It's been a horrible week for my dog and I. They expressed my dog's anal glands without my knowledge and from there it's been downhill. Two visits to the vet and him unable to poop, is a doggy mommy's worst nightmare. I told myself after the last two visits there I would never got back and I went back. Lesson learned. When making an appointment be sure to tell them whether or not you want your dog's anal glands expressed. They express improperly by expressing just the outside.