Professional portrait of a healthy Akita dog centered in frame, representing the breed discussed in this health guide article
10 min read
Published on October 12, 2025

Akita Health Problems: What You Need to Know

Learn about common Akita health problems including hip dysplasia, hypothyroidism, and life-threatening bloat. Expert guide to early detection and prevention.

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At a glance

  • Akitas are predisposed to several serious health conditions including hip dysplasia, hypothyroidism, and life-threatening bloat
  • Early detection through regular veterinary screening can significantly improve outcomes for most conditions
  • Genetic testing before breeding or purchasing can help identify risks for inherited disorders
  • Emergency awareness, particularly for bloat symptoms, can be life-saving for your dog

Understanding your Akita's genetic predispositions

When you bring an Akita into your family, you're welcoming a powerful, loyal companion with specific health considerations. These magnificent dogs carry genetic predispositions that responsible owners need to understand, not to cause worry, but to ensure the best possible care throughout their lives.

Research shows that Akitas face higher risks for certain conditions compared to mixed breeds or other purebreds. Hip dysplasia affects a significant portion of the breed, while thyroid disorders and specific cancers appear more frequently than in the general dog population. The key isn't avoiding these dogs, but rather knowing what to watch for and how to respond.

Many health problems in these dogs develop gradually, making early detection crucial. A slight change in your dog's gait might signal developing hip dysplasia, while subtle coat changes could indicate thyroid dysfunction. Understanding these patterns helps you become your dog's best health advocate.

Hip dysplasia and joint problems

Veterinarian examining an Akita's hip joint during a clinical examination, with hip X-rays visible in the background

Hip dysplasia represents one of the most common inherited conditions affecting these dogs. This genetic malformation of the hip joint creates an unstable connection between the femur and pelvis, leading to pain, lameness, and eventual arthritis. You might notice your dog having difficulty rising from a lying position, showing reluctance to jump or climb stairs, or developing a subtle limp that worsens with exercise.

Diagnosis requires X-rays, typically performed under sedation to ensure proper positioning. Treatment options range from conservative management with weight control and physical therapy to surgical interventions like hip replacement in severe cases. The earlier you catch this condition, the more options you'll have for maintaining your dog's quality of life.

Maintaining an ideal body weight becomes critical for dogs with hip dysplasia. Every extra kilogram places additional stress on already compromised joints. Controlled exercise, swimming when possible, and joint supplements containing glucosamine and chondroitin can help manage symptoms. Products like Cosequin or Dasuquin have shown effectiveness in supporting joint health when used consistently.

Cranial cruciate ligament injuries also occur frequently in these large, active dogs. Similar to ACL tears in humans, these injuries cause sudden lameness and require prompt veterinary attention. Surgery, often involving procedures like tibial plateau leveling osteotomy, typically provides the best outcomes.

Thyroid disorders and hormonal imbalances

Hypothyroidism affects many dogs in this breed, causing the thyroid gland to underproduce essential hormones. This condition influences metabolism, skin health, coat quality, and even behaviour. You might observe dry, flaky skin, excessive hair loss, unexplained weight gain despite normal eating habits, or increased lethargy and sluggishness.

Some owners report behavioural changes including increased aggression or anxiety in dogs with untreated thyroid dysfunction. These symptoms often develop gradually, making them easy to dismiss as normal ageing or seasonal changes.

Blood tests can definitively diagnose hypothyroidism, measuring levels of thyroid hormones and thyroid-stimulating hormone. Once confirmed, treatment involves lifelong thyroid hormone replacement therapy, typically using levothyroxine. Most dogs show improvement within four to six weeks of starting treatment, with dramatic improvements in coat quality and energy levels.

Regular monitoring ensures proper dosing, as individual dogs may require adjustments over time. The medication is generally affordable and well-tolerated, making this a very manageable condition when properly diagnosed and treated.

Emergency conditions every owner must recognise

Emergency veterinary treatment of an Akita dog suffering from bloat, showing the distended abdomen and urgent medical response

Bloat, medically known as gastric dilatation-volvulus, represents the most serious emergency these dogs face. This life-threatening condition occurs when the stomach fills with gas and twists on itself, cutting off blood supply and preventing the dog from vomiting or belching to relieve pressure.

