dr.vetstomatKyiv

Diseases

Chronic gingivostomatitis in cats (stomatitis)

When owners say "my cat has stomatitis", very different conditions may hide behind that word. I always clarify: is it gingivitis — inflammation of the gums only — or chronic feline gingivostomatitis (FCGS) — serious inflammation of the mouth lining that extends beyond the gums. FCGS is a real condition, not "slightly red gums". It is painful, chronic and rarely responds to a single drug.

Anna Nikolaienko — veterinary dentist

Anna Nikolaienkoveterinary dentist

· · 2 min read

About the author →

FCGS is not the same as gingivitis

Gingivitis is inflammation of the gums, usually from plaque and tartar. The lining of the cheeks, palate and sublingual area is not affected in gingivitis. FCGS (feline chronic gingivostomatitis) is chronic inflammation involving the gums and the lining of the mouth.

With FCGS the gums are bright red, swollen and bleed; the lining may have ulcers or erosions. The cat feels pain with every jaw movement. This is a fundamentally different condition with a different treatment approach from simple gingivitis.

Possible causes

Causes vary: viral infections, allergic reactions, tooth resorption, periodontal disease. The exact cause is established after a full examination.

Diagnosis and plan

Examination under anaesthesia, X-rays, assessment of every tooth, and tests as indicated. Treatment may include extracting problem teeth, anti-inflammatory therapy and ongoing monitoring.

When to see a vet

  • The cat refuses food, drools, or cries out while eating
  • Red gums, mouth ulcers, persistent odour
  • The cat is losing weight due to problems eating

What not to do at home

  • Don't give human anti-inflammatory drugs
  • Don't force feeding — this can increase pain
  • Don't treat with antibiotics alone without a diagnosis

Frequently asked questions

It depends on the cause. The vet will explain whether isolation from other pets is needed.

The outlook depends on the cause and stage. Some forms need long-term management.

Sources and professional guidelines

Need an exam-consultation?

Message me to book an in-person or online consultation

This material is educational and does not replace an examination by a veterinary dentist. The exact cause of symptoms and treatment plan are determined only after an in-clinic consultation.

Chronic gingivostomatitis in cats (FCGS): symptoms | dr.vetstomat