A healthy orange Pomeranian sitting on a veterinary examination table, representing the importance of proactive health care and regular checkups for addressing common Pomeranian health issues
8 min read
Published on September 30, 2025

Addressing Pomeranian Health Issues: Common Problems and Care

Complete guide to Pomeranian health issues including tracheal collapse, joint problems & hypoglycaemia. Learn prevention strategies & emergency care tips for your Pom.

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At a glance

  • Pomeranians are prone to specific health issues including tracheal collapse, luxating patella, and hypoglycemia that require early recognition and intervention
  • Using a harness instead of a collar and maintaining proper weight can prevent many respiratory and joint problems
  • Daily dental care and regular vet checkups are essential, as small breeds face higher risks of dental disease and heart problems
  • Emergency preparedness, including keeping glucose gel on hand and knowing warning signs, can be life-saving for Pom owners

Understanding your Pomeranian's health vulnerabilities

Have you noticed your Pomeranian making a honking sound when excited, or suddenly limping after jumping off the couch? These seemingly minor incidents can signal serious health issues that are surprPomeraniansmon in this beloved toy breed. With a typical lifespan of 12 to 16 years, Pomeranians face several breed-specific health challenges that, when recognised early, can be managed effectively to ensure your dog lives a comfortable, active life.

The compact size and unique physical characteristics that make Poms so appealing also predispose them to certain medical conditions. Their delicate windpipes, small joints, and rapid metabolism create vulnerabilities that larger breeds simply don't face. Understanding these risks isn't about worrying constantly, but rather about being prepared to spot problems early when treatment is most effective.

Respiratory concerns that demand immediate attention

A Pomeranian wearing a proper chest harness that protects the delicate tracheal area, demonstrating preventive care for respiratory issues like tracheal collapse

Tracheal collapse stands as one of the most serious health threats facing Pomeranians. This condition occurs when the cartilage rings supporting the windpipe weaken and narrow, creating that distinctive honking cough that many owners initially mistake for something stuck in their dog's throat. The sound often worsens with excitement, exercise, or pressure around the neck area.

What makes this condition particularly concerning is how quickly it can progress from mild coughing to life-threatening breathing difficulty. Many Poms show early signs during puppyhood, but symptoms can develop or worsen at any age. The harsh, goose-like honking sound, combined with gagging or wheezing, should prompt an immediate veterinary visit.

Prevention centres around two key strategies: maintaining a healthy weight and switching from collars to harnesses. Even a well-fitted collar puts pressure on the delicate tracheal area. Harnesses like the Walkin' Pets Easy Step Harness distribute pressure across the chest instead. For dogs already showing symptoms, this simple change often provides noticeable relief within days.

Joint problems that affect mobility and comfort

A Pomeranian using a ramp to safely access furniture, illustrating joint-protective measures to prevent luxating patella and other mobility issues common in the breed

Luxating patella, where the kneecap slips out of its normal position, affects a significant number of Pomeranians due to their bone structure and genetics. You might notice your dog suddenly lifting a back leg while walking, yelping when the kneecap dislocates, or showing intermittent lameness that seems to come and go.

The condition is graded by the Orthopedic Foundation for Animals on a scale of 1 to 4, with grades 3 and 4 typically requiring surgical intervention. Mild cases often respond well to rest, anti-inflammatory medications, and lifestyle modifications like using ramps instead of allowing jumping on and off furniture.

Joint supplements containing glucosamine and chondroitin, such as Cosequin DS or Dasuquin, can support long-term joint health, though they work best as preventive measures rather than treatments for active problems. Many owners report seeing improvements in mobility and comfort levels after several weeks of consistent supplementation.

Metabolic emergencies every owner should recognise

Hypoglycemia poses a particular threat to Pomeranian puppies under three months old and very small adult dogs. This sudden drop in blood sugar can escalate from mild weakness to life-threatening seizures within minutes. Early warning signs include shaking, stumbling, weakness, and muscle twitching.

The key to managing hypoglycemia lies in prevention through proper feeding schedules. Small, frequent meals throughout the day help maintain stable blood sugar levels. Puppies may need feeding every two to three hours, while adults typically do well with three smaller meals rather than one or two large ones.

Every Pom owner should keep glucose gel readily available for emergencies. These products, available at most pharmacies, can provide rapid relief when applied to the gums during a hypoglycemic episode. However, any hypoglycemic event requires immediate veterinary attention to address the underlying cause and prevent recurrence.

Skin and coat changes that signal deeper issues

Alopecia in Pomeranians often appears as symmetrical hair loss on the abdomen and thighs, sometimes accompanied by darkened skin. While this condition is frequently cosmetic, it can indicate underlying hormonal problems like Cushing's disease or hypothyroidism that require medical treatment.

The frustrating aspect of Pomeranian alopecia is that treatments show variable results. Some dogs respond well to melatonin supplementation, while others may need more complex hormonal therapies. Veterinary diagnosis is essential to rule out treatable underlying conditions before assuming the hair loss is purely cosmetic.

