tpvets_logo.jpg (2726 bytes) TOA PAYOH VETS 
toapayohvets.com
Focus:
 Small animals - dogs, cats, hamsters, rabbits
Date:   28 December, 2006      
Be Kind To Pets is a community education sponsored by asiahomes.com
1. Health Concerns in the Shih Tzu
Source: Dog World January 2001

The Shih Tzu is a hardy dog living as long as 18 years.

Health problems include juvenile renal dysplasia, often resulting in death), eye problems, hypothyroidism and joint disorders.  Heat stress in Singapore may be a common problem if the Shih Tzu is left alone in a parked car.

1.  Renal dysplasia (hereditary disease in which the kidney does not develop normally, often resulting in death).

2.  Hereditary eye diseases commonly seen are proptosed globes, distichiasis, ectopic cilia, juvenile cataracts and progressive retinal atrophy (PRA).

2.1 Proptosed globes - eyeballs come out of the socket.  As Shih Tzus have large eyes in shallow orbits, a head injury of brushing too hard on the top knot can cause the eye to come out of its orbit. If veterinary attention is not obtained within 15 minutes or less, the eye may become blind.

2.2 Distichiasis and ectopic cilia - eye lashes rub and irritate the eye, may cause scarring of the cornea or corneal ulcers if not surgically corrected.

2.3 Juvenile cataracts and PRA are hereditary diseases that can cause blindness. Buyers will need to ensure that both parents have been tested and cleared of these diseases through the Canine Eye Registration Foundation (in the U.S) but there is no such body in Singapore.

2.4 Hypothyroidism - chronic disease in which the thyroid gland does not produce enough hormones - hair loss, lethargy, weight gain. Can be treated but needs medication for the rest of the life. Breeding stock should be tested for hypothyroidism.

3.  Hip dysplasia. Ensure that parents and several generations, if possible have been certified as having hips suitable for breeding by the Orthopedic Foundation for Animals, PennHIP or the Insttitute for Genetic Disease Control in the U.S. No such body in Singapore.

4. Luxating patellas or knee caps that slip out of position can either be hereditary or caused by an injury. Condition can be corrected by surgery. A dog with the hereditary form should never be bred.

5.  Heat stroke.  Like all brachycephalic (short nose) breeds, Shih Tzus cannot efficiently cool themselves.

6.  "Pinched" Noses. Nasal discharge or snuffling, bubbling and snorting from the nose. Condition seems to appear during teething time. If the puppy is eating well, generally it will outgrow this condition. However, if the puppy can breathe only out of its mouth, the nostril may need to be opened surgically. 

Shih Tzu dam had difficulty in giving birth. First born naturally but dead.
The reputable breeder is most likely a member of a local club that tests for hereditary health conditions and certifies that his or her dogs as being clear of juvenile renal dysplasia, hip dysplasia, eye diseases and thyroid disorders.  Health guarantees are standard.

Reputable breeders take back or place a puppy or adult that has not worked out for any reason, at any time. This may be too much to expect from Singapore breeders.

Puppies from good breeders will be sold only at 12 weeks or older as the Shih Tzu develops more slowly than larger breeds and is weaned later.  However, Singaporeans prefer to buy puppies as young as 8 weeks and the demand is great for young ones.
  
The temperament, health and conformation are important factors in the selection of a Shih Tzu puppy.  Purchase from reputable breeders will be best. In Singapore, pure-bred Shih Tzus sell from S$800. 

Miniaturized Shih Tzu that weigh as little as 3 lbs (the weight of a normal one at 3 weeks of age) command as US$1,500 or more in the U.S. 

The American Shih Tzu Club (ASTC) standard:
Ideal weight  0 - 16 lbs
8 - 11 inches tall
Toy breed
All colours

2 most distinctive characteristics are its coat and head piece.
Double coast is thick and luxurious with long, sometimes wavy (not curly) outer hair and a woolly undercoat.

The head is broad and round with a square short muzzle that is roughly 1 inch from the stop - where the muzzle meets the forehead -to the tip of the nose. The body is solid with a broad deep chest, sturdy , short, straight and muscular legs.

Friendly and outgoing temperament makes the Shih Tzu a very popular pet.
3. Tips for first-time Dog Owners.

DIFFERENCE BETWEEN A SHIH TZU AND A LHASA APSO

Shih Tzu - The head is broad and round with a square short muzzle that is roughly 1 inch from the stop - where the muzzle meets the forehead -to the tip of the nose.  The Lhasa Apso has a longer and narrower muzzle.

