Cherished for centuries as royal lapdogs, the Shih Tzu is an iconic toy breed recognized by its flowing double coat and shortened snout. Due to their flat-faced brachycephalic anatomy, Shih Tzus struggle to regulate body temperature in hot or humid weather, making them exceptionally vulnerable to heatstroke and airway obstruction. Their prominent, large eyes are highly susceptible to corneal ulcers, dry eye (KCS), and tear staining, while their heavy drop ears predispose them to chronic ear infections. Today, PetSelf presents a 3-step daily care routine to read your Shih Tzu’s health signals and protect its well-being.
Veterinary & Behavioral Evidence
This content is based on American Kennel Club (AKC) & World Small Animal Veterinary Association (WSAVA) Brachycephalic Care Protocols.
1. Shih Tzu Body Language: Paroxysmal Reverse Sneezing and Eye Rubbing
Shih Tzu Body Language: Paroxysmal Reverse Sneezing and Eye Rubbing
Shih Tzus communicate discomfort through distinct breathing noises and facial behaviors. Rapidly inhaling air through the nose while making a snorting honking noise 'Reverse Sneezing' is triggered by soft palate irritation, excitement, or airway narrowing. Conversely, pawing excessively at the eyes or rubbing their face against carpets 'Eye Rubbing & Pawing' is a warning sign of corneal ulcers, ocular dryness, or allergic conjunctivitis.
2. Shih Tzu (Shih Tzu)‘s Body Language & Behavioral Signals
Rapid Inhalation Snorting / Honking Noise (Reverse Sneezing)
• Meaning: A common brachycephalic spasm caused by an elongated soft palate, nasal irritation, or sudden excitement.
• Response: Gently massage their throat to induce swallowing or briefly cover their nostrils to encourage calm mouth breathing.
Pawing at Eyes or Rubbing Face Against Carpets (Eye Rubbing / Scratching)
• Meaning: An urgent clinical sign of corneal scratch/ulcer, ocular foreign body, dry eye syndrome, or allergic irritation.
• Response: Inspect the eyes immediately for cloudiness or discharge, apply an Elizabethan collar, and seek veterinary fluorescein stain testing.
3. Customized 3-Step Home Care Routine for Shih Tzu (Shih Tzu)
Morning: Eye Discharge Clean, Facial Fold Hygiene & Cool Walk (15–20 min)
Wipe eye corners with sterile gauze to prevent tear stains, cleaning facial skin folds before a short walk during cool morning hours.
Afternoon: Climate Control (20°C–23°C / 68°F–73°F) & Heatstroke Prevention
Keep indoor ambient temperatures cool using air conditioning to protect brachycephalic airways, ensuring fresh water access.
Evening: Double Coat Brushing, Ear Canal Inspection & Gentle Play
Brush their coat to prevent mats and check drop ear canals for moisture or odor, finishing with low-impact indoor play.
📌 Frequently Asked Questions (FAQ)
Why does my Shih Tzu make snorting or honking noises when excited? ▼
This is typically 'Reverse Sneezing' or part of Brachycephalic Airway Obstruction Syndrome (BAOS). Their short snout and elongated soft palate momentarily block airflow. While mild reverse sneezing resolves by massaging the neck, contact a vet if you notice blue gums (cyanosis) or fainting.
My Shih Tzu's eyes are red, tearing excessively, or look cloudy—what should I do? ▼
Shih Tzus have large, protruding eyes that are highly vulnerable to Corneal Ulcers and Keratoconjunctivitis Sicca (Dry Eye). Eye injuries worsen rapidly into deep ulcers or blindness. Fit an Elizabethan collar immediately to prevent scratching and see a vet for diagnostic eye staining and antibiotic drops.