Healthy English Setter dog positioned centrally in veterinary clinic setting, representing the article's focus on maintaining English Setter health through proper care and prevention
9 min read
Published on November 3, 2025

Keeping Your English Setter Healthy: Common Health Issues and How to Prevent Them

Learn about English setter health issues including hip dysplasia, deafness, and thyroid problems. Get expert prevention tips and early detection advice.

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At a glance

  • English Setters are prone to specific health issues including hip dysplasia, deafness, hypothyroidism, and ear infections due to their genetics and physical characteristics
  • Early screening by responsible breeders using OFA certification and BAER testing can prevent many inherited conditions
  • Regular ear cleaning and proper exercise management are essential for preventing common problems in this active breed
  • Many health issues can be effectively managed with early detection, proper nutrition, and consistent veterinary care

You might notice your English Setter limping after a long walk, or perhaps they're not responding to your calls the way they used to. These observations could signal some of the health challenges that commonly affect this beautiful breed. Understanding what to watch for and how to prevent problems can make all the difference in your dog's quality of life.

English Setters face several breed-specific health concerns, many stemming from their genetics and active lifestyle. The good news is that most of these conditions can be managed effectively when caught early, and many can be prevented entirely with the right approach.

Joint problems that affect mobility

English Setter undergoing hip examination with X-ray displayed, illustrating joint health screening and dysplasia detection methods

Hip and elbow dysplasia represent the most significant orthopedic concerns for English Setters. These genetic malformations cause the joints to develop improperly, leading to pain, arthritis, and mobility issues as your dog ages. You'll typically notice signs like limping, stiffness after rest, or reluctance to jump or climb stairs.

Prevention starts before you even bring your puppy home. Choose breeders who screen their breeding dogs using OFA certification, which evaluates joint health through X-rays. This simple step dramatically reduces your dog's risk of developing severe dysplasia.

Once you have your dog, maintaining a healthy weight becomes crucial. Extra pounds put additional stress on already vulnerable joints. Swimming provides excellent low-impact exercise that builds muscle without stressing joints, while avoiding excessive jumping or running on hard surfaces during puppyhood protects developing bones.

When dysplasia does develop, joint supplements containing glucosamine and chondroitin can help maintain cartilage health. Products like Cosequin or Dasuquin typically cost $30 to $60 per month but can significantly improve comfort levels. Anti-inflammatory medications and physical therapy also play important roles in management.

Hearing loss and early detection

Congenital deafness occurs more frequently in English Setters, particularly those with predominantly white coats. This condition can affect one or both ears and is present from birth. Many owners first notice something's wrong when their puppy doesn't respond to sounds or seems to ignore commands they previously followed.

BAER testing provides the definitive diagnosis for hearing loss. This brainstem auditory evoked response test can be performed on puppies as young as five weeks old, allowing early identification of deaf dogs. Responsible breeders often have this testing done before puppies go to their new homes.

While there's no cure for congenital deafness, deaf dogs can live completely normal, happy lives with some adaptations. Hand signals replace verbal commands, and visual cues become more important. A fenced yard provides essential safety, as deaf dogs can't hear approaching dangers like cars.

Thyroid and metabolic concerns

Hypothyroidism frequently affects English Setters, causing the thyroid gland to underproduce essential hormones. You might notice your dog gaining weight despite eating the same amount, developing a dull coat, losing hair, or seeming less tolerant of cold weather. Lethargy and skin problems also commonly accompany this condition.

Unfortunately, there's no known way to prevent hypothyroidism, making early diagnosis through blood tests particularly important. The condition typically develops in middle-aged dogs, so regular veterinary check-ups become increasingly valuable as your dog ages.

Treatment involves lifelong thyroid hormone replacement therapy, usually with levothyroxine. This medication costs approximately $20 to $50 per month and is highly effective when properly dosed. Regular monitoring ensures the medication level remains appropriate as your dog's needs may change over time.

Ear care and infection prevention

Close-up of English Setter ear being professionally cleaned, demonstrating proper ear care technique to prevent infections in this breed

Those beautiful, floppy ears that give English Setters their distinctive look also create perfect conditions for infections. The ear flaps trap moisture and debris, creating warm, humid environments where bacteria and yeast thrive. You'll know there's a problem when your dog starts scratching their ears excessively, shaking their head, or if you notice an unpleasant odour or discharge.

Prevention involves regular ear cleaning with veterinary-approved solutions. Products like Zymox Otic Enzymatic Solution or Virbac Epi-Otic Advanced work well and cost between $15 and $30 per bottle. Clean ears weekly, and always dry them thoroughly after baths or swimming sessions.

When infections do occur, prompt veterinary treatment prevents them from becoming chronic problems. Your vet may prescribe antibiotic ear drops or oral medications depending on the severity and type of infection.

Managing allergies and skin sensitivities

Many English Setters develop allergies that manifest as itchy skin, recurrent ear infections, or gastrointestinal upset. Common culprits include environmental allergens like pollen and dust mites, as well as certain food ingredients.

Identifying specific allergens requires patience and often involves elimination diets or allergy testing through your veterinarian. Hypoallergenic diets like Hill's Prescription Diet d/d or Royal Canin Hypoallergenic may help, though these specialty foods cost $50 to $80 per 15-pound bag.

Treatment options range from antihistamines for mild cases to corticosteroids or immunotherapy for more severe allergies. Maintaining a clean environment and using air purifiers can also reduce exposure to environmental triggers.

