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The Shih Tzu, a beloved toy breed identified for his or her charming persona and opulent coat, is mostly a long-lived breed however could be liable to many well being points.
Understanding these frequent well being issues, starting from respiratory difficulties to eye and joint situations, will help you present higher care and catch warning indicators early.
10 Frequent Shih Tzu Well being Issues
The Shih Tzu has been among the many prime 20 hottest breeds within the U.S. for a few years. Nonetheless, it’s essential to know that Shih Tzus undergo from many well being issues resulting from breeding requirements and practices.
I spoke with Dr. Rebecca MacMillan, BVetMed, BSAVA, PGCertSAM, MRCVS, to achieve insights from a working towards veterinarian relating to well being considerations in Shih Tzus. Dr. MacMillan is a veterinarian and surgeon at a small animal clinic within the U.Ok.
Drawing from Dr. MacMillan’s experience and my analysis, I’ve compiled an inventory of the highest 10 prevalent well being points affecting Shih Tzus. It’s essential to pay attention to the signs related to every situation so to attain out to your veterinarian promptly should you observe any indicators.
1. Brachycephalic Obstructive Airway Syndrome (BOAS)
Do Shih Tzus have respiration issues? Sure, many can. Dr. MacMillan explains, “The Shih Tzu is a brachycephalic breed which means it has a flattened face. This causes a number of points for these little canine.” All flat-faced breeds like Shih Tzus, Pugs, French Bulldogs, and so on., have some type of genetically inherited brachycephalic obstructive airway syndrome (BOAS).
BOAS causes a number of anatomical deformities that have an effect on their respiration, together with slender slit-like nostrils, an overlong taste bud, and a slender windpipe. Nonetheless, these abnormalities differ of their severity.
“This could additionally have an effect on their potential to train freely, Dr. MacMillan shares. “Affected animals could snore or should sleep in sure positions to assist the air circulate extra easily into their lungs.”
BOAS Signs
Canines with BOAS can exhibit the next signs, starting from gentle to debilitating.
- Noisy respiration
- Snuffling
- Loud night breathing when sleeping or relaxed
- Coughing and raspiness
- Reverse sneezing
- Train intolerance (snorting with train)
- Warmth intolerance
- Gagging and retching
Prognosis & Therapy
It’s important to have your vet verify your Shih Tzu each one or two years for vital indicators of BOAS, as this situation can progress throughout their lifetime.
Therapy will depend on the severity.
- Milder circumstances: managed with weight management, restricted train, and avoiding scorching temperatures and stress.
- Reasonable to extreme circumstances: surgical procedure will help enhance airflow.
2. Pores and skin Issues
Shih Tzus have deep facial and tail folds, creating very best environments for rising moisture, micro organism, and yeast. These situations result in frequent bouts of pores and skin fold dermatitis and different pores and skin infections.
Cleansing your pup’s pores and skin folds often will help stop infections from creating. I like to recommend utilizing Vetnique Labs Dermabliss Medicated Wipes.
Different pores and skin issues many Shih Tzus face are resulting from allergy symptoms or intolerances to one thing of their atmosphere or meals components.
In reality, this breed is genetically predisposed to atopic dermatitis, which is attributable to inhaling or having direct pores and skin contact with environmental allergens (pollen, mud mites, grass, mould spores, and so on.).
Allergy Signs
In contrast to people, canine allergy signs sometimes current as pores and skin issues.
- Extreme scratching, licking, or chewing
- Purple and infected pores and skin
- Papules or pustules (pus-filled lesions on the pores and skin that resemble human pimples)
- Dry or flaky patches of pores and skin
- Patchy fur loss
- Itchy ears
- Swollen face and paws
Allergy Prognosis & Therapy
It’s typically tough to find out what’s inflicting your pup’s allergy symptoms, so the very best plan of action is to seek the advice of your veterinarian.
Your vet will help decide attainable causes by means of a scientific means of elimination and will even wish to conduct allergy assessments.
Therapy choices range primarily based on the trigger, however testing and potential lifelong therapy, together with allergy drugs or prescription pet food, can get fairly costly.
Contemplate An At-Residence Canine Allergy Check
If you’re not sure what’s triggering your pup’s allergy symptoms, it’s possible you’ll wish to contemplate an at-home allergy take a look at. These assessments could assist establish meals components and environmental components which may be an issue.
You’ll be able to share your outcomes along with your veterinarian to presumably slender down your canine’s offending allergens and decide a therapy plan.

3. Ear Infections
Shih Tzus are liable to recurring ear infections resulting from genetics, allergy symptoms, and their floppy, furry ears that lure moisture.
This creates an very best atmosphere for micro organism, yeast, and mites. If untreated, ear infections could cause vital ache and result in severe ear injury.
