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Vet Column
2024-07-31

Is Your Cat Constantly Sticking Its Tongue Out and Drooling? Health Alert: Feline Stomatitis Warning from Veterinarians!

This article was written by Dr. Shang-Hsiu Chung, a veterinarian at Always Care Veterinary Hospital


Cats are cherished members of many families, bringing numorous joy with their lively and adorable nature. However, when cats unexpectedly drool or constantly stick out their tongues, it often raises significant concern.

Veterinarians warn that excessive drooling in cats may result from inflammation of the mouth, while constant tongue protrusion can be an involuntary reaction to pain caused by this inflammation. These symptoms could indicate feline chronic stomatitis, which requires prompt treatment. Understanding the causes of these symptoms and the available treatment options is crucial for pet owners.

What is feline stomatitis?


Feline Chronic Stomatitis (FCS) is a common oral disease in cats, with a prevalence ranging from 0.7% to 12%. It predominantly affects middle-aged and older cats (4 to 17 years old). The condition involves inflammation, swelling, ulcers, and sometimes proliferative inflammation in the cat's oral cavity, particularly in the palatoglossal folds. This is often triggered by an overactive immune response to dental plaque, causing severe pain and discomfort. Typical symptoms include excessive drooling, foul odor from the mouth, and constant tongue protrusion. These symptoms not only make cats change their eating habits but can also lead to reduced appetite, weight loss, decreased grooming, and potential behavioral changes such as irritability.

Causes of Feline Stomatitis

  • Infectious factors encompass viruses and bacteria like Feline Calicivirus (FCV), Feline Herpesvirus (FHV), Feline Immunodeficiency Virus (FIV), and Feline Leukemia Virus (FeLV). These pathogens have the potential to induce immune system dysregulation, thereby precipitating stomatitis.
  • Non-infectious factors include oral diseases, stress, and allergies. Cats in multi-cat households, especially those under higher stress levels, are more prone to developing stomatitis.
How to Care for Chronic Feline Stomatitis?

Treatment methods include medication and tooth extraction. Medications such as antibiotics, steroids, and pain relievers can alleviate pain and control infections. In severe cases, full-mouth extraction is the most effective treatment, with about 80% of cats showing significant improvement after surgery, and 60% achieving complete recovery. Laser therapy can also be an effective complementary treatment.
Daily care involves maintaining your cat's oral hygiene through regular tooth brushing after meals or the use of oral sprays. For cats that are difficult to brush, dental chews, silvervine sticks, or gall fruit can help keep their teeth clean.

Additionally, nutritional supplements and emotional management are crucial for cats with stomatitis. Oral health products containing lactoferrin and probiotics can improve oral health, boost immunity, and reduce the severity of the condition. To alleviate stress and improve mood, natural herbal supplements containing calming ingredients like L-theanine or GABA can help cats relax and reduce anxiety.

For more information on suitable health formulas for your pet, please feel free to contact us. The professional team at WelPet is dedicated to serving you.

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