Small-size dogs, or Toy dogs, suffer breed specific problems. The Shih Tzu is not an exception. There are several congenital diseases (dogs are born with these diseases) that might present serious health risks in Shih Tzu are : patellar luxation, back problems and eye abnormalities. If the timely and correct preventive care is provided and if the breeding stock is free from genetic defects, then you have a healthyShih Tzu.
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