Difference between revisions of "Anal Sac Impaction"

Revision as of 12:07, 18 August 2009

Signalment

Small breeds are predisposed
German Shepherd
Obese dogs
Cats can also suffer from anal sac impaction

Description

The most common disease of the anal sacs where the sac becomes impacted by a viscous, grey-brown secretion. It is caused by a failure of the sacs to empty normally during defecation, obesity, poor muscle tone and generalized seborrhea. The reatined secretion can encourage bacterial overgrowth and therefore infection and inflammation.

Diagnosis

History and Clinical Signs

Excessive chewing or licking of around the anus and tail base.
Pain on sitting
Scooting
Dyschezia
Smell of secretion

Treatment

Compression and expression of the sacs by either internal or external forces. The sacs are situated at the 4 and 8 c'clock positions. Internal expression is more effective and desired with external expression reserved for small dogs and cats where it is not possible to place a digit in the rectum. If the contents are too dry, then a softening agent or saline can be placed inside to aid clearance.

Prognosis

Some cases may require regular expression but generally the prognosis is excellent. Certain cases may become chronic or infected and sacculectoimy may need to be considered.

References

Hall, E.J, Simpson, J.W. and Williams, D.A. (2005) BSAVA Manual of Canine and Feline Gastroenterology (2nd Edition) BSAVA

Merck & Co (2008) The Merck Veterinary Manual

@@ Line 1: / Line 1: @@
-{{OpenPagesTop}}
+{{review}}
-==Description==
-The most common disease of the anal sacs where the sac becomes impacted by a viscous, grey-brown secretion.  It is caused by a failure of the sacs to empty normally during defecation, obesity, poor muscle tone and generalized seborrhea. The retained secretion can encourage bacterial overgrowth and therefore infection and inflammation.
+{{cat}}
+{{dog}}
 ==Signalment==
-Can occur in any dog of any age, breed or gender however small breed dogs and obese dogs are predisposed. The most common disease affecting the anal sac of the cat, however rare in this species.
+*Small breeds are predisposed
+*German Shepherd
+*Obese dogs
+*Cats can also suffer from anal sac impaction
+==Description==
+The most common disease of the anal sacs where the sac becomes impacted by a viscous, grey-brown secretion.  It is caused by a failure of the sacs to empty normally during defecation, obesity, poor muscle tone and generalized seborrhea. The reatined secretion can encourage bacterial overgrowth and therefore infection and inflammation.
 ==Diagnosis==
-The anal sac region may appear distended and inflamed. On palpation of the perianal tissue, the anal sac may be enlarged, firm and not easily expressed. Impaction can cause the anal sac to rupture and create a draining tract of either normal secretions (pale yellow) or abnormal (grey, brown or green).
 ===History and Clinical Signs===
-See [[Anal Sac Disease - General|Anal Sac Disease - General]]
+*Excessive chewing or licking of around the anus and tail base.
+*Pain on sitting
+*Scooting
+*Dyschezia
+*Smell of secretion
 ==Treatment==
-Compression and expression of the sacs by either internal or external forces. The sacs are situated at the 4 and 8 c'clock positions. Internal expression is more effective and  external expression reserved for small dogs and cats where it is not possible to place a digit in the rectum. If the contents are too dry, then a softening agent or saline can be placed inside to aid clearance.
+Compression and expression of the sacs by either internal or external forces. The sacs are situated at the 4 and 8 c'clock positions. Internal expression is more effective and desired with external expression reserved for small dogs and cats where it is not possible to place a digit in the rectum. If the contents are too dry, then a softening agent or saline can be placed inside to aid clearance.
 ==Prognosis==
-Some cases may require regular expression but generally the prognosis is excellent. Certain cases may become chronic or infected leading to [[Anal Sacculitis|Anal Sacculitis]] or [[Anal Sac Abscessation|Anal Sac Abscessation]].
+Some cases may require regular expression but generally the prognosis is excellent. Certain cases may become chronic or infected and sacculectoimy may need to be considered.
-{{Learning
-|literature search =[http://www.cabdirect.org/search.html?rowId=1&options1=AND&q1=%22Anal+Sac%22&occuring1=title&rowId=2&options2=AND&q2=impaction&occuring2=freetext&rowId=3&options3=AND&q3=&occuring3=freetext&x=27&y=11&publishedstart=yyyy&publishedend=yyyy&calendarInput=yyyy-mm-dd&la=any&it=any&show=all Anal Sac Impaction publications]
-|Vetstream = [https://www.vetstream.com/canis/Content/Disease/dis00659.asp Anal sac Impaction]
-}}
 ==References==
-Hall, E.J, Simpson, J.W. and Williams, D.A. (2005) '''BSAVA Manual of Canine and Feline Gastroenterology''' (2nd Edition) BSAVA
-Merck & Co (2008) '''The Merck Veterinary Manual''' (Eighth Edition) Merial
-Fossum, T. W. et. al. (2007) '''Small Animal Surgery''' (Third Edition) Mosby Elsevier
-{{review}}
-{{OpenPages}}
+Hall, E.J, Simpson, J.W. and Williams, D.A. (2005) '''BSAVA Manual of Canine and Feline Gastroenterology (2nd Edition)''' ''BSAVA''
-[[Category:Recto-Anal_-_Pathology]]
+Merck & Co (2008) '''The Merck Veterinary Manual'''
-[[Category:Expert_Review]]
-[[Category:Rectal and Anal Diseases - Dog]][[Category:Rectal and Anal Diseases - Cat]]