Close-up portrait of a fawn Pug showing the breed's characteristic flat face, wrinkled features, and large dark eyes that make them prone to specific health conditions discussed in the article
8 min read
Published on September 29, 2025

Common Health Problems in Pugs: Symptoms and Treatments

Essential guide to pug health problems covering breathing difficulties, eye conditions, skin fold care & joint issues. Learn symptoms & treatments from experts.

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At a glance

  • Pugs face unique health challenges due to their flat-faced anatomy, particularly breathing difficulties from Brachycephalic Obstructive Airway Syndrome
  • Daily care of facial wrinkles and regular eye monitoring can prevent serious infections and complications
  • Weight management is critical, as obesity worsens breathing problems and joint issues common in the breed
  • Early recognition of symptoms and prompt veterinary care significantly improve outcomes for most conditions

Many Pug owners worry when they hear their dog snoring loudly or notice discharge around those adorable wrinkled eyes. These concerns are valid. The same features that make these dogs so endearing also predispose them to specific health challenges that require attentive care and early intervention.

Understanding what to watch for and how to respond can make the difference between a minor issue and a serious health crisis. Research shows that owners who recognize breed-specific symptoms early and maintain preventive care routines see significantly better outcomes for their dogs.

Breathing difficulties and airway problems

Veterinary examination of a Pug's airway showing the shortened skull structure and flattened face anatomy that contributes to breathing difficulties and BOAS

You might notice your Pug making more noise than other dogs when breathing. This isn't just personality, it's often Brachycephalic Obstructive Airway Syndrome (BOAS), a condition affecting dogs with shortened skulls and flattened faces.

The symptoms progress from mild to severe. Early signs include loud snoring, snorting sounds during activity, and reduced tolerance for exercise or heat. More serious symptoms include wheezing, difficulty catching their breath after minimal exertion, and in extreme cases, blue gums or tongue indicating oxygen deprivation.

Treatment focuses on reducing airway pressure and improving breathing efficiency. Weight management becomes critical, as even a few extra kilograms can significantly worsen symptoms. Switch from a collar to a harness immediately to prevent additional airway compression. In severe cases, surgical interventions like widening the nostrils or shortening an elongated soft palate can dramatically improve quality of life.

Prevention centres on avoiding triggers. Never exercise these dogs in hot, humid conditions. Provide cool, shaded areas and constant access to fresh water. Many owners find that controlled indoor play sessions work better than traditional walks during warmer months. For more information on Pug health problems, visit ManyPets.

Eye conditions requiring immediate attention

Those prominent, expressive eyes are particularly vulnerable to injury and disease. Three conditions appear frequently: entropion (where the eyelid rolls inward), corneal ulcers from dryness or trauma, and keratoconjunctivitis sicca, commonly called dry eye.

Watch for redness, excessive tearing, or any discharge around the eyes. Squinting, pawing at the face, or sensitivity to light all signal problems requiring veterinary attention. Cloudiness on the eye surface or visible damage to the cornea demands immediate professional care.

Treatment varies by condition but often includes surgical correction for structural problems like entropion. Dry eye responds well to artificial tears or prescription lubricants, while infections require antibiotic or anti-inflammatory drops. The key is prompt intervention. Eye problems in flat-faced breeds can progress rapidly from minor irritation to permanent damage. Learn more about Pug eye health issues at WalkinPets.

Skin fold care and infection prevention

Demonstration of proper skin fold cleaning technique on a Pug's facial wrinkles using veterinary wipes to prevent bacterial and yeast infections

Those charming facial wrinkles create perfect environments for bacteria and yeast to flourish. Skin fold dermatitis and lip-fold pyoderma develop when moisture and debris accumulate in these areas without regular cleaning.

You'll recognize problems by redness, inflammation, or distinctive odours coming from the facial folds. The skin may appear irritated or develop secondary infections that cause significant discomfort.

Daily cleaning prevents most issues. Use veterinary-approved wipes or solutions specifically designed for skin fold care. Products like Vet's Best Dog Ear & Skin Wipes work well for routine maintenance. Thoroughly dry each fold after cleaning. For established infections, topical or oral antibiotics may be necessary, and severe cases sometimes require surgical removal of excess skin folds.

Joint problems and mobility issues

Hip dysplasia, luxating patella (kneecap dislocation), and elbow dysplasia appear commonly in this breed. These conditions cause pain, stiffness, and progressive mobility loss if left untreated.

Early symptoms include subtle changes in movement. Your dog might hesitate before climbing stairs, show stiffness after resting, or demonstrate reluctance to exercise. You might hear clicking or popping sounds from the joints during movement. Limping or obvious lameness indicates more advanced problems.

Treatment combines multiple approaches. Weight control reduces stress on affected joints significantly. Physical therapy and controlled exercise help maintain mobility and muscle strength. Pain management through NSAIDs or supplements like glucosamine and chondroitin provides relief for many dogs. Products such as Cosequin or Dasuquin have shown effectiveness in supporting joint health. Severe cases may require surgical intervention.

