Dental conditions in dogs and cats

Cleft Palate in Puppies and Kittens: Why Early Help Matters

Milk or food coming from your pet’s nose can be more than a messy meal. A cleft palate is an opening between the mouth and nasal passages that can make feeding difficult and allow material to enter the lungs. Prompt veterinary evaluation matters, especially for a newborn or a pet having trouble breathing.

If your pet is struggling to breathe, is weak or collapsing, or cannot feed, contact an emergency veterinarian now.

Veterinary clinical image showing a cleft in the roof of a puppy’s mouth

Clinical image of a cleft palate in a puppy. Image source.

Do not wait for a routine visit if breathing is difficult. Coughing, labored breathing, marked weakness, or inability to feed needs immediate veterinary guidance.

Call DVDP: (302) 463-2879
What is happening?

A gap where the roof of the mouth should close

The palate separates the mouth from the nasal passages. When the tissues do not fully join during development, an opening may remain in the lip, the front part of the roof of the mouth, the hard palate, the soft palate, or more than one area.

Most cleft palates are present at birth and are noticed when a puppy or kitten has trouble nursing. Less commonly, an opening can develop later after injury or disease. The exact cause and treatment depend on where the defect is and how it affects the individual animal.

Why act promptly? Milk, food, or liquid can pass from the mouth into the nose and may be inhaled into the lungs. A veterinarian can assess feeding, breathing, growth, and possible respiratory complications.

Educational diagram of a normal palate and a cleft palate Two simplified side-by-side views of the roof of the mouth. The normal palate is closed; the cleft palate view shows a central opening. THE ROOF OF THE MOUTH TYPICAL CLOSURE The oral and nasal spaces are separated CLEFT PALATE An opening connects the spaces

Simplified educational illustration only. A cleft’s size, location, and shape vary; diagnosis requires a veterinary examination.

Signs worth noticing

Watch for clues during feeding and breathing

Signs can be subtle at first. If you notice one or more of these, contact your veterinarian promptly and describe what happens during or after meals.

01

Milk or food from the nose

Fluid or food may appear at the nostrils while nursing or eating.

02

Difficulty nursing or eating

A young pet may struggle to latch, swallow, or keep food down.

03

Coughing or gagging with meals

Repeated coughing, sneezing, or gagging around feeding needs attention.

04

Poor growth or low energy

Difficulty taking in enough nutrition can affect weight gain and activity.

05

Persistent nasal discharge

Ongoing nasal signs may occur when the mouth and nasal passages communicate.

06

Breathing changes

Labored breathing, rapid breathing, or sudden weakness warrants urgent care.

Emergency signs: trouble breathing, collapse, severe weakness, or inability to feed. Contact an emergency veterinarian immediately.

What happens next?

Evaluation starts with the whole patient

A careful plan looks beyond the visible opening. Your veterinary team will consider the pet’s age, overall health, nutrition, breathing, and whether there may be signs of aspiration or infection.

Examination

The veterinarian evaluates the mouth and palate and reviews feeding history, growth, and respiratory signs.

Assessing related concerns

If indicated, the team may recommend additional testing, such as chest imaging, to assess possible lung involvement.

Individualized care plan

The plan may involve medical support, nutrition planning, monitoring, and consultation about whether and when repair is appropriate.

Treatment depends on the case

Repair planning is specialized care

Some clefts require surgical repair to separate the oral and nasal cavities. The right timing and approach depend on the defect, the pet’s growth and health, and whether complications are present. A veterinary dental or surgical specialist can help assess options and coordinate care.

  • Stabilize breathing and address urgent health concerns first.
  • Build a safe nutrition and monitoring plan with the veterinary team.
  • Discuss whether surgical reconstruction is appropriate for this pet.
  • Follow the specialist’s recovery and recheck instructions closely.

Every cleft is different

A web page cannot determine the type of defect or recommend a feeding method for an individual puppy or kitten. Please speak with a veterinarian before changing how a young animal is fed. Force-feeding can be dangerous when swallowing is impaired.

If you have already received a diagnosis, bring the exam findings and imaging to your consultation so the team can help explain the next steps.

Support for families and veterinary teams

Get a specialist perspective on a cleft palate

Delaware Veterinary Dental & Oral Surgery helps families understand dental and oral conditions and works with referring veterinarians on complex cases. If a puppy or kitten has a suspected cleft, contact your primary veterinarian promptly; our team can discuss referral and next steps.

For veterinarians

Need to discuss a case? Our team can connect referring veterinarians with a board-certified veterinary dentist and anesthesiologist to talk through evaluation, referral, and coordinated care.

Veterinary referral information
Common questions

Cleft palate FAQs

Is a cleft palate present from birth?

Many cleft palates are congenital, meaning the opening is present at birth. Openings can also be acquired later after injury or disease, so a veterinarian should evaluate any suspected defect.

Can a cleft palate affect breathing or the lungs?

It can. Milk, food, or liquid may enter the nasal passages and can be inhaled. A veterinarian will assess breathing and decide whether additional testing is needed.

Does every cleft palate need surgery?

Treatment depends on the cleft’s location and extent, the pet’s health, and any related complications. A veterinary specialist can discuss whether repair is appropriate and how care should be timed.

What should I do if a newborn puppy or kitten has milk coming from its nose?

Contact a veterinarian promptly for guidance. If the pet is struggling to breathe, weak, collapsing, or unable to feed, seek emergency veterinary care now. Do not attempt a new feeding method without veterinary direction.

Can a veterinarian consult with DVDP about a patient?

Yes. Referring veterinarians can use our veterinary referral page to contact the team about a case and discuss coordination of care.