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Just as the pores on one's face can become blocked and cause acne, the glands in the anus can also become infected, causing painful pus-filled eruptions on the skin. Anal glands produce secretions that lubricate the anal canal for the smooth passage of stool. A gland can be clogged by faecal matter and infected by bacteria to form an anal abscess full of pus. The abscess can become an anal fistula, or abnormal tract out of the body, if it forms in a deeper, intermuscular gland. Most glands are not so deep, but are located in the submucosa, a spongy layer of tissue between the lining of the anal canal and the muscle layers, said Dr Lim Jit Fong, a senior consultant surgeon at Fortis Colorectal Hospital. When infection occurs in a submucous gland, the resulting abscess bursts through the mucosa into the anal canal and heals spontaneously, without the patient even realising it, he said.
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