Shih Tzu Health Guide — What Every Owner Needs to Know
June 19, 2026 · 9 min read
Shih Tzus are generally healthy and long-lived, but they have specific health concerns related to their flat faces and long coats. Here's everything you need to keep your Shih Tzu thriving.
Shih Tzus are one of the longer-lived small breeds, with an average lifespan of 10–18 years. Many Shih Tzus live well into their mid-teens with proper care. Their main health challenges relate to their brachycephalic anatomy, their long coat, and their small mouths.
Most Common Shih Tzu Health Issues
Eye problems: Shih Tzus' large, prominent eyes are prone to corneal ulcers, dry eye, and irritation from their own facial hair. Keep the hair around their eyes trimmed and clean, and watch for squinting, discharge, or cloudiness.
Dental disease: Small mouths mean crowded teeth, which leads to rapid tartar buildup and gum disease. Daily brushing and regular professional cleanings are essential.
Hip dysplasia: Despite their small size, Shih Tzus can develop hip dysplasia. Signs include difficulty rising, reluctance to climb stairs, and a "bunny hop" gait.
Essential Health Products for Shih Tzus
FAQ
How long do Shih Tzus live?
Shih Tzus typically live 10–18 years, with many reaching their mid-teens. They are one of the longer-lived small breeds.
How often should I groom my Shih Tzu?
Daily brushing is required to prevent matting. Professional grooming every 6–8 weeks is recommended. Many owners keep their Shih Tzu in a shorter "puppy cut" for easier maintenance.
Are Shih Tzus good for people with allergies?
Shih Tzus are considered low-shedding and are often recommended for allergy sufferers. They have hair rather than fur, which reduces dander. However, no dog is completely hypoallergenic.
Do Shih Tzus have breathing problems?
Some Shih Tzus have mild brachycephalic issues — snoring, snorting, and exercise intolerance in heat. Severe cases may benefit from corrective surgery.
How often should Shih Tzus see the vet?
Annual wellness exams are minimum. Given their dental issues, bi-annual dental cleanings are often recommended. Senior Shih Tzus (over 8) benefit from bi-annual health checks.