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AIVetTree · Cat Oral Health Guide

What Is Feline Stomatitis? Symptoms and Signs of Pain

Written and reviewed by the VetTree veterinary team · Last updated July 19, 2026 · reference information

Feline chronic gingivostomatitis (FCGS) is an extremely painful inflammation of the oral lining. It is reported in up to approximately 10% of cats and is marked by drooling, reduced appetite, and severe pain. It cannot be managed with home care alone and requires veterinary care.

What is stomatitis?

It is severe inflammation that spreads beyond the gums across the entire oral lining. An excessive immune response to calculus and plaque is considered a major factor, while viral infections such as FIV or bacterial infections may act as triggers. Severe pain can greatly affect quality of life.

What the numbers show

  • Up to approximately 10% of cats are reported to develop chronic gingivostomatitis. (Cornell Feline Health Center)
  • Fewer than half of cases achieve complete remission with treatment, making early detection and care important.

Signs to watch for

What to look forWhat it may mean
Heavy drooling (sometimes blood-tinged)Oral pain and inflammation
Approaches food but wants to eat and cannot, with weight lossSevere pain
Paws at the mouth or avoids touchPain
Gums or oral lining are red, raw, or ulceratedInflammation and ulceration
Strong bad breath and reduced groomingInflammation and declining condition

Why is veterinary care necessary?

Stomatitis is often very painful and cannot be resolved with home care alone. Treatment begins with calculus removal under anesthesia, and in many cases partial or full-mouth extraction is considered the most effective treatment. If you see these signs, seek veterinary pain management and treatment rather than waiting.

Frequently asked questions

Does feline stomatitis go away on its own?

It usually does not resolve on its own. This painful chronic inflammation needs veterinary treatment, including calculus removal and often tooth extraction, along with pain management. Fewer than half of cases reach complete remission, so early care matters.

Does stomatitis require tooth extraction?

Partial or full-mouth extraction is considered the most effective treatment in many cases. The plan depends on the individual condition and should be decided after a veterinary examination.

How are stomatitis and gingivitis different?

Gingivitis is early, reversible inflammation limited to the gums. Stomatitis is much more severe and painful inflammation that extends across the oral lining and requires veterinary care.

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