Why Your Cat Keeps Licking His Lips and Shaking His Head

Clyde’s owner had been watching him for days, noticing small, strange behaviors like slow lip licks, little head shakes, and that soft clink of his tags each time it happened. By the time they came in, the behavior had been going on for more than a week.

Clyde had lost a bit of weight, so we were both worried it might be something serious. Fortunately, it turned out to be simple: a piece of plastic from a cat toy was hooked around a back tooth, and once I removed it, Clyde felt better right away.

Many cases turn out this way, strange symptoms are caused by something small and fixable. The most common reasons cats lick their lips and shake their heads are mild nausea, dental irritation, or a bit of respiratory inflammation. But sometimes the cause is tucked out of sight or a little more complex, which is why this behavior is worth paying attention to.

Why cats lick their lips and shake their heads

These two movements tend to happen together because cats use them to respond to discomfort in the mouth, throat, nose, or even the stomach. The behavior may be mild or repetitive, sudden or longstanding. 

By far, nausea and dental irritation are the two most common causes I treat in the clinic.

What matters is figuring out how urgently your cat needs help and what you can check at home.

When these symptoms are an emergency

Scenario: A cat crouches low, drools heavily, and paws at their mouth while their sides move in fast, heaving breaths. The lips, tongue, or gums may look pale or slightly bluish. When a cat looks like this, something painful or dangerous is happening and they need immediate veterinary attention.

Most cats who lick their lips or shake their head are dealing with something mild, but there are moments when you shouldn’t wait. Anything that affects breathing is an emergency. 

If your cat is struggling to breathe, breathing with their mouth open, or gagging and can’t stop, they need immediate care. Sudden collapse, extreme lethargy, or drooling while pawing at the mouth also fall into the urgent category. Exposure to a toxin or plant does too, especially if you notice swelling of the face or tongue.

If lip licking or head shaking appears alongside any of these signs, go to the nearest veterinary clinic right away.

What you can check at home right now

You don’t need to pry your cat’s mouth open or do a full exam. A simple, safe look can still tell you a lot. Use a small flashlight and glance at the front of the mouth to see if anything obvious is stuck, like a thread, a piece of a toy, or dried food. 

Notice whether the behavior shows up right after eating or at completely random times. Think about any recent food changes, new treats, or supplements. Keep an eye out for sneezing, runny eyes, drooling, or new chewing motions.

If your cat pulls back or seems uncomfortable, stop immediately. A painful cat can bite even if they don’t mean to.

Pinterest graphic: watercolor style illustration of a cat licking its lips.

7 common causes of lip licking and head shaking

1. Nausea or gastritis

Pattern you might notice: hovering at the food bowl, licking the lips, taking a few small swallows, then walking away.

Nausea is the most common reason cats start licking their lips. Cats can feel queasy even when they don’t vomit. Food changes, hairballs, infections, or internal disease can all trigger this uneasy, back-and-forth behavior. When the lip licking shows up right after meals or when the stomach is empty, nausea is one of the first things we consider.

2. Dental or mouth pain

Pattern you might notice: kitty flinches when chewing, licks or chews on one side more than the other, brief head shakes as if something feels off.

According to Cornell University’s Feline Health Center, cats hide mouth pain extremely well. Instead of pawing at their face or crying out, they make small adjustments: lip licking, chewing differently, hesitating before eating, or suddenly preferring softer food. Tooth resorption, gum inflammation, loose teeth, or a foreign object between molars are common causes.

Vet Tip: Mouth pain in cats is subtle. The smallest changes often tell you the most.

3. Upper respiratory infections

Pattern you might notice: lip licking or swallowing after sneezing, snorting, or having watery eyes.

Herpesvirus and calicivirus irritate the nose, throat, and mouth. That irritation can make cats lick their lips, swallow more often, or shake their head as they try to clear the sensation. Mild cases may look like a simple cold. If drooling, ulcers, or fever show up, your vet should take a look.

