Professional portrait of a Norwich Terrier sitting in a veterinary clinic, representing the importance of health awareness and proper medical care for this breed
8 min read
Published on November 8, 2025

Norwich Terrier Health Issues: What Every Owner Should Know

Norwich Terriers face serious health risks including upper airway syndrome, dental disease & luxating patella. Learn essential prevention strategies for your dog's wellbeing.

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At a glance

  • Norwich Terriers live 12-15 years but face specific health risks including upper airway syndrome, dental disease, and luxating patella
  • Upper airway syndrome is the breed's most serious concern, causing breathing difficulties that can be life-threatening without prompt veterinary care
  • Daily dental care prevents the severe periodontal disease these dogs are prone to developing
  • Always use a harness instead of a collar to protect your dog's delicate trachea from collapse

You might notice your Norwich breathing a bit noisily after exercise, or perhaps they've developed a persistent cough that sounds almost likeNorwichg. These seemingly minor symptoms can signal serious health issues that Norwich owners need to understand. While these spirited terriers typically enjoy robust health for 12 to 15 years, they do face some breed-specific challenges that require your attention.

The most serious concern: upper airway syndrome

Upper airway syndrome stands out as the most pressing health issue facing Norwich Terriers today. This respiratory condition can progress from noisy breathing to severe distress, and in some cases, it can be fatal if left untreated. Research suggests the condition has a genetic basis, which means there's no vaccine or reliable prevention method available.

What makes this condition particularly challenging is how it can develop. Your dog might start with slightly laboured breathing during walks, which gradually worsens over time. Some dogs show obvious distress, while others may have subtler signs that owners initially dismiss as normal panting.

The key is vigilance. Any change in your dog's breathing pattern warrants immediate veterinary attention. Unlike some health issues where you might wait to see if symptoms improve, respiratory distress requires prompt professional evaluation. Early intervention can make the difference between manageable symptoms and a medical emergency.

Protecting those delicate airways

Norwich Terrier wearing a chest harness that protects the delicate trachea, demonstrating proper equipment for dogs with respiratory concerns

Beyond upper airway syndrome, Norwich Terriