Shih Tzus are loving and affectionate dogs, but like many small breeds, they can be good at hiding pain. Since they can’t speak, it’s important for owners to recognize subtle signs of discomfort to ensure their pet gets proper care. Whether the pain is caused by an injury, illness, or chronic condition, knowing how to identify warning signs early can prevent complications.
In this guide, you’ll learn how to tell if your Shih Tzu is in pain, common causes of discomfort, and what steps to take if you suspect your dog is hurting.
Why Do Shih Tzus Hide Pain?
Dogs, including Shih Tzus, have a natural instinct to mask pain. In the wild, showing weakness could make them vulnerable to predators, so dogs evolved to hide discomfort. While this behavior helped their ancestors survive, it makes it harder for pet owners to detect health problems early.
That’s why it’s important to pay attention to behavioral and physical changes in your Shih Tzu.
Signs That Your Shih Tzu Might Be in Pain
Shih Tzus may not cry or whimper when they’re in pain, but they show discomfort in other ways. Here are key signs to look out for:
1. Changes in Behavior
🚩 Increased aggression or irritability – A usually friendly Shih Tzu may snap or growl when touched.
🚩 Avoiding contact – If your dog suddenly hides, avoids cuddles, or refuses to be picked up, it could be in pain.
🚩 Unusual clinginess – Some dogs become extra needy when they’re not feeling well.
2. Changes in Movement
🚩 Limping or difficulty walking – May indicate joint pain, arthritis, or an injury.
🚩 Reluctance to jump or climb stairs – If your Shih Tzu suddenly refuses to go up the couch or use stairs, check for back or leg pain.
🚩 Shaking or trembling – Can be a sign of pain, fever, or anxiety.
3. Changes in Eating and Drinking
🚩 Loss of appetite – A sudden disinterest in food may indicate dental pain, nausea, or illness.
🚩 Drinking less water – Dehydration can worsen certain conditions, so monitor water intake.
🚩 Dropping food or chewing on one side – Possible sign of tooth pain or gum disease.
4. Changes in Sleeping Patterns
🚩 Sleeping more than usual – Pain can make a dog less active and more tired.
🚩 Difficulty finding a comfortable position – If your dog keeps shifting positions, whines in bed, or avoids lying down, it may be in pain.
5. Excessive Grooming or Licking
🚩 Licking or biting a specific area – Dogs instinctively lick wounds or painful areas.
🚩 Chewing paws or legs – Could indicate joint pain, allergies, or nerve issues.
6. Vocalization (Whining, Whimpering, or Yelping)
🚩 Sudden whining when touched – A sign of localized pain.
🚩 Yelping when picked up – Often related to back, neck, or rib pain.
🚩 Excessive barking for no reason – May indicate distress or discomfort.
7. Changes in Bathroom Habits
🚩 Difficulty urinating or defecating – Could signal bladder infections, constipation, or spinal issues.
🚩 Accidents indoors – A trained dog that suddenly starts peeing inside may be in discomfort.
🚩 Scooting or excessive licking of the genital area – Possible anal gland issues or infections.
Common Causes of Pain in Shih Tzus
Understanding what might be causing your dog’s discomfort can help you take action quickly. Here are some of the most common pain-related health issues in Shih Tzus:
1. Dental Problems
🦷 Tooth decay, gum disease, or broken teeth can cause severe mouth pain.
🔹 Signs: Drooling, bad breath, difficulty chewing, pawing at the mouth.
🔹 Solution: Regular dental check-ups and brushing.
2. Joint Pain and Arthritis
🐾 Small breeds like Shih Tzus can suffer from arthritis, hip dysplasia, or luxating patella (knee problems).
🔹 Signs: Stiffness, difficulty jumping, limping.
🔹 Solution: Joint supplements, weight management, and vet-prescribed medications.
3. Back and Spinal Issues
🦴 Shih Tzus are prone to intervertebral disc disease (IVDD), a serious condition affecting the spine.
🔹 Signs: Reluctance to move, arched back, crying when picked up.
🔹 Solution: Immediate vet care, rest, and possibly surgery in severe cases.
4. Ear Infections
👂 Their floppy ears can trap moisture, leading to painful infections.
🔹 Signs: Head shaking, pawing at the ears, bad smell.
🔹 Solution: Regular ear cleaning and veterinary treatment.
5. Skin Allergies and Irritations
🌿 Shih Tzus often suffer from food or environmental allergies that cause itching, rashes, and skin infections.
🔹 Signs: Excessive licking, scratching, hair loss.
🔹 Solution: Hypoallergenic diet and vet-prescribed treatments.
6. Stomach Issues
🥩 Shih Tzus have sensitive stomachs, and pain can result from gas, bloating, or infections.
🔹 Signs: Vomiting, diarrhea, lack of appetite.
🔹 Solution: Diet adjustments, hydration, and vet care if symptoms persist.
7. Eye Problems
👀 Their large, prominent eyes make them prone to corneal ulcers, dry eye syndrome, and infections.
🔹 Signs: Redness, excessive tearing, squinting.
🔹 Solution: Daily eye cleaning and vet check-ups.
What to Do If Your Shih Tzu Is in Pain
If you suspect your Shih Tzu is in pain, follow these steps:
✅ Step 1: Observe Symptoms
Take note of any behavioral or physical changes and how long they last.
✅ Step 2: Check for Visible Injuries or Issues
Look for cuts, swelling, infections, or signs of discomfort in the affected area.
✅ Step 3: Limit Movement
If your dog is limping or showing signs of joint or back pain, keep them calm and resting until you see a vet.
✅ Step 4: Do NOT Give Human Pain Medications
Painkillers like ibuprofen, aspirin, or acetaminophen are toxic to dogs. Only use vet-approved medications.
✅ Step 5: Take Them to the Vet If Symptoms Persist
If the pain lasts more than 24 hours, worsens, or comes with severe symptoms (vomiting, collapse, difficulty breathing), seek immediate veterinary care.
Final Thoughts
Since Shih Tzus instinctively hide pain, it’s crucial for owners to pay close attention to subtle changes in behavior, movement, and appetite. By recognizing the early warning signs and seeking prompt veterinary care, you can help your furry friend stay comfortable, happy, and healthy.