4. Case studies

4.1  Eye ulcer in a Shih Tzu

4.2  Hernias in the Shih Tzu --- The big belly-button Shih Tzu puppy has a few days to live.

4.3  The Shih Tzu with itchy ears

Shih Tzu with thick ear canal hairs
"Consulting the vet is much more expensive than seeing the general practitioner," Mr Lam complained.  "The human doctor charged me twenty dollars when I went to him for a flu diagnosis.  You charge fifty dollars to pull a few ear hairs out of my Shih Tzu".

it was the third time his pet had come for treatment of itchy ears.  He had tried over the counter ear powder, olive oil and his groomer had also treated the ear itchiness.  Nothing worked for long.  Over a period of time, the bills added up to a significant amount.

The fifty dollars included consultation, examination, tranquilisation and  irrigation of the ear canals of this Shih Tzu to get the oil and powder out. I used forceps to pull out the long ear canal hairs which reduced ventilation. Poor ventilation of the ear canals encouraged bacterial growth, fungal growth and inflammation. The inflamed ear canal became infected and itchy.

It was inexpensive as much time was spent on this ear irrigation than just a 10-minute sit down consultation at the general practitioner for flu. 
    
Still, fifty dollars might mean a lot of money for any wage earner with a baby to feed. 

Trying to lower his veterinary cost of pet ownership, I proposed, "There is a surgical procedure --- LATERAL EAR CANAL RESECTION.

" The vet surgeon cuts open the side of the vertical ear canal so that the Shih Tzu will  not have ear ventilation problems leading to continuous head shaking and scratching." I explained.

"The hole you see presently is the top end of the vertical ear canal.  Further down, the vertical canal curved inwards to become a horizontal canal. The L-shaped canal structure traps and leads to infections of damp ear skin."

Mr Lam peeked at the opening of the vertical canal and could only see turfs of hair obstructing the entrance.

I elaborated, "I cut open the  side wall of the vertical canal. A rectangular piece of skin and cartilage from this side would be discarded so that the vertical canal now is opened at the level of the horizontal canal.

The water will non longer be trapped inside the horizontal canal leading to dampness and infections.

Opening up the side of the vertical canal would  permit ventilation. The ear hairs would continue to grow and obstruct the canal but after the surgery, the vertical canal would be open and not able to trap dirt and water. 

 The cost of general anesthesia and surgery called Lateral Ear Canal Resection was $250 per ear. 

Mr Lam would rather not operate. It was difficult for him to visualise the long term savings of not having to bring his companion for further veterinary treatment of the ears. Maybe it was the cost of the surgery.
 

5.  Pictures of Lateral Ear Canal Resection Surgery:
The Cocker Spaniel had copious pus in its painful ears and "Is Image Everything?" educational article for new housing agents of asiahomes.com.

6.  Tips for first-time Shih Tzu Breeders

COLOURS OF SHIH TZUS.

There is a very low demand for black and white Shih Tzus in Singapore.  Therefore, your selling prices have to be lower than the gold and white ones which seem to be in great demand by the locals.

 

2.  Hernias in the Shih Tzu

First-time Breeders in Singapore may not be aware that large umbilical hernias in Shih Tzus can be repaired by the veterinarian as early as 6 weeks of age.  Consult your veterinarian regarding the anaesthetic risks and the veterinarian's comfort level in performing such surgeries.

Pictures of one surgery of an older Shih Tzu sold to a pet owner are shown here.  The pet shop has informed the buyer that there is a big hernia. The selling price has been discounted. It is up to the buyer to seek veterinary treatment. The cost of repair is around $200 for an older puppy at toapayohvets

I advise that Shih Tzus with hernias not to be bred.
Large expanding umbilical hernia - Shih Tzu puppy 6 weeks old, Singapore
Active Shih Tzu - occasional breathing difficulty- may be pain due to gut partially twisted inside large umbilical hernia. General anaesthesia under 4 months old is high risk. Toa Payoh Vets.
tpvets_logo.jpg (2726 bytes)113.  The occasional breathing difficulty could be due to the twisting of the intestines in the large umbilical hernia. tpvets_logo.jpg (2726 bytes)114.  Gas anaesthesia in a very young puppy is high risk and requires very close care.
To operate or not to?
7 cases of umbilical hernias in puppies.
Do you want to take a risk and not repair a huge umbilical hernia when the puppy is healthy?  Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)115. Large umbilical hernias need to be repaired as the intestines may get twisted later, killing the dog.
LINKS: 
1.  asiahomes.com
2.  sinpets.com
3.  Singapore's small animal vets directory sponsored by asiahomes.com
4. Community Education: Be Kind To Pets
5. Toa Payoh Vets

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All rights reserved.
Revised: December 28, 2006

 

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