All About Malshies

11 Most Common Health Problems in Maltese Shih Tzu (Malshi) Dogs
and What To Do About Them

Maltese Shih Tzu (Malshi) dogs are a popular designer, hypo-allergenic cross breed among dog owners, known for their cute appearance, playful personality, and affectionate nature.  However, like all dog breeds, Malshies are prone to certain health issues that may affect their quality of life if left untreated.  In this article, we discuss the top 11 most common health problems in Maltese Shih Tzu dogs and how you might be able to prevent them.

Maltese Shih Tzu teeth issues

1. Dental Problems

Dental problems are a common health issue in Maltese Shih Tzu (Malshi) dogs and can cause pain, bad breath, tooth loss, and other more serious health issues if left untreated.

Over time, bacteria and food particles can build up in a dog's mouth, forming plaque and tartar on the teeth. This can lead to gum disease, which is a serious condition that can cause tooth loss, pain, and even infections that can spread to other parts of the body.

Owners should be vigilant about their dog's dental health and should take steps to prevent dental problems from occurring. Signs that your Maltese Shih Tzu may be experiencing dental problems can include bad breath, yellowing of the teeth, bleeding or swollen gums, difficulty eating, and a decrease in appetite.

To prevent dental problems, owners should brush their dog's teeth regularly using a dog toothbrush and toothpaste, provide them with dental chews, and schedule regular veterinary dental check-ups.

Maltese Shih Tzu red eyes and tear stains

2. Eye Problems

Maltese Shih Tzu (Malshi) dogs are also prone to various eye problems such as cataracts, cherry eye, glaucoma, corneal ulcers, and dry eye syndrome. These conditions can cause discomfort and even vision loss if left untreated and owners should be aware of the symptoms to look out for to catch any potential problems early on.

One of the most common eye problems in Maltese Shih Tzus is cherry eye, which occurs when the tear gland in the eye protrudes from its normal position. This can cause irritation and discomfort for the dog and can even lead to more serious issues if left untreated.

Another common eye problem in Maltese Shih Tzu dogs is Progressive Retinal Atrophy (PRA), which is a degenerative condition that can lead to blindness. This condition is hereditary, and breeders should be screening their dogs for this condition before breeding.

Other eye conditions that can affect Maltese Shih Tzus include cataracts, glaucoma, and corneal ulcers. Symptoms that owners should look out for include redness, discharge, cloudiness, or any changes in the appearance of the eye.

To prevent eye problems in Maltese Shih Tzus, owners should be sure to keep their dog's eyes clean and dry, free from discharge, and protect them from dust and wind. Also, avoid exposing dog’s eyes to harsh chemicals and irritants and schedule regular veterinary eye check-ups. Additionally, it's important to only purchase puppies from reputable breeders who are screening their dogs for hereditary eye conditions.

Read more about Malshie's Eye Problems and what to do about them here…

Maltese Shih Tzu hot spots

3. Skin Problems

Some common skin problems in Maltese Shih Tzu (Malshi) dogs include hot spots, dry skin, and dermatitis. These conditions can cause itchiness, rashes, and hair loss, leading to discomfort and infection.

Hot spots are moist, red, and irritated patches of skin. These can be caused by a variety of factors, including allergies, insect bites, or excessive licking or scratching. Hot spots can be very uncomfortable for the dog and can lead to infection if left untreated.

Another skin condition that can affect Maltese Shih Tzus is seborrhea. An inflammation of the skin that causes dry, flaky skin, and dermatitis. Symptoms of this condition can include itching, redness, and scaly or flaky skin.

To prevent skin problems in Maltese Shih Tzus, owners should ensure their dog's coat is well-groomed and free of tangles or mats. Regular bathing can also help to prevent skin irritation, but over-bathing can lead to dry skin. Avoid using harsh grooming products. Owners should also be sure to keep their dog's environment clean and free of potential irritants, such as dust or mould, keep the dogs away from irritant plants, and feed them a healthy diet that supports skin health.

Read more about Malshie's Skin Problems and what to do about them here…

Maltese Shih Tzu food allergies

4. Allergies

One of the most common skin problems in Maltese Shih Tzus is allergies. Maltese Shih Tzu (Malshi) dogs can be allergic to a variety of different substances, including certain foods, pollen, certain plants, or flea bites. Allergies can cause skin irritation, itching, and other related issues, leading to discomfort and even infection.

There are three main types of allergies that can affect Maltese Shih Tzu dogs:

Food allergies: Food allergies in dogs are caused by a reaction to a particular ingredient in their diet. Common food allergens include beef, chicken, dairy, wheat, and soy. Symptoms of food allergies can include itching, skin rashes, digestive issues such as diarrhoea and vomiting, and ear infections.

