Anal sacculitis is impaction of the anal sacs. The anal sacs are glands located on each side of the anus. They are related to the scent glands in skunks and produce small amounts of dark, foul-smelling liquid, which is normally squeezed out during defecation. Anal sac disease is caused by clogging or infection of the glands. The most common signs of anal sacculitis are scooting the anal area along the ground and excessive grooming around the anal area and tail base. Scooting is only occasionally a sign of worms
An unusual twitching of the skin over the back or surprise "attacks" at the tail base can sometimes be explained by overly full anal sacs. Signs of simple anal sac impaction can usually be relieved by expressing the contents of the sacs. You can do this yourself. Use one hand to hold up the cat's tail; hold a disposable cloth or tissue in the other hand and place your thumb externally over one anal sac and your finger over the other. Press in and apply firm pressure over the sacs; this will cause the contents to be expressed through the anal sac openings into the tissue. If impacted anal sacs are not emptied, one or both may become infected. Infected sacs may be painful and result in constipation due to the cat's reluctance to experience a painful bowel movement. You may be able to express blood-tinged material or pus from the sac. If you don't notice the problem at this stage, you may later see an abscess or swelling externally at one side or the other of the anus.
Infected anal sacs are best treated by a veterinarian. If they have not yet abscessed, it may be possible to treat them by expression of the infected contents and with antibiotics alone. If they are abscessed, surgical drainage is usually necessary.