Common Health Concerns

02

Tight nostrils/Stenotic Nares are very VERY common in the Shih Tzu breed.  A lot of people think that tight nostrils and Stenotic Nares are the same thing.  Technically they are, but In my mind tight nostrils will be out grown for the most part, Whereas Stenotic Nares, may be a big issue their entire lives. It is really common for probably about 1/4 of my puppies to have their nostrils collapse when they start teething. Some of those puppies can’t breath out of their noses almost at all during this time, but as long as they are active and eating and drinking normally it is of little concern. A good portion of them might be a little snorty when they get older but will mostly out grow it after they are done teething. A small issue with tight Nostrils isn’t a huge concern. Some dogs will have tighter nostrils than others.

Stenotic Nares on the other hand , does not go away as the dog grows.  Some of the time (but not always) surgery will need to be done on Stenotic Nares as the puppy may always have this issue and over time could cause other health concerns.  If the puppies Stenotic Nares are so severe that they can not breath at all or very very little through their nose, they don’t out grow it and seem to really struggle. I recommend finding a vet that can do the Stenotic Nares surgery. if your not sure if he/she will out grow it and would like to have it done when the puppy is spay/neutered, it is usually cheaper and safer to do it all at once.

03

An umbilical hernia is usually a small soft bump where your puppies umbilical cord was (their belly button) and for whatever reason the muscle failed to close up.  There are a couple of reasons why a puppy gets an umbilical hernia. It is typically genetic but other things can cause it as well included the mom pulling and tugging on the umbilical cord at birth. Umbilical hernias are usually small and  are of little concern and are very common in the Shih Tzu breed. They are usually viewable at around 2-4 weeks of age and some of them will close on their own by 1 yr of age(delayed closure).  If it is large enough that it is “in the way” or excessive tissue/fat seems to be protruding, then it probably should be closed up when the puppy is spayed/neutered. Larger hernia’s rarely close on their own, but is also usually not an emergency or urgent. Definitely consult your vet if it is a concern. It is usually a small fee to have it fixed at the time of spay/neuter.

04

(Common in tiny imperial Shih Tzu’s)

An open Fontanel is the puppies soft spot on the top of the head. Typically soft spots close by the time the puppy reaches 2-3 months of age and some close right away.  Sometimes you will have a puppy that the skull never quite closes all the way or takes a little longer.  This is usually of little concern and can be very common in the smaller/imperial Shih Tzu’s.  If the soft spot is unusually large and never heals over then you do have to be careful with the puppies head, just like a newborn baby.  It isn’t common that a soft spot is large enough to cause a concern. If it is so large that extra caution has to be taken then you need to look at other health concerns that could cause the opening to be extra large. Some Veterinaries are not familiar with the smaller Shih Tzu and might comment on it, but it is typically of very little concern, except just to be careful of their head. there are health issues the can cause an open fontanel, but in my puppies and most small Shih Tzu, it is not due to health issues and is just how they are made. 🙂

05

This is a condition in which the patella/knee dislocates. The luxating Patella under most circumstances often has no or very mild symptoms.  Luxating Patella can and does happen periodically in the smaller breeds, but is generally mild. This condition is very common in the Shih Tzu Not all luxating Patella needs medical intervention.  Luxating Patella has different grades.  Grades 1-2 is considered very mild and the puppy could very likely grow out it or will cause no long term effects or complications (this is most common).  Grades 3-4 Should probably be addressed by a veterinarian.  They could potentially be more serious and need medical intervention and could potentially cause more long term damage and pain for the adult dog.  A dog with Luxating Patella must stay at a good healthy weight so it does not create issues worsening with the knee/knees. Most dogs, if kept at a good weight, will live a healthy pain free life even with a loose knee.  that being said I recommend weight control food if he/she has a tendency to over eat and glucosamine supplement if your dogs has any slipping of the knees at any level..

06

Not every Shih Tzu’s hair is the same. They do not shed, but some Shih Tzu’s do lose hair more than others.  Not every shih tzu grows hair at the same rate.  Some have flowing long tails and/or ears in no time, others it takes longer and some Shih Tzu simply wont grow their tail or ear hair to the ground. Some shih Tzu’s have hair that would never come out and sometimes their hair can be more easily pulled out.  some have a think undercoat others have fine undercoat. All of which could be normal, however if you want a show dog, you will want to make sure that your puppy has the hair for it 🙂

There is one Condition that I believe is common, yet a lot of breeders do not know about it or realize their puppies have it. I feel strongly people should be educated about it.  They are called Prapso puppies, I am attaching an article I wrote concerning this interesting phenomenon. See Below