FIV+ cat with mouth problems

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Morenaflor53 Icon representing the flag Italian
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My cat Stoc, who turned up in my garden about 8 years ago (and was neutered a year later), is FIV positive. After about two years of struggling with faucitis and stomatitis, and trying various treatments including steroids (both injections and oral drops) with no improvement, I had all his teeth extracted as is usually recommended in these cases. After a brilliant recovery, his mouth problems flared up again about two months later. The vet found some papules on his tongue which are causing him pain while eating, to the point that he's completely refusing food. The vet has already tried a course of cyclosporine and anti-inflammatories... but a week later we're back to square one; he's in pain and spits out his food. How can I help him? I've even tried an Aloe oral paste but it doesn't do much.

Translated from Italian
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    Chatzen Icon representing the flag French
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    It sounds like a very difficult situation for him, unfortunately 😔 When an FIV cat continues to have painful mouth sores even after dental extractions, it can sometimes become very complex to manage and some treatments only work temporarily.

    If the steroids and ciclosporine aren’t helping enough, it might be worth asking for an opinion from a specialist vet in dentistry or feline internal medicine, especially if Sto is refusing to eat because of the pain.

    In the meantime, some cats cope a bit better with:

    • very soft or blended food, served slightly warm

    • wet food thinned down with a little warm water

    • small, frequent meals

    • avoiding all dry food or anything irritating

    And honestly, if he’s spitting food out a lot, drooling, or has almost stopped eating, I wouldn’t wait too long before contacting the vet again, as mouth pain can become very severe for FIV cats.

    Thinking of you both ❤️

    Chatzen 🐾

    Translated from French
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