Cats with recurrent anal sac impactions or cats whose owners complain about excessive anal licking should be carefully examined for allergic skin diseases, including flea allergy, food allergy, and atopic dermatitis ( Figure 22-55). The skin surrounding the perineal area becomes inflamed, the small superficial ducts become swollen, and excretions cannot be evacuated when the cat defecates.

The most common cause of anal sac problems in cats is perineal pruritus caused by allergies. Morris, in The Cat, 2012 Anal Sac DiseasesĪnal sac diseases are uncommon in cats compared with dogs. Routine manual anal sac expression may be useful in preventing recurrences. However, temporary or permanent fecal incontinence is a possible postoperative complication, and draining fistulae will develop if the anal sacculectomy is incomplete. 5.įor recurrent impactions, sacculitis, or abscesses, surgical excision of the affected anal sac is usually curative. Topical antibiotic cream or ointment should be applied to the affected area every 12 hours, and appropriate systemic broad-spectrum antibiotics should be administered for 7 to 14 days.

Warm compresses applied to the affected area or hydrotherapy can be used every 12 to 24 hours to ensure drainage and promote healing. The anal sac should be cleansed and flushed with 0.25% chlorhexidine or 0.4% povidone–iodine solution and then an antibiotic–glucocorticoid ointment (e.g., Panalog, Otomax) instilled. 4.įor anal sac abscess, drainage should be established if the anal sac is not already ruptured. Also, appropriate systemic, broad-spectrum antibiotics should be administered for 7 to 14 days. Then, an antibiotic–glucocorticoid ointment (e.g., Panalog, Otomax) should be instilled into the anal sacs. 3.įor anal sacculitis, anal sacs should be expressed manually and lavaged with 0.025% chlorhexidine or 0.4% povidone–iodine solution. 2.įor anal sac impaction, anal sacs should be expressed manually. Any underlying hypersensitivity should be identified and treated, especially food allergy.

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