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10 Common Pug Health Problems Every Owner Should Know

Dog Mamas News & Training by Dog Mamas News & Training
January 1, 2026
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10 Common Pug Health Problems Every Owner Should Know
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Pugs are pure pleasure — goofy, affectionate, and deeply connected to their folks, however in addition they carry extra well being dangers than many homeowners anticipate.

From respiration difficulties to eye and spinal issues, their distinctive construct makes sure circumstances way more frequent. Realizing what to look at for may help you shield your Pug’s consolation, well being, and high quality of life.

Planning Forward For Vet Payments

Caring for a Pug usually means planning for greater than routine vet visits. Why?

Research from the Royal Veterinary Faculty (RVC) present that Pugs are almost twice as probably as different breeds to develop not less than one well being dysfunction every year, and plenty of of those circumstances require ongoing remedy slightly than a one-time repair. Over time, the price of exams, medicines, diagnostic imaging, and surgical procedure can add up shortly.

For a lot of Pug homeowners, pet insurance coverage may be a necessary security web, serving to handle surprising bills tied to breed-related points and permitting care choices to be primarily based on what’s greatest for the canine, not simply the invoice.

Be taught extra about one of the best pet insurance coverage choices for Pugs and get a free quote utilizing the shape under.

10 Frequent Pug Well being Issues

Pugs could also be small, however they depart an enormous impression. Their snorts, wrinkles, expressive eyes, and playful personalities make them straightforward to fall in love with. However most of the traits that make them so charming additionally include critical well being trade-offs.

Their flat faces, distinguished eyes, and compact builds are linked to increased charges of respiration issues, eye accidents, joint illness, and neurological circumstances, usually tied to selective breeding.

To raised perceive what Pug homeowners are most certainly to face, I spoke with Dr. Rebecca MacMillan, BVetMed, BSAVA, PGCertSAM, MRCVS, a veterinarian and surgeon at a small animal clinic within the U.Ok.

As Dr. MacMillan shared upfront, “As lovable as Pugs are, they’re sadly one of many least wholesome breeds that I see in observe. When you select to undertake a Pug, be sure you have the funds in place for medical payments or strongly think about insurance coverage, as it’s extremely probably your pet will want some type of veterinary care throughout their lifetime.”

Beneath are the ten commonest well being issues seen in Pugs, together with key signs to look at for thus you’ll be able to act shortly if one thing doesn’t appear proper.

1. Brachycephalic Obstructive Airway Syndrome (BOAS)

Pugs are a brachycephalic breed, which means they’ve shortened skulls and flattened faces. Whereas that signature look is a part of their enchantment, it additionally comes with a significant draw back: restricted airflow.

As Dr. Rebecca MacMillan explains, “Their flattened faces make them extremely more likely to endure from a point of BOAS, or brachycephalic obstructive airway syndrome. Along with loud night breathing, most Pugs I see have noisy and laboured respiration, particularly when they’re confused or exercising.”

BOAS is a group of anatomical abnormalities that intervene with regular respiration. These might embody slit-like nostrils, an elongated taste bud that partially blocks the airway, and a windpipe that’s narrower than regular. Severity varies, however almost all Pugs are affected to some extent.

Pug getting fed water.

Analysis from the Royal Veterinary Faculty has recognized BOAS because the highest-risk dysfunction in Pugs, with the breed dozens of occasions extra more likely to develop it than non-brachycephalic canines. Past persistent respiration misery, BOAS additionally makes Pugs way more inclined to overheating and heatstroke, which may turn into life-threatening in a really brief time.

BOAS Signs

Indicators of BOAS can vary from gentle to extreme and sometimes worsen with age:

Loud or raspy respiration

Snorting or snuffling

Loud night breathing, even when awake or frivolously resting

Gagging or retching

Reverse sneezing

Train intolerance

Warmth intolerance

Respiration misery throughout pleasure or stress

Analysis & Therapy

As a result of BOAS can progress over time, veterinarians usually suggest common monitoring, particularly as Pugs age.