Serious conditions requiring immediate attention

Gastric dilatation-volvulus, commonly called bloat, represents a life-threatening emergency that affects deep-chested breeds like English Setters. The stomach fills with gas and twists, cutting off blood supply. Signs include a distended abdomen, unproductive retching, and extreme restlessness.

Prevention focuses on feeding management. Offer smaller, more frequent meals rather than one large daily feeding. Avoid vigorous exercise immediately after eating, and consider having your vet perform prophylactic gastropexy surgery if your dog is at high risk.

Cancer becomes more common as these dogs age, with mast cell tumours and lymphosarcoma among the types seen. Regular veterinary check-ups help catch problems early, when treatment options are most effective. Always have any new lumps or bumps evaluated promptly.

Eye problems including cataracts, progressive retinal atrophy, and ectropion can affect vision and comfort. Annual eye exams become increasingly important as your dog ages, and choosing breeders who screen for inherited eye diseases helps prevent some conditions.

Building a prevention-focused health plan

Creating a comprehensive health management strategy starts with choosing the right puppy from health-tested parents. Annual or biannual veterinary examinations should include orthopedic evaluations, thyroid testing, and thorough ear and eye checks.

Exercise needs careful balance. These active dogs require over two hours of daily activity, but low-impact options like swimming protect developing and aging joints better than high-impact running on concrete.

Nutrition plays a crucial role in preventing obesity, which exacerbates joint problems and complicates thyroid management. High-quality diets formulated for active large breeds, enhanced with omega-3 fatty acids for skin and coat health, provide the best foundation.

Pet insurance deserves serious consideration given the potential costs of treating conditions like hip dysplasia or bloat. Monthly premiums typically range from $30 to $70 depending on coverage levels, but can provide valuable financial protection when major health issues arise.

By focusing on early screening, preventive care, and prompt attention to health changes, you can help your English Setter live a long, comfortable life despite their breed's predisposition to certain conditions. The key lies in staying informed, maintaining regular veterinary relationships, and acting quickly when problems arise.

Complete Your English Setter Health Check

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

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Frequently Asked Questions

Yes, English Setters are prone to several breed-specific health issues including hip and elbow dysplasia, congenital deafness, hypothyroidism, ear infections, eye problems, and gastric dilatation-volvulus (bloat). Many of these conditions are genetic, stemming from their breeding history and physical characteristics. However, responsible breeding practices with health screening, early detection, and proper preventive care can significantly reduce the risk and impact of these health concerns.
English Setters typically live 10-12 years, though some may reach 14 years with excellent care. Their lifespan can be influenced by genetics, diet, exercise, and management of breed-specific health issues. Regular veterinary check-ups, maintaining a healthy weight, proper nutrition, and early treatment of conditions like hip dysplasia or hypothyroidism can help maximise their life expectancy and ensure quality of life throughout their senior years.
Early screening through OFA (Orthopedic Foundation for Animals) certification for hip and elbow dysplasia, and BAER (Brainstem Auditory Evoked Response) testing for congenital deafness can identify potential issues before breeding. Responsible breeders use these tests to make informed breeding decisions, significantly reducing the likelihood of passing genetic conditions to puppies. This proactive approach helps prevent many inherited health problems that commonly affect English Setters.
English Setters' long, feathered ears create a warm, moist environment that promotes bacterial and yeast growth, making them susceptible to ear infections. Their active outdoor lifestyle also exposes them to dirt and debris. Prevention involves regular ear cleaning with veterinarian-recommended solutions, thorough drying after swimming or bathing, and routine inspection for redness, odour, or discharge. Consult your veterinarian for proper cleaning techniques and frequency recommendations.
Seek emergency veterinary care immediately if your English Setter shows signs of bloat (distended abdomen, unsuccessful vomiting attempts, restlessness), severe difficulty breathing, sudden collapse, seizures, or extreme lethargy. Other urgent signs include persistent vomiting or diarrhoea, inability to urinate, severe limping with non-weight bearing, or any sudden behavioural changes. English Setters are prone to bloat, which can be fatal without immediate treatment, so abdominal distension requires urgent attention.
Treatment costs vary significantly by location and severity. Hip dysplasia surgery typically ranges from $3,000-6,000 per hip, whilst ongoing management may cost $200-500 annually. Hypothyroidism medication usually costs $300-600 yearly. Ear infection treatments range from $150-400 per episode. Bloat emergency surgery can cost $2,000-5,000. Regular preventive care including health screening typically costs $500-800 annually. Pet insurance can help manage these expenses, so consult your veterinarian about coverage options.
English Setters should have comprehensive veterinary examinations every 6-12 months, with senior dogs (7+ years) needing more frequent check-ups. Annual screenings should include thyroid function tests, hip and elbow evaluations, eye examinations, and hearing assessments. Breeding dogs require OFA certification and BAER testing. Monthly at-home ear inspections and weekly ear cleaning are essential. Your veterinarian may recommend additional screening based on your dog's age, health history, and risk factors.
Daily care includes regular ear cleaning and inspection, maintaining appropriate exercise levels without overexertion, feeding measured meals to prevent bloat, and monitoring for limping or stiffness. Brush their coat regularly to check for skin issues, maintain a healthy weight through proper nutrition, and provide mental stimulation. Avoid elevated food bowls and restrict vigorous exercise after meals. Establish consistent routines for medication if needed, and keep a health diary to track any changes in behaviour or symptoms.

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