Stomatitis and "possible" FIP. Don't know what to do...

12catcrazy

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Hi all, I'm a brand new member of this site and found it while searching for answers to some questions.

My middle-aged, black cat, Bubba,, was just diagnosed with Stomatitis.  His mouth is a total disaster area and my choice is going to be either euthanize him or have all of his teeth taken out.    I've read that cats do fine without any teeth, so that's no concern, unfortunately, money is an object and this operation will probably run into at least 3 thousand dollars - gulp.  

My vet insisted on having some expensive blood work done before giving me a referral to the dental specialist.  He tested Bubba for FIV, FIP, FeLuke, and bartonella as well as a regular workup panel.

Thankfully,  Bubba was negative for FIV and Leukemia, but the vet thinks there is a possibility of FIP because his FCoV antibodies were "very high" as well as some sort of protein also being "very high".  At first the vet advised me to euthanize Bubba, but I told him that I'd rather wait for the bartonella test to come back before I make a decision.  

Other than his mouth being a mess, Bubba hasn't had any other symptoms of being sick, and he is not showing any signs of "wet" FIP.    I am going to ask for a copy of the blood tests and try and get a second opinion because I don't want to doom my cat if he could get better by having dental surgery, but on the other hand , I don't want to spend thousands of dollars in vain (and believe me, I've "been there, done that").  

Could FIP cause severe stomatitis?   I've done alot of reading about stomatitis and haven't found much of anything about FIP being a possible cause.  Can a cat have FIP and not show other symptoms of it?  Can a raging mouth infection cause the elevation in those proteins the vet told me about?  

I want to trust my vet but I don't have a history with him (my long-time vet recently left the area), and he said something that disturbed me.  He said that Bubba could infect my other cat with FIP, and from everything I've read about FIP,  one cat doesn't infect another with it.   The other cat could be infected with some kind of corona virus but not actual FIP which comes from a mutated form of corona virus.  My other cat, Chai, has lived with Bubba since they were both kittens, and I told the vet that if she was going to be infected, it would already be a done deal.

Thank you for reading this very long post.  Does anybody have any suggestions or experience with this, and should I just go ahead and ask for the referral to the dentist anyway and see what he says about the blood tests?    I've been owned by cats for over 35 years and this is a first. 
 

stephenq

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Hi all, I'm a brand new member of this site and found it while searching for answers to some questions.

Thank you for reading this very long post.  Does anybody have any suggestions or experience with this, and should I just go ahead and ask for the referral to the dentist anyway and see what he says about the blood tests?    I've been owned by cats for over 35 years and this is a first. 
Hi and welcome to TCS despite the circumstances. 

I'm concerned because there is no specific test for FIP, and the tests your vet done are usually performed to assist in a diagnosis when there are already obvious symptoms.  Many cats get Stomatitis and I know of no connection to this and FIP.  I would get a second opinion.
 

maureen brad

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I just went through this before my cats dental extractions. His blood count came out high for things indicating FIP too. My vet however, explained to me that given his middle -aged status ( &) it was unlikely and he had no other symptoms. She told me other things could make the blood count high and that it is usually kittens who have FIP. FIV is not linked with FIP. Even if your cat had FIV he could still live a long healthy life . My Remy is FIV + , he has stomatitis and has had 2 surgeries . He now only has his 4 fang teeth left. Those will come out in 2 weeks. My advice is go straight for the full mouth extraction. In the end it cost less. Remy came through surgeries fine. He can do everything he ever did and he feels so much better ( except right now he has a cold) he is playful and happy and he can eat kibble. I just do not give the cats kibble anymore.If you can afford the surgery do it. You will be glad you did. Keep in mind, surgeons require blood work to be done within 4 weeks of surgery. Try to decide quickly or you will end up paying for the same blood work again. Good luck.
 

maureen brad

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I also wanted to add this, from Dr. Arnold Plotnicks site

"Nearly every veterinary diagnostic laboratory offers a “FIP test” to veterinarians.  This test is simply a test to measure the presence of antibodies against coronaviruses.  These coronavirus-specific antibodies are present in 80-90% of cats in catteries, and in 10-50% of cats in single-cat households.  The presence of antibodies in the blood stream DOES NOT mean that the cat has FIP.  Only 5-10% of coronavirus-infected cats develop FIP in a cattery setting, and the incidence is much less in a single-cat household.  "

As I understand it the chances your cat has FIP are not that great.
 
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12catcrazy

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Thank You to all who have posted a reply to my post.   And Thank You Maureen, as I really appreciate from hearing from someone who has gone through this.   I'm still waiting on the bartonella test to come back but I'm going to pick up a copy of the other blood tests tomorrow and request that the vet put through the referral to the dental specialist.   Other than his mouth hurting, Bubba seems okay in every other respect.  He's currently on antibiotics which are easing some of the infection in his mouth so he is actually eating and seems very hungry.  He has also been more interesting in interacting with me and his feline housemate, so he doesn't appear to be an FIP victim (my understanding has been that those cats get really ill).  

I will update with news on his condition.   Again, thanks everybody! 
 

Taro and Matcha

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Hi,
How is Bubba doing now? I have a cat who has a similar case of suspected FIP and stomatitis? Did Bubba get a dental surgery?
 
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12catcrazy

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Hi,
How is Bubba doing now? I have a cat who has a similar case of suspected FIP and stomatitis? Did Bubba get a dental surgery?
Oh my - I had forgotten all about my original post! Well, Thank God I didn't have Bubba euthanized as the vet suggested. Luckily, I had the money to have all his teeth taken out (I went to a vet dental specialist) and he did very well afterwards. He's been fairly healthy since but had a bout of pancreatitis not all that long ago. As of this writing, he's doing okay - and he didn't have FIP, FIV, or anything else of that nature. I've now come to believe that stomatitis may be more of an autoimmune condition. It may be triggered by bacteria or a virus, but it doesn't mean a cat has something horrible like FIP. I recently read somewhere that even the standard feline herpes virus may act as a trigger in some cats.

Anyway, if you can afford the dental surgery, go ahead and do it if the cat doesn't have FIP and get a second opinion if you need to. I'm so glad I didn't let this vet talk me into killing a cat who is still alive and well 3 1/2 years later!
 

Furballsmom

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I'm so glad I didn't let this vet talk me into killing a cat who is still alive and well 3 1/2 years later
Granting that every cat and situation is different, this time for you 'going with your gut instinct' REALLY paid off, GOOD ON YOU!!
 
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