Therapy is dependent upon severity:

Gentle circumstances could also be managed with weight management, avoiding warmth and overexertion, and decreasing stress.

Reasonable to extreme circumstances usually profit from corrective surgical procedure to enhance airflow and respiration consolation.

Early prognosis can considerably enhance high quality of life and scale back the chance of emergency conditions associated to overheating or respiratory collapse.

Actual-Life Pug RealityMany Pugs don’t understand they’re struggling to breathe, and so they hardly ever present apparent misery early on. Refined indicators like louder loud night breathing, slower walks, or avoiding train are sometimes the primary clues homeowners discover.

2. Pores and skin Issues

Pugs are particularly vulnerable to pores and skin points, largely due to their deep facial wrinkles and pores and skin folds. These heat, moist areas create the proper atmosphere for micro organism and yeast to thrive, making pores and skin fold dermatitis a frequent downside within the breed.

With out common cleansing, moisture and particles can construct up shortly, resulting in redness, odor, irritation, and an infection. Even with good hygiene, some Pugs expertise recurring flare-ups all through their lives.

Past pores and skin folds, many Pugs additionally battle with allergic reactions. This breed is genetically predisposed to atopic dermatitis, a persistent inflammatory pores and skin situation triggered by environmental allergens like pollen, mud mites, mould spores, and grasses. Meals sensitivities can even contribute, making itchiness a year-round subject for some canines.

Allergy Signs

In contrast to folks, canines hardly ever present allergy signs by sneezing or watery eyes. In Pugs, allergic reactions normally present up on the pores and skin:

Persistent scratching, licking, or chewing

Purple, infected, or irritated pores and skin

Papules or pustules (small, pimple-like bumps)

Dry, flaky, or thickened pores and skin

Patchy hair loss

Swelling of the face or paws

Allergy Analysis & Therapy

Figuring out the precise explanation for a Pug’s pores and skin issues can take time. Veterinarians usually use a technique of elimination, ruling out parasites, infections, and meals reactions earlier than contemplating environmental allergic reactions. In some circumstances, allergy testing could also be really useful.

Therapy varies relying on the set off and severity. It could embody medicated wipes or shampoos, prescription allergy medicines, immune-modulating medicine, or specialised diets. As a result of allergic reactions are sometimes lifelong, administration prices can add up over time.

Contemplate An At-House Canine Allergy Take a look at

For homeowners struggling to pinpoint triggers, an at-home allergy take a look at might supply useful perception into potential meals substances or environmental elements that could possibly be contributing to signs.

Whereas these assessments don’t exchange veterinary diagnostics, sharing the outcomes along with your vet might assist slim down subsequent steps and information a extra focused remedy plan.

3. Ear Infections

Pugs are vulnerable to recurring ear infections, usually on account of allergic reactions, pores and skin irritation, and the construction of their ears. Their small, folded ear canals can entice moisture and wax, creating an atmosphere the place micro organism and yeast thrive.

Left untreated, ear infections can turn into extraordinarily painful and will result in persistent irritation or everlasting ear injury. Many Pugs expertise repeat infections except the underlying trigger, akin to allergic reactions, is addressed.

Ear An infection Signs

Frequent indicators of an ear an infection embody:

Frequent scratching on the ears or head shaking

Redness or swelling contained in the ear

Robust or uncommon odor

Yellow, brown, or bloody discharge

Hair loss or crusting across the ear openings

Rubbing the ears in opposition to furnishings or the ground

Analysis & Therapy

Veterinarians diagnose ear infections by analyzing the ear canal and testing discharge to determine micro organism, yeast, or mites.

Therapy sometimes contains thorough ear cleansing adopted by topical or oral medicines, akin to antibiotics, antifungals, or anti-inflammatory medicine. A follow-up examination is commonly needed to make sure the an infection has absolutely cleared, particularly in canines with persistent or allergy-related ear points.

