Earlier today I was giving my  my 8 year old sibe a bath when I noticed that there was blood coming from her anal area. Upon inspection I saw a little blood blister like thing in the 2 o'clock position( this one was slightly swollen) and then some other very small but similar spots at what seemed to be the 7pm position. The area wasn't hard or stiff. I proceeded to finish the bath and I  walked her for about a mile as well, immediately after. I then took her to the vet and they checked her out. They said everything seemed normal internally. She's kept her appetite, drinks water normally, her stool was completely normal meaning no discoloration or blood and no diarrhea. The vet gave an ointment and some antibiotics. What could this be?

Hmm could she have sat in something that irritated her, like a bunch of prickly weeds? Or an ant nest (ow, don't even want to think about that)

It sounds like your vet did the right thing, it sounds like a skin injury/reaction rather than something serious going on inside your dog?

The vet did not mention anything about impacted and/or infected anal glands? That was my first thought. We had this with one of our past Chihuahuas. It did not rupture on its own so the vet had to lance & flush it then I had to keep it clean at home.

Hopefully this picture bring some accuracy

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Could have been a case of itchy butt and accidental bite herself in the pooper.