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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