence.
  • Chronic Pain and Behavioral Changes: Dogs with untreated gland issues may experience ongoing discomfort, leading to restlessness, irritability, or even aggression.
  • Tumors: Although less common, untreated symptoms can sometimes mask the presence of tumors, such as anal sac adenocarcinoma, a form of cancer that is more common in older dogs.

Common Symptoms of Anal Gland Problems

Recognizing early signs of anal gland discomfort can prevent serious complications. Watch for:

  • Scooting or dragging the bottom on the floor
  • Excessive licking or biting at the anal area or lower back
  • Swelling, redness, or discharge near the anus
  • Fishy or foul odor around the tail end
  • Straining or difficulty defecating
  • Reluctance to sit down or signs of pain during rest or movement
  • Visible blood or pus near the rectum or in the stool

Which Dogs Are at Higher Risk?

While anal gland problems can affect any dog, certain breeds and conditions increase susceptibility:

  • Small breeds like Beagles, Dachshunds, Poodles, Lhasa Apsos, Bulldogs, and Cocker Spaniels
  • Dogs with obesity or poor muscle tone around the anus
  • Pets with chronic diarrhea or soft stools, which don’t exert enough pressure for natural gland expression
  • Dogs with food or environmental allergies
  • Anatomical variations in the gland’s duct size or position
  • Underlying dermatological conditions, which can worsen inflammation around the anal region

Veterinary Intervention: Why It's Critical

Prompt veterinary care is essential when signs of anal gland issues appear. A veterinarian will begin with a clinical and rectal examination. In complex cases, additional diagnostics like blood tests, ultrasound, bacterial cultures, or biopsies may be needed.

Treatment options vary based on the condition’s severity:

  • Manual Expression: Gentle external or internal pressure to empty the glands
  • Flushing: Infected glands may be cleaned using a flushing solution under sedation
  • Medication: Antibiotics and anti-inflammatories to combat infection and reduce discomfort
  • Abscess Management: Lancing and draining ruptured abscesses surgically, often followed by medication
  • Surgical Removal: In severe or recurrent cases, surgical removal of the affected glands may be recommended

Risks of Surgery

While anal glands are not essential, removing them carries a small risk of side effects, notably fecal incontinence. That’s why surgery is typically reserved for dogs with chronic, severe problems or gland tumors.

Preventing Anal Gland Problems

Prevention strategies can greatly reduce the likelihood of impaction or infection. These include:

  • High-fiber diets: Promote firmer stools that help express the glands naturally
  • Healthy weight maintenance: Prevent obesity-related gland compression
  • Prompt treatment of diarrhea or skin issues: Underlying issues exacerbate gland problems
  • Frequent observation: Regularly check for early signs and seek veterinary help quickly

Conclusion

Ignoring impacted anal glands puts your dog at risk for painful complications, infections, and even life-threatening conditions. Timely veterinary intervention and preventive care can ensure that your pet remains comfortable and happy. Keeping an eye out for symptoms and maintaining proper hygiene and diet go a long way in preventing these issues from becoming severe.

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