Pocket VetShih Tzu health guide
Shih Tzus are affectionate lap companions with big eyes and flat faces — which brings eye, breathing, and dental considerations, plus daily coat care.
Size
Small (4–7 kg)
Lifespan
12–16 years
Energy
Low to moderate
Common health concerns
Eye injuries & dry eye
Prominent eyes scratch easily and can ulcerate; tearing or squinting needs prompt care.
Brachycephalic breathing issues
Flat face restricts airflow; avoid heat and over-exertion.
Dental disease
Small crowded mouths build tartar early.
Patellar luxation
Slipping kneecaps cause skipping or lameness.
Care tips
- ✓Check eyes daily; see a vet for squinting or cloudiness
- ✓Keep cool in warm weather
- ✓Daily brushing or regular clipping to prevent mats
- ✓Brush teeth regularly + dental checks
Worried about your Shih Tzu?
Describe the symptoms (add a photo) and get an instant, calm triage — home care, vet soon, or emergency.
Check my dog nowSigns that need a vet
- ●Squinting, pawing the eye, or a cloudy eye — urgent
- ●Noisy or laboured breathing
- ●Bad breath or trouble chewing
- ●Skipping steps on a back leg
Frequently asked
Why do Shih Tzus have so many eye problems?
Their prominent eyes and shallow sockets are easily scratched and prone to dryness and ulcers. Daily checks and quick vet attention for squinting protect their vision.
Do Shih Tzus tolerate heat?
Poorly — their flat faces limit cooling by panting. Keep them in cool spaces, walk at cooler hours, and never leave them in heat.
More dog breeds
Pocket Vet editorial team
Written and maintained by the Pocket Vet editorial team using authoritative veterinary sources. Reviewed June 9, 2026. This guide is informational only and not a substitute for professional veterinary care — see our editorial & safety policy. When in doubt, contact your vet; in a true emergency, go to an emergency clinic immediately.
Sources