Common conditions of pet snakes include infectious stomatitis, parasites, skin infections, inclusion body disease, respiratory disease, and septicemia. Infectious stomatitis may not be a primary disease but may be secondary to an injury to the mouth or to husbandry issues such as poor nutrition, improper environmental temperature or humidity, or overcrowding. Both internal parasites and external parasites may cause diarrhea, breathing difficulties, regurgitation, swelling of internal organs, itching, skin irritation, anemia, mouth infection, and weight loss. Cryptosporidiosis can cause thickening of the stomach muscles, impaired digestion, vomiting, and weight loss. Dermatitis is often seen in snakes kept in environments that are too moist and/or dirty. Inclusion body disease is a serious viral disease in which affected snakes cannot right themselves when placed on their backs, may appear to be star gazing, and may be paralyzed. Most respiratory infections in snakes are caused by bacteria but may also be caused by viruses, fungi, and parasites. Septicemia in snakes occurs when bacteria and their toxins proliferate in the blood stream causing lethargy, lack of appetite, open-mouth breathing, red discoloration to the scales, and death.