Common Shih Tzu Health Problems: What Owners Need to Watch For

Shih Tzus are tough little dogs wrapped in fluff, but the breed does come with predictable weak spots. Ignoring them is a fast route to expensive emergencies and a miserable dog. Knowing what to watch for lets you act early and avoid some of the worst outcomes.

1. Eye Problems

Shih Tzu eyes are large, exposed, and vulnerable. Common issues include:

• Cornneal ulcers: Scratches that can turn serious in days.
• Dry eye (KCS): Not enough tears, leading to irritation and damage.
• Conjunctivitis: Red, inflamed eyes.

Redness, squinting, cloudiness, or discharge = same-day vet visit. Do not “wait and see” with this breed’s eyes.

2. Breathing and Brachycephalic Issues

Shih Tzus have short muzzles. That means:

• Snoring and snorting can be normal—but severe noise or distress is not.
• Overheating risk is real; they don’t tolerate high heat or intense exercise well.
• Some need surgery to correct airway issues.

If your dog struggles in mild heat, collapses, or sounds like they’re choking regularly, get a vet involved. This is where pet insurance earns its keep; airway surgery is not cheap. Use a comparison platform like MyPetAtlas to find insurance and vets with brachycephalic experience.

3. Dental Disease

Small dogs = crowded teeth = dental problems. Signs include bad breath, drooling, reluctance to chew, or pawing at the mouth. Cleanings under anesthesia, extractions, and long-term management are standard for many Shih Tzus.

4. Skin Allergies and Ear Infections

Itchy paws, constant scratching, and recurrent ear infections are all common. Triggers range from food sensitivities to environmental allergens like dust mites or pollen.

• Keep ears dry and clean.
• Talk to your vet about allergy testing or trials if itching becomes chronic.

5. Orthopedic Issues

Patellar luxation (slipping kneecaps) and back issues can show up. Watch for:

• Skipping steps or sudden “hopping” on walks.
• Reluctance to jump or use stairs.
• Yelping when picked up.

Preventive Strategy: Vet, Insurance, and Honest Planning

If you own a Shih Tzu, plan for vet costs. Regular checkups, dental work, and occasional emergencies aren’t “if” but “when.” The Shih Tzu breed article on MyPetAtlas lays out typical health risks and expected lifespan; use that as your baseline.

To avoid getting wrecked by one big bill, consider pet insurance while your dog is still young and relatively healthy. Tools like the MyPetAtlas Pet Insurance Directory let you see real quotes, coverage types, and exclusions in one place instead of gambling on marketing claims.

Bottom Line

Shih Tzus are not “fragile,” but they aren’t bulletproof either. Eyes, breathing, teeth, skin, and knees are the main repeat offenders. Stay ahead of them with smart preventive care, a relationship with a good vet, and a realistic financial plan. That’s how you get more years of goofy, snoring, lap-dog happiness without the constant panic of surprise vet bills.