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

Formidable guard dog; highly territorial
Trusting and affectionate
Confident, steady, and fearless
Even temper and gentle disposition
Quiet—not much of a barker
Devoted, loyal, and protective
However, no dog is perfect! You may have also noticed these characteristics:

Can be rambunctious and rowdy, especially as a puppy
Willful and stubborn if you don’t show strong leadership
May be aggressive toward people and dogs
Can be gassy and drool a lot
Makes a lot of snorting, snuffling, and wheezing noises, and she may snore
Prone to boredom and separation anxiety when left alone and will find trouble
Is it all worth it? Of course! She’s full of personality, and you love her for it! She is usually watchful and calm, but she can be dominant and jealous. With early socialization and training she is a loving and peaceful family pet.

The Neapolitan Mastiff can trace its roots back to the Roman Army, but are better known as estate guard dogs in Italy. They are commonly referred to as “Italian Mastiffs” or “Mastinos.” The Neo is instinctively protective and watchful of its family and territory. They have a moderate energy level and can seem lazy, but are able to spring into action if needed. Neapolitan Mastiffs are slow to mature, and they remain in puppyhood until they are three years old. Neos love children, but their large size can cause accidents. The Neapolitan Mastiff is not recommended for first-time dog owners or families with small children. With strong leadership, they are an intelligent, mild-mannered, and affectionate companion.

Your Neapolitan Mastiff’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 Mastino. By knowing about health concerns specific to Neapolitan Mastiffs, 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 Neapolitan Mastiffs 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 Neapolitan Mastiffs. 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 Neo 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 Neapolitan Mastiff

Dental Disease

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

Neapolitan Mastiffs 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 Neapolitan Mastiffs. 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 Neo’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 Mastino 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 Neapolitan Mastiffs

Bloat

Gastric Dilatation and Volvulus, also known as GDV or Bloat, usually occurs in dogs with deep, narrow chests. This means your Mastino 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!
Heart Disease

Neapolitan Mastiffs 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.

Mastinos 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.

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, Neapolitan Mastiffs 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.

Cataracts are a common cause of blindness in older Mastinos. We’ll watch for the lenses of his eyes to become more opaque—meaning they look cloudy instead of clear—when we examine him. Many dogs adjust well to losing their vision and get along just fine. Surgery to remove cataracts and restore sight may also be an option.
Bone and Joint Problems

A number of different musculoskeletal problems have been reported in Neapolitan Mastiffs. 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.

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 Mastinos 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.

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 Mastino, 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.

Skin Infections

Your Neapolitan Mastiff is prone to a form of skin infection called lip-fold pyoderma, which occurs because the folds of skin along the lower jaw are usually moist. Bacteria and yeast can readily gain a foothold and cause a reddened, smelly area that is uncomfortable for your dog. We will examine him for this problem, but let us know if you see signs. We’ll recommend treatment with antibiotics as necessary. When symptoms are severe, the excess skin folds can be surgically removed.

Thyroid Problems

Mastinos 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.

Retained Testicle

Some male Mastinos have a condition present at birth in which one or both testicles do not descend into the scrotum (a condition called cryptorchidism). Instead, the testicle stays in the abdomen, which can cause problems later in life, including high cancer risk. We’ll check for this problem when your pet is a puppy; we recommend removal of both testicles if he has this condition.
Cancer

Cancer is a leading cause of death among dogs in their golden years. Your Neapolitan Mastiff is a bit more prone to certain kinds of cancer starting at a younger age. Many cancers are cured by surgically removing them, and some types are treatable with chemotherapy. Early detection is critical! We’ll do periodic blood tests and look for lumps and bumps at each exam.
Taking Care of Your Neapolitan Mastiff 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 Mastinos. 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 Neo 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.
Neapolitan Mastiffs 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 has a tendency to be lazy so you must ensure she receives adequate exercise by providing daily walks and ample room to play.
She can be sensitive to warm temperatures; avoid any prolonged exposure and be very alert to the signs of heat stress.
Check her eyes and skin folds often, be sure to keep them clean.
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 Neapolitan Mastiff 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
Dry heaving or a large, tight, painful abdomen
Fainting, collapse, breathing issues, cough
Fatigue during exercise, coughing, or shortness of breath
General reluctance to run or play
Dry, scaly, sometimes itchy hairless patches on face or paws
Dull coat, hair loss, sluggish, weight gain
Leg stiffness, reluctance to rise, sit, use stairs, run, jump, or “bunny hopping”
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 Mastino 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/neapolitan-mastiff
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=neapolitan-mastiff