Maltese Shih Tzu Health Problems – 10 Most Common Health Issues
The Maltese Shih Tzu, also known as the Mal-Shi or Malti-Tzu, is a crossbreed between the Maltese and Shih Tzu. Due to their mixed ancestry, they may inherit health issues from both parent breeds. These small dogs generally weigh between 4 to 15 pounds and have a life expectancy of 12 to 15 years.

10 Most Common Health Problems & Issues in Maltese Shih Tzus:
1. Brachycephalic Airway Syndrome
A condition common in breeds with short noses and flat faces, leading to breathing difficulties.
- Symptoms: Noisy breathing, snoring, exercise intolerance, fainting spells, gagging.
- Causes: Genetic, due to the conformation of the skull and airways.
- Treatment: Weight management, avoiding stress and heat exposure, surgical correction in severe cases.
2. Dental Issues
Mal-Shis are prone to dental problems due to their small mouths and teeth overcrowding.
- Symptoms: Bad breath, tooth loss, red or swollen gums, difficulty eating.
- Causes: Plaque buildup, genetics, diet.
- Treatment: Regular dental check-ups, daily tooth brushing, professional cleanings, and dental chews.
3. Patellar Luxation
A common issue where the kneecap dislocates or moves out of its normal position.
- Symptoms: Limping, skipping steps, sudden lameness, pain.
- Causes: Congenital or developmental, trauma.
- Treatment: Weight management, physical therapy, anti-inflammatory medications, and in severe cases, surgery.
4. Progressive Retinal Atrophy (PRA)
A degenerative disease affecting the retina, leading to progressive vision loss and eventual blindness.
- Symptoms: Night blindness, dilated pupils, difficulty navigating in low light, eventual total blindness.
- Causes: Genetic.
- Treatment: No cure, but affected dogs can adapt to their blindness with supportive care and environmental adjustments.
5. Intervertebral Disc Disease (IVDD)
A condition where the cushioning discs between the vertebrae either bulge or burst into the spinal cord space, causing pain, nerve damage, and possibly paralysis.
- Symptoms: Pain, reluctance to jump or move, paralysis, loss of bladder/bowel control.
- Causes: Trauma, age-related degeneration, genetics.
- Treatment: Rest, anti-inflammatory medications, pain relief, and in severe cases, surgery.
6. Hypoglycemia
Especially in smaller dogs like Mal-Shis, low blood sugar can be a concern.
- Symptoms: Weakness, lethargy, trembling, seizures, unconsciousness.
- Causes: Poor nutrition, stress, strenuous activity, underlying health issues.
- Treatment: Immediate treatment involves offering a quick source of sugar. Long-term management includes regular, nutritious meals and snacks.
7. Ear Infections
Their floppy ears can trap moisture and debris, leading to infections.
- Symptoms: Ear odor, scratching at ears, head shaking, redness, discharge.
- Causes: Yeast, bacteria, allergies, trapped moisture.
- Treatment: Regular ear cleaning, avoiding water in the ears, and medication for infections.
8. Allergies
Mal-Shis can suffer from various allergies, including food, environmental, or contact allergies.
- Symptoms: Itchy skin, recurrent ear infections, sneezing, paw licking, skin infections.
- Causes: Allergens in food, pollen, dust mites, mold, certain fabrics or cleaning products.
- Treatment: Identifying and removing the allergen, antihistamines, special diets, topical treatments, and in some cases, immunotherapy.
9. Shaker Syndrome
A condition characterized by generalized tremors, more common in small, white breeds.
- Symptoms: Widespread tremors, normal during rest but worsen with activity or excitement.
- Causes: Unknown, but thought to be immune-mediated.
- Treatment: Corticosteroids can often control symptoms effectively.
10. Liver Shunt
A congenital condition where blood bypasses the liver, leading to a buildup of toxins in the body.
- Symptoms: Poor growth, disorientation, seizures, excessive drinking and urination, vomiting.
- Causes: Congenital defect.
- Treatment: Dietary management, medications to reduce toxin buildup, and in some cases, surgical correction to close the shunt.

Precautions & Preventative Measures:
Owning a Maltese Shih Tzu comes with the responsibility of providing them with the best care possible to ensure their health and well-being. By taking proactive precautions and implementing preventive measures, you can significantly improve their quality of life. Here are some essential steps you should consider:
- Provide a balanced diet with high-quality dog food appropriate for their age and size.
- Regular exercise to maintain a healthy weight and promote overall well-being.
- Keep them in a comfortable, well-ventilated environment to prevent respiratory stress.
- Regular grooming, including brushing their coat and cleaning their ears and teeth.
- Schedule routine veterinary check-ups to catch any health issues early.
What do Maltese Shih Tzus Usually Die From?
Maltese Shih Tzus typically pass away due to old age-related conditions and diseases, including heart failure, kidney failure and cancer.