Main Causes of Death in Shih Tzus: Understanding Breed-Specific Health Risks
The Shih Tzu is a cherished toy breed known for its affectionate personality, long flowing coat, and association with Chinese royalty. Like all breeds, Shih Tzus have specific health vulnerabilities that owners should understand to improve quality of life and increase lifespan. Although considered generally healthy, several hereditary and health-related issues can lead to premature death in this otherwise resilient breed. Below, we delve into the primary causes of death found in Shih Tzus and offer strategies to manage their health proactively.
1. Respiratory Disorders
One of the leading causes of death in Shih Tzus is related to their brachycephalic (flat-faced) anatomy, which can lead to chronic respiratory difficulties.
- Brachycephalic Obstructive Airway Syndrome (BOAS): This condition encompasses issues such as stenotic nares (narrow nostrils), elongated soft palate, and tracheal hypoplasia, severely restricting airflow and oxygen intake.
- Shih Tzus affected by BOAS often struggle with activity in warm or humid weather and are at higher risk of heatstroke, which can be fatal if not addressed promptly.
- Chronic low oxygenation over time can lead to heart strain and eventual organ dysfunction.
2. Kidney Disease
Chronic kidney disease (CKD) and congenital conditions such as portosystemic shunts can impact Shih Tzus. The kidneys may deteriorate gradually, leading to a toxic buildup of waste in the blood (uremia), which is a potentially fatal condition. Signs include increased drinking and urination, appetite loss, weight loss, and lethargy.
3. Heart Conditions
Some Shih Tzus are prone to valvular heart disease, particularly mitral valve disease, which can lead to congestive heart failure if unmanaged. Symptoms such as coughing, fainting, or breathing difficulty could signify advancing heart failure, which remains a notable cause of death in older dogs.
4. Cancer
As with all senior dogs, cancer becomes a significant risk as Shih Tzus age. Common types include lymphoma, mast cell tumors, and soft tissue sarcomas. With early detection, some cancers are treatable, but late-stage cancers often prove fatal.
5. Neurological and Joint Issues
- Patellar luxation or slipped kneecap can lead to long-term mobility problems. If not treated, this condition can significantly affect quality of life and may contribute to early euthanasia for severely disabled dogs.
- Although not commonly fatal on their own, neurological disorders affecting the spine or brain (such as intervertebral disc disease) can reduce mobility and comfort, especially in aging dogs, prompting difficult end-of-life decisions.
6. Dental Disease
Dental disease in small breeds like the Shih Tzu can lead to systemic infections and organ damage. Periodontal disease, which is prevalent due to the breed’s undershot jaw and teeth crowding, can have far-reaching effects, including heart and kidney complications.
7. Infections and Immune-Related Illnesses
Shih Tzus are prone to ear infections due to their floppy, hairy ears trapping moisture. Moreover, chronic or untreated infections could spread systemically. Autoimmune conditions and immune-mediated diseases can also play a role but are less commonly fatal if identified early.
Lifespan and Preventive Measures
Although the average lifespan of a Shih Tzu is 10–16 years, individuals have been known to live into their late teens or even early twenties with excellent care. Here are key strategies to help your Shih Tzu live a longer, healthier life:
- Nutrition: Feed a balanced, age-appropriate diet and monitor weight to avoid obesity.
- Dental care: Brush teeth daily and schedule professional cleanings as recommended.
- Regular veterinary visits: Annual (and biannual for seniors) checkups help detect issues early.
- Exercise: Engage in low-impact activities and avoid overexertion, especially in hot climates.
- Grooming: Maintain coat and hygiene to prevent skin infections and discomfort.
- Monitor signs: Keep an eye out for changes in energy, appetite, urination, or behavior.
Conclusion
In summary, respiratory issues are the dominant cause of death among Shih Tzus, particularly due to their brachycephalic anatomy. Combined with chronic conditions like renal and heart disease, the breed requires attentive, preventive health care to ensure a full lifespan. Adopt from ethical breeders who perform genetic screenings and commit to lifelong veterinary oversight to safeguard your Shih Tzu’s well-being. With proper care and early intervention, many health risks can be managed, allowing these loyal companions to thrive for many years.





