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HI this is DRB and I agree that the smacking is not normal.The two things that I would be most concerned about would be a feline resorptive lesion in her mouth especially since she is tilting her head when she does this. The only way to find these is to have her teeth cleaned and xrayed and the resorptive lesion removed if necessary. The other possibility would be nausea due to some type of GI or internal disease but this should be ruled out very easily with bloodwork and history. I would recommend that she have a CBC, chem panel, T4 ,lytes and UA along with felv, FIV and heartworm testing. If all this is clear I would have her put under anesthesia and have her teeth cleaned and xrayed to look for problems. The most likely area of her problem is definitely her mouth. This needs to be ruled out first and I don't believe that it has. Tartar has to be removed to find a resporptive lesion and this can be very painful. I hope this helps but if you have additional questions or concerns please let me know as I check my computer each night. Sincerely, DRB
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I would be happy to look at some practices for you. But I don't know anyone there personally. Let me see what I can find. I have visited Sevierville many times....very nice place.......get back to you in a little bit...
This vet is board certified in dentistry and can rule in/out dental problems once and for all. And if it is not a dental problem can probably tell you what it is. Hope this helps you. Sincerely, DRB
I will be back online tomorrow night if you need further help. Sincerely, DRB