Shih Tzu health guide
Health Guide

Shih Tzu Health Problems & Prevention

Common health issues, symptoms to watch for, and how to keep your Shih Tzu healthy.

Life Expectancy
10-16 years

Common Shih Tzu health problems

Based on veterinary research and breed health studies

Periodontal disease9.5% prevalence prevalence

A health condition that may affect some Shih Tzu dogs based on owner reports.

Symptoms to Watch For

  • Behavioral changes
  • Physical discomfort
  • Changes in appetite or activity

Prevention Tips

  • Regular vet checkups
  • Maintain healthy lifestyle
  • Early detection through monitoring
Anal Sac Impaction7.4% prevalence prevalence

A health condition that may affect some Shih Tzu dogs based on owner reports.

Symptoms to Watch For

  • Behavioral changes
  • Physical discomfort
  • Changes in appetite or activity

Prevention Tips

  • Regular vet checkups
  • Maintain healthy lifestyle
  • Early detection through monitoring
Ocular Surface Diseasese.g., Dry Eye, Corneal Ulcers prevalence

A health condition that may affect some Shih Tzu dogs based on owner reports.

Symptoms to Watch For

  • Behavioral changes
  • Physical discomfort
  • Changes in appetite or activity

Prevention Tips

  • Regular vet checkups
  • Maintain healthy lifestyle
  • Early detection through monitoring
Brachycephalic Obstructive Airway SyndromeBOAS prevalence

A health condition that may affect some Shih Tzu dogs based on owner reports.

Symptoms to Watch For

  • Behavioral changes
  • Physical discomfort
  • Changes in appetite or activity

Prevention Tips

  • Regular vet checkups
  • Maintain healthy lifestyle
  • Early detection through monitoring
Renal Dysplasia (JRD) (estimated as high as 85% carriers) prevalence

A health condition that may affect some Shih Tzu dogs based on owner reports.

Symptoms to Watch For

  • Behavioral changes
  • Physical discomfort
  • Changes in appetite or activity

Prevention Tips

  • Regular vet checkups
  • Maintain healthy lifestyle
  • Early detection through monitoring

Recommended Genetic Tests

Ask breeders for these health clearances before buying a puppy

Renal Dysplasia (wedge biopsy or ultrasound)
CERF/CAER eye clearances
Reputable breeders should provide documentation for all genetic tests. Never purchase a puppy without seeing health clearances.

As a small breed, Shih Tzu dogs may be prone to:

Patellar Luxation

Kneecap dislocation, common in toy and small breeds

Dental Disease

Crowded teeth in small mouths lead to faster tartar buildup

Hypoglycemia

Low blood sugar, especially in puppies and small dogs

Tracheal Collapse

Weakening of windpipe cartilage, causes coughing

Shih Tzu health timeline

What to focus on at each life stage to keep your Shih Tzu healthy.

Puppy

0-1 year

  • Complete vaccination series
  • Discuss spay/neuter timing with your vet
  • Socialization and training foundation
  • Deworming and parasite prevention
  • Establish dental care routine
Vet Visits:

Every 3-4 weeks until 16 weeks, then at 6 and 12 months

Adult

1-7 years

  • Annual wellness exams and vaccinations
  • Dental cleaning as needed
  • Maintain healthy weight
  • Watch for early signs of breed-specific conditions
  • Regular heartworm and flea prevention
Vet Visits:

Annually, more often if concerns arise

Senior

7+ years

  • Wellness exams every 6 months
  • Blood work and organ function screening
  • Joint supplements and pain management
  • Adjust diet for senior needs
  • Watch for common age-related conditions in Shih Tzu dogs
Vet Visits:

Every 6 months, with comprehensive bloodwork annually

Questions to Ask Your Vet About Shih Tzus

1

What breed-specific health screenings do you recommend?

2

Are there any genetic tests available for common Shih Tzu conditions?

3

What is the ideal weight range for my Shih Tzu?

4

When should we start joint supplements or senior care?

5

What early warning signs should I watch for, given this breed's health profile?

6

Do you recommend pet insurance for Shih Tzus?

Frequently Asked Questions

What are the most common health issues in Shih Tzus?
Shih Tzus are generally healthy dogs, but like all breeds, they may be prone to certain genetic conditions. Regular vet checkups are recommended for early detection.
How long do Shih Tzus typically live?
Shih Tzus have an average lifespan of 10-16 years. Factors that can extend lifespan include maintaining a healthy weight, regular exercise, quality nutrition, preventive healthcare, and addressing breed-specific health concerns early.
Are Shih Tzus prone to allergies?
Like many breeds, Shih Tzus can develop allergies to food, environmental factors or medications. Watch for symptoms like itching, digestive issues or skin problems and consult your vet.
How often should I take my Shih Tzu to the vet?
Puppies: every 3-4 weeks until 16 weeks old for vaccinations. Adults (1-7 years): annual wellness exams. Seniors (7+ years): every 6 months with bloodwork. Shih Tzus with known health conditions may need more frequent visits.
Should I get pet insurance for my Shih Tzu?
Pet insurance is worth considering for every breed, as emergency vet care can cost thousands. The younger you insure your Shih Tzu, the better the rates and coverage options.

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