Flat-faced dogs, like Boxers, Bulldogs, and Boston Terriers can be cute, but their short noses also cause breathing problems. These brachycephalic dog breeds can suffer from snoring and snorting. These may seem like harmless ailments, but these common issues of shortnosed dogs mean the dog's airway is partially obstructed, and this can become worse over time if left untreated.
Which Breeds are Brachycephalic?
Brachycephalic means "shortened head" and refers to the short nose and flat face of dogs like Pugs, Shih Tzus, and Chihuahuas. Other brachycephalic breeds include Chow Chows, Pekingese, Lhasa Apso, Bull Mastiffs, and English Toy Spaniels. Because the flat face is so popular, these dogs have been bred for their looks, but many suffer from airway issues as a result. The flat face is the result of a smaller upper jaw, in which the tissues inside are bigger than the jaw can allow. All of the airway issues that can result from this overcrowding are collectively referred to as "brachycephalic airway syndrome."
What is Brachycephalic Airway Syndrome?
All brachycephalic dogs suffer from some form of mild brachycephalic airway syndrome and are also vulnerable to more dangerous conditions that may require surgery. Symptoms of airway obstruction include snoring, snorting, noisy breathing, and tiring or fainting during exercise. Because these conditions become worse over time, and can cause permanent damage, it's important to monitor closely and work with your vet to determine if and when surgery may be needed.
The following are brachycephalic airway syndrome symptoms that can cause serious health concerns.
• Elongated soft palate: Almost every brachycephalic dog has an extra-long soft palate (tissue between mouth and nose cavities) which covers the throat more than it should. In many dogs, this may only cause snoring and some difficulties panting in hot weather, but other dogs may need surgery to shorten the palate.
• Stenotic Nares: Another common problem is narrowed or collapsed nostrils, which make it hard for dogs to breathe through their noses. This usually leads to a lot of mouth breathing and makes exercise difficult. Sometimes puppies can grow out of this problem, but a surgical procedure may be needed to open up the nostrils.
• Tracheal Stenosis: In some dogs the trachea, or wind-pipe, is dangerously narrow. This narrowing makes panting difficult and use of anesthesia very dangerous.
• Everted Laryngeal Saccules: Difficult breathing can inflame saccules (pouches) in the layrnx, and even flip them inside out (hence the term "everted"). This significantly obstructs the airway, so surgical removal of the saccules is common. In severe cases, oxygen therapy may be needed until surgery can be performed.
• Heat Stroke: Since dogs use panting to cool down, brachycephalic dogs struggle in hot weather because they cannot draw in enough air to cool their body. Vomiting, glazed eyes, and seizures can all be signs of heat stroke.
What Other Problems do Brachycephalic Dogs Have?
• Eyes and Eyelids: Brachycephalic dogs' eyes tend to stick out of their skull a little more than others. Sometimes it's difficult for eyelids to close over their eyes (even while sleeping). They are also more vulnerable to vision issues if hit on the head.
• Teeth: Brachycephalic dogs have the same number of teeth as other dogs, but less space to fit them all, which can lead to peridontal disease.
How Can You Protect Your Brachycephalic Dog?
If you have a brachycephalic dog, there are some precautions you can take to reduce the risk of airway or other health problems.
• Use a harness instead of a collar leash: Collars can pull on the layrnx, making breathing more difficult, and also put strain on the face and eyes.
• Don't let your dog over-exercise or overheat: Even brachycephalics who do not need surgery will struggle with breathing if they are exercising or out in hot and humid weather. Keep your dog inside during high temperatures and limit their exercise.
• Keep weight in a healthy range: Obesity can make brachycephalic problems worse.
• Keep track of normal snorting and snoring: You'll learn what sounds are normal for your dog, so when you hear new snorting or labored breathing, it's time to check with the vet. Many of these conditions worsen over time.
• Work with your vet to determine which, if any, conditions may require surgery: Not all dogs will need surgery but many will benefit from a palate shortening or other corrective procedure.