Ear An infection Signs
- Scratching the ear or areas across the ears
- Redness or swelling
- Ear odor
- Yellow, brown, or bloody discharge
- Fur loss across the ear
- Scabs or crusted pores and skin close to the ear flaps
- Rubbing the ear on the ground or furnishings
Prognosis & Therapy
Ear infections are identified by means of a vet’s inspection and testing of ear discharge.
Therapy consists of thorough cleansing and oral or topical meds like antibiotics, antifungals, or anti-inflammatories. A follow-up examination ensures the an infection is absolutely cleared.
4. Luxating Patella
“Like many small breeds, the Shih Tzu is liable to a joint situation referred to as luxating patella,” says Dr. MacMillan. “On this situation the patella (kneecap) slides out of its regular place. Relying on the severity it could actually trigger intermittent limping, ache and the early onset of arthritis.”
Analysis has proven that Shih Tzus are among the many breeds most prone to a luxating patella. Although it typically resolves briefly, it tends to recur and continuously impacts each hind legs.
Luxating Patella Signs
- Limping
- Hopping
- Skipping
- Strolling on three legs
- Stiff legs and gait
Prognosis & Therapy
Diagnosing a luxating patella entails a bodily examination and X-rays, with superior imaging like CT or MRI in some circumstances.
Therapy could embrace weight administration, joint dietary supplements, ache drugs, and train restriction. Nonetheless, surgical procedure is often really useful.

5. Hip & Elbow Dysplasia
Though situations that often have an effect on bigger breeds, hip dysplasia and elbow dysplasia are frequent in Shih Tzus.
Each situations are attributable to the irregular growth of the joints. They result in elevated discomfort, diminished mobility, and infrequently arthritis.
Hip/Elbow Dysplasia Signs
- Ache or discomfort throughout train
- Lameness
- Stiff again or entrance legs
- “Bunny hop” like run (with hip dysplasia)
- Stiffness getting up or working
- Struggling to stroll up the steps or take lengthy walks
- Problem getting up from resting
- Irregular gait
- Lack of enjoyment with bodily actions that have been beforehand pleasing
Prognosis & Therapy
Your veterinarian will palpate the elbow or hip joint and take an X-ray of the stricken joint to make the prognosis.
Relying on the severity of hip dysplasia, therapy choices could embrace joint dietary supplements, bodily remedy, anti-inflammatory medicine, and weight management.
Surgical procedure is usually required in additional extreme circumstances of hip dysplasia. Whole hip substitute is probably the most profitable surgical process.
Surgical procedure is continuously obligatory for the therapy of elbow dysplasia.

6. Intervertebral Disc Illness
Intervertebral disc illness (IVDD) is a genetic situation that may have an effect on Shih Tzus and different small breeds. It happens when the smooth discs between the bones within the backbone (vertebrae) slip or bulge misplaced.
This could put strain on the spinal wire and surrounding nerves, resulting in severe ache, nerve injury, and even paralysis.
IVDD is also called a “slipped disc” or “herniated disc,” and it’s typically linked to disc degeneration over time.
IVDD Signs
These indicators can happen slowly (over a number of weeks to months) or quickly (over minutes to hours). Most canine develop indicators over just a few days.
- Irregular, unsteady strolling
- Hunched again or neck with tense muscular tissues
- Crying out in ache
- Lack of bladder or bowel management
- Paralysis
IVDD Prognosis & Therapy
To verify for IVDD, your vet will study your canine’s neck, again, reflexes, and ache response. X-rays will help spot points, however a CT scan or MRI could also be wanted to obviously view the spinal wire.
Therapy will depend on severity:
- Gentle circumstances: Ache meds, anti-inflammatories, restricted exercise, and bodily remedy.
- Extreme circumstances: Surgical procedure could also be wanted to forestall paralysis.
Early prognosis and correct care are key to restoration.
7. A number of Eye Problems
Because of the form of their skulls and eye sockets and genetics, Shih Tzus (and different flat-faced breeds) are at a excessive threat of ocular well being issues.
Additionally, as a result of their eyes protrude, they’re extra liable to damage, corneal ulcers, and infections.
Probably the most frequent eye issues Shih Tzues sometimes expertise are:
Cataracts
Cataracts, frequent in lots of canine (and people), happen when the lens turns into firmer and fewer clear.
Because the cataract matures, it turns into cloudy and blocks increasingly more mild from reaching the again of the attention till imaginative and prescient is misplaced. Therapy requires surgical procedure.
Cherry Eye
Cherry eye happens when the tear gland of a canine’s third eyelid prolapses and protrudes from the attention socket. It’s continuously a recurring downside.