Environmental allergies: Environmental allergies in dogs are caused by a reaction to allergens such as pollen, mould, and dust mites. Symptoms of environmental allergies can include itching, sneezing, and runny nose. These allergies can also cause respiratory issues, such as coughing and wheezing.

Flea allergies: Some dogs can be allergic to flea bites, which can cause severe itching and skin irritation. Even a small number of flea bites can cause a strong reaction in some dogs. In addition to itching and scratching, flea allergies can also cause hair loss and skin infections.

If an owner suspects that their Maltese Shih Tzu has allergies, they should consult with their veterinarian. The vet may perform allergy tests to determine the specific allergen causing the reaction. In some cases, allergy medication or immunotherapy (allergy shots) may be recommended to manage the symptoms.

Preventing allergies in Maltese Shih Tzu dogs can be difficult, as they can develop allergies at any point in their life. However, there are some steps that owners can take to minimize the risk of allergies, such as feeding their dog a high-quality diet free from common allergens, keeping their living environment clean, and using flea prevention products to prevent flea bites. Regular grooming and bathing can also help to remove potential allergens from their coat and skin.

Read more about Malshie's allergies and what to do about them here…

Malshie Patellar Luxation

5. Joint Problems

Joint problems are common in Maltese Shih Tzu dogs, especially as they age. The most common joint problem in this breed is luxating patella, a condition where the kneecap dislocates from its normal position. It can occur in one or both hind legs and can cause pain and lameness.

Other joint problems that Maltese Shih Tzu dogs may experience include hip dysplasia, elbow dysplasia, and osteoarthritis. These conditions can cause discomfort, pain, and difficulty in movement leading to a decrease in the dog’s quality of life.

Owners should be observant for signs of joint problems in their Maltese Shih Tzu dogs, such as limping, stiffness, reluctance to climb stairs or jump, and a decrease in activity level. In some cases, joint problems can be prevented or managed through regular exercise, a healthy diet, and weight management. Additionally, joint supplements or medications may be prescribed by a veterinarian to manage symptoms and slow the progression of joint disease. It is important for owners to work closely with their veterinarian to manage joint problems and ensure their Maltese Shih Tzu's optimal health and quality of life.

Read more about Malshie's Joint Problems and what to do about them here…

6. Obesity & Weight Issues

Maltese Shih Tzu (Malshi) dogs can be prone to obesity if overfed and lacking exercise. It’s easy to want to give this cute little companion lots of treats, who can resist those puppy dog eyes? Unfortunately, obesity can lead to various health issues like joint problems, diabetes, and heart disease.

Obesity can cause a range of health problems in Maltese Shih Tzu dogs, including joint problems, diabetes, heart disease, and decreased lifespan. The extra weight puts additional strain on the joints, which can cause arthritis and other joint-related issues. Additionally, overweight dogs are at an increased risk of developing diabetes and heart disease.

As an owner, it is important to monitor your Maltese Shih Tzu's weight and take action if you notice any signs of obesity. Some signs of obesity include difficulty breathing, lethargy, reluctance to exercise, and difficulty moving around. You may also notice that your dog's ribs are hard to feel under the layer of fat.

Preventing obesity in Maltese Shih Tzu dogs can be done through a combination of diet and exercise. Feeding a high-quality, balanced diet in appropriate portions, and avoiding overfeeding or too many treats, can help to keep your dog at a healthy weight. Regular exercise, such as daily walks or playtime, is also essential for maintaining a healthy weight and overall well-being.

If you suspect that your Maltese Shih Tzu is overweight or obese, it is important to consult with your veterinarian. They can help to develop a weight loss plan that is tailored to your dog's individual needs and ensure that any underlying health issues are addressed. By working together, you can help your Maltese Shih Tzu achieve and maintain a healthy weight and avoid the associated health risks.

Read more about Obesity in Malshie's and what to do about it here…

7. Ear Infections

Maltese Shih Tzu (Malshi) dogs have floppy ears, which can trap moisture and create a warm, moist environment that bacteria and yeast thrive in, and lead to ear infections. Ear infections can cause pain, discomfort, and even hearing loss if left untreated. They occur when bacteria, yeast, or other organisms grow and multiply within the ear canal.