• Spay or neuter your dog: Since brachycephalic airway syndrome is inherited, it is best to avoid breeding a brachycephalic dog which had to undergo surgery (so that their puppies won't have the same severe problems). Giving birth is also very hard on female brachycephalic dogs, so it is best left to professional breeders.
List of Dog Breeds and Their Common Health Concerns
Dogs run the gamut in terms of size, temperament, skills, and pretty much every other defining characteristic -- it's kind of hard to believe that Chihuahuas and Rottweilers are related at all! With all these inherent differences, it comes as no surprise that each breed has to be on the lookout for different health concerns.
To get a better idea of what your dog might have waiting for them down the line, take a look at this list of dog breeds’ predisposed conditions. Click through for information about these health concerns, and learn how to watch for symptoms, prevent problems, and start treatment.
RELATED STORY: How a Healthy Dog Weight Can Prevent Disease
Breed |
Health Concerns
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Afghan Hound |
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African Boerboels |
None Reported |
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Akbash |
Hip Dysplasia; Osteochondritis Dissecans |
|
Hip Dysplasia; Progressive Retinal Atrophy (PRA); Elbow Dysplasia; Pemphigus; Gastric Torsion (Bloat) |
|
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Alapaha Blue Blood Bulldogs |
Hip Dysplasia; Deafness; Blindness; Skin Disorders |
|
Alaskan Klee Kai |
Patellar Luxation |
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Hip Dysplasia; Cataracts; Chondrodysplasia |
|
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Patellar Luxation; Hip Dysplasia; Progressive Retinal Atrophy (PRA) |
|
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Blood Platelet Abnormality |
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Hip Dysplasia; Cerebellar Ataxia; Progressive Retinal Atrophy (PRA) |
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Hip Dysplasia; Progressive Retinal Atrophy (PRA); Deafness; Elbow Dysplasia |
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Progressive Retinal Atrophy (PRA) |
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Cataracts; Collie Eye Anomaly; Hip Dysplasia; Nasal Solar Dermatitis; Pelger-Huet Syndrome; Ivermectin Sensitivity |
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Cryptorchidism |
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Patellar Luxation; Diabetes |
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Fanconi Syndrome; Basenji Enteropathy; Progressive Retinal Atrophy (PRA) |
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Elbow Dysplasia; Ear Problems; Eyelid Problems; Glaucoma; Gastric Torsion (Bloat); Hip Dysplasia; Von Willebrand Disease |
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Intervertebral Disk Disease; Hip Dysplasia |
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Hip Dysplasia; Epilepsy; Colonic Disease; Pemphigus |
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Copper Toxicosis; Retinal Dysplasia; Renal Cortical Hypoplasia |
|
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Hip Dysplasia; Elbow Dysplasia |
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Seizures; Hip Dysplasia; Elbow Dysplasia; Progressive Retinal Atrophy (PRA) |
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Hip Dysplasia; Elbow Dysplasia; Mast Cell Tumor; Gastric Torsion (Bloat) |
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Bichon Frise |
Patellar Luxation; Allergies; Cataracts; Hip Dysplasia |
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Hip Dysplasia; Ectropion |
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Hip Dysplasia; Elbow Dysplasia |
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Eyelid Problems; Gastric Torsion (Bloat); Ear Problems; Skin-Fold Dermatitis; Hip Dysplasia; Elbow Dysplasia |
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Hip Dysplasia; Progressive Retinal Atrophy (PRA); Lens Luxation; Collie Eye Anomaly; Seizures; Heart Defects; Ivermectin Sensitivity |
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Patellar Luxation |
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Patellar Luxation; Brachycephalic Syndrome |
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Hip Dysplasia; Elbow Dysplasia; Heart Defects; Glaucoma |
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Heart Problems; Hip Dysplasia; Gastric Torsion (Bloat); Tumors |
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Hip Dysplasia; Epilepsy |
