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 Norfolks and you expected her to have certain traits that would fit your lifestyle:
Brave and ready for adventureVigilant watchdog with a ready barkEnergetic and playfulLively, with a friendly personalityGood with childrenSmall, but sturdyHowever, no dog is perfect! You may have also noticed these characteristics:
Needs regular exercise to prevent chewing, digging, and other problems stemming from boredomWillful and stubborn if you don’t show strong leadershipCan be rambunctious and rowdy, especially as a younger dogLikely to attack other small animals, including catsExhibits signs of separation anxiety if left alone too muchLikes to digIs it all worth it? Of course! She’s full of personality, and you love her for it! She is a loyal and self-confident family companion. With sufficient exercise and early socialization, she makes an affectionate and playful pet.
The Norfolk Terrier originated in Great Britain. The Norfolk Terrier and Norwich Terrier were considered one breed until 1960. The Norfolk Terrier can be distinguished from the Norwich by their ears: Norfolk ears are folded over. Norfolks were bred as ratters and fox hunters and display the typical terrier character. They are happy and spirited companions with plenty of energy. Norfolks are known for their stable temperament and charming demeanor. They are one of the smallest of the terriers in size, but not in personality.
Your Norfolk Terrier’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 Norfolk. By knowing about health concerns specific to Norfolk Terriers, 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 Norfolk Terriers 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 Norfolk Terriers. 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 Norfolk 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 Norfolk Terrier
Dental Disease
Dental disease is the most common chronic problem in pets, affecting 80% of all dogs by age two. And unfortunately, your Norfolk 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 Norfolk’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
Norfolk Terriers 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 Norfolk Terriers. 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 Norfolk’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 Norfolk 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 Norfolk Terriers
Liver Problems
Your Norfolk 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.
Heart Disease
Heart failure is a leading cause of death among Norfolk Terriers in their golden years. Most heart disease in dogs is caused by weakening of a valve. A heart valve slowly becomes deformed so that it no longer closes tightly. Blood then leaks back around this valve and strains the heart. Pets with heart valve disease (sometimes called mitral valve disease) have a heart murmur. If your dog has a heart murmur or outward signs suggesting heart problems, we’ll perform testing to determine the severity of the disease. The same tests will need to be repeated at least every year to monitor the condition. If heart valve disease is diagnosed early, we may be able to prescribe medications that could prolong his life for many years. Veterinary dental care and fatty acid supplementation can help prevent heart disease and weight control can help diminish symptoms.
Hip Dysplasia
You’ve probably heard of hip dysplasia, an inherited disease that causes the hip joints to form improperly and leads to arthritis: it is common in Norfolk Terriers. You may notice that he has lameness in his hind legs or has difficulty getting up from lying down. We can treat the arthritis — the sooner the better — to avoid discomfort and pain. We’ll take X-rays of your dog’s joints to identify the disease as early as possible. Surgery is sometimes considered in severe and life-limiting cases of hip dysplasia. Keep in mind that overweight dogs may develop arthritis years earlier than those of normal weight, causing undue pain and suffering.
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, Norfolk Terriers 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.
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 Norfolks 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.

Ichthyosis

Dry, flaky, itchy skin is a common problem for many dogs, but Norfolks in particular are prone to a severe flaking skin condition called ichthyosis. Named for the large dry flakes that resemble fish scales, this problem usually arises very early in life, with most affected puppies born with abnormal skin. Several palliative treatment options like special shampoos and fish oils give variable levels of relief, but there is no definitive cure for this inherited disease. There is a genetic test available for many breeds that can determine whether he is clear, a carrier, or affected. This is important information if you are planning to use your friend for breeding, as it is not recommended to breed dogs who are affected or carriers; the goal is to prevent this debilitating disease in future generations.



Umbilical hernias, originating from the belly button, range in size.
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 Norfolk 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.

Dental Abnormalities

Teeth abnormalities are often genetically induced and are relatively common in dogs, especially in purebred dogs like your Norfolk. 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.
Taking Care of Your Norfolk Terrier 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 Norfolks. 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 Norfolk 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. Twice a year stripping or clipping is also required for her wiry double coat.
Norfolk Terriers 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 an energetic and active dog that excels at canine sports like agility, tracking, and earthdog trials.
She is well suited to apartment life as long as she is given daily walks and frequent play sessions.
She has a strong chase instinct, so she needs to be leash walked and a fenced yard is a must.
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 Norfolk Terrier 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
Slow or stunted growth; sometimes seizures after eating
Coughing, especially at night or upon rising after sleeping, rapid breathing at rest
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 Norfolk 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/norfolk-terrier
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=norfolk-terrier