Regular grooming sessions provide excellent opportunities to monitor your dog's skin and coat condition. Changes in texture, unusual hair loss patterns, or skin discoloration should prompt a veterinary consultation, as early intervention often leads to better outcomes. Understanding Pomeranian grooming needs helps you maintain their coat health and spot potential problems early.

Dental health challenges in small mouths

The small jaw size that gives Poms their appealing appearance also creates crowded conditions for their teeth, leading to accelerated tartar buildup and gum disease. Without proper care, many Pomeranians lose teeth prematurely, affecting their ability to eat comfortably and potentially leading to more serious health issues.

Daily tooth brushing with dog-specific toothpaste like Virbac C.E.T. Enzymatic Toothpaste makes the biggest difference in maintaining dental health. Starting this routine early helps dogs accept the process, though even adult dogs can learn to tolerate daily brushing with patience and positive reinforcement.

Dental chews such as Greenies provide additional plaque control between brushings, though they shouldn't replace regular brushing. Professional dental cleanings by your veterinarian, typically needed annually or biannually depending on your dog's individual needs, address tartar that home care cannot remove.

Creating a proactive health management plan

Successful Pomeranian health management combines vigilant observation with preventive care. Regular veterinary checkups should include screening for heart conditions, thyroid function, and joint health, as early detection dramatically improves treatment outcomes for most conditions.

Weight management deserves special attention in this breed. High-quality diets formulated for small breeds, such as Royal Canin Pomeranian Adult or Hill's Science Diet Small Paws, provide appropriate nutrition in portions suited to their tiny stomachs. Overfeeding increases risks for tracheal collapse, joint problems, and other serious health issues.

Emergency preparedness can mean the difference between a manageable health episode and a crisis. Knowing the location of your nearest emergency veterinary clinic, keeping glucose gel on hand, and recognising the warning signs of common Pom health problems empowers you to act quickly when your dog needs help most. The investment in preventive care and emergency preparedness pays dividends in your dog's quality of life and longevity.

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Frequently Asked Questions

Pomeranians are prone to several breed-specific health issues including tracheal collapse, luxating patella, hypoglycaemia, and dental problems. Their small size makes them vulnerable to respiratory and joint issues. However, with proper preventive care, early recognition of symptoms, and regular veterinary checkups, many of these conditions can be managed effectively. Using harnesses instead of collars, maintaining proper weight, and daily dental care can prevent many common problems.
Pomeranians typically have a lifespan of 12 to 16 years. With proper healthcare, preventive care, and early intervention for breed-specific health issues, many Pomeranians can live towards the upper end of this range. Regular veterinary checkups, maintaining a healthy weight, proper dental care, and being prepared for emergency situations can all contribute to helping your Pomeranian live a longer, healthier life.
Keep your Pomeranian healthy by using a harness instead of a collar to protect their delicate trachea, maintaining proper weight to prevent joint problems, and providing daily dental care. Regular veterinary checkups are essential for early detection of health issues. Keep glucose gel on hand for hypoglycaemic episodes, learn to recognise warning signs of common conditions, and ensure emergency preparedness for this breed's specific health vulnerabilities.
Watch for honking sounds or harsh coughing (indicating tracheal collapse), sudden limping after jumping (luxating patella), weakness or disorientation (hypoglycaemia), and difficulty breathing. Other emergency signs include pale gums, collapse, seizures, or extreme lethargy. Keep glucose gel readily available for hypoglycaemic episodes and seek immediate veterinary care if your Pomeranian shows any of these symptoms, as early intervention can be life-saving.
Treatment costs vary significantly by condition and location. Routine preventive care including regular checkups may cost $200-500 annually. Managing conditions like tracheal collapse with medication typically ranges $300-800, whilst surgical intervention can cost $2,000-4,000. Dental procedures may range $500-1,500. Emergency treatments can cost $1,000-3,000 or more. Pet insurance can help manage these costs, and early intervention often reduces long-term expenses.
Pomeranians should have veterinary checkups every 6-12 months, with senior dogs (over 8 years) benefiting from twice-yearly visits. Due to their predisposition to heart problems, dental disease, and other breed-specific issues, regular monitoring is essential. Annual dental cleanings are often recommended, and any concerning symptoms like coughing, limping, or breathing difficulties warrant immediate veterinary attention rather than waiting for scheduled appointments.
Provide daily dental care through brushing or dental chews to prevent periodontal disease common in small breeds. Use a harness instead of a collar to protect the trachea, maintain proper weight through appropriate diet and exercise, and monitor for signs of hypoglycaemia, especially in young or small Pomeranians. Keep glucose gel accessible, avoid allowing jumping from heights, and maintain a calm environment to reduce stress-related breathing issues.
Proper nutrition supports overall health, but cannot prevent genetic conditions like tracheal collapse or luxating patella. Maintaining ideal body weight through appropriate diet reduces stress on joints and respiratory system. Some owners use joint supplements, but evidence varies. Regular feeding schedules help prevent hypoglycaemia in susceptible dogs. Always consult your veterinarian before adding supplements, as some can interact with medications or be inappropriate for small breeds.

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