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None Reported |
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Deafness (in Whites); Kidney Problems; Heart Problems; Patellar Luxation |
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Bullmastiff |
Gastric Torsion (Bloat); Hip Dysplasia; Elbow Dysplasia |
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Liver Shunt; Glaucoma; Jaw Problems |
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None Reported |
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Hip Dysplasia; Entropion; Ectropion; Mange; Gastric Torsion (Bloat) |
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Carolina Dog |
None Reported |
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Catahoula Leopard Dogs |
Hip dysplasia; Glass Eye; Deafness |
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Heart Problems; Hip Dysplasia; Syringomyelia; Patellar Luxation |
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Central Asian Ovtcharkas |
Hip Dysplasia; Elbow Dysplasia |
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Scottie Cramp |
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Hip Dysplasia; Gastric Torsion (Bloat); Progressive Retinal Atrophy (PRA) |
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Heart Problems; Hydrocephalus; Patellar Luxation |
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Progressive Retinal Atrophy (PRA); Glaucoma; Lens Luxation; Patellar Luxation |
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Chinese Foo |
None Reported |
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Eyelid Problems; Hip Dysplasia; Patellar Luxation; Ear Problems; Allergies |
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Chipoo |
Glaucoma; Cataracts; Gum Problems; Ear Infections; Heart Defects |
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Eyelid Problems; Hip Dysplasia; Patellar Luxation; Gastric Torsion (Bloat); Elbow Dysplasia |
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Clumber Spaniel |
Intervertebral Disk Disease; Entropion |
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Collie Eye Anomaly; Progressive Retinal Atrophy (PRA); Gastric Torsion (Bloat); Dermatomyositis; Ivermectin Sensitivity |
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Coton De Tulears |
Cherry Eye; Prolapsed Nictitans Gland; Progressive Retinal Atrophy (PRA); Patellar Luxation |
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Intervertebral Disk Disease; Dry Eye |
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Deafness;Urinary Stones; Allergies |
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Dandie Dinmont Terrier |
Intervertebral Disk Disease; Glaucoma |
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Wobbler’s Syndrome; Cardiomyopathy; Von Willebrand’s Disease; Gastric Torsion (Bloat); Hip Dysplasia |
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Dogue de Bordeaux |
Gastric Torsion (Bloat); Heart Problems; Lymphoma; Kidney Problems; Hip Dysplasia; Elbow Hygroma; Arthritis; Epilepsy; Entropion; Osteosarcoma |
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Brachycephalic Syndrome; Heart Problems; Hip Dysplasia; Dry Eye; Eyelid Problems; Internalized Tail; Shoulder Luxation |
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Ear Problems; Progressive Retinal Atrophy (PRA); Cataracts; Patellar Luxation; Hip Dysplasia; Deafness (in Particolors) |
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None Reported |
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Deafness; Hip Dysplasia; Elbow Dysplasia |
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English Shepherd |
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Hip Dysplasia; Ear Problems; Elbow Dysplasia; Progressive Retinal Atrophy (PRA) |
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Patellar Luxation |
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Estrela Mountain Dogs |
Hip Dysplasia; Osteochondritis Dissecans |
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Fila Brasileiros |
Hip Dysplasia; Lameness; Elbow Dysplasia |
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None Reported |
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Hip Dysplasia; Cancers; Gastric Torsion (Bloat); Glaucoma |
|
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Fox Terrier (Smooth) |
Lens Luxation; Cataracts; Legg-Perthes |
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Fox Terrier (Wire) |
Lens Luxation; Cataracts; Legg-Perthes |
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Brachycephalic Syndrome; Intervertebral Disc Disease; Hip Dysplasia; Allergies; Patellar Luxation |
