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I just looked this up last night and you need to take the dog to the vet. According to the info I read the sacs fill up with a rather bad smelling fluid and only the vet can squeeze out or remove in some fashion. Dogs try to help themselves by licking the area and sometimes they do get some of it out, but then they throw up a foamy fluid from doing that.

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Q: Help for dog with anul gland problems?
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