4. Foreign object or polyp

Pattern you might notice: sudden lip licking or hard swallows during or right after eating.

A grass seed stuck in the throat, a thread caught on a tooth, or a small toy fragment hidden between molars can all trigger these symptoms. Nasopharyngeal polyps or other tumors, which develop deep in the ear or throat, can create similar discomfort. Many of these problems hide too far back to see at home, so persistent symptoms deserve a veterinary exam.

5. Trauma to the mouth or jaw

Pattern you might notice: stopping halfway through a yawn, avoiding crunchy food, or shaking the head after grooming.

Cats can injure their mouths without anyone seeing the moment it happened. Falls, bites, or awkward yawns can bruise tissue or shift the jaw slightly. Lip entrapment, where the lip catches on a canine tooth, can also lead to repeated licking or small head shakes.

6. Toxins and irritants

Pattern you might notice: lip licking with sudden drooling or moving away from a substance they just contacted.

Household cleaners, certain plants, bitter medications, or essential oils can irritate the mouth quickly. Cats often lick their lips repeatedly or shake their head as soon as the burning or tingling starts. If your cat might have tasted something, bring the product label to your vet.

7. Focal seizures

Pattern you might notice: short bursts of rapid lip licking, jaw movements, or small rhythmic head shakes while your cat remains alert.

Focal seizures affect only part of the brain, so the episodes are brief and easy to miss. They’re less common than the other causes on this list and are usually diagnosed only after more typical explanations have been ruled out.

What to do tonight at home

While you’re waiting to see your veterinarian, your goal is to keep your cat comfortable and notice any patterns.

Offer a small meal of a familiar food and make it soft if chewing seems uncomfortable. If there’s dried food or debris around the mouth, wipe it gently with a damp cloth. Keep your cat indoors so you can see whether the lip licking or head shaking changes over the next several hours.

If stress seems to make things worse, set up a quiet space away from kids, visitors, or other pets. A calm environment often makes these symptoms easier to evaluate.

If you suspect nausea, stick to small, frequent meals and avoid any new foods, treats, or supplements. It’s also helpful to pause recent diet changes until things settle.

Monitoring at home is reasonable when your cat is eating normally, not drooling or gagging, and acting like themselves between episodes. If symptoms continue for more than a day or two or worsen at any point, it’s time to call your veterinarian.

When to see your vet: decision table

SituationWhat to do
Trouble breathing, open-mouth breathing, severe drooling, weakness, severe distressGo to emergency vet immediately
Something stuck in mouth that you can’t remove safelySeek urgent veterinary care
Lip licking with vomiting or refusal to eatCall your vet within a few hours
Lip licking after exposure to a plant, cleaner, essential oil, or unknown substanceContact vet or poison hotline
Mild intermittent lip licking with otherwise normal behaviorMonitor at home and schedule a routine appointment
TB Thompson, DVM professional headshot

Author: TB Thompson, DVM is a veterinarian with 20+ years of experience in clinics, emergency medicine, and community shelters. She started Natural Pets HQ to give pet owners accessible, trustworthy guidance written by a real vet.

The content provided on NaturalPetsHQ.com is for general information only. It is not meant to replace individualized medical advice from your own veterinarian. Read more on the Privacy Policy and Terms of Use page.

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References

  1. Davidson, J. R. (2014). Otopharyngeal/otic polyps in cats. Current Techniques in Small Animal Surgery, 5th ed.; Bojrab, MJ, Waldron, DR, Toombs, JP, Eds, 232-235.
  2. Hsuan, L., Biller, D. S., & Tucker-Mohl, K. (2017). Open mouth jaw locking in a cat and a literature review. Isr. J. Vet. Med, 72, 54-59.
  3. Wong, V. M., & Jaffe, M. H. (2018). Pathology in Practice. Journal of the American Veterinary Medical Association, 252(3), 297-299.