Deep-chested breeds like these dogs face significantly higher risks for bloat. The condition can develop rapidly, progressing from initial discomfort to life-threatening shock within hours. Watch for a distended, hard abdomen, unproductive retching where your dog tries to vomit but brings nothing up, excessive drooling, and obvious restlessness or pacing.

If you suspect bloat, seek emergency veterinary care immediately. Minutes matter with this condition. Treatment requires emergency surgery to untwist the stomach and secure it to prevent recurrence. Many veterinarians recommend prophylactic gastropexy during routine spay or neuter surgery for high-risk breeds, permanently attaching the stomach to the body wall.

Prevention focuses on feeding practices and exercise timing. Feed smaller, more frequent meals rather than one large daily feeding. Avoid vigorous exercise for at least two hours before and after meals. Some owners use elevated feeding bowls, though research on their effectiveness remains mixed.

Cancer risks and early detection

These dogs show increased susceptibility to certain cancers, particularly lymphoma and osteosarcoma. Lymphoma affects the lymphatic system, causing swollen lymph nodes, weight loss, and general malaise. You can often feel enlarged lymph nodes under your dog's jaw, in front of the shoulders, or behind the knees.

Osteosarcoma, an aggressive bone cancer, typically affects the long bones of the legs. Early signs include lameness that doesn't improve with rest, swelling around a joint, or obvious pain when touching specific areas. This cancer spreads rapidly, making early detection and treatment crucial.

Regular veterinary examinations help catch these cancers early when treatment options remain most effective. During routine check-ups, your veterinarian will palpate lymph nodes and assess your dog's gait and joint comfort. Any persistent lameness, unexplained lumps, or gradual weight loss warrants immediate investigation.

Treatment options vary depending on cancer type and stage. Chemotherapy protocols for lymphoma can provide good quality of life extensions, while osteosarcoma treatment often involves amputation followed by chemotherapy. Early intervention significantly improves outcomes for both conditions.

Skin and coat disorders

Sebaceous adenitis represents a unique skin condition affecting these dogs more frequently than other breeds. This immune-mediated disease attacks the sebaceous glands, causing progressive hair loss, scaling, and a distinctive musty odour. The condition typically begins on the head and ears before spreading to other body areas.

Unlike simple skin infections, sebaceous adenitis requires lifelong management rather than cure. Diagnosis involves skin biopsies to confirm the characteristic inflammation and gland destruction. Treatment focuses on managing symptoms through medicated shampoos containing ingredients like chlorhexidine or selenium sulfide, topical treatments, and sometimes systemic medications.

Regular bathing with veterinary-prescribed shampoos becomes essential for affected dogs. Many owners find success with bathing schedules of twice weekly initially, then adjusting frequency based on their dog's response. The condition often improves with consistent care, though flare-ups can occur during stressful periods or seasonal changes.

Secondary bacterial infections commonly develop in damaged skin, requiring antibiotic treatment. Maintaining good skin hygiene and following your veterinarian's treatment protocol helps prevent these complications and keeps your dog comfortable.

Eye problems and vision concerns

Several inherited eye conditions affect this breed, ranging from cosmetic concerns to serious vision-threatening disorders. Microphthalmia, where puppies are born with abnormally small eyes, can occur alongside other developmental abnormalities. Entropion causes eyelids to roll inward, allowing lashes to irritate the cornea and potentially cause ulceration.

Progressive retinal atrophy represents a more serious concern, causing gradual vision loss that eventually leads to blindness. This genetic condition typically manifests in middle-aged dogs, beginning with night blindness before progressing to complete vision loss. While no treatment exists, affected dogs can live comfortably with proper environmental management.

Early eye examinations in puppies help identify congenital problems that might require surgical correction. Adult dogs should receive regular eye evaluations, particularly if you notice squinting, excessive tearing, cloudiness, or changes in how they navigate familiar environments.

Retinal detachment and cataracts can also develop, sometimes secondary to other health conditions. Prompt veterinary attention for any eye abnormalities helps preserve vision and prevent painful complications.

Creating a proactive health management plan

Successful health management for these dogs requires partnership between you and your veterinary team. Schedule regular check-ups every six to twelve months, with more frequent visits for senior dogs or those with existing conditions. These appointments should include blood work to screen for thyroid dysfunction and other metabolic disorders.