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None Reported |
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Hip Dysplasia; Elbow Dysplasia; Panosteitis; Von Willebrand’s Disease; Degenerative Myelopathy; Skin Problems; Dermatitis; Hemangiosarcoma; Pannus; Cataracts; Gastric Torsion (Bloat); Perianal Fistulas |
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Lymphedema; Hip Dysplasia; Entropion; Gastric Torsion (Bloat); Von Willebrand’s Disease |
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Progressive Retinal Atrophy (PRA); Hip Dysplasia |
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Hip Dysplasia; Elbow Dysplasia; Skin Problems; Heart Problems; Progressive Retinal Atrophy (PRA); Mast Cell Tumor |
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Goldendoodle |
None Reported |
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Gastric Torsion (Bloat); Hip Dysplasia; Cardiomyopathy; Elbow Dysplasia; Bone Cancer |
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Hip Dysplasia; Patellar Luxation; Entropion; Bone Cancer |
|
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Gastric Torsion (Bloat); Bone Cancer |
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Patellar Luxation |
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Epilepsy; Hip Dysplasia; Lymphosarcoma |
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Hip Dysplasia; Gastric Torsion (Bloat); Progressive Retinal Atrophy |
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Gastric Torsion (Bloat); Elbow Dysplasia; Hip Dysplasia; Heart Problem; Bone Cancer |
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Periodontal Disease; Epilepsy; Leg Fractures; Patellar Luxation; Progressive Retinal Atrophy (PRA) |
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Lens Luxation, Patellar Luxation |
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Hip Dysplasia; Epilepsy; Patellar Luxation |
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Cerebellar Abiotrophy; Cataracts; Spiculosis; Hair Follicle Tumors; Eyelid Problems; Hip Dysplasia |
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Kooikerhondje |
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Labradoodle |
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Hip Dysplasia; Elbow Dysplasia; Progressive Retinal Atrophy (PRA); Obesity |
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Laekenois |
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Lens Luxation |
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Patellar Luxation |
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Patellar Luxation; Eyelid Problems; Progressive Retinal Atrophy (PRA); Renal Cortical Hypoplasia |
|
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Patellar Luxation |
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Patellar Luxation; Hydrocephalus; Liver Shunt; Dental Problems; Eyelid Problems |
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Maltipoo |
None Reported |
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Cardiomyopathy; Von Willebrand’s Disease |
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Maremma Sheepdog |
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Hip Dysplasia; Gastric Torsion (Bloat); Elbow Dysplasia; Bone Cancer |
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Deafness (whites); Glaucoma; Lens Luxation |
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Legg-Perthes; Patellar Luxation; Heart Defects; Mucopolysaccharidosis (MPS) |
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Miniature Poodle |
Progressive Retinal Atrophy (PRA); Deafness; Diabetes; Heart Defects |
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Urinary Stones; Progressive Retinal Atrophy (PRA); Schnauzer Comedo Syndrome; Von Willebrand’s Syndrome |
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Hip Dysplasia; Cardiomyopathy; Demodicosis; Elbow Dysplasia |
|
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Heart Problems; Elbow Dysplasia; Hip Dysplasia; Gastric Torsion (Bloat) |
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Norwegian Buhunds |
|
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Hip Dysplasia; Hot Spots; Kidney Problems |
|
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Hip Dysplasia; Progressive Retinal Atrophy (PRA) |
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Hip Dysplasia; Gastric Torsion (Bloat); Ear Infections; Retinal Detachment; Cataracts; Progressive Retinal Atrophy; Cerebellar Ataxia |
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Hip Dysplasia; Gastric Torsion (Bloat); Elbow Dysplasia; Blood Platelet Abnormality |
