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Shih Tzu: The Imperial Palace Dog With Eye and Respiratory Concerns

Shih Tzu: At a Glance

8-11 in
Height
9-16 lbs
Weight
10-16 yrs
Lifespan
Low-Moderate
Energy Level

The Shih Tzu β€” Shih Tzus were bred to be palace dogs in the Forbidden City of Beijing β€” they were so prized that the Chinese refused to...

Breed Traits
Health
Temperament
Home Fit
Trainability
Lifespan

Is the Shih Tzu Right for You?

Active Home? Experienced? Space & Time? Great Match! Consider Other Consider Other

Shih Tzu Trait Profile

Shih Tzu Trait Profile Rating What It Means Owner Impact
Energy Level Low-Moderate Needs low-moderate daily exercise Plan exercise accordingly
Trainability Moderate Moderate learning curve Training commitment needed
Grooming Needs Very High Professional grooming recommended Budget time/money for grooming
Good with Kids Yes Family-friendly Supervision level needed
Good with Dogs Yes Pack-friendly Multi-dog home suitability
Shedding Level Minimal Minimal shedding Cleaning commitment
Barking Level Moderate Moderate alert barking Noise considerations

Shih Tzu Health Screening Checklist

Brachycephalic Syndrome
Eye Proptosis
Patellar Luxation
Hip Dysplasia
Intervertebral Disc Disease
Regular veterinary checkups essential for this breed
Genetic testing available for most listed conditions
Ignoring breed-specific health screenings

Shih Tzu Key Trait Strengths

Imperial Palace Dog 90% Chrysanthemum Face 82% Brachycephalic 74% Affectionate 66% Confident 58% Long Flowing Coat 50%

The Shih Tzu is ideal for: Apartment dwellers, families, seniors, those wanting a devoted lap companion. This breed thrives when matched with the right lifestyle and owner experience level.

Not ideal for: Hot/humid climates, those unwilling to groom, homes wanting an athletic dog, rough play with large dogs. Carefully consider whether this breed matches your lifestyle before committing.


Shih Tzus are compact, affectionate companion dogs bred for centuries as palace pets in China and Tibet. Their flat face (brachycephalic anatomy) makes respiratory issues and eye problems the primary health concerns. They need daily facial coat cleaning around the eyes, regular professional grooming or owner commitment to coat maintenance, and monitoring for BOAS (Brachycephalic Obstructive Airway Syndrome) symptoms. They are low-exercise dogs well-suited to apartment living, but their coats and facial anatomy require significant ongoing maintenance.

Infographic: Shih Tzu key stats - AKC recognition 1969, BOAS grading scale 0-3, grooming interval 6-8 weeks, daily eye cleaning, and BOAS/eye warning signs checklist
Shih Tzu at a glance β€” petstore.com

Palace Dogs of China and Tibet

Shih Tzus were kept as palace dogs by Chinese emperors during the Tang and Ming dynasties. The name translates to 'lion dog' in Mandarin -- the dogs were bred to resemble the lions of Buddhist iconography. Imperial breeding programs maintained the dogs as status symbols, and for centuries they rarely left the imperial palace. The breed reached the West via gifting to European royalty in the early 20th century; the AKC recognized it in 1969. The breed standard calls for a long, flowing double coat, flat face with large eyes, and a specific lion-like facial expression.

Brachycephalic Obstructive Airway Syndrome

The Shih Tzu's flat face, while characteristic of the breed, compresses and distorts the upper airway anatomy. BOAS involves some combination of: stenotic nares (narrow nostrils restricting airflow), elongated soft palate (excess tissue that obstructs the glottis), hypoplastic trachea (abnormally narrow windpipe), and everted laryngeal saccules (tissue pulled into the airway from chronic negative pressure). Signs: chronic snoring, exercise intolerance, open-mouth breathing in mild exertion, cyanotic gums with exercise, sleep apnea, and in severe cases collapse. Heat and humidity worsen symptoms dramatically. BOAS grading: Grade 0 (none), 1 (mild), 2 (moderate), 3 (severe). Grades 2-3 benefit from surgical correction (nares widening, soft palate trimming), which significantly improves quality of life and long-term health outcomes.

Eye Problems

Large, prominent eyes in brachycephalic breeds are more exposed and vulnerable to: corneal ulcers (trauma, incomplete blinking), exposure keratoconjunctivitis sicca (dry eye from incomplete lid closure), entropion (eyelid rolling inward, causing lashes to rub the cornea), distichiasis (extra lash row), and proptosis (eyeball displacement from the socket, a medical emergency from trauma). Any Shih Tzu with a squinting eye, excessive discharge, redness, or cloudiness needs prompt veterinary evaluation. Daily gentle cleaning around the eyes with a damp cloth removes discharge and prevents tear staining and secondary skin infections.

Coat Maintenance

The traditional long coat requires daily brushing to prevent matting. Most pet owners choose to keep their Shih Tzu in a 'puppy cut' -- a uniform short trim every 6-8 weeks at a groomer. The topknot (traditional tied-up head fur) requires daily maintenance in long-coated dogs. Avoid tying the topknot too tightly -- it causes hair breakage and discomfort. Bathing every 2-4 weeks maintains coat and skin health.

Other Health Concerns

Intervertebral disc disease (IVDD): chondrodystrophic breeds with short legs and long backs (though Shih Tzus are more cobby than Dachshunds) have elevated risk. Hypothyroidism: common in middle-aged to older dogs. Kidney disease: some lines have hereditary renal dysplasia. Hip dysplasia: OFA data shows moderate prevalence. Patellar luxation: frequent, particularly in toy-sized specimens.

Sources: BOAS pathophysiology from Lodde et al. (2018) Veterinary Medicine International; surgical outcomes from Roedler et al. (2013) Tierarztliche Praxis; breed history from CFA Shih Tzu breed standards; eye complications in brachycephalic breeds from Stades et al. (1991) Veterinary Quarterly; coat genetics from Cadieu et al. (2009) Science.

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