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Stomatitis in cats

TooPatient

Super_Ideal_Rock
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Sep 1, 2009
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Short story: please tell me about stomatitis. Any new options available to help control? Anything less invasive than removing all teeth? Any experience greatly appreciated!

Long story:

We have been on this awful rollercoaster with one of our senior kitties. On Tuesday last week, I took him to the emergency vet for loss of appetite and vomiting. Lots of blood work, urinalysis, and xrays showed the usual we expected (heart issue, a bit of arthritis starting, and elevated kidney levels) plus hyperthyroidism. The emergency vet said what seemed to be causing the immediate issues was a ball of fecal matter blocking him up leading to painful gas building up behind. Okay, enema and sent home as that should do it plus great information to move forward on his new thyroid issue. No poop by the next day so called in and went back to the emergency vet. Dr rechecked blood work. Fever and elevated white blood cell count. Quick scan with an ultrasound machine showed a mass in his liver. Prognosis was very bad and he wasn't expected to make it beyond 48 hours at best. Antibiotic injection in case the mass is an infection so I could take him home in comfort and an at home euthanasia scheduled for the next day. He perked up. Like a lot. The vet had not expected that. I postponed the appoint and he was doing great until the antibiotic injection hit the end of effective dose. Now he isn't eating again and his breath is much smellier.

DH was searching symptoms online and ran across stomatitis. Absolute match for our sweet boy. The increased drooling, dropping of food, reabsorbed teeth (removed in dental cleaning a few years ago), etc.
Time is critical as he hasn't eaten again in two days. I need to call the vet. Likely back to emergency where they are set up with in house blood work and all of the latest imaging equipment.

He is 15 years old with a level 3 (4?) heart murmur, hyperthyroidism just diagnosed, kidney issues (thyroid caused? Though the thyroid has always tested normal.), and a mass in his liver. IF we were to move forward with something like surgery, it would mean a full echocardiogram with the cardiologist plus a lot of blood work first. Not sure surgery will even be an option. Last week, the antibiotic injection made a huge difference. He started eating again and looked normal.

What am I missing? Is it possible this is just an infection and the rest is all there but not actively causing this? Would ongoing antibiotics keep it at a low enough level he could have comfortable time left?
 
I wish I could offer you some advice other than tooth removal for Stomatitis. I adopted a medium hair orange tabby girl who had already been diagnosed with Stomatitis. They had already removed some of her back teeth and they (the rescue) was saving up for more extractions. I did have the rest of her teeth removed, and her gum color and swelling improved a lot. She does eat hard food.
 
My cat has a version of this. Unfortunately, at almost 19 and in kidney failure, general anaesthesia is too great a risk so she lives with it. She eats with enthusiasm but it has become a messy process.
 
Dr today doesn't think stomatitis and explained why. Another antibiotic injection today plus anti nausea meds. Thyroid meds being compounded to start ASAP also. There does seem to be an infected tooth so we may find ourselves doing another echocardiogram and potentially risking a dental. For right now, we focus on getting him to eat then get thyroid controlled.
 
Dr today doesn't think stomatitis and explained why. Another antibiotic injection today plus anti nausea meds. Thyroid meds being compounded to start ASAP also. There does seem to be an infected tooth so we may find ourselves doing another echocardiogram and potentially risking a dental. For right now, we focus on getting him to eat then get thyroid controlled.

Good luck to your sweet kitty @TooPatient I hope he makes a full recovery.
 
We are hanging in there. Except for the not eating, you wouldn't guess he is sick. We started an appetite stimulant on Saturday. He is tired of beef and only eating chicken breast at this point. Fine. Calling the vet this morning to see if we can up the dose of the appetite stimulant. Thyroid meds should be ready in the next day or two. Hoping we can get him stable enough that we can get him in for the echocardiogram and dental.
 
My cat is 18 and she has stomatitis. It’s something they are born with that cause their teeth to start rotting at a very young age. I adopted my cat when she was 4 and within 2-3 years I found out about the stomatitis and had to have about 26 of her teeth removed. She would paw at her face while trying to eat and cry. The stench
coming from her mouth was so bad that you didn’t have to see her to know she was in the room. The good news is cats don’t actually need their teeth to digest food but as my cat has gotten old now. I feed her mostly wet food and I blend it in her own separate blender that I have just for her to aid with digestion.
 
How do I do this? I am at a loss. All of our animals have passed at home. One in her sleep the night before a vet was scheduled to come out. One rooster suddenly of heart failure. The other cats and dogs had a vet come help them pass surrounded by the rest of the animals. The one who passed in her sleep, we took out and buried without letting the others see her. Big mistake. They searched for her desperately for days and were depressed acting for a week or more after. This time, I can't get a vet to the house. We live pretty far out of town and the only one who can sometimes make it only comes Mon-Wed. Scheduled with the regular vet for tomorrow afternoon. About 70 miles and 2+ hour drive to get there. The crematorium I use is another 20+ miles and about 40 minutes (or more) beyond the vet. The owners are out Fri-Sun so if we don't get there tomorrow, we will have his body until Monday with no good place to keep it. Don't have time after the 2pm appointment to get back home to show the others then get all the way back to the crematorium again.
 
Gentle hugs being sent your way - I'm so sorry that you and your kitty are going through this. It's not easy when our pets are suffering and we only want to do the best thing for them. We have all been there before and it never gets easier. (((Hugs)))
 
Sending love and support to you @TooPatient, such a hard time and made even harder for you because of the logistics. Am thinking about you, so sorry you and your kitty are going through this. <3
 
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