Owners should look for signs of ear infections, which include:
• Redness or swelling in or around the ear.
• Scratching or pawing at the ear
• Shaking of the head or tilting it to one side
• Discharge from the ear
• A foul odor coming from the ear
• Pain or sensitivity when the ear is touched

If you suspect your Maltese Shih Tzu has an ear infection, you should take them to the Vet for an examination. The Vet will likely take a sample of the ear discharge to determine what type of organism is causing the infection. Treatment usually involves cleaning the ear canal and prescribing antibiotics or antifungal medication, depending on the type of infection.
To prevent ear infections, clean your Malshie's ears regularly, especially after swimming or baths. Also dry your dog's ears thoroughly after bathing or swimming to prevent moisture buildup. Additionally, avoid letting you dog's ears get wet during baths and use an ear cleaning solution recommended by their vet.

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Maltese Shih Tzu wheezing and asthma

8. Respiratory Problems

Maltese Shih Tzu (Malshi) dogs are prone to respiratory problems such as collapsing trachea and brachycephalic airway syndrome. Respiratory problems are common in Maltese Shih Tzu dogs, especially because they have a short muzzle, flat face, and small nostrils. These features can make it difficult for them to breathe properly and may lead to a variety of respiratory problems. Some common respiratory problems that Maltese Shih Tzu dogs may experience are:

1. Brachycephalic Airway Syndrome: This is a condition where the dog's upper airway is obstructed, causing difficulty breathing. Signs of this syndrome may include snoring, gagging, coughing, and trouble exercising. This condition can be managed with weight loss, avoiding hot environments, and surgery.

2. Tracheal Collapse: This is a condition where the trachea (windpipe) loses its rigidity and collapses, causing breathing difficulties. Signs may include a honking cough, difficulty breathing, and exercise intolerance. Treatment options may include medication, weight loss, and surgery.

3. Asthma: This is a chronic condition that causes inflammation and narrowing of the airways, making it difficult for the dog to breathe. Signs may include coughing, wheezing, and difficulty breathing. Treatment options may include medication and avoiding triggers.

4. Kennel Cough: This is a highly contagious respiratory infection caused by various viruses and bacteria. Signs may include coughing, sneezing, and nasal discharge. Treatment options may include medication and supportive care.

Owners should keep a close eye on their Maltese Shih Tzu's breathing patterns and seek veterinary care if they notice any signs of respiratory distress. It is also important to keep the dog in a well-ventilated area, avoid smoking around them, and limit exercise during hot and humid weather.

Regular check-ups with a veterinarian can help identify any respiratory problems early on and prevent them from becoming more serious. If a respiratory problem is suspected, your veterinarian may perform diagnostic tests, such as X-rays, to determine the cause and develop a treatment plan.

Find out about other Respiratory problems in Malshie's and what to do about them here…

9. Liver Shunt

Liver shunt is less common, but a serious health issue in Maltese Shih Tzu (Malshi) dogs. Liver shunt, also known as portosystemic shunt, is a congenital condition where the blood flow from the gastrointestinal tract bypasses the liver, resulting in the build-up of toxins in the bloodstream. Maltese Shih Tzu dogs are known to be predisposed to this condition.

Liver shunt can occur in one of two ways: intrahepatic or extrahepatic. Intrahepatic shunts are when the blood vessels within the liver fail to develop properly. Extrahepatic shunts are when the blood vessels bypass the liver altogether.

Symptoms of liver shunt in Maltese Shih Tzu dogs include poor growth, stunted development, vomiting, diarrhea, lethargy, disorientation, seizures, and blindness. If left untreated, it can lead to irreversible damage to the liver, brain, and other organs, and can even be fatal.

Diagnosis of liver shunt is typically done through blood tests, imaging studies such as ultrasound or CT scan, and sometimes a liver biopsy.

Prevention of liver shunt is not always possible, as it is a congenital condition. However, breeders can take steps to reduce the risk of passing on the condition by screening their breeding dogs and only breeding from those who are clear of liver shunt. Additionally, owners of Maltese Shih Tzu dogs should be aware of the symptoms of liver shunt and seek veterinary care immediately if they suspect their dog may be affected.

Treatment for liver shunt typically involves surgery to redirect the blood flow to the liver. In some cases, dietary changes and medication may also be needed to manage symptoms and prevent complications. Early detection and treatment are crucial for the best possible outcome. Owners should be aware of the symptoms of liver shunt and seek veterinary care if they suspect their dog may be affected.

Find out more about other Liver issues in Malshie's and what to do about them here…

Malshi Urinary Tract Infection

10. Bladder Stones

Bladder stones are another health issue that Maltese Shih Tzu (Malshi) dogs may be prone to developing. Bladder stones, also known as urolithiasis, occur when minerals in a dog's urine come together and form stones in the bladder. These are hard masses of minerals that form in the bladder, causing discomfort and pain to the dog. The stones can range in size from small grains of sand to large stones that can fill the entire bladder. They can cause discomfort, difficulty urinating, and even blockages that can be life-threatening.

