Shih Tzu: inherited diseases and health

Updated 2026-09-30 · 3 sources

Based on: OMIA (University of Sydney), Science for Animal Welfare (UFAW), Wikidata

Breed health

The inherited conditions below have been documented in this breed in published research. That does not mean your dog has them or will get them – but it helps to know the names when you talk to a breeder or a vet.

Conditions this breed is prone to

Veterinary charities list this breed as more likely than others to get these conditions. Read the signs and what to do:

Shih Tzu and chocolate: how much is dangerous?

Typical adult weight: 4.5–8 kg. Grams of chocolate at which signs can start (20 mg/kg) and at which severe signs are reported (40 mg/kg):

Dog weightMilkDark 70–85%Baking / unsweetened
4.5 kg45 g signs
90 g severe
11 g signs
22 g severe
6.4 g signs
13 g severe
8 kg80 g signs
160 g severe
20 g signs
40 g severe
11 g signs
23 g severe

Based on published doses: signs from about 20 mg/kg, severe signs from 40 mg/kg (US FDA, Cortinovis & Caloni 2016, Swedish Poison Information Centre). An estimate, not a diagnosis.

Check the exact amount with the chocolate calculator →

Inherited conditions documented in the breed

Conditions documented: 21

A gene variant is known for 9 of the conditions below, so a DNA test may exist. Ask your vet or the breed club.

ConditionBody systemInheritanceGene variant known
Brachycephalic Airway Obstruction Syndrome (BAOS)[2]–––
Brachycephalic Ocular Syndrome[2]–––
Coat colour, dilution, MLPH-related[1]PigmentationAutosomal recessiveYes
Darier disease[1]Integument (skin)Autosomal dominantYes
Entropion[1]Vision / eye––
Glaucoma, primary open angle[1]Vision / eye––
Haemophilia B[1]Haematopoietic systemX-linked recessiveYes
Hypothyroidism, congenital dyshormonogenic, with goiter, SLC5A5-related[1]Endocrine / exocrine gland (incl mammary gland)Autosomal recessiveYes
Intervertebral disc disease, predisposition to[1]Skeleton (incl. short stature & teeth)Autosomal dominantYes
Keratoconjunctivitis Sicca[2]–––
Lissencephaly, generic[1]Nervous system––
Meningoencephalitis[1]Nervous systemMultifactorialNo
Nephropathy[1]Renal / urinary system––
Ocular melanosis[1]PigmentationAutosomal dominantNo
Polydactyly[1]Skeleton (incl. short stature & teeth)Autosomal dominantYes
Prekallikrein deficiency[1]Haematopoietic systemAutosomal recessiveYes
Renal dysplasia[1]Renal / urinary system––
Retinal atrophy, progressive, JPH2-related[1]Vision / eyeAutosomal recessiveYes
Screw tail[1]Limbs / fins / digit / tailAutosomal recessiveYes
Trichiasis, caruncular[1]Vision / eye––
Vitreous degeneration[1]Vision / eye––

What this list means

  • “Documented in the breed” means at least one published case or study – it says nothing about how common the condition is.
  • Many of these conditions are rare. A responsible breeder can tell you which health tests the parents have had.
  • Where the gene variant is known, a DNA test may exist – ask your vet or the breed club.
  • If your pet shows signs of illness, contact your vet. This page cannot tell you whether your pet is ill.

About the breed

Origin
People's Republic of China
Height
27 cm
Weight
4.5–8 kg
[3]
If your pet is struggling to breathe, has collapsed, is having a seizure or can't stand up: go to the nearest vet now.

Not sure how serious it is?

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Sources

  1. OMIA (University of Sydney)
  2. Science for Animal Welfare (UFAW)
  3. Wikidata

How this page was made: the list is taken directly from the sources below; nothing on it was written by AI. Names of conditions may be machine-translated. It is information, not a diagnosis. How we write our pages

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