Genetic testing provides valuable information about your dog's risk factors. Tests for hip dysplasia, Von Willebrand disease, and progressive retinal atrophy help guide breeding decisions and inform your veterinary care approach. Request health clearances when acquiring a puppy, and maintain detailed health records throughout your dog's life.

Weight management cannot be overstated in importance for this breed. Excess weight exacerbates joint problems, increases anaesthetic risks, and can worsen many health conditions. Work with your veterinarian to establish ideal body weight and feeding guidelines specific to your dog's age, activity level, and health status.

Consider preventive measures like gastropexy surgery during routine spay or neuter procedures. While this represents an additional expense, it can prevent the life-threatening emergency of bloat. Joint supplements may benefit dogs with early arthritis signs, though you should discuss appropriate products and dosing with your veterinarian before starting any supplements.

Complete Your Akita Health Check

Every Akita is unique. Take our health quiz to get personalised recommendations based on your Akita's specific needs.

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Frequently Asked Questions

Yes, Akitas are predisposed to several serious health conditions including hip dysplasia, hypothyroidism, and life-threatening bloat. Research shows Akitas face higher risks for certain conditions compared to mixed breeds, including thyroid disorders and specific cancers. However, with proper veterinary care, early detection through regular screening, and awareness of breed-specific risks, many conditions can be effectively managed to ensure your Akita lives a healthy, fulfilling life.
Akitas typically live 10-13 years, which is standard for large breed dogs. Their lifespan can be influenced by genetic health conditions common to the breed, including hip dysplasia, thyroid disorders, and certain cancers. Regular veterinary care, early detection of health issues, genetic testing, and maintaining proper weight can help maximise your Akita's lifespan and quality of life throughout their years.
Genetic testing before breeding or purchasing can help identify risks for inherited disorders common in Akitas, including hip dysplasia, hypothyroidism, and sebaceous adenitis. This screening allows potential owners to make informed decisions and prepare for possible health management needs. Responsible breeders should provide health clearances for breeding dogs, helping reduce the likelihood of passing genetic conditions to puppies and improving the overall health of the breed.
Bloat (gastric dilatation-volvulus) is life-threatening and requires immediate emergency care. Watch for a distended, hard abdomen, unsuccessful attempts to vomit, excessive drooling, restlessness, and rapid breathing. Akitas may also show signs of pain, weakness, or collapse. This condition can progress rapidly within hours, so seek emergency veterinary care immediately if you notice these symptoms. Early intervention is critical for survival.
Treatment costs vary significantly by condition and location. Hip dysplasia management ranges from $500-2,000 annually for conservative care, whilst surgical options can cost $4,000-8,000 per hip. Hypothyroidism medication typically costs $200-500 annually. Bloat emergency surgery ranges $3,000-6,000. Cancer treatments vary widely from $2,000-10,000+ depending on type and treatment approach. Pet insurance and establishing a health fund early can help manage these potential expenses.
Adult Akitas should have comprehensive health screenings annually, with hip and elbow evaluations typically done around 12-24 months of age. Thyroid function testing should begin around 2-3 years and be repeated every 2-3 years or if symptoms develop. Eye examinations should occur annually, and regular monitoring for skin conditions like sebaceous adenitis is important. Senior Akitas (7+ years) may benefit from more frequent screenings every 6 months. Consult your veterinarian for a personalised screening schedule.
Whilst genetic hip dysplasia cannot be prevented entirely, you can reduce risks and manage symptoms through proper weight management, controlled exercise, and joint supplements as recommended by your veterinarian. Avoid high-impact activities and provide supportive bedding. Swimming is excellent low-impact exercise. Maintain a healthy weight to reduce joint stress, and consider ramps instead of stairs. However, always consult your veterinarian before starting supplements or major exercise changes.
Dogs with confirmed genetic conditions like hip dysplasia, hypothyroidism, or sebaceous adenitis should generally not be bred, as these conditions can be passed to offspring. Responsible breeding requires health clearances including hip scoring, elbow grading, eye clearances, and genetic testing where available. Even carriers of genetic conditions may need breeding restrictions. Consult with veterinary geneticists and breed specialists to make informed breeding decisions that prioritise the health of future generations.

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