Bladder stones can form due to several reasons, including a diet high in certain minerals, bacterial infections, genetics, and urinary tract abnormalities. Some breeds, like the Maltese Shih Tzu, are more prone to developing bladder stones than others.

Signs of bladder stones in Maltese Shih Tzu dogs include frequent urination, straining to urinate, blood in the urine, and discomfort or pain while urinating. In some cases, the stones can cause a blockage, preventing the dog from urinating entirely, which can lead to a life-threatening condition.

Prevention of bladder stones in Maltese Shih Tzu dogs includes feeding a balanced diet that is not excessively high in certain minerals like calcium, magnesium, and phosphorus, which can contribute to the formation of bladder stones. Adequate hydration is also essential to help flush out the urinary system and prevent the formation of stones.

In cases where a dog has already had bladder stones, prevention strategies may include dietary modifications, regular monitoring of urine pH and composition, and use of medications to dissolve or prevent the formation of stones. In severe cases, surgical removal of the stones may be necessary.

Overall, early detection and treatment of bladder stones in Maltese Shih Tzu dogs is critical to prevent complications and ensure the best possible outcome. Owners should monitor their dog's urination habits and seek veterinary care promptly if they suspect any issues.

If you suspect that your Maltese Shih Tzu (Malshi) dog may have bladder stones, it is important to take them to the veterinarian as soon as possible for diagnosis and treatment. Treatment may involve a special diet, increased water intake, medication, or in severe cases, surgery to remove the stones.

Find out more about the types of Bladder Stones Malshies can develop and what to do about them here…

Symptoms of Heart Disease in Maltese Shih Tzu

11. Heart Problems

Heart problems are not uncommon in Maltese Shih Tzu dogs, and they can range from minor conditions to life-threatening ones. Here's what you should know:

Causes: Heart problems in Maltese Shih Tzu dogs can be caused by a variety of factors, including genetics, age, and lifestyle. Some of the most common causes include:
• Congenital heart defects: Some Maltese Shih Tzu dogs may be born with a heart defect that can lead to heart problems later in life.
• Aging: As dogs age, their heart function can naturally decline, leading to conditions like congestive heart failure.
• Lifestyle factors: Factors like obesity and lack of exercise can increase the risk of heart problems in dogs.

Symptoms: The symptoms of heart problems in Maltese Shih Tzu dogs can vary depending on the specific condition, but some common signs to look out for include:
• Coughing or gagging, especially at night or after exercise.
• Difficulty breathing or rapid breathing
• Fatigue or lethargy
• Decreased appetite
• Fainting or collapse

Prevention:
While some heart problems in Maltese Shih Tzu dogs are genetic and cannot be prevented, there are some steps owners can take to reduce the risk of heart problems:
• Maintain a healthy weight: Obesity is a risk factor for heart problems, so it's important to keep your Maltese Shih Tzu at a healthy weight through a balanced diet and regular exercise.
• Regular veterinary check-ups: Regular check-ups with your veterinarian can help detect heart problems early, when they are easier to manage.
• Provide a low-stress environment: Stress can increase the risk of heart problems in dogs, so it's important to provide a low-stress environment for your Maltese Shih Tzu.

Potential Treatments: The treatment for heart problems in Maltese Shih Tzu dogs can vary depending on the specific condition, but may include medication, dietary changes, and lifestyle modifications. In severe cases, surgery may be necessary. Heart problems can be a serious concern for Maltese Shih Tzu owners. By understanding the causes, symptoms, prevention, and treatment options, you can help keep your dog healthy and happy for years to come.

Read more about Heart problems Malshies can develop and what to do about them here…

While Maltese Shih Tzu (Malshi) dogs are generally healthy and long-lived, there are several common health problems that owners should be aware of.  These include dental problems, eye problems, skin problems, allergies, joint problems, obesity, ear infections, respiratory problems, liver shunt, bladder stones, and heart problems.  Early detection, regular check-ups with a veterinarian, proper nutrition, and exercise can help prevent and manage these health issues.  As a responsible owner, it is important to keep an eye out for any signs of discomfort or abnormal behavior and seek early veterinary attention when necessary.  By staying proactive and educated, you can help ensure your Malshi lives a happy and healthy life and brings you the most joy and love.

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Want to know about some uncommon Malshi health problems?

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