My cat has severe gingivitis & drooling. Should I test for Bartonella?

From this picture the level of plaque does not justify the gingivitis, as there is not much plaque on Mimi's teeth. So it could be that the nature of gingivitis is viral, or it could be just immuno-mediated. Further testing is required to understand if the cause is a virus. If these test are not available, then symptomatical treatment is advisable. Flagyl is an antibiotics that we commonly use for gastro-intestinal bacteria so perhaps I would consider a different antibiotic with a broader spectrum.

I'm very sorry to hear about Taiga, this is a horrible condition. With the combination of gingivitis extending into the pharynx, it sounds like your vet has diagnosed what we would know as gingivostomatitis in the UK. Which basically means the mouth as well as the gums gets horribly inflamed, ulcerated and sore. It is a tricky condition to treat but very much needs to be tackled head on as it is so painful. It would be a great idea to get your vet to run bloods first as a general health check for possible complicating factors thsy could effect treatment options, also an FIV FELV panel would be useful. Regarding treatment the key is to reduce the bacteria in the mouth and try and suppress the immune system. Various drugs combined with oral rinsing can help to achieve this, however results can be unsatisfactory and any benefit is temporary. You could certainly try and see how well Taiga responds. The other option for severe gingivostomatitis is full extraction of the teeth as you mention. Although it sounds extreme once the teeth are fully removed the mouth heals and there is no more inflammation as the source is gone. I would strongly recommend approaching a vet with extensive experience in feline dentistry as it is imperative that all teeth are removed fully. This may end up being the best option, but in the mean time bloods and meds will help. I hope you find a comfortable solution for Taiga.

Unfortunately gengivostomatitis (gums inflammation) can be a very frustrating disease. It is a very good news that Symba is FIV (Feline Immunodeficiency Virus) negative but inflammation might be also secondary to infection as feline herpesvirus or feline calicivirus (an oral swap could be done and viruses can be isolated in laboratories). If neither herpes or calicivirus are involved, it is very likely that the inflammatory disease is due to an abnormal response of the oral immuno-system. In the future the disease might remain stable and no other treatment are necessary but if the symptoms get worse might be necessary to start: antiinflammarory drugs, drugs to suppress the immune system and control the proliferation of bacteria within the mouth. In severe cases surgical management (removal of all of a cat’s teeth) might be the only solution.

That looks like pretty painful gingivitis. There also may be some lesions on the neck of the canine tooth (FORL). Your vet will inspect the whole mouth and may suggest a tooth cleaning under anesthesia where the teeth are also cleaned underneath the gingiva. Unfortunately the teeth can look very clean, but underneath the gingiva bacteria congregate and cause tooth decay, inflammation, and, in serious cases, heart and kidney disease, This is not an emergency, but should be addressed soon.

I am sorry to hear that Sweety has a painful mouth. Unfortunately, gingivitis/stomatitis in cats can be very severe and quite debilitating. It can be made even worse in cats that have other immune issues, such as allergies or FeLV/FIV infections. Antibiotics and immune-suppressive medications can be used in mild cases. Thorough dental cleaning will help many of these cases more than just medical treatment. However, many cats will need all or most of their teeth pulled to ease the pain. The pain and inflammation is caused by an immune reaction to the tartar. Since we can't completely prevent tartar build up on the teeth, often removing the teeth is our only option. Obviously this is quite a bit more expensive than a simple teeth cleaning. I recommend discussing your options with the veterinarian that has treated Sweety as far as medications or financing for the dental cleaning. Here is some more information that you may find helpful: https://www.petcoach.co/article/7-smart-solutions-for-pet-care-financing/ http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=170

Hi and thanks for your request. These signs could be due to severe gum inflammation and even infections, with abscesses building up on the dental roots (so sometimes not completely visible. These signs are quite concerning and another check up would be needed as antibiotics may be best given. Multiple dental extractions and cleaning are recommended in these cases. Hope this answer was helpful, but please do not hesitate to contact us again on the forum or by requesting a consultation if you have any more questions or to discuss it any further. If this answer was helpful please let us know, this will be used to improve our service!

Felv is most commonly seen in kittens and young cats. She could have FIV but I expect she was already tested for it. This could be due to cancer or an autoimmune disease. It also may not be clinically important. I would continue with feeding canned food and have a follow up blood panel and have them check her teeth then. She may need a dental cleaning or antibiotics for the gingivitis. Thanks for using Petco Pet Education Center, formerly Petcoach to help you care for Gazou.