My cat has red gums, and the vet can't find a solution. What's next?

Question

my little flame point siamese has very red gums, have been to the vet for this, but no real solution except breathaliser gel once and a while, and did the blood test for leukemia or something, which was negative, but his gums remain very red, he is eating well, not over weight, 18 months old.... do you have any other suggestions. Pet's info: Cat | Siamese | Male | neutered | 1 year and 10 months old | 11 lbs

Silvia De Cecco, DVM, MRCVS · Accepted Answer

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.

My cat has red gums, and the vet can't find a solution. What's next?

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