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Mouth Ulcers in Cats UK — Causes, Signs & When to See a Vet

Published Last updated 4 min read

Quick answer

Mouth ulcers are painful and often stop cats eating. Drooling, bad breath, pawing at the mouth and food dropping from the jaw are common signs. Because cats can develop fatty liver disease when they stop eating, painful mouths need prompt vet assessment — not a wait-and-see approach.

What mouth ulcers look like

According to the PDSA and International Cat Care, mouth ulcers are sore, red or yellow areas on the gums, tongue, palate or lips. Owners may not see ulcers directly — cats often hide mouth pain — but behaviour changes are telling:

  • Drooling or wet chin fur — see Cat drooling excessively
  • Bad breath (halitosis)
  • Pawing at the mouth or shaking the head
  • Dropping food or chewing on one side only
  • Not eating or preferring soft food — see Cat not eating
  • Weight loss over days to weeks
  • Hiding or aggression when the face is touched

Any cat that has not eaten for 24 hours needs veterinary attention the same day.

Common causes in UK cats

Dental disease

Tartar, gingivitis and tooth root abscesses are the most common cause of oral pain in adult cats. Bacteria under the gumline inflame tissue and create painful lesions. Regular Cat dental care UK reduces risk.

Feline calicivirus (FCV)

FCV is a common upper respiratory virus in multi-cat households and rescue cats. Some strains cause painful tongue and gum ulcers alongside sneezing and eye discharge. Vaccination reduces severity but does not prevent all strains — see Cat vaccination schedule UK.

Feline chronic gingivostomatitis (FCGS)

FCGS is severe inflammation of the gums and back of the mouth. Affected cats may have widespread ulcers and extreme pain. Diagnosis and treatment often need a vet with dental expertise; extraction of affected teeth is sometimes required.

Kidney disease and other illness

Advanced Kidney disease in cats can cause uremic stomatitis — ulcers linked to toxin build-up. Other systemic diseases may also affect the mouth; blood tests help rule these in or out.

Burns and toxins

Chewing lilies, household cleaners, or hot food can burn the mouth. Never use human mouth gels or aspirin products on cats — they are toxic.

When to see your vet

Contact your vet today if:

  • Your cat has not eaten for 24 hours
  • There is blood in saliva or drool
  • Your cat is lethargic or dehydrated
  • You see ulcers, swollen gums or a broken tooth
  • A kitten or senior cat is affected

What to expect at the vet

Your vet will examine the mouth (often under sedation for a full look), check for FCV, dental disease and systemic illness, and may recommend:

  • Blood tests and blood pressure (especially in older cats)
  • Dental X-rays and extractions if needed
  • Pain relief safe for cats — never human ibuprofen or paracetamol
  • Syringe feeding or appetite stimulants if eating is unsafe short term
  • Referral for complex stomatitis or oral surgery

Home care while waiting for your appointment

  • Offer soft, warm food (tinned fish in water, chicken baby food with no onion/garlic)
  • Keep fresh water nearby
  • Avoid forcing the mouth open — you may worsen pain or get bitten
  • Do not use human dental products unless your vet advises

Prevention

  • Annual dental checks from age one
  • Vaccination against core cat viruses including calicivirus
  • Avoid lilies and toxic houseplants — see Toxic houseplants pets UK
  • Brush teeth if your cat tolerates it — your vet can demonstrate technique

Sources & further reading

Facts in this guide are rewritten in plain English from publicly available UK advice. We name the organisation where a specific point comes from their guidance. Links below go to the original pages — use them to read the source material directly.

PETHEALTH+ is independent. These organisations do not sponsor, approve, or partner with this website. Guidance checked against sources listed below (last updated 2026-06-25).

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Frequently Asked Questions

What causes mouth ulcers in cats?
Common causes include dental disease, feline calicivirus (FCV), feline chronic gingivostomatitis, kidney disease, and burns from chewing toxic plants or chemicals. Your vet needs an oral exam to identify the cause.
How do I know if my cat has mouth ulcers?
Signs include drooling, bad breath, pawing at the mouth, dropping food, weight loss, and reluctance to eat. Some cats hide or become grumpy when touched near the face.
Are mouth ulcers an emergency in cats?
Cats that stop eating for more than 24 hours risk hepatic lipidosis (fatty liver). Mouth pain that prevents eating needs same-day veterinary assessment — do not wait several days.
How are mouth ulcers treated in cats?
Treatment depends on cause: dental extractions, pain relief, antibiotics for secondary infection, antivirals in some FCV cases, and supportive feeding. Severe stomatitis may need specialist dental care.