You’ll discover a big, pink, or pink mass within the nook of your pup’s eye. Normally, surgical procedure is really useful to maintain the gland in place.
Dry Eye
Dry eye, additionally referred to as keratoconjunctivitis sicca, is a power situation attributable to a scarcity of tear manufacturing. It causes irritation of the cornea.
Therapy sometimes is the common use of vet-prescribed tear-stimulating drops.
Entropian
Entropion is a hereditary situation involving inward rolling of the highest and/or backside eyelids.
This causes the eyelashes to rub towards the cornea, leading to power irritation and corneal ulcers. Therapy requires surgical procedure.
Distichiasis
Distichiasis is one other eyelid dysfunction that happens when additional eyelashes develop from the eyelid margin fairly than the eyelid pores and skin.
These hairs rub towards the attention floor, inflicting irritation and irritation. Therapy sometimes entails electrolysis and surgical removing of the hair follicles.
Eye Dysfunction Signs
Except famous above, many eye issues share comparable signs.
- Eye sensitivity
- Squinty eyes
- Repeated blinking
- Bloodshot or cloudy eyes
- Yellow or inexperienced discharge
I’ve misplaced depend of the variety of eye points I’ve handled in Shih Tzus. One little canine ended up dropping a watch resulting from a severely contaminated corneal ulcer. Regardless of our greatest efforts, the ulcer wasn’t responding to medical therapy, and I ended up having to carry out an enucleation to surgically take away the eyeball.
Her eye was painful and non-visual, so following the surgical procedure, the canine was a lot brighter and rapidly realized to adapt. For this reason it’s so vital to take your canine to the vet for a check-up should you discover something uncommon about their eyes.
– Dr. Rebecca MacMillan
8. Coronary heart Illness
As Shih Tzus age, they will develop mitral valve illness (MVD). This occurs when the valve between the guts’s chambers doesn’t shut correctly, inflicting blood to leak.
Over time, this will result in an enlarged coronary heart, fluid within the lungs, and, ultimately, congestive coronary heart failure — a main reason for loss of life in senior Shih Tzus.
MVD Signs
- Persistent coughing
- Respiratory issue
- Weight reduction
- Diarrhea
- Fatigue or lethargy
- Intolerance to bodily exercise
- Blue or grey gums
- Collapse
Prognosis & Therapy
Mitral valve illness (MVD) is identified with an echocardiogram (coronary heart ultrasound). If coronary heart failure is suspected, chest X-rays could also be used to verify for fluid within the lungs.
Therapy will depend on the illness stage:
- Early stage (no coronary heart enlargement): No therapy is required but.
- Coronary heart enlargement: Pimobendan will help delay coronary heart failure.
- Coronary heart failure signs: Medicines like diuretics, rhythm stabilizers, and electrolyte assist could also be required.
Surgical procedure is feasible however invasive, costly (round $50,000), and never very best for all canine. MVD is progressive, and whereas it could actually’t be reversed, early care can gradual its impression.
9. Kidney Illnesses
Shih Tzus are predisposed to 2 forms of kidney illness.
Renal Dysplasia
Renal dysplasia is a congenital (current at start) situation the place one or each kidneys don’t develop correctly throughout fetal growth.
The kidneys could also be smaller than regular, have cysts or fibrous tissue, or have malformed nephrons (the kidney’s practical items).
These abnormalities impair the kidney’s potential to filter blood and produce urine.
Signs of average to extreme renal dysplasia sometimes seem when Shih Tzus are puppies, though gentle circumstances could not seem till later.
Glomerulonephritis
Additionally referred to as glomerular nephritis (GN), glomerulonephritis is a hereditary kidney illness during which the filtering items (referred to as glomeruli) turn into infected or broken.
This impacts the kidneys’ potential to take away waste and extra fluids from the blood. It’s typically attributable to infections, immune issues, or power irritation.
Kidney Illness Signs
- Elevated water consumption and urination
- Lack of urge for food
- Lethargy
- Vomiting and/or diarrhea
- Unhealthy breath
- Blood within the urine
- Stunted development (renal dysplasia)
Prognosis & Therapy
Veterinarians diagnose kidney issues primarily based on a mixture of scientific indicators, blood assessments, urine evaluation, and imaging (like radiographs or ultrasound). A definitive prognosis typically requires a kidney biopsy.
Therapy could differ relying on the illness and severity.
Renal dysplasia: In gentle to average circumstances, therapy entails lifelong renal assist dietary supplements, a particular eating regimen, and common monitoring of kidney well being. Extreme circumstances have a poor prognosis.
Glomerulonephritis: Therapy, together with drugs, a particular eating regimen, and fluid remedy, can delay life for a number of years.
