A majestic red Chow Chow sitting in a veterinary clinic, representing the importance of regular health monitoring and care for this breed prone to various health conditions
8 min read
Published on October 10, 2025

Identifying and Managing Common Health Issues in Chow Chows

Complete guide to chow chow health issues covering joint problems, eye conditions, bloat prevention & management strategies. Expert veterinary advice for owners.

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At a glance

  • Chow Chows are predisposed to joint problems like hip and elbow dysplasia, with symptoms including reluctance to climb stairs and limping
  • Eye conditions, particularly entropion (inward rolling eyelids), are common and require early veterinary intervention
  • Bloat affects this breed significantly, with a 20% prevalence in some surveys, making feeding management crucial
  • Regular screening by reputable breeders and annual vet checkups can catch most issues early when treatment is most effective

Joint problems you might notice first

You might notice your Chow Chow hesitating at the bottom of stairs or moving stiffly after rest. These early signs often point tChow Chowslbow dysplasia, genetic conditions where joints develop improperly. Many Chow Chows show these symptoms gradually, making them easy to miss initially.

Hip dysplasia appears as reluctance to jump, climb stairs, or exercise enthusiastically. Your dog might start limping or showing stiffness, particularly after periods of inactivity. Elbow dysplasia presents similarly but affects the front legs, with dogs often reluctant to extend their legs fully, especially in cold weather.

Veterinary diagnosis involves orthopedic exams and X-rays, with screening through organizations like OFA or PennHIP providing definitive results. Weight control becomes critical for management, as every extra kilogram adds stress to already compromised joints. Anti-inflammatory medications, joint supplements containing glucosamine and chondroitin, and controlled exercise help manage symptoms. Severe cases may require surgical intervention, including total hip replacement costing $2,000 to $5,000 depending on complexity.

Eye conditions requiring immediate attention

A veterinarian examining a Chow Chow's eyes with a penlight, demonstrating the importance of regular eye health checks to detect conditions like entropion early

When it comes to eye health in Chow Chows, early recognition makes the difference between simple treatment and permanent vision loss. Entropion, where eyelids roll inward, is particularly common in this breed. You'll notice excessive blinking, squinting, or persistent eye discharge.

The inward-rolling eyelid causes eyelashes to rub against the cornea, creating irritation and potential scarring. Left untreated, this condition can lead to corneal damage and vision impairment. Surgical correction typically costs between $500 and $1,500 and usually resolves the problem permanently.

Glaucoma and cataracts also occur in these dogs, though less frequently than entropion. Watch for cloudiness in the eyes, changes in pupil size, or signs that your dog is having trouble navigating familiar spaces. Regular ophthalmologic exams catch these conditions early, when treatment options are most effective.

The serious threat of bloat

A Chow Chow eating from an elevated bowl, illustrating proper feeding practices that can help prevent the serious condition of bloat in this breed

Many Chow Chow owners worry about bloat, and rightfully so. Research shows this breed has a 20% prevalence of GDV-related deaths in some surveys, making it a genuine emergency concern. Gastric dilatation-volvulus occurs when the stomach twists, cutting off blood supply and creating a life-threatening situation.

Recognition happens fast or not at all. Your dog's abdomen becomes visibly distended, they may try to vomit but produce nothing, and restlessness combined with rapid breathing signals immediate veterinary emergency. Minutes matter with bloat, not hours.

Prevention centres on feeding management. Feed multiple small meals daily rather than one large portion. Adult dogs should eat twice daily minimum, while puppies need three to four smaller meals. Avoid vigorous exercise for at least an hour after eating, and consider elevated feeders to reduce air intake during meals. Some owners opt for prophylactic gastropexy surgery in high-risk dogs, where the stomach is surgically tacked to prevent twisting.

Skin sensitivities and coat care

Have you noticed your dog scratching more than usual or developing red, irritated patches? These dogs have notably sensitive skin prone to allergies and infections. Their thick double coat, while beautiful, can trap moisture and debris, creating ideal conditions for skin problems.

Symptoms appear as persistent itching, hair loss, hot spots, or areas of redness and inflammation. Environmental allergens, food sensitivities, or simply inadequate grooming can trigger these issues. Regular brushing and proper coat care prevents matting and allows air circulation to the skin, reducing infection risk.

Management involves identifying triggers through veterinary allergy testing when needed. Hypoallergenic diets, medicated shampoos, and consistent grooming routines help control symptoms. Temperature awareness becomes crucial, as overheating in hot climates can exacerbate skin problems and general discomfort.

Other health concerns to monitor

Several additional conditions affect this breed with varying frequency. Patellar luxation causes the kneecap to slip out of place, resulting in intermittent limping that may come and go. Hypothyroidism can develop, leading to lethargy, unexplained weight gain, and skin problems that don't respond to typical treatments.

Diabetes occurs more commonly in older or overweight dogs, requiring lifelong insulin therapy and careful dietary management. Some Chow Chows develop various cancers, including brain tumors and hepatic tumors, though these remain less predictable than the joint and eye conditions.

