Your dog is special! She’s your best friend, companion, and a source of unconditional love. Chances are that you chose her because you like Tibetan Spaniels and you expected her to have certain traits that would fit your lifestyle:

Vigilant watchdog with a ready bark
Energetic and playful
Good with children and other pets
Small and travels well
Affectionate, easygoing, and lovable
Intelligent and reliable
However, no dog is perfect! You may have also noticed these characteristics:

Prone to boredom and separation anxiety when left alone and will find trouble
Needs daily exercise
Does not tolerate harsh reprimands or negative-reinforcement training
Needs frequent attention from her family
Standoffish toward strangers
Can be aggressive, fearful, or snappy if not socialized properly
Is it all worth it? Of course! She’s full of personality, and you love her for it! She is an outgoing and friendly dog, but she can also be assertive and independent. With proper socialization and a confident leader, she is a calm, trusting, and devoted family companion.

The Tibetan Spaniel originated in the Himalayan Mountains of Tibet as early as 1100 BC. They were bred to serve as watchdogs and companions in the Buddhist Monasteries. Tibetan Spaniels were highly prized and were often given as gifts. Tibbies were popular only in Tibet until the late 1800’s, when they were first introduced into England. The Tibetan Spaniel, or Little Lion, loves to be on lookout from high places – a remnant of their heritage as monastery wall sentinels. Tibetan Spaniels are cheerful and charming when given the attention they demand. The Tibetan Spaniel is a generally healthy breed with an average lifespan of 13-15 years.

Your Tibetan Spaniel’s Health

We know that because you care so much about your dog, you want to take good care of her. That is why we have summarized the health concerns we will be discussing with you over the life of your Tibbie. By knowing about health concerns specific to Tibetan Spaniels, we can tailor a preventive health plan to watch for and hopefully prevent some predictable risks.

Many diseases and health conditions are genetic, meaning they are related to your pet’s breed. There is a general consensus among canine genetic researchers and veterinary practitioners that the conditions we’ve described herein have a significant rate of incidence and/or impact in this breed.That does not mean your dog will have these problems; it just means that she is more at risk than other dogs. We will describe the most common issues seen inTibetan Spanielsto give you an idea of what may come up in her future. Of course, we can’t cover every possibility here, so always check with us if you notice any unusual signs or symptoms.

This guide contains general health information important to all canines as well as the most important genetic predispositions for Tibetan Spaniels. This information helps you and us together plan for your pet’s unique medical needs. At the end of the booklet, we have also included a description of what you can do at home to keep your Little Lion looking and feeling her best. You will know what to watch for, and we will all feel better knowing that we’re taking the best possible care of your pal.

General Health Information for your Tibetan Spaniel
Dental Disease

Dental disease is the most common chronic problem in pets, affecting 80% of all dogs by age two. And unfortunately, your Tibetan Spaniel is more likely than other dogs to have problems with her teeth. It starts with tartar build-up on the teeth and progresses to infection of the gums and roots of the teeth. If we don’t prevent or treat dental disease, your buddy will lose her teeth and be in danger of damaging her kidneys, liver, heart, and joints. In fact, your Tibbie’s life span may be cut short by one to three years! We’ll clean your dog’s teeth regularly and let you know what you can do at home to keep those pearly whites clean.

Infections

Tibetan Spaniels are susceptible to bacterial and viral infections—the same ones that all dogs can get—such as parvo, rabies, and distemper. Many of these infections are preventable through vaccination, which we will recommend based on the diseases we see in our area, herage, and other factors.

Obesity

Obesity can be a significant health problem in Tibetan Spaniels. It is a serious disease that may causeor worsen joint problems, metabolic and digestive disorders, back pain and heart disease. Though it’s tempting to give your pal food when she looks at you with those soulful eyes, you can “love her to death” with leftover people food and doggie treats. Instead, give her a hug, brush her fur or teeth, play a game with her, or perhaps take her for a walk. She’ll feel better, and so will you!

Parasites

All kinds of worms and bugs can invade your Little Lion’s body, inside and out. Everything from fleas and ticks to ear mites can infest herskin and ears. Hookworms, roundworms, heartworms, and whipworms can get into hersystem in a number of ways: drinking unclean water, walking on contaminated soil, or being bitten by an infected mosquito. Some of these parasites can be transmitted to you or a family member and are a serious concern for everyone. For your canine friend, these parasites can cause pain, discomfort, and even death, so it’s important that we test for them on a regular basis. We’ll also recommend preventive medication as necessary to keep herhealthy.

Spay or Neuter

One of the best things you can do for your Tibbie is to have her spayed (neutered for males). In females, this means we surgically remove the ovaries and usually the uterus, and in males, it means we surgically remove the testicles. Spaying or neutering decreases the likelihood of certain types of cancers and eliminates the possibility of your pet becoming pregnant or fathering unwanted puppies. Performing this surgery also gives us a chance, while your pet is under anesthesia, to identify and address some of the diseases your dog is likely to develop. For example, if your pet needs hip X-rays or a puppy tooth extracted, this would be a good time. This is convenient for you and easy for your friend. Routine blood testing prior to surgery also helps us to identify and take precautions for common problems that increase anesthetic or surgical risk. Don’t worry; we’ll discuss the specific problems we will be looking for when the time arrives.

Genetic Predispositions for Tibetan Spaniels

Liver Problems

Your Little Lion is more likely than other dogs to have a liver disorder called portosystemic shunt (PSS). Some of the blood supply that should go to the liver goes around it instead, depriving the liver of the blood flow it needs to grow and function properly. If your friend has PSS, his liver cannot remove toxins from his bloodstream effectively. To check for this problem, we’ll conduct a liver function test in addition to a standard pre-anesthetic panel every time he undergoes anesthesia. If he develops symptoms such as stunted growth or seizures, we’ll test his blood and possibly conduct an ultrasound scan of his liver. Surgery may be needed, but in some cases, we can treat with a special diet and medication.

Eye Problems

Not many things have as dramatic an impact on your dog’s quality of life as the proper functioning of his eyes. Unfortunately, Tibetan Spaniels can inherit or develop a number of different eye conditions, some of which may cause blindness if not treated right away, and most of which can be extremely painful! We will evaluate his eyes at every examination to look for any signs of concern.
Heart Disease

Tibbies are susceptible to a condition called Patent Ductus Arteriosis, in which a small vessel that carries blood between two parts of the heart does not close shortly after birth as it should. This results in too much blood being carried to the lungs, fluid build-up, and strain on the heart. Outward signs may be mild or you may see coughing, fatigue during exercise, weight loss, shortness of breath, or weakness in the hind limbs. We listen for a specific type of heart murmur to diagnose this problem during his examinations. If your pal has this condition, we may recommend surgery to close the problematic vessel.
Back Problems

Intervertebral disc disease (IVDD ) is a common condition in Tibbies. The disease is caused when the jelly-like cushion between one or more vertebrae slips or ruptures, causing the disc to press on the spinal cord. If your dog is suddenly unable or unwilling to jump up, go up stairs, is reluctant to move around, has a hunched back, cries out, or refuses to eat or go potty, he is likely in severe pain. He may even drag his back feet or be suddenly paralyzed and unable to get up or use his back legs. If you see symptoms, don’t wait. Call us or an emergency clinic immediately! For less severe cases, rest and medication may resolve the problem. In many cases involving paralysis, we’ll recommend surgical removal of the ruptured discs (within 24 hours of the onset of symptoms to get the best results). As with so many other diseases, weight control helps to prevent this problem. You should also use ramps or steps from puppyhood on so that your dog doesn’t spend a lifetime stressing his back by jumping on and off of the furniture.
Knee Problems

Sometimes your Tibbie’s kneecap (patella) may slip out of place (called patellar luxation ). You might notice that he runs along and suddenly picks up a back leg and skips or hops for a few strides. Then he kicks his leg out sideways to pop the kneecap back in place, and he’s fine again. If the problem is mild and involves only one leg, your friend may not require much treatment beyond arthritis medication. When symptoms are severe, surgery may be needed to realign the kneecap to keep it from popping out of place.
Hip and Elbow Dysplasia

Both hips and elbows are at risk for dysplasia , an inherited disease that causes the joints to develop improperly and results in arthritis. Stiffness in your Tibbie’s elbows or hips may become a problem for him, especially as he matures. You may notice that he begins to show lameness in his legs or has difficulty getting up from lying down. We can treat the arthritis—the sooner the better—to minimize discomfort and pain. We’ll take X-rays of your dog’s bones to identify issues as early as possible. Surgery is sometimes a good option in severe and life-limiting cases. Keep in mind that overweight dogs may develop arthritis years earlier than those of normal weight, causing undue pain and suffering!
Bladder or Kidney Stones

There are a few different types of stones that can form in the kidney or in the bladder, and Tibetan Spaniels are more likely to develop them than other breeds. We’ll periodically test his urine for telltale signs indicating the presence of kidney and bladder stones; they are painful! If your buddy has blood in his urine, can’t urinate, or is straining to urinate, it is a medical emergency. Call us immediately!

Allergies

In humans, an allergy to pollen, mold, or dust makes people sneeze and their eyes itch. In dogs, rather than sneeze, allergies make their skin itchy. We call this skin allergy “atopy”, and Tibbies often have it. Commonly, the feet, belly, folds of the skin, and ears are most affected. Symptoms typically start between the ages of one and three and can get worse every year. Licking the paws, rubbing the face, and frequent ear infections are the most common signs. The good news is that there are many treatment options available for this condition.

Dental Abnormalities

Teeth abnormalities are often genetically induced and are relatively common in dogs, especially in purebred dogs like your Tibbie. An overbite or underbite is called a malocclusion, or a bad bite. Oligodontia is a condition where only a few teeth are present. Misaligned teeth can also occur and cause lots of problems, but can usually be corrected with braces or extractions. (Yes, dogs can get braces!) We want to keep your buddy’s teeth healthy so we will be watching his developing teeth closely.

Dogs normally begin to lose their primary (“puppy”) teeth at around 4 months of age. When the primary teeth don’t fall out as the adult teeth come in, infection or damage to the adult teeth may develop. Retained teeth are common in small breeds like Tibbies. The retained puppy teeth trap food and hair between the normal adult tooth and the primary tooth. Painful gums, bad breath and adult tooth loss can result if untreated. We’ll monitor his growing teeth and recommend removal of the puppy teeth if they are present alongside his adult teeth.

Hernia

An inguinal hernia is a hole in the body wall (but not through the skin) in the area of the groin in males and less commonly, females. Usually it is seen as a soft bulging between the anus and the center of the belly, with abdominal fat and sometimes intestines protruding through the hole. Not as common as other types of hernia in dogs, they are usually inherited, and your Tibbie is at greater than normal risk for this problem. In most cases the bulging abdominal contents can be easily pushed back into place with gentle massage, but occasionally the intestines can become stuck in the hernia and require immediate veterinary attention. We’ll check your baby for this congenital defect at his first exam, and discuss treatment options at that time, if needed.

An umbilical hernia is a hole or defect in the body wall in the area of the umbilicus, or bellybutton. Usually it is seen as a soft bulging in the center of the belly, with abdominal fat and sometimes intestines protruding through the hole. Considered the most common type of hernia in dogs, it is usually inherited, and your Little Lion is at greater than normal risk for this problem. In most cases, the bulging abdominal contents can be easily pushed back into place with gentle massage, but occasionally the intestines can become stuck in the hernia and require immediate veterinary attention. We’ll check your baby for this congenital defect at his first exam, and discuss treatment options at that time, if needed.

Epilepsy

There are three types of seizures in dogs: reactive, secondary, and primary. Reactive seizures are caused by the brain’s reaction to a metabolic problem like low blood sugar, organ failure, or a toxin. Secondary seizures are the result of a brain tumor, stroke, or trauma. If no other cause can be found, the disease is called primary, or idiopathic epilepsy. This problem is often an inherited condition, with Tibetan Spaniels commonly afflicted. If your friend is prone to seizures, they will usually begin between six months and three years of age. An initial diagnostic workup may help find the cause. Lifelong medication is usually necessary to help keep seizures under control, with periodic blood testing required to monitor side effects and effectiveness. If your dog has a seizure: Carefully prevent him from injuring himself, but don’t try to control his mouth or tongue. It won’t help him, and he may bite you accidentally! Note the length of the seizure, and call us or an emergency hospital.

Nerve Disease

Neuronal Ceroid Lipofuscinosis, shortened to NCL, is a progressive neurologic disease found in several breeds, including your Tibetan Spaniel. Clinical signs usually appear in younger dogs, between around one to three years of age. In the early stages, rear leg weakness and imbalance can occur. It can progress to weakness involving all four legs, and some dogs also lose vision. There is currently no effective treatment for this disease, but a genetic test is available. Dogs carrying the mutation should not be used for breeding, since it is readily passed to future generations.
Mange

Demodex is a microscopic mite that lives in the hair follicles of dogs. All dogs have them. Normally a dog’s immune system keeps the mites in check, but some breeds, like your Tibbie, develop an overabundance of these mites. In mild cases, pet owners may notice a few dry, irritated, hairless lesions. These often occur on the face or feet and may or may not be itchy. Secondary skin infections may occur. Prompt veterinary care is important to keep the disease from getting out of hand. Many pets seem to outgrow the problem, while others require lifelong management.

Kidney Disease

Tibbies are prone to renal dysplasia, a genetic form of kidney disease affecting your dog as early as puppyhood. Signs include excessive drinking of water and urine production; poor appetite or weight loss; and eventually vomiting and diarrhea. If your dog shows signs of this disease, we’ll perform diagnostic tests to be sure. Treatment may include medication, fluid therapy, and a special diet.

Respiratory Distress Syndrome

This disease, also known as brachycephalic syndrome, affects dogs with a short nose, like your Tibetan Spaniel. He has the same amount of tissue in his nose and throat as the longer-nosed dogs, but there’s no place for it to go. As a consequence, the soft palate (the soft part at the back of the roof of the mouth), is too long and hangs down into the airway. The nostrils are often too small, and sometimes the trachea, or windpipe, is narrow and undersized. All of these things lead to a narrow and obstructed airway. Many of these dogs can barely breathe! Watch for exercise intolerance, loud breathing, coughing, bluish gums, or fainting. With his short nose, he is also more likely to develop other problems, such as flatulence from excessive air intake, pneumonia from aspirating food, or heat stroke. In severe cases, surgical correction may be recommended.
Taking Care of Your Tibetan Spaniel at Home

Much of what you can do to keep your dog happy and healthy is common sense, just like it is for people. Watch her diet, make sure she gets plenty of exercise, regularly brush her teeth and coat, and call us or a pet emergency hospital when something seems unusual (see “What to Watch For” below). Be sure to adhere to the schedule of examinations and vaccinations that we recommend for her. This is when we’ll give her the necessary “check-ups” and test for diseases and conditions that are common in Tibbies. Another very important step in caring for your pet is signing up for pet health insurance. There will certainly be medical tests and procedures she will need throughout her life and pet health insurance will help you cover those costs.

Routine Care, Diet, and Exercise

Build her routine care into your schedule to help your Little Lion live longer, stay healthier, and be happier during her lifetime. We cannot overemphasize the importance of a proper diet and exercise routine.

Supervise your pet as you would a toddler. Keep doors closed, pick up after yourself, and block off rooms as necessary. This will keep her out of trouble and away from objects she shouldn’t put in her mouth.
Brush her coat as needed, at least weekly.
Tibetan Spaniels often have serious problems with their teeth, so you’ll need to brush them at least three times a week!
Clean her ears weekly, even as a puppy. Don’t worry—we’ll show you how!
She is well suited to apartment life as long as she is given daily walks and frequent play sessions.
Keep your dog’s diet consistent and don’t give her people food.
Feed a high-quality diet appropriate for her age.
Exercise your dog regularly, but don’t overdo it at first.
What to Watch For

Any abnormal symptom could be a sign of serious disease, or it could just be a minor or temporary problem. The important thing is to be able to tell when to seek veterinary help, and how urgently. Many diseases cause dogs to have a characteristic combination of symptoms, which together can be a clear signal that your Tibetan Spaniel needs help.

Office calls

Give us a call for an appointment if you notice any of these types of signs:

Change in appetite or water consumption
Tartar build-up, bad breath, red gums, or broken teeth
Itchy skin (scratching, chewing, or licking), hair loss
Lethargy, mental dullness, or excessive sleeping
Fearfulness, aggression, or other behavioral changes
Dry, scaly, sometimes itchy hairless patches on face or paws
Emergencies

Seek medical care immediately if you notice any of these types of signs:

Scratching or shaking the head, tender ears, or ear discharge
Inability or straining to urinate; discolored urine
Cloudiness, redness, itching, or any other abnormality involving the eyes
Slow or stunted growth; sometimes seizures after eating
Fatigue during exercise, coughing, or shortness of breath
General reluctance to run or play
Leg stiffness, reluctance to rise, sit, use stairs, jump, or “bunny hopping”
Any abnormal shaking, trembling, or excessive involuntary tremors
Loud breathing, tires easily at exercise
Partners in Health Care

DNA testing is a rapidly advancing field with new tests constantly emerging to help in the diagnosis of inherited diseases before they can become a problem for your friend. For the most up-to-date information on DNA and other screening tests available for your pal, visit www.Genesis4Pets.com.

Your Tibbie counts on you to take good care of her, and we look forward to working with you to ensure that she lives a long and healthy life. Our goal is to provide the best health care possible: health care that’s based on her breed, lifestyle, and age. Please contact us when you have questions or concerns.

References:

Ackerman L. The Genetic Connection: A Guide to Health Problems in Purebred Dogs. Second edition. AAHA Press; 2011.
Bell JS, Cavanagh KE, Tilley LP, Smith FW. Veterinary medical guide to dog and cat breeds. Jackson, Wyoming. Teton New Media; 2012.
Gough A, Thomas A. Breed Predispositions to Disease in Dogs and Cats. 2nd Edition. Wiley-Blackwell; 2010.
Crook A, Dawson S, Cote E, MacDonald S, Berry J. Canine Inherited Disorders Database [Internet]. University of Prince Edward Island. 2011. [cited 2013 Apr 11]. Available from: http://ic.upei.ca/cidd/breed/tibetan-spaniel
Breed Specific Health Concerns [Internet]. American Kennel Club Canine Health Foundation, Inc. [cited 2013 Apr 11]. Available from: http://www.akcchf.org/canine-health/breed-specific-concerns/?breed=tibetan-spaniel