Dog ate chocolate?

ask a vet

Pain in stomatitis after extractions.

Species: Cat
Breed: feline
Age: 8-11 years
9 year old cat has stomatitis. She is NOT FIV positive. She has had all her teeth pulled as a last resort. She received a depomedrol shot every three weeks for pain. Have had her on Atopica for 5 weeks in addition to the depo. She needs a shot today because the Atopica is doing nothing, and the depo has worn off.

When she's on the depo, she eats like there's no tomorrow...great appetite. But when the 3 weeks are up, her mouth is so sore that she won't let me put anything in it, like any kind of drops or any kind of pain meds. She HURTS.

We also tried a laser treatment on her gums, but it did not help.

Is there anything else I can try? I don't want to put her down. We love her very much and seeing her in pain is heartbreaking. I am taking her in to my vet tomorrow, but just thought you might have some suggestions that might help.

Thank you.


Online vet, Dr. Marie

Dr. Marie replied:

Stomatitis can be extremely difficult. Not all stomatitis cats are FIV positive. I have seen quite a few that were healthy other than their stomatitis.

It sounds like you are doing all of the right things. In the vast majority of cases, full mouth extractions solve the problem and there is no pain after this. But I have heard of some cases where pain persists.

The first thing I would suggest, if this were my case would be to have dental radiographs done to see if perhaps there are any tooth roots under the gums. This can sometimes happen after extractions and could be contributing to pain.

Otherwise, treatment can be difficult. You can ask your vet if perhaps adding buprenorphine could help with the pain. Gabapentin is another drug that can sometimes help for chronic pain. You can ask your vet if those options would be likely to work for your girl.

I hope things improve soon. You are doing all of the right things.

Dr. Marie.



Check out our dog age calculator and cat age calculator.

Want to receive pet coupons, vet advice and info on new pet products in your inbox?

* indicates required

We'll only send you great stuff, never spam. Unsubscribe any time.

Disclaimer: Although Dr. Marie is a qualified veterinarian, the information found on this site is not meant to replace the advice of your own veterinarian. AskAVetQuestion.com and Dr. Marie do not accept any responsibility for any loss, damage, injury, death, or disease which may arise from reliance on information contained on this site. Do not use information found on this site for diagnosing or treating your pet. Anything you read here is for information only.

Customer reply:

Thanks for that suggestion of the x-rays for tooth roots. I will suggest that to my vet.

With her, she is doing great one day, then the next day she is in so much pain she can't eat. I have no advance warning. So I get her to the vet as quickly as possible for the depo, but it takes it a good 2 days before she can eat again. The depo has been lasting approximately 21 days between shots.

I have Buprenex on hand for her, but unfortunately once the pain starts, she refuses to allow me to give it to her because she hurts. Holding her by the nap of the neck and forcing it in her mouth only makes her hurt more.

After my visit yesterday, my vet says we are going to suspend the use of the Atopica because it's not helping. We got another depo shot, and we added prednisone once daily to see if we can get her past the 21 day mark for the depo. I understand the risks involved there concerning the possibility of diabetes developing, but at this point I am up against a wall.


Online vet, Dr. Marie

Dr. Marie replied:

This sounds like a very difficult case. The only other thing I could suggest is to ask your vet whether a referral to a veterinary dentist could possibly help.

I really wish I could offer more.

Dr. Marie



Search for similar questions:

ask a vet

Popular questions...

Bleeding after whelping. My female dog is now bleeding again 8 weeks after having her pups. Now I know she's... (60715 views)

Cat losing clumps of fur Our beloved 9 yo old male cat Gretzkey is ripping his hair out in clumps. Our house... (33023 views)

Crusty scab on cat. Last week I noticed a bare patch of skin on the back of my cat's neck about the size... (8690 views)

Large liver and spleen. Male cat 10 yo & neutered has enlarged pancreas and spleen, slightly enlarged liver.... (16032 views)

Dog leaking urine. Good Evening. Charlot is a rescued dog so I do know his history prior to his new... (10155 views)

Deformed leg on puppy. I have a Pomeranian Maltese that gave birth early yesterday morning. When going to... (6991 views)

Too aggressive petting? My cat enjoys having his bum smacked over and over. Hard. He's neutered male - he... (10282 views)

Should we continue with antibiotics? Dear Dr. Marie, I'm writing about my cat who had a skin allergy which started... (4941 views)

Are bully sticks safe? My dog loves to chew on bully sticks. I think it's kind of gross that it is a... (15410 views)

CCNU chemotherapy. My 12.5 year old Boxer mix was diagnosed with malignant melanoma last week. Surgery... (8366 views)

See all questions...

Dr. MarieDr. Marie is a veterinarian who practices in a busy animal hospital in Ottawa, Ontario. She created Ask A Vet Question as a resource for good, accurate veterinary advice online. Dr. Marie treats dogs, cats, hamsters, guinea pigs, and rats. She has been a vet since 1999.

Is an online vet visit just as good as a trip to your veterinarian? No! But, many times, asking an online veterinarian a question can help save you money. While Dr. Marie can't officially diagnose your pet or prescribe medications, she can often advise you on whether a vet visit is necessary. You can also ask Dr. Marie for a second opinion on your pet's condition.