Disease Guide

Oral Stomatitis & Mouth Ulcers in Dogs and Cats: Symptoms, Diagnosis & Care [2025]

Inflammation and ulceration of the oral mucosa — especially common in cats

Last updated: 2026/01/06
Pethealthmap Editorial Team
Sources: WSAVA, AVMA, National Taiwan University Veterinary Hospital

When to See a Vet

Seek immediate veterinary care (emergency)

  • Unable to eat or drink for more than one day and appears depressed
  • Persistent heavy bleeding from the mouth that is difficult to stop on its own
  • Accompanied by difficulty breathing or obvious trouble swallowing

Schedule a veterinary visit as soon as possible (within 24-72 hours)

  • Clearly reduced eating or intermittent refusal to eat
  • Persistent drooling or frequent lip licking that affects daily activities
  • Redness, swelling, ulcers, or abnormal patches in the mouth

01What symptoms indicate something is wrong?

Oral stomatitis and ulcers are often painful; changes in eating habits and overall energy level are the most common signs.

  • Pain when eating, difficulty chewing, or intermittent refusal to eat
  • Increased drooling, especially noticeable during meals or when licking
  • Visible redness, swelling, ulcers, or white or blood-tinged patches in the mouth
  • Noticeable bad breath or oral bleeding, possibly accompanied by weight loss
  • Decreased activity, lethargy, and persistent loss of appetite

02How can you assess the situation at home? Key things to watch for and when to go to the emergency clinic

Observing and recording details at home helps the vet quickly understand the progression and severity of the condition.

  • Note when symptoms first appeared and whether they are worsening daily or coming and going
  • Measure and record daily food intake and any food preference changes (e.g. switching from dry to wet food)
  • Observe whether energy levels or activity have dropped, or if your pet seems unusually sleepy
  • Take photos of the mouth or short videos of eating to share with your vet at the appointment
  • Monitor urination and defecation for normality to help rule out systemic disease
  • If there is ongoing bleeding, note how often and how much, and seek veterinary care promptly

03How will the vet diagnose the problem? Common diagnostic tests

The vet will combine blood work, imaging, and cytology or biopsy to determine the underlying cause and guide treatment.

Complete blood count (CBC)

assess for infection or anaemia

Biochemistry panel

evaluate liver, kidney, and metabolic function

Urinalysis

help identify whether a systemic disease is contributing

Dental X-rays

examine tooth roots and surrounding bone for changes

Cytology (impression smear)

preliminary differentiation between inflammation and neoplasia

Biopsy if needed to confirm a pathological diagnosis

04What treatment and aftercare is needed? Medications, diet changes, and home care guide

Treatment typically includes pain management and inflammation control; diet adjustments and scheduled follow-ups are also part of the care plan.

  • Pain relief and anti-inflammatory medications to manage oral pain and swelling
  • Short-term hospitalisation when necessary to monitor food intake and pain levels
  • Switch to soft, wet, or pureed food to reduce discomfort during eating
  • Regular recheck visits to assess healing and perform debridement or dressing changes as needed
  • Ongoing monitoring of weight and appetite — report any concerning changes to your vet promptly
  • Follow-up at a clinic experienced in veterinary dentistry or oral medicine is recommended

05What should you prepare before seeing the vet? Key information to help the vet identify the cause quickly

1
Write down when symptoms started and how they have changed day by day
2
Record food and water intake over the past three days to share with the vet
3
Bring a list of any current medications or supplements to avoid missing anything
4
Take clear photos or short videos of the affected area in the mouth before the visit
5
Bring any previous test results or imaging files if available
6
Consider calling ahead to book a clinic that offers dental examination and oral care

This content is for reference only and cannot replace a professional veterinary diagnosis. If your pet shows signs of illness, please seek veterinary care promptly.

Frequently Asked Questions (FAQ)