***HERNIAS IN SHIH TZU PUPPIES as well as other breeds is very common, and is not a medical condition
or cause for immediate concern. Please be informed before you agree to surgical hernia repair on your
SHIH TZU PUPPY.***
The following information is copied from www.Bullwrinkle.com and is being offered as an educational tool:
"A hernia is a protrusion or bulge of a part of the body tissue, fat, or an organ through an abnormal opening
of the surrounding tissue. There are numerous types of hernias, each type named after its affected area.
A hernia which can be pushed back into the abdomen is called reducible. Hernias which are not reducible are
called incarcerated. If the blood supply to an incarcerated hernia is pinched off, the hernia becomes
strangulated. A strangulated hernia is an emergency situation and must be brought to the attention of your
veterinarian."
The most common types of hernias in shih tzu puppies are:
"An umbilical hernia is the most common type of hernia found in puppies. In case of umbilical hernias, a
portion of fat or internal organs protrudes through an incompletely closed umbilical ring. Umbilical hernias
may be present at birth, or may be acquired. The most common means of acquiring an umbilical hernia is a
result of the umbilical cord being severed too close to the abdominal wall. In most cases umbilical hernias
are small and reduce as the puppy grows. Generally, by the time the pup is six months old, the umbilical
hernia will shrink and disappear on its own. "An inguinal hernia is the result of abdominal organs, fat or
tissue protruding through the inguinal ring. Inguinal hernias are presented as skin-covered bulges in the
groin. They can be bi-lateral, involving both sides or unilateral, involving only one side. Inguinal hernias
are more common in females than males, but do occur in both sexes. As with umbilical hernias, most
inguinal hernias will shrink and disappear as the puppy grows. Inguinal hernias can also occur in unspayed,
middle-aged female dogs. This may occur as the result of stretching of abdominal tissue due to pregnancy. I
have heard of many Champion show dogs that have the umbilical hernias and most experienced breeders
know they are part of the breed and nothing to get all upset over. The smaller ones can be left alone if they
are not bothering the dog and larger ones can be repaired at the time of a spay/neuter. If your puppy has
one, just keep an eye on it and if it changes, let your vet know. Most dogs live their whole lives with
smaller ones and never have a problem. As long as it is not causing a problem and can be pushed back in it
is ok to wait until spay/neuter to have repaired. If you read the official site for the English Toy Spaniel you
will see they actually state that the umbilical hernia is part of their breed and NOT considered a health
problem. This is also true of the Shih Tzu and many other breeds. Vets without a lot experience with the
breed often make a big deal about them because they do not understand this breed or the breeds with these
specific problems.

Shih Tzu puppies often have slightly pinched nostrils that generally open with time. The bubbly discharge from a Shih Tzu puppy’s nose is NOT serious if the discharge is clear and watery and the dog is otherwise thriving. This problem is most acute during the teething stage. Even the nostrils of a dog that has difficulty simultaneously eating and breathing or is lethargic at this time may open satisfactorily as the dog matures, but a few dogs this severely affected may require surgery later on.
Pinched nostrils and teething go together.
TEETHING PROBLEMS- Some puppies in this breed experience teething trouble. The noses swell and
pinch off some and they may have a little clear discharge. They make make some snorting and snuffling
sounds. They will usually outgrow this after the adult teeth come in. As long as they are playful and active
and eating and drinking well, they are ok. If they cant eat or drink well and are lethargic or the discharge
changes color, they may have developed infection and need to be checked and treated. Most Shih tzu pups
are fine after adult teeth have come in. As long as pups are eating and drinking well and can play they are
fine, The official book of this breed recommends not letting any surgery be done until after adult teeth are
in as most will then resolve.
**Many Shih Tzu puppies nose's will become tight during the teething phase. It will often cause them to
snort and mouth breath. This will go away usually around 12-16 weeks of age sometimes longer. It is very
different the Stenotic Nares (Pinched Nostrils). Which is noticed from birth. Many Vets will try to talk you
into an unnecessary surgery. Though I have been Blessed again, Not to have Stenotic Nares. I thought I
would share this info with you.***
