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If the gland is infected, the vet will prescribe systemic oral antibiotics to clear the bacteria. In severe cases of impaction, the vet may need to flush the sacs with a sterile solution under sedation to remove the impacted material. bilara dog anal blog link
If infection is present, your vet may flush the sacs with an antiseptic solution and prescribe oral antibiotics or anti-inflammatory medications. Whether you are here looking for "bilara dog