Skip to content
Peqaboo
Open Peqaboo
Explore Peqaboo

Open Peqaboo
Choose your language

EnglishUnited States

HealthDog4 min read

Understanding Shih Tzu Health and Care

This guide helps Shih Tzu owners identify health concerns and monitor daily wellness. It provides practical steps for managing breed-specific tendencies and maintaining your dog's quality of life.

Quick answer

Shih Tzus are a brachycephalic breed, which means they have a unique facial structure that requires careful monitoring of their breathing and eye health. Owners should focus on maintaining a healthy weight, observing breathing patterns at rest, and checking the eyes for signs of irritation. By establishing a baseline for your dog's normal behavior and physical appearance, you can quickly spot when something is wrong and seek professional help before a condition worsens.

Eye Health and Entropion

One specific concern for the Shih Tzu is a condition called entropion. This is a recognised tendency in the breed, specifically involving the medial canthal area near the inner corner of the eye. In this condition, the eyelid rolls inward, causing the eyelashes or hair to rub against the surface of the eye. This can cause significant discomfort, tearing, and potential damage to the cornea if left unaddressed.

At home, you might notice your dog squinting, pawing at their eyes, or experiencing excessive watery discharge. If you notice redness or cloudiness, it is time for a professional assessment. A veterinarian will perform an ophthalmic examination to assess the position of the eyelids and the integrity of the eye surface. If entropion is confirmed, the vet may use specialized drops to soothe the eye or discuss surgical options to correct the eyelid position. The most common mistake owners make is assuming watery eyes are just a normal feature of the breed, which leads to delaying treatment while the eye surface sustains damage.

Monitoring Body Condition

Maintaining an ideal body weight is essential for a Shih Tzu. Excess weight places additional strain on the respiratory system and joints, which can exacerbate existing breed-related challenges. You should be able to feel your dog's ribs easily without a thick layer of fat covering them, and they should have a visible waist when viewed from above.

Checklist0/3

Gum Color and Circulation

Checking your dog's gum color is a simple way to monitor their health. Healthy gums should be a vibrant, bubblegum pink. If the gums appear pale, white, or bluish, this is a sign that your dog may not be getting enough oxygen or could be experiencing circulatory issues. This is an urgent matter. If you notice a change in gum color, especially if accompanied by lethargy or difficulty breathing, seek veterinary care immediately.

Mobility and Daily Activity

As your Shih Tzu ages, keep a close watch on their mobility. Changes in how they walk, reluctance to jump onto furniture, or difficulty climbing stairs can indicate pain or joint issues. Because this breed has a unique physical structure, any sign of stiffness should be addressed. A vet will conduct an orthopedic exam to determine if the discomfort is related to the joints or the spine.

Establishing a Behavior Baseline

Every dog has a normal personality. Some are naturally quiet, while others are more energetic. By observing your dog's behavior when they are healthy, you will be the first to notice when they are "off." If your dog becomes unusually withdrawn, stops eating, or changes their interaction style, this is a signal that something is wrong internally. Do not wait for physical symptoms to appear if the behavioral shift is significant.

What should I look for when my dog is resting?
At rest, your dog should be breathing quietly without significant effort. If you hear loud snoring, wheezing, or notice that their chest is heaving while they are asleep, this is not normal and should be discussed with your veterinarian.
How often should I check my dog's skin and coat?
Daily grooming is the best time to check for skin issues. Look for redness, bumps, or areas where the hair is thinning. Shih Tzus have dense coats that can hide skin irritation, so parting the fur to inspect the skin directly is important.

The Importance of Routine Care

Consistency is the best tool an owner has. By integrating these checks into your daily routine, you move from reactive care to proactive health management. The goal is to catch subtle shifts in your dog's health before they become major issues. Always remember that you know your dog best, and any persistent change in their physical or mental state warrants a conversation with your veterinary team.

My highlights & notes

This article is for general education and is not a substitute for professional veterinary advice. If your pet is unwell, please consult a veterinarian.

Worried about your pet?

Peqaboo’s AI helps you track symptoms, understand lab reports, and know when to see a vet.

Get the Peqaboo app