10. Dental Illness
Toy and brachycephalic breeds typically face dental issues and periodontal illness resulting from their small mouths and irregular cranium form.
“Attempting to suit the traditional variety of canine enamel right into a smaller space means their enamel are sometimes overcrowded, resulting in tartar construct up, gum irritation and tooth loss. I’ve carried out many dental procedures on these canine through the years, with a number of extractions being quite common,” shares Dr. MacMillan.
Periodontal illness can result in vital well being issues and doubtlessly shorten your canine’s lifespan. Moreover, it could actually trigger discomfort and have an effect on your canine’s general well-being.
Dental Illness Signs
- Swollen and bleeding gums
- Lack of enamel
- Unhealthy breath
- Plaque and tartar buildup
- Problem consuming and chewing
- Extreme drooling
- Unfastened and lacking enamel
Prognosis & Therapy
Your vet will study your canine’s mouth and suggest therapy if obligatory. This will embrace deep cleansing, ache aid, and tooth removing if there’s an infection or injury.
Prevention suggestions:
Good dental care helps your canine keep wholesome and pain-free.
Different Shih Tzu Problems
Though the next considerations will not be fairly as frequent as these above, it’s important to know different well being points your Shih Tzu may face.

- Weight problems is frequent as a result of Shih Tzu’s small dimension and low power ranges.
- Digestive points typically have an effect on this breed resulting from meals allergy symptoms or different causes.
- Anal sac impaction happens when anal gland fluid thickens and clogs the ducts that drain the glands.
- Umbilical hernias are protrusions of stomach contents (lining, fats, intestines, and so on.).
- Arachnoid cysts happen when the arachnoid membrane masking the central nervous system doesn’t develop correctly.
- Hypothyroidism develops when the thyroid gland, which regulates the physique’s metabolism, doesn’t produce sufficient hormones.
- Cushing’s illness happens when the physique produces an excessive amount of cortisol.
- Tracheal collapse happens when the windpipe’s cartilage breaks down over time.
- Bladder stones, mineral calcifications that type within the bladder, typically have an effect on small breeds.
- A portosystemic (liver) shunt is a congenital situation involving an irregular blood vessel that hinders the liver’s potential to filter out toxins.
Common Prices For A number of Frequent Shih Tzu Well being Points
Under are estimates from Embrace Pet Insurance coverage for a number of frequent well being points this supplier sees in insured Shih Tzus. The next common prices are primarily based on claims.
- Arachnoid cysts: $4,500-$10,000
- Patellar luxation: $1,500-$3,000
- Pores and skin fold dermatitis: $300-$2,500
- Distichiasis and ectopic cilia: $1,500-$2,000
- Entropion: $300-$1,500
As reported by Fetch Pet Insurance coverage, the vary of common prices for these frequent situations they cowl is proven right here.
- Respiratory infections: $1,400-$2,700
- Oral irritation: $1,400-$2,000
- Eye irritation: $450-$700
Ought to I Contemplate Pet Insurance coverage?
Pet insurance coverage is crucial due to the breed’s propensity for pricey well being points. In an surprising emergency or sickness, pet insurance coverage minimizes the necessity to decide on between your funds and offering your canine the medical consideration they require.
Nonetheless, most insurance coverage corporations don’t cowl pre-existing situations, so defending your canine when he’s younger is right. For extra info, see our information to the greatest pet insurance coverage for Shih Tzus.
Ceaselessly Requested Questions
Listed here are some questions our readers ask most frequently about Shih Tzu well being issues. For those who don’t see yours right here, ask us within the feedback.

What Is The Life Expectancy Of A Shih Tzu?
Shih Tzus can reside anyplace from 10 to 18 years, with an common lifespan of 13 years. Nonetheless, a number of components impression each pup’s lifespan, together with genetics, general well being, and life-style.
What Do Shih Tzus Normally Die From?
A examine of Shih Tzus in the UK discovered that coronary heart illness and enteropathy (gastrointestinal ailments inflicting indicators equivalent to diarrhea and vomiting) have been the main causes of loss of life.
Why Are Shih Tzus Predisposed To So Many Well being Points?
Due to their small dimension, genetic predispositions, and brachycephalic (flat-faced) construction, Shih Tzus are liable to quite a lot of well being issues.
Specifically, respiratory, ocular, and dental issues are exacerbated by their brief snouts and shallow eye sockets.
They’re additionally weak to neurological and orthopedic points due to their lengthy backs and brief legs.
What’s The Finest Weight loss program For Shih Tzus?
Offering your Shih Tzu with probably the most nutritious eating regimen will help stop illness signs and improve their immune system, decreasing the danger of infections. Try my prime picks for the greatest pet food for Shih Tzus in all life levels.
Different pet food choices for well being considerations: