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 Boxers and you expected her to have certain traits that would fit your lifestyle:

Affectionate, easygoing, and lovable
Loves to play games, especially fetch
Intelligent, friendly, and easily won over
Large, strong, and athletic, with lots of stamina in cooler climates
Good with kids and other pets
An excellent guard dog, courageous and dependable
However, no dog is perfect! You may have also noticed these characteristics:

Can be rambunctious and rowdy, especially as a younger dog
Exhibits signs of separation anxiety if left alone too much
Can be gassy and drool a lot
Can be independent and strong-willed
Needs frequent attention from her family
Suspicious of strangers
Is it all worth it? Of course! She’s full of personality, and you love her for it! She is a bright and energetic companion that forms close human bonds. With early socialization and consistent leadership, she is a cheerful and dependable addition to any family.

The modern Boxer was developed in Germany during the 19th century from mastiff type dogs, and was originally used to hunt large game and in fighting or baiting. Boxers are known for their characteristic “boxing” with their front paws while standing on hind legs. The Boxer is a high-energy dog with an enthusiastic and animated nature. They are a friendly and high-spirited breed that loves to play with children. Some Boxers can be stubborn but most are eager and quick to learn. Boxers enjoy close human contact and demand to be the center of attention with their clownish antics. The Boxer is a generally healthy breed with an average lifespan of 11-13 years.

Your Boxer’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 Boxer. By knowing about health concerns specific to Boxers, 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 in Boxers to 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 Boxers. 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 Boxer 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 Boxer

Dental Disease

Dental disease is the most common chronic problem in pets, affecting 80% of all dogs by age two. And unfortunately, your Boxer 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 Boxer’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

Boxers 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, her age, and other factors.

Obesity

Obesity can be a significant health problem in Boxers. It is a serious disease that may cause or 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 Boxer’s body, inside and out. Everything from fleas and ticks to ear mites can infest her skin and ears. Hookworms, roundworms, heartworms, and whipworms can get into her system 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 her healthy.

Spay or Neuter

One of the best things you can do for your Boxer 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 Boxers

Heart Disease

Boxers are prone to multiple types of heart disease, which can occur both early and later in life. We’ll listen for heart murmurs and abnormal heart rhythms when we examine your pet. When indicated, we’ll perform an annual heart health check, which may include X-rays, an ECG, or an echocardiogram, depending on your dog’s risk factors. Early detection of heart disease often allows us to treat with medication that usually prolongs your pet’s life for many years. Veterinary dental care and weight control go a long way in preventing heart disease.

Boxers are especially prone to a life-threatening heart condition known as dilated cardiomyopathy, or DCM, in which the heart becomes so large, thin, and weak that it can no longer effectively pump blood to the body. As this problem advances, he may act weak or tired, faint or collapse, breathe in a labored way, or cough. We’ll conduct a yearly electrical heart screening(ECG) and/or an echocardiogram starting at age one to look for abnormal heart rhythms early. If found, we’ll treat this condition with medication and may also recommend dietary supplementation.

Bloat

Gastric Dilatation and Volvulus, also known as GDV or Bloat, usually occurs in dogs with deep, narrow chests. This means your Boxer is more at risk than other breeds. When a dog bloats, the stomach twists on itself and fills with gas. The twisting cuts off blood supply to the stomach, and sometimes the spleen. Left untreated, the disease is quickly fatal, sometimes in as little as 30 minutes. Your dog may retch or heave (but little or nothing comes out), act restless, have an enlarged abdomen, or lie in a prayer position (front feet down, rear end up). Preventive surgery in which the stomach is tacked down or sutured in place so that it is unlikely to twist is an option. If you see symptoms, take your pet to an emergency hospital immediately!

Hyperadrenocorticism (Cushing’s)

Cushing’s Disease is a malfunction of the adrenal glands causing them to produce too much steroid hormone. This is a common problem in dogs, and your Boxer is more likely than other dogs to be affected. The condition usually develops slowly, and the early signs are easily missed. Symptoms include drinking and urinating more than normal, increased appetite and reduced activity level. Later, a potbelly, thin skin, and hair loss are characteristic. Treatment usually includes oral medications, and requires close coordination with us to ensure correct dosing.

Bone and Joint Problems

A number of different musculoskeletal problems have been reported in Boxers. While it may seem overwhelming, each condition can be diagnosed and treated to prevent undue pain and suffering. With diligent observation at home and knowledge about the diseases that may affect your friend’s bones, joints, or muscles you will be able to take great care of him throughout his life.

The cranial cruciate ligament is one of the four tough bands of tissue that hold each knee together. A torn cranial cruciate ligament is a common injury in active dogs, which includes your Boxer. Usually surgical correction is done to stabilize the knee and help prevent crippling arthritis. Physical therapy and multimodal pain management are necessary to get the best outcome. Keeping him at the right weight, feeding a high-quality diet, and avoiding too much twisting of the knees (like playing Frisbee) are key in avoiding this painful injury.

Neurological Disease

A genetically linked neurological condition that could occur in your Boxer causes a wobbly, drunken gait. This condition, known as wobbler disease or wobbler syndrome, happens because there is a narrowing of the vertebrae in the neck, which pinches the spinal cord and associated nerves. If the nerves do not send signals to the brain the way they are supposed to, your dog cannot feel his feet. The first signs you will often notice are unstable hind legs, stumbling, and sometimes falling. Medications, neck braces, rehabilitation exercise programs, and surgery are treatment options.

Degenerative Myelopathy

Degenerative Myelopathy is a neurologic condition, similar to ALS or Lou Gehrig’s Disease in people, that causes weakness and poor nerve function in the hind legs. It affects Boxers more frequently than other breeds. If your dog has this disease, he will become increasingly weak and disabled in the hind legs and will eventually suffer from paralysis in his hindquarters, along with incontinence. Rehabilitation, exercise, acupuncture, and dietary supplements can be helpful, but there is no cure. A genetic test is available to determine whether your dog is at risk for this heritable disease.
Inflammatory Bowel Disease

Inflammatory Bowel Disease or IBD is an immune system disorder common in Boxers in which the intestinal lining becomes overrun with immune system cells called lymphocytes and plasmacytes. The stomach and/or intestinal lining becomes thickened affecting his ability to absorb nutrients properly. Chronic vomiting or diarrhea is common or it may flare up suddenly and then improve again for a time. Stress, diet change, or intestinal parasites may make it worse. If your friend has diarrhea or digestive upsets that are not explained by the more common reasons, diagnostic tests, which may include intestinal biopsy, will be needed. Lifetime medications and special diets are usually required to keep this bellyache under control.

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, Boxers 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.

Multiple Skin Problems

Your Boxer is susceptible to different kinds of skin infections and diseases. One of them is caused by yeast (Malassezia dermatitis). When it infects the ears, it causes itching, redness, and an accumulation of brown waxy discharge. On the skin, it leads to greasy, hairless areas, especially on the neck and throat, with a characteristic odor. Another common skin disease called seborrhea can cause dry, flaky skin or greasy, oily skin. These diseases make your pet itchy and uncomfortable. Bathing with special shampoos and rinses may be helpful, and we’ll treat any underlying problems such as allergies. The earlier you call to have his skin problems checked, the less likely it is that you will end up caring for an itchy, bald, smelly dog.

Bleeding Disorders

There are several types of inherited bleeding disorders which occur in dogs. They range in severity from very mild to very severe. Many times a pet seems normal until a serious injury occurs or surgery is performed, and then severe bleeding can result. Von Willebrand’s disease is a blood clotting disorder frequently found in Boxers. We’ll conduct diagnostic testing for blood clotting time or a specific DNA blood test for Von Willebrand’s disease or other similar disorders to check for this problem before we perform surgery.
Lymphoma

Lymphoma or lymphosarcoma is a type of cancer that afflicts Boxers more than other breeds. This disease makes the body form abnormal lymphocytes, which are a type of white blood cell. Because white blood cells can be found throughout the body, this cancer can show up almost anywhere. Lymphoma is a very treatable form of cancer, with an excellent success rate in dogs receiving chemotherapy. Treatment can be costly, however, and is a lifelong commitment. Luckily, lymphoma is one of the few types of cancer that can often be found with a blood test, so we may recommend a complete blood count twice yearly. Watch for swollen glands (ask us, we’ll show you where to look), weight loss, or labored breathing at home and be sure to call us if you notice any unusual symptoms.

Bleeding Tumor

Hemangiosarcoma is a type of bleeding tumor that affects Boxers at greater than average incidence. These tumors commonly form in the spleen, but can form in other organs as well. Unbeknownst to a pet owner, the tumor breaks open and internal bleeding occurs. Some tumors can be volleyball-sized or larger before signs of sickness show. We often find clues that one of these tumors is present during senior wellness testing, so have his blood tested and an ultrasound performed at least yearly.

Mast Cell Tumor

Mast cell tumors are a particularly nasty type of skin cancer found more often in Boxers, and the sooner they are surgically removed the better. Trouble is, they often look just like other kinds of skin lumps and lesions, some of which are harmful, and others not. All suspicious lumps should be tested and any questionable lump should be surgically removed as soon as possible. Many cancers are cured by surgically removing them, so early detection and removal is critical.

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 Boxers 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.

Thyroid Problems

Boxers are prone to a common condition called hypothyroidism in which the body doesn’t make enough thyroid hormone. Signs can include dry skin and coat, hair loss, susceptibility to other skin diseases, weight gain, fearfulness, aggression, or other behavioral changes. We’ll conduct a blood screening test annually to screen for the disease. Treatment is usually simple: replacement hormones given in the form of a pill.

Acepromazine Sensitivity

Acepromazine is a widely used tranquilizer, very often prescribed for travel and other anxiety. For many years this drug was considered to have a wide margin for safety, meaning that vets prescribed it readily for traveling pets and for noise phobias. Recently, however, studies have uncovered some dangerous side effects in a few breeds, notably the Boxer. Adverse events are still rare, and the drug is very useful for a variety of conditions, but we’ll carefully evaluate the need against the risk, and recommend alternative therapies if possible.

Respiratory Distress Syndrome

This disease, also known as brachycephalic syndrome, affects dogs with a short nose, like your Boxer. 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 Boxer 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 Boxers. 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 Boxer 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.
She has low grooming needs. Brush her coat as needed, at least weekly.
Boxers generally have good teeth, and you can keep them perfect by brushing them at least twice a week!
Clean her ears weekly, even as a puppy. Don’t worry—we’ll show you how!
She’s a smart dog with lots of energy, so keep her mind and body active, or she’ll get bored. That’s when the naughty stuff starts.
She can have a high prey drive, so she needs to be leash walked and a sturdy fence is a must.
She can be sensitive to temperature extremes; avoid any prolonged exposure and be very alert to the signs of heat stress.
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 Boxer 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
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
Coughing, exercise intolerance, rapid breathing at rest
Dry heaving or a large, tight, painful abdomen
Drinks and urinates more, eats more, potbelly, poor haircoat
Dragging the hind toes and hind limb weakness
Swollen lymph nodes or glands, unexplained weight loss
Pale gums, labored breathing, weakness, or sudden collapse
Any abnormal shaking, trembling, or excessive involuntary tremors
Dull coat, hair loss, sluggish, weight gain
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 Boxer 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 May 8]. Available from: http:/ic.upei.ca/cidd/breed/boxer
Breed Specific Health Concerns [Internet]. American Kennel Club Canine Health Foundation, Inc. [cited 2013 May 8]. Available from: http:/www.akcchf.org/canine-health/breed-specific-concerns/?breed=boxer