4. Luxating Patella

Like many small breeds, Pugs are vulnerable to luxating patella, a situation the place the kneecap slips out of its regular place. This irregular motion disrupts the mechanics of the joint and may result in ache, instability, and early-onset arthritis.

Analysis printed in Veterinary Medication: Analysis and Stories says that Pugs are among the many breeds mostly affected, and the situation usually happens in each hind legs. Whereas the kneecap might slip again into place by itself at first, repeated episodes are likely to worsen over time.

Luxating Patella Signs

Limping or favoring one leg

Intermittent hopping or skipping

Sudden lifting of a rear leg whereas strolling or operating

Stiffness or irregular gait

Analysis & Therapy

Analysis is normally made by a bodily examination, generally supported by X-rays to evaluate joint alignment and rule out further injury.

Therapy is dependent upon severity.

Gentle circumstances could also be managed with weight management, exercise modification, joint dietary supplements, and ache medicines.

Reasonable to extreme circumstances usually require surgical procedure to realign the kneecap and stabilize the joint, particularly when mobility or high quality of life is affected.

Infographic titled
Graphic by Sadie Cornelius & Kimberly Alt for Canine Journal, © Cowl Story Media, Inc. 2025.

5. Hip & Elbow Dysplasia

Though hip dysplasia and elbow dysplasia are sometimes related to bigger breeds, Pugs are additionally at elevated danger for these painful joint issues.

Each circumstances contain irregular joint improvement, which causes instability, uneven put on, and progressive injury to cartilage. Over time, this results in persistent ache, decreased mobility, and arthritis. In Pugs, extra weight and altered gait from different orthopedic points can additional speed up joint deterioration.

Hip/Elbow Dysplasia Signs

Ache or stiffness throughout or after exercise

Lameness within the entrance or rear legs

Problem standing up or mendacity down

Reluctance to climb stairs or take longer walks

Irregular gait or decreased enjoyment of train

Analysis & Therapy

Analysis sometimes includes a hands-on joint examination adopted by X-rays to guage joint construction and severity. In some circumstances, superior imaging could also be really useful.

Therapy is dependent upon how superior the situation is.

Gentle to reasonable hip circumstances are sometimes managed with weight management, joint dietary supplements, bodily remedy, and anti inflammatory medicines.

Extreme hip circumstances might require surgical procedure, together with whole hip alternative, which may considerably enhance consolation and mobility.

Elbow dysplasia incessantly requires surgical intervention to forestall additional joint injury.

Infographic showing elbow and hip dysplasia in dogs. The elbow diagram labels the humerus, radius, ulna, and conditions like ununited anconeal process and fragmented coronoid process. The hip diagram compares a normal hip joint to one with dysplasia, showing a shallow socket.
Graphic by Michelle Schenker, Sadie Cornelius & Kimberly Alt for Canine Journal, © Cowl Story Media, Inc. 2025.

6. Spinal Issues

Pugs are predisposed to critical spinal and neurological issues that may have an effect on mobility and high quality of life, generally progressing shortly.

One of the vital frequent is intervertebral disc illness (IVDD). This genetic situation happens when the cushioning discs between the vertebrae bulge or rupture, inserting stress on the spinal wire. IVDD might develop progressively or seem immediately and may vary from ache and stiffness to paralysis.

Pugs are additionally in danger for Pug myelopathy, a progressive neurological dysfunction, and probably the most frequent explanation for rear limb incoordination within the breed. Though the again legs might seem weak, the underlying downside originates within the backbone and nervous system.

In line with the Pug Canine Membership of America, Pug myelopathy usually worsens over one to 4 years and sometimes impacts solely the rear limbs. In contrast to degenerative myelopathy, it doesn’t normally progress to full-body paralysis.

Analysis suggests Pug myelopathy is commonly linked to a number of spinal abnormalities, together with vertebral malformations, persistent disc illness, and long-term compression of the spinal wire.