Regular veterinary checkups, ideally twice yearly for dogs over seven years old, catch many of these conditions early. Blood work can detect thyroid problems and diabetes before symptoms become severe, while physical examinations identify joint issues and other developing problems.

Practical prevention and management strategies

Smart prevention starts before you bring your dog home. Choose breeders who screen breeding dogs for hip and elbow dysplasia, eye conditions, and thyroid function. Genetic screening significantly reduces the likelihood of inherited problems, though it cannot eliminate all risks.

Weight management proves crucial throughout your dog's life. Maintaining ideal body weight reduces stress on joints and decreases diabetes risk. Feed high-quality food with balanced protein and fats, using portion control rather than free-feeding. Many owners find success with puzzle feeders or elevated bowls that slow eating and reduce bloat risk.

Exercise should be moderate and low-impact. Swimming provides excellent conditioning without joint stress, while controlled walks maintain muscle tone. Avoid excessive running or jumping, particularly in puppies whose growth plates haven't closed. Temperature awareness matters year-round, as these dogs overheat easily due to their thick coats.

Know when professional help is needed. Persistent lameness, eye discharge or redness, abdominal distension, sudden behaviour changes, or skin problems that don't resolve with basic care all warrant veterinary attention. Emergency preparedness for bloat means knowing your nearest after-hours veterinary clinic and having transportation ready.

Complete Your Chow Chow Health Check

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

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Frequently Asked Questions

Yes, Chow Chows are predisposed to several breed-specific health issues, particularly joint problems like hip and elbow dysplasia, eye conditions such as entropion, and digestive issues including bloat. Joint problems affect many Chow Chows, with symptoms like reluctance to climb stairs and stiffness after rest. Eye conditions, especially entropion where eyelids roll inward, are also common. However, with proper screening by reputable breeders and regular veterinary care, most issues can be identified early when treatment is most effective.
While specific mortality data varies, Chow Chows commonly face life-threatening conditions including bloat (gastric dilatation-volvulus), which affects this breed significantly with a 20% prevalence in some surveys. Severe joint problems, heart conditions, and cancer are also serious concerns in older Chow Chows. Bloat is particularly dangerous as it can be fatal within hours if untreated. Regular veterinary checkups and awareness of emergency symptoms like sudden abdominal swelling, restlessness, and unproductive retching can help identify critical conditions early.
Early signs of joint dysplasia in Chow Chows include hesitating at the bottom of stairs, moving stiffly after rest, reluctance to jump or exercise enthusiastically, and gradual onset limping. Hip dysplasia typically affects the rear legs, while elbow dysplasia impacts the front legs with dogs reluctant to extend their legs fully, especially in cold weather. These symptoms often develop gradually, making them easy to miss initially. If you notice any of these signs, consult your veterinarian for proper orthopedic examination and potential X-rays.
Bloat affects Chow Chows significantly, with surveys showing up to 20% prevalence in the breed. This makes proper feeding management crucial for Chow Chow owners. Bloat occurs when the stomach fills with gas and potentially twists, cutting off blood supply. It's a life-threatening emergency requiring immediate veterinary intervention. The high prevalence in Chow Chows means owners must be particularly vigilant about feeding practices, meal timing, and recognising emergency symptoms to prevent this potentially fatal condition.
Emergency signs requiring immediate veterinary attention include sudden abdominal swelling, restlessness, unproductive retching or gagging (indicating possible bloat), severe lameness or inability to bear weight, sudden eye pain with squinting or discharge, difficulty breathing, and collapse. For bloat specifically, watch for a distended abdomen, pacing, drooling excessively, and attempts to vomit without producing anything. Any sudden onset of severe symptoms, particularly those affecting breathing, mobility, or showing signs of pain, warrant emergency veterinary care within hours.
Treatment costs vary significantly by location and severity. Hip dysplasia management ranges from $500-2,000 annually for conservative treatment (medications, supplements, physiotherapy) to $4,000-8,000 per hip for surgical replacement. Eye surgery for entropion typically costs $800-2,500 per eye. Emergency bloat surgery ranges from $3,000-6,000. Routine screening like hip X-rays cost $300-600, while annual health checkups range $150-400. These are approximate ranges, and costs vary considerably between veterinary practices and regions. Consult your local veterinarian for specific pricing in your area.
Annual veterinary checkups are essential for early detection of common Chow Chow health issues. Hip and elbow screening should occur around 12-24 months of age if breeding is considered. Eye examinations should be conducted annually, as conditions like entropion can develop at any age. Senior Chow Chows (7+ years) benefit from twice-yearly checkups to monitor for joint deterioration, heart conditions, and other age-related issues. Regular screening allows veterinarians to catch problems early when treatment is most effective and less costly.
Maintain a healthy weight through portion control and regular, moderate exercise to reduce joint stress. Feed smaller, frequent meals rather than one large meal to help prevent bloat. Provide joint supplements like glucosamine and chondroitin as recommended by your veterinarian. Keep your Chow Chow's eyes clean and watch for irritation or discharge. Ensure controlled exercise appropriate for their age and joint health - avoid excessive jumping or stair climbing in young puppies and senior dogs. Regular grooming helps identify skin issues early.

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