The Pekingese is a breed full of character—bold, loyal, and dignified. Originally bred to live in Chinese palaces, this little dog still carries itself like royalty today. With its flowing coat, flat face, and compact build, the Pekingese is truly distinctive. But beneath the fluff lies a dog with some very specific health needs.
At Cottage Vet Clinic, we love treating this charismatic breed, and we want owners to be aware of the common medical concerns that come with Pekingese care—especially their risks for bladder stones, orthopaedic problems, and breathing difficulties.
A Brief Personality Snapshot
The Pekingese may be small, but it’s not a lapdog in the traditional sense. Most are affectionate with their families but can be independent and a bit stubborn. They’re generally well-suited to calm households and enjoy their creature comforts—whether it’s a sunny spot on the couch or being carried like royalty.
They’re not high-energy dogs, but their bodies still need proper attention and maintenance.
Health Concern 1: Bladder Stones
The Pekingese is one of several small breeds prone to developing bladder stones, especially struvite stones, which often form due to urinary tract infections. Males are more likely to experience life-threatening blockages, but females can suffer from recurrent urinary tract infections and discomfort.
Signs to watch for include:
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Frequent urination
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Straining or discomfort when urinating
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Blood in the urine
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Licking at the genitals
At Cottage Vet, we use urine analysis, x-rays, and ultrasound to detect bladder stones early and recommend the best treatment—whether surgical, medical, or dietary. Many Pekingese benefit from lifelong urinary support diets and regular urine monitoring.
Health Concern 2: Back and Hip Problems
Due to their long backs and short legs, the Pekingese is also predisposed to:
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Hip dysplasia
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Patellar luxation (kneecap dislocation)
Back injuries can occur suddenly—even just from jumping off a couch. You might notice reluctance to move, pain when picked up, or weakness in the back legs.
Prevention is key. Maintain a healthy weight, avoid jumping from heights, and seek early treatment for any signs of lameness, stiffness, or pain.
Health Concern 3: Brachycephalic Airway Syndrome
The Pekingese’s signature flat face makes it prone to brachycephalic airway syndrome, a condition that can cause:
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Noisy breathing or snoring
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Difficulty exercising or coping with heat
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Gagging or regurgitation
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Collapse in severe cases
We often assess these dogs for narrowed nostrils, elongated soft palates, or everted laryngeal saccules—all of which can contribute to poor airflow. Surgical correction may be recommended in moderate to severe cases, and we always advise Pekingese owners to avoid hot weather and high-stress situations.
Health Concern 4: Eye Diseases and Nasal Skin Folds
The Pekingese’s large, protruding eyes and deep facial folds make them especially prone to eye injuries and infections. Common conditions include:
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Corneal ulcers, often caused by trauma or dryness
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Pigmentary keratitis, which can lead to vision loss
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Cherry eye, a prolapse of the third eyelid gland
In addition, the nasal skin folds can trap moisture, bacteria, and debris—leading to inflammation and infection. This is especially problematic in warm, humid weather.
Prevention tips:
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Gently clean facial folds daily with a vet-recommended solution
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Schedule regular eye checks
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Seek immediate attention for squinting, redness, or excessive discharge
In some cases, surgical correction of nasal folds may be recommended to improve comfort and reduce chronic irritation.
Grooming and Lifestyle Tips
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Daily brushing is needed to prevent matting
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Regular eye cleaning protects their protruding eyes
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Ear care is important for their narrow canals and hairy ears
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Use a harness instead of a collar to avoid pressure on the airway
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Feed measured meals to avoid obesity and its related problems
How Cottage Vet Supports the Pekingese
We offer:
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Screening and treatment for bladder stones
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X-rays and diagnostics for joint or spinal issues
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Airway assessments for brachycephalic breeds
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Weight and nutrition advice tailored to small, low-activity dogs
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Ongoing support for chronic care management
In Summary
The Pekingese is a charming and resilient breed—but they do come with specialised needs. From bladder stones to spinal issues and breathing difficulties, proactive care and regular vet check-ups can help your Pekingese live a long, happy life.
If you have a Pekingese or are considering getting one, we’d love to help you provide the best care possible. Contact Cottage Vet Clinic for expert advice and lifelong health support for your small companion.