IVDD Signs

These indicators can happen slowly (over a number of weeks to months) or quickly (over minutes to hours). Most canines develop indicators over just a few days.

Unsteady or irregular strolling

Hunched posture or tense neck and again

Crying out in ache

Lack of bladder or bowel management

Partial or full paralysis

Pug Myelopathy Signs

Progressive weak spot and incoordination within the rear legs

Dragging or scuffing of the ft

Problem leaping or climbing

Low or irregular tail carriage

Urinary and/or fecal incontinence

Regular energy and coordination within the entrance limbs

Analysis & Therapy

Analysis sometimes includes a neurological examination, supported by X-rays and superior imaging akin to CT or MRI to guage the spinal wire.

Early intervention is essential for one of the best consequence. Therapy is dependent upon severity.

Gentle circumstances could also be managed with ache treatment, anti-inflammatories, strict exercise restriction, and bodily remedy.

Extreme circumstances usually require surgical procedure to alleviate spinal wire compression and stop everlasting paralysis.

Actual-Life Pug RealitySpinal and neurological issues in Pugs don’t all the time begin with apparent ache. Adjustments in posture, motion, or toilet habits are sometimes dismissed as getting old—however they’re necessary early warning indicators.

7. A number of Eye Issues

Pugs are at excessive danger for eye issues, largely due to their cranium form and shallow eye sockets. Their eyes sit extra prominently than in lots of different breeds, leaving them susceptible to harm, irritation, and an infection, even throughout regular day by day actions. Nonetheless, this breed additionally suffers from some genetic eye issues.

As Dr. Rebecca MacMillan explains, “I’ve actually seen just a few Pugs who’ve wanted a watch eliminated when issues have gone unsuitable. I not too long ago needed to refer a critical ulcer case to an ophthalmology specialist to attempt to save their eye.”

Frequent Eye Issues in Pugs

Pugs are mostly affected by the next eye circumstances:

Corneal ulcers – painful sores on the attention’s floor that may worsen quickly

Proptosis – an emergency the place the eyeball is displaced from its socket, usually after trauma

Cherry eye – prolapse of the tear gland within the third eyelid, usually requiring surgical procedure

Dry eye (keratoconjunctivitis sicca) – decreased tear manufacturing inflicting persistent irritation

Entropion – inward rolling of the eyelids that rubs in opposition to the cornea

Distichiasis – irregular eyelash development that irritates the attention floor

Eye Dysfunction Signs

Many eye circumstances share comparable warning indicators:

Squinting or extreme blinking

Purple, infected, or cloudy eyes

Sensitivity to mild

Yellow or inexperienced discharge

Pawing on the face or rubbing the eyes

Analysis & Therapy

Eye issues in Pugs ought to all the time be handled as time-sensitive. Veterinarians diagnose these circumstances by eye exams, staining assessments, tear manufacturing assessments, and stress measurements.

Therapy is dependent upon the situation and severity and will embody prescription eye drops, lubricants, antibiotics, anti-inflammatory medicines, or surgical procedure. Immediate remedy is essential — early intervention may be the distinction between saving a watch and everlasting imaginative and prescient loss.

When to Name the Vet ImmediatelyEye issues in Pugs can worsen shortly. Sudden squinting, eye redness, discharge, cloudiness, or seen harm ought to all the time be handled as pressing to assist forestall everlasting imaginative and prescient loss.

8. Pug Canine Encephalitis (PDE)

Pug canine encephalitis (PDE), additionally referred to as necrotizing meningoencephalitis (NME), is an inflammatory illness of the central nervous system. It includes irritation of the mind and, tragically, has no identified remedy. PDE sometimes seems between six months and 6 years of age and sometimes progresses shortly.

The College of California, Davis College of Veterinary Medication reviews that feminine, fawn-colored Pugs underneath seven years of age could also be at increased danger of creating this type of encephalitis in contrast with older canines, males, and non-fawn Pugs.