|
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Patellar Luxation; Seizures; Dental Problems |
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Lens Luxation; Patellar Luxation |
|
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Peekapoo |
None Reported |
|
Brachycephalic Syndrome; Dry Eye; Patellar Luxation |
|
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Intervertebral Disc Disease; Hip Dysplasia; Epilepsy; Degenerative Myelopathy |
|
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Pharaoh Hound |
None Reported |
|
Hip Dysplasia; Cerebellar Ataxia; Progressive Retinal Atrophy (PRA) |
|
|
Plott |
None Reported |
|
Polish Lowland Sheepdog |
None Reported |
|
Pomapoo |
None Reported |
|
Patellar Luxation; Progressive Retinal Atrophy (PRA) |
|
|
Eyelid Problems; Legg-Perthes; Patellar Luxation; Progressive Retinal Atrophy (PRA); Epilepsy; Sebaceous Adenitis |
|
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Progressive Retinal Atrophy (PRA); Hip Dysplasia; Glycogen Storage Disease |
|
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Brachycephalic Syndrome; Pug Dog Encephalitis; Hip Dysplasia; Patellar Luxation; Legg-Perthes; Entropion |
|
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Puli |
|
|
Patellar Luxation |
|
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Redbone Coonhound |
None Reported |
|
Hip Dysplasia; Elbow Dysplasia; Dermoid Sinus |
|
|
Hip Dysplasia; Elbow Dysplasia; Heart Problems; Bone Cancer; Gastric Torsion (Bloat); Von Willebrand’s Disease |
|
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Hip Dysplasia; Gastric Torsion (Bloat); Eyelid Problems; Elbow Dysplasia; Bone Cancer; Heart Problems; Diabetes |
|
|
Hemangiosarcoma; Heart Problems |
|
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Mucopolysaccharidosis (MPS); Legg-Perthes; Epilepsy |
|
|
Schnoodle |
None Reported |
|
Scottish Deerhound |
Gastric Torsion (Bloat); Heart Problems; Bone Cancer |
|
Von Willebrand’s Disease; Jaw Problems; Scotty Cramp; Patellar Luxation; Cerebellar Abiotrophy |
|
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Retinal Dysplasia; Lens Luxation |
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Dermatomyositis; Collie Eye Anomaly; Progressive Retinal Atrophy (PRA); Cataracts; Hip Dysplasia; Legg-Perthes; Patellar Luxation; Ivermectin Sensitivity |
|
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Shiba Inu |
|
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Hip Dysplasia; Renal Dysplasia; Progressive Retinal Atrophy (PRA); Dry Eye; Liver Shunt; Patellar Luxation |
|
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Progressive Retinal Atrophy (PRA); Cataracts; Corneal Opacities |
|
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Patellar Luxation; Legg-Perthes |
|
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Skye Terrier |
Premature Closure of Distal Radius |
|
Snorkie |
None Reported |
|
Soft-coated Wheaten Terrier |
Protein-Losing Diseases; Renal Dysplasia |
|
Spinone Italiano |
|
|
Hip Dysplasia; Cerebellar Ataxia; Progressive Retinal Atrophy (PRA) |
|
|
Hip Dysplasia; Follicular Dermatitis |
|
|
Sussex Spaniel |
Hip Dysplasia; Intervertebral Disk Disease; Ear Problems; Heart Problems |
|
Swedish Vallhund |
None Reported |
|
Thai Ridgeback |
Hip Dysplasia; Dermoid Sinus |
|
Tibetan Mastiff |
|
|
Patellar Luxation; Cataract |
|
|
Patellar Luxation; Epilepsy |
|
|
Toy Fox Terrier |
Patellar Luxation; Legg-Perthes |
|
Toy Manchester Terrier |
Von Willebrand’s Disease; Cardiomyopathy |
|
Toy Poodle |
Progressive Retinal Atrophy (PRA); Patellar Luxation; Legg-Perthes; Epilepsy; Eyelid Problems |
|
Treeing Walker Coonhound |
None Reported |
|
Epilepsy; Hip Dysplasia; Lymphosarcoma |
|
|
Lens Luxation; Glaucoma |
|
|
Globoid Cell Leukodystrophy; Legg-Perthes; Jaw Problems; Copper Toxicosis; Cataracts; Patellar Luxation |
|
|
None Reported |
|
|
Wirehaired Pointing Griffon |
|
|
Xoloitzcuintle |
Acne (on Hairless) |
|
Yorkie-Poo |
Patellar Luxation; Hypothyroidism; Hypoglycemia; Mitral Valve Insufficiency (MVI); Urolithiasis |
|
Patellar Luxation |
Frequently Asked Questions
Do all brachycephalic dogs have breathing problems?
Are brachycephalic dogs in pain?
How long do brachycephalic dogs live?
Is it cruel to breed brachycephalic?
Can brachycephalic be cured?
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This information is for informational purposes only and is not meant as a substitute for the professional advice of, or diagnosis or treatment by, your veterinarian with respect to your pet. It has, however, been verified by a licensed veterinarian for accuracy.