Weight management as preventive medicine

Obesity affects a significant percentage of these dogs and worsens virtually every other health condition they face. Extra weight increases breathing difficulties, stresses joints, and reduces overall quality of life.

Excess body fat is often obvious, but subtle signs include increased respiratory distress during normal activities and reduced willingness to move or play. Regular weight monitoring helps catch problems early.

Prevention requires both dietary management and appropriate exercise. Work with your veterinarian to establish proper portions using measured amounts of quality food. Low-fat formulations like Hill's Science Diet Light or Royal Canin Weight Care help maintain nutrition while controlling calories. Replace high-calorie treats with healthy alternatives like green beans or carrots. Exercise must be carefully managed due to breathing restrictions, but short walks, gentle play sessions, and swimming (where available) provide good options.

Ear infections and routine care

The folded ear structure creates warm, moist environments where bacteria and yeast thrive. Ear infections develop frequently without preventive care.

Symptoms include discharge that may be brown, black, or bloody, along with redness and swelling of the ear canal. You'll often notice a distinctive odour and see head shaking or scratching at the ears.

Regular cleaning with veterinary-approved ear washes prevents most infections. Products like Zymox Otic or Virbac Epi-Otic work effectively for routine maintenance. Established infections require antibiotic or antifungal medications prescribed by a veterinarian. Always dry the ears thoroughly after baths or swimming to prevent moisture buildup.

When to seek immediate veterinary care

Certain symptoms require emergency attention regardless of the time of day. Laboured breathing, blue gums or tongue, or collapse indicate respiratory crisis. Sudden eye problems including severe redness, discharge, or squinting can lead to permanent damage without prompt treatment.

Neurological symptoms such as seizures, disorientation, or sudden behavioural changes may indicate serious conditions like Granulomatous Meningoencephalitis, an inflammatory brain disease that appears more frequently in small breeds. Severe lameness, persistent vomiting, or lethargy also warrant immediate professional evaluation.

Consider pet insurance early in your dog's life. The potential for costly surgeries and chronic conditions makes insurance valuable for managing expenses while ensuring access to necessary care. Regular veterinary check-ups, combined with attentive home care and early intervention when problems arise, significantly improve outcomes for dogs facing these breed-specific health challenges.

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Frequently Asked Questions

Respiratory complications from Brachycephalic Obstructive Airway Syndrome (BOAS) are a leading cause of death in Pugs. Their flat-faced anatomy creates breathing difficulties that can become life-threatening, especially when combined with obesity or heat exposure. Other common causes include heart disease and complications from untreated eye conditions. Early recognition of breathing problems and maintaining a healthy weight significantly improve outcomes.
Pugs typically live 12-15 years, though this can vary significantly based on their health management. Dogs with well-managed breathing problems, proper weight control, and regular veterinary care often reach the upper end of this range. However, Pugs with severe BOAS, obesity, or untreated health conditions may have shorter lifespans. Preventive care and early intervention for breed-specific issues are crucial for longevity.
Watch for loud snoring, snorting, or wheezing sounds, especially during activity or warm weather. Difficulty breathing, exercise intolerance, and blue gums or tongue are serious warning signs requiring immediate veterinary attention. Pugs naturally breathe more noisily than other breeds due to their flat faces, but sudden changes or severe symptoms indicate Brachycephalic Obstructive Airway Syndrome complications that need prompt treatment.
Clean your Pug's facial wrinkles daily to prevent bacterial and fungal infections. Use a damp cloth or pet-safe wipes to gently clean between the folds, then thoroughly dry the area. Pay special attention to deep wrinkles around the nose and eyes where moisture and debris accumulate. Regular cleaning prevents serious skin infections that can cause pain and require expensive veterinary treatment.
Seek emergency care immediately if your Pug shows blue gums or tongue, severe difficulty breathing, collapse, or inability to cool down after heat exposure. Other urgent signs include sudden eye injuries, severe eye discharge with pain, or any breathing distress that doesn't improve with rest in a cool environment. These symptoms can rapidly become life-threatening in Pugs due to their compromised airways.
Treatment costs vary significantly by condition and location. Basic eye treatments may range from $200-500, while surgical interventions for breathing problems can cost $2,000-4,000 or more. Regular preventive care including eye cleaning and weight management typically costs $300-600 annually. Emergency respiratory treatments can exceed $1,000-3,000. Consult your veterinarian for specific estimates, as costs vary by clinic and severity.
Yes, you can significantly slow progression through weight management, avoiding hot environments, using a harness instead of collar, and providing cool resting areas. Keep your Pug at an ideal weight, as obesity worsens breathing difficulties. Limit exercise during warm weather and ensure access to air conditioning or fans. While you cannot cure the anatomical causes, these measures greatly improve quality of life and reduce complications.
Recovery from airway surgery typically takes 2-4 weeks, with initial improvement often noticed within days. Full healing may take 6-8 weeks, during which activity should be restricted and the dog monitored closely. Success rates are generally good when surgery is performed before severe complications develop. Your veterinarian will provide specific recovery timelines based on the procedures performed and your Pug's individual condition.

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