PDE Signs

Seizures

Circling or head urgent

Lack of coordination (ataxia)

Imaginative and prescient loss or blindness

Confusion or disorientation

Lethargy or sudden conduct adjustments

Analysis & Therapy

Diagnosing PDE may be difficult, as affirmation usually requires superior imaging and specialised testing. Veterinarians might use MRI scans, spinal fluid evaluation, and blood work to rule out different causes.

Whereas remedy might quickly management signs, the situation is normally deadly inside months of prognosis. Anti-seizure medicines, anti-inflammatory medicine, and supportive care might enhance consolation or gradual development, however the long-term prognosis stays poor. Early veterinary intervention may help information care choices and quality-of-life planning.

9. Dental Illness

Pugs are additionally extra vulnerable to retained child tooth than many different breeds. These pet tooth require extraction to make room for grownup tooth to develop in.

Dental illness is extraordinarily frequent in Pugs, largely because of crowded tooth and shortened cranium construction. Their small mouths usually don’t have sufficient area to accommodate the traditional variety of tooth, which ends up in plaque buildup, gum irritation, and early tooth loss.

Pugs are additionally extra probably than many breeds to retain child tooth. Retained pet tooth usually must be eliminated to permit grownup tooth to erupt correctly and stop long-term dental issues.

Periodontal illness can result in vital well being issues and doubtlessly shorten your canine’s lifespan. Moreover, it could possibly trigger discomfort and have an effect on your canine’s general well-being.

Dental Illness Signs

Dangerous breath

Purple, swollen, or bleeding gums

Tartar buildup on the tooth

Problem chewing or dropping meals

Extreme drooling

Free or lacking tooth

Analysis & Therapy

Veterinarians diagnose dental illness by oral exams, usually adopted by dental X-rays underneath anesthesia to evaluate injury under the gum line.

Therapy might embody skilled cleansing, antibiotics, or ache reduction, and tooth extractions when an infection or decay is current. Routine dental care is just not beauty — it performs a essential position in stopping ache, systemic an infection, and organ injury.

Prevention suggestions:

Good dental care helps your canine keep wholesome and pain-free.

10. Weight problems

Pugs are extremely food-motivated, which makes weight acquire one of the crucial frequent — however preventable— well being issues within the breed. Even a small quantity of additional weight can have an outsized influence on a Pug’s well being.

Due to their small dimension and construct, just some additional kilos can worsen current circumstances, together with respiration difficulties, joint illness, and spinal issues. Weight problems additionally will increase the chance of diabetes and coronary heart illness and reduces general stamina and high quality of life.

Weight problems Signs

Noticeable weight acquire or lack of an outlined waist

Problem feeling the ribs underneath a fats layer

Decreased vitality throughout walks or play

Reluctance to leap or climb stairs

Elevated stiffness or worsening mobility points

Analysis & Therapy

Veterinarians assess weight utilizing a physique situation rating (BCS), evaluating rib protection, waistline, and fats distribution. Common weigh-ins assist observe gradual adjustments that homeowners might not discover day after day.

Dog body composition score chart.

Weight administration focuses on dietary management and protected train. This usually contains portion management, limiting treats to not more than 10% of day by day energy, and incorporating low-impact actions like strolling or swimming. In some circumstances, vets might suggest prescription diets or dietary supplements to help joint well being and metabolism.

Gradual, sustained weight reduction is essential. Sustaining a wholesome weight can considerably scale back pressure on the respiratory system, joints, and backbone, areas the place Pugs are already susceptible.

Different Pug Well being Points

Along with the extra frequent circumstances listed above, Pugs can expertise a number of different well being issues that homeowners ought to concentrate on. Whereas these points might happen much less incessantly, they will nonetheless have a critical influence on long-term well being and luxury.

Two Pugs at the vet on exam table.

Mast cell tumors are one of the crucial frequent cancers seen in Pugs. A 2016 research discovered {that a} vital variety of Pugs develop these pores and skin tumors, which may differ broadly in severity and conduct.

Hypothyroidism happens when the thyroid gland fails to supply sufficient hormones to manage metabolism. Affected Pugs might acquire weight simply, develop pores and skin or coat adjustments, and present decreased vitality.

Legg-Calvé-Perthes illness is a painful hip situation seen in younger canines, the place disrupted blood move causes the femoral head to deteriorate. This results in limping, muscle loss, and decreased hip motion.

Pancreatitis includes irritation of the pancreas and may vary from gentle to life-threatening. Episodes are sometimes triggered by high-fat meals and will trigger vomiting, stomach ache, and lethargy.

Tracheal collapse happens when the cartilage rings of the windpipe weaken over time, resulting in coughing, respiration issue, and train intolerance.

Portosystemic (liver) shunts are congenital abnormalities that forestall the liver from correctly filtering toxins from the blood. Affected canines might present neurological indicators, poor development, or digestive points.

Common Prices For A number of Frequent Pug Well being Points

Most of the well being issues Pugs are vulnerable to aren’t one-time bills. Continual circumstances, repeat flare-ups, and surgical interventions can add up shortly, particularly over a canine’s lifetime.

Beneath are common declare estimates reported by main pet insurance coverage suppliers for well being points generally seen in Pugs. Precise prices differ primarily based on location, severity, and remedy plan, however these figures supply a sensible snapshot of what homeowners might face.

In line with Fetch Pet Insurance coverage, common declare prices for Pugs embody:

Strolling abnormalities: $2,400–$3,500

Oral irritation and dental illness: $1,400–$2,000

Eye irritation: $450–$700

Information from Embrace Pet Insurance coverage reveals comparable ranges for different frequent Pug circumstances:

BOAS surgical procedure: $500–$2,000+

Patellar luxation surgical procedure: $1,500–$3,000

Pores and skin fold dermatitis remedy: $300–$2,500

Distichiasis or ectopic cilia remedy: $1,500–$2,000

For a lot of Pug homeowners, planning forward, whether or not by financial savings, insurance coverage, or each, may help guarantee medical choices are primarily based on what’s greatest for the canine, not simply what’s inexpensive within the second.

Ceaselessly Requested Questions

Beneath are solutions to the questions readers most frequently ask about Pug well being. When you don’t see yours right here, be happy to ask us within the feedback.

What Is The Common Pug Life Expectancy?

Pugs sometimes reside wherever from 12 to fifteen years, although lifespan varies primarily based on genetics, general well being, and way of life. Early medical care, weight administration, and routine veterinary visits can considerably affect longevity, and a few Pugs reside effectively into their late teenagers.

What Do Pugs Often Die From?

Latest research recommend that respiration issues (together with BOAS), seizures, and degenerative spinal circumstances are among the many main causes of loss of life in Pugs. Many of those points are linked to the breed’s anatomy and genetic predispositions.

Why Are Pugs Predisposed To So Many Well being Points?

Pugs are susceptible to well being points because of their brachycephalic (flat-faced) construction, compact our bodies, and selective breeding practices. These traits contribute to respiratory, eye, dental, neurological, and orthopedic issues that happen extra incessantly than in lots of different breeds.

What’s The Finest Food regimen For Pugs?

Feeding a high-quality, nutritionally balanced weight loss plan helps help immune perform, joint well being, and weight management — three areas particularly necessary for Pugs. Selecting a weight loss plan applicable in your canine’s age, exercise degree, and well being wants can scale back the chance of obesity-related issues.

Try my prime picks for one of the best pet food for Pugs in all life levels. You may additionally discover these guides useful:

Each Pug is completely different. What well being challenges have you ever confronted along with your Pug, and what’s helped probably the most? We’d love to listen to your expertise within the feedback under.



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