At a glance
- Boston Terriers face unique health challenges due to their flat faces and genetic makeup, requiring proactive owner awareness
- Breathing difficulties from BOAS affect most of the breed and need careful exercise management in hot weather
- Eye problems are common due to their prominent eyes, requiring immediate veterinary attention when symptoms appear
- Early detection and weight management can prevent or reduce severity of joint, heart, and respiratory issues
Understanding your dog's breathing challenges

You might notice your Boston Terrier making more noise when breathing than other dogs, especially during exercise or warm weather. This isn't just a quirky breed trait. Brachycephalic Obstructive Airway Syndrome (BOAS) affects most dogs with flat faces, causing anatomical abnormalities in the nose, soft palate, and throat that restrict normal airflow.
The symptoms range from heavy snoring and noisy breathing to more concerning signs like persistent coughing, overheating, and exercise intolerance. Many owners initially dismiss these as normal for the breed, but recognising when breathing difficulties cross into dangerous territory can be lifesaving.
Exercise management becomes critical for these dogs. Schedule walks during cooler morning or evening hours, stick to shaded areas, and always carry fresh water. Your dog should never exercise in hot or humid conditions, as their compromised breathing system cannot cool them effectively. If you notice persistent noisy breathing, fainting episodes, or your dog struggling to keep up on normal walks, veterinary consultation is essential. Surgical correction can significantly improve quality of life, though it requires specialist care.
Joint problems that affect mobility
Have you wondered why your dog occasionally skips a step or suddenly lifts one leg while walking? Patellar luxation, where the kneecap slips out of place, commonly affects Boston Terriers due to their anatomy. You might hear a popping sound or notice your dog's leg locking up momentarily during walks.
The condition ranges from mild occasional slipping to severe cases requiring surgical intervention. Left untreated, it progresses to arthritis and significant mobility issues. Weight management plays a crucial role here. Every extra kilogram puts additional stress on already vulnerable joints.
Physical therapy and controlled exercise help maintain joint stability in mild cases. Swimming provides excellent low-impact exercise when available. However, if your dog shows persistent limping, leg skipping, or sudden reluctance to use a limb, veterinary assessment determines whether conservative management or surgery offers the best outcome.
Protecting those prominent eyes

Those expressive eyes that give Boston Terriers their appealing look also make them vulnerable to injury and disease. Their flat faces and protruding eyes create perfect conditions for corneal ulcers, glaucoma, and cataracts to develop.
Watch for redness, squinting, excessive tearing, or any cloudiness in the eyes. These symptoms require immediate veterinary attention, not a "wait and see" approach. Eye problems in this breed can progress rapidly from minor irritation to vision-threatening conditions.
Prevention focuses on protecting the eyes from trauma during play and maintaining regular health checks. Avoid rough play near your dog's face, and be cautious around other dogs who might accidentally scratch during interaction. Regular eye examinations during routine vet visits catch developing problems before they become serious.
Skin and allergy management
Many Boston Terrier owners worry when they notice their dog scratching excessively or developing patches of hair loss. Mange, caused by mite overgrowth, creates intense itching and dry, flaky skin patches. Allergies can trigger similar symptoms with persistent licking and scratching.
The key lies in prompt veterinary diagnosis rather than guessing at treatments. Mange requires specific medications to control mite populations, while allergies need identification of triggers and appropriate management strategies. Home remedies often delay proper treatment and allow conditions to worsen.
Maintain good skin hygiene with vet-recommended shampoos, but avoid over-bathing which can strip natural oils. Environmental allergens like pollen, dust mites, or certain fabrics sometimes trigger reactions. Food allergies, though less common, require systematic elimination diets under veterinary guidance.
Heart health monitoring
Heart disease, particularly mitral valve disease, develops in many Boston Terriers as they age. The heart valve weakens over time, creating murmurs that veterinarians detect during routine examinations. Early stages often show no obvious symptoms, making regular check-ups essential.
As the condition progresses, you might notice coughing, especially at night or after exercise, decreased activity levels, or episodes of fainting. These symptoms indicate the heart is struggling to pump effectively and require immediate veterinary assessment.
Weight management and dental care play surprising roles in heart health. Excess weight forces the heart to work harder, while dental disease allows bacteria to enter the bloodstream and potentially affect heart valves. Regular professional dental cleanings and home tooth brushing at least three times weekly help protect both dental and cardiac health.
Recognising serious neurological concerns
While less common, hydrocephalus represents a serious condition where fluid accumulates in the brain, causing swelling. Symptoms range from subtle learning difficulties and slow responses to more obvious signs like seizures or dramatic behavioural changes.
Cushing's disease, involving overactive adrenal glands, creates different but equally concerning symptoms. Increased drinking and urination, development of a pot belly, and thinning hair coat suggest hormonal imbalances requiring veterinary diagnosis and ongoing management.
These conditions need professional veterinary care for proper diagnosis and treatment planning. Home management cannot address the underlying causes, though supportive care helps maintain quality of life once treatment begins.
When to seek immediate veterinary care
Certain symptoms in Boston Terriers require same-day veterinary attention rather than waiting for regular appointment availability. Persistent laboured breathing, fainting episodes, or sudden inability to exercise normally suggest respiratory crisis.
Eye symptoms including redness, discharge, cloudiness, or squinting can progress rapidly to permanent damage. Similarly, sudden onset limping, leg locking, or reluctance to bear weight indicates joint problems needing prompt assessment.
Behavioural changes, seizures, or cognitive decline warrant immediate evaluation, as do dramatic increases in drinking and urination. These symptoms often indicate serious underlying conditions where early intervention significantly improves outcomes.
Modern monitoring tools like smart collars can help track vital signs and activity levels, providing early alerts for developing health issues. However, they supplement rather than replace regular veterinary care and owner observation of their dog's normal patterns and behaviours.