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What does a routine wellness check for a Shih Tzu usually include?

Published October 31, 2026

The short answer

A routine wellness check for a Shih Tzu usually includes a full physical exam, weight check, heart and lung listening with attention to breathing, and careful checks of the prominent eyes, teeth, ears, skin, and coat. The veterinarian will also review vaccines, parasite prevention, diet, and grooming, and will ask about snoring, eye discharge, scratching, and comfort in warm weather. Bring notes on breathing sounds at rest, any squinting or pawing at an eye, and how often mats form behind the ears and under the legs. Keeping Shih Tzu eye and visit notes in KinsLe through Pet Passport helps small changes get noticed between appointments.

What a Shih Tzu wellness visit covers first

A routine wellness check for a Shih Tzu begins with a complete physical exam tuned to a small, flat-faced companion breed. The veterinarian weighs your dog, scores body condition, listens to the heart and lungs, and pays close attention to breathing sounds at rest. A Shih Tzu that is calm in the clinic gives the clearest picture of everyday airway comfort.

Temperature, pulse, and breathing rate are recorded, then the eyes, mouth, and ears are examined one at a time. Mention snoring that has grown louder, exercise that ends in heavy panting, or trouble settling in warm rooms, because those home observations shape how closely the airway and heart are followed.

Eyes first in this breed

Eye examination is a headline item in a Shih Tzu wellness visit. The breed's large, forward-facing eyes are checked for redness, cloudiness, discharge, and irritation from hair or lashes touching the surface. The veterinarian will ask whether you see squinting, tearing, pawing at the face, or a change in how your dog judges steps and furniture edges.

Eye changes in a Shih Tzu deserve a low threshold for calling sooner rather than waiting for the next routine visit, especially squinting, sudden cloudiness, or a painful-looking eye. Say at the appointment what eye cleaning you do at home and how you keep facial hair trimmed or tied, since daily care and eye comfort are directly linked in this breed.

Teeth, ears, and skin under a long coat

Teeth are checked thoroughly at a Shih Tzu wellness check because small, crowded mouths build tartar quickly and can develop sore teeth that a gentle dog tolerates quietly. The veterinarian examines gums, breath, and alignment and may discuss dental cleaning based on what is found. Ears hidden under heavy ear feathering are checked for moisture, odor, and debris.

Skin is examined beneath the long coat, not just on its surface. The veterinarian parts the hair over the neck, back, belly, and leg joints looking for redness, flaking, and irritation where mats and friction collect. Report itching patterns, licking at paws, and how often bathing and full brushing actually happen, so skin advice fits your real grooming routine.

Vaccines, parasite prevention, and comfortable weight

A Shih Tzu wellness check reviews vaccines due for age and lifestyle, flea, tick, and heartworm prevention, and often a stool sample. Even a mostly indoor Shih Tzu goes out for walks, grooming appointments, and visits, so prevention is matched to that real routine rather than assumed away.

Weight is judged by feel under the coat. A round silhouette can be mostly hair, or it can hide genuine gain that worsens breathing effort, so the hands-on score matters. Bring the daily food amount and treat count, including the small extras a charming companion dog collects from visitors and family members throughout the day.

Small notes that protect Shih Tzu eyes and breathing

A Shih Tzu wellness visit is strengthened by dated home notes: when tearing increased, when snoring changed, when a mat hid a sore patch, and what each visit found. Bring records from previous clinics after a move, and keep vaccine dates with the same file. If testing is suggested for an adult or senior Shih Tzu, ask what it will help compare at the next check.

When eye findings, breathing notes, and visit summaries travel together, a new clinician understands your dog's sensitivities immediately. Storing that Shih Tzu history in KinsLe through Pet Passport keeps those delicate details from being lost between groomers and clinics.

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