Welcome! I am Dr. Altman, a licensed veterinarian and happy to answer your questions today.
I would be a bit worried about why this is happening to Kizzy as well because leaking anal gland material while asleep is not normal and perhaps could be related to rectal tone issues.
Things to try to see if it helps with the leakage:
- Increase daily walks 15+ minutes once to twice daily. Leash walks can increase gi motility and defecation which encourages anal gland expression while awake
- Make sure she is on a high fiber food. This can be a light formula dog food but you can also supplement fiber to the diet which includes white rice, raw
carrots, canned pumpkin. Increasing the bulk and size of the stools will help express the anal glands with defecation
If this is not changing please have her seen for a neurologic exam. If the rectum is relaxing while she is asleep and she is expressing her glands, the next concern is going to be defecating while asleep. It would be great to catch any back issues that the signal to maintain sphincter control while asleep is reduced now and minimize progression of signs.
If there were a tumor causing this issue I would imagine it would have been palpated with the rectal examination with the last veterinary exam and expressing of the glands but there is a possibility this could have been missed as well so if you do need to return a third time to have Kizzy seen for this besides the neurologic exam another rectal exam is definitely warranted.
I hope this information makes sense. Often increased exercise and fiber will reduce the accidents that she is currently experiencing but if there is no change with my recommendations a full neurologic exam is the next step to ensure there is no medical cause for her releasing her glands in her sleep...
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