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Shih Tzu Health Problems

Research-backed content

Shih Tzus are generally long-lived dogs, but their flat faces and protruding eyes create specific health vulnerabilities. Understanding these conditions helps you provide better care for your little lion dog.

Shih Tzu portrait
Typical Lifespan
10–16 years
Size
Small

Shih Tzu Lifespan: What to Expect

Shih Tzus typically live 10-16 years, often reaching the upper range. If your Shih Tzu lived into their mid-teens, that's a full life. Their longevity is one of the breed's strengths.

Average lifespan: 10-16 years

Genetic Factors

The flat face (brachycephalic) and prominent eyes are the source of most health issues. Their long backs can also cause problems. Responsible breeding can minimize but not eliminate these issues.

Common Health Issues in Shih Tzus

Brachycephalic Airway Syndrome

The flat face causes narrowed airways, making breathing difficult. Most Shih Tzus have some degree of this.

Symptoms to watch for:

  • Noisy breathing
  • Snoring
  • Heat intolerance
  • Exercise intolerance
  • Gagging

Eye Problems

Prominent eyes are vulnerable to injury, ulcers, and other issues. Eye emergencies are common.

Prevalence: Very common due to eye structure

Symptoms to watch for:

  • Excessive tearing
  • Squinting
  • Redness
  • Cloudiness
  • Eye popping out (proptosis)

Intervertebral Disc Disease (IVDD)

Disc problems affecting the spine. Their relatively long backs make them susceptible.

Symptoms to watch for:

  • Back pain
  • Reluctance to jump
  • Weakness in legs
  • Paralysis in severe cases

Dental Disease

Crowded teeth in a small, flat mouth lead to severe dental problems.

Prevalence: Nearly universal without intervention

Symptoms to watch for:

  • Bad breath
  • Red gums
  • Loose teeth
  • Pain eating

Common Causes of Death

Understanding what Shih Tzus typically face helps you watch for warning signs and make informed decisions about their care.

  • Age-related decline (35%): Many Shih Tzus live long lives and eventually decline from old age.
  • Kidney disease (20%): Chronic kidney disease in senior dogs.
  • Heart disease (15%): Valve disease becomes more common with age.
  • Cancer (15%): Various cancers.
  • Respiratory issues (10%): Complications from brachycephalic syndrome.

Warning Signs to Watch For

  • Any eye injury or change - treat as emergency
  • Increased breathing difficulty
  • Back pain or reluctance to move
  • Increased drinking or urination
  • Changes in eating or dental pain

Preventive Care

  • Keep them cool - they can't handle heat well
  • Protect their eyes - they're vulnerable to injury
  • Regular dental cleanings
  • Maintain healthy weight for breathing and back health
  • Use a harness, not a collar
  • Daily face cleaning to prevent skin fold infections

Sources

This information is compiled from veterinary research and breed-specific health studies:

  • https://www.americanshihtzuclub.org/health
  • https://www.ufaw.org.uk/dogs/shih-tzu
  • https://www.ofa.org/diseases/breed-statistics

Shih Tzu Health FAQs

Is 10–16 years a normal lifespan for a Shih Tzu?
Shih Tzus typically live 10-16 years, often reaching the upper range. If your Shih Tzu lived into their mid-teens, that's a full life. Their longevity is one of the breed's strengths.
What's the best diet for a Shih Tzu?
Shih Tzus do best on high-quality dog food appropriate for their life stage (puppy/kitten, adult, senior). Breed-specific health concerns may warrant specialized diets. Consult your vet rather than following general advice online.
How often should I take my Shih Tzu to the vet?
Annual wellness exams for adult Shih Tzus, twice yearly for seniors (typically 7+ for dogs). More frequent visits if your Shih Tzu has known health conditions. Preventive care catches issues before they become emergencies.
What vaccinations does my Shih Tzu need?
Core vaccines are essential for all Shih Tzus. Your vet will recommend additional vaccines based on your dog's lifestyle, location, and risk factors. Keep vaccination records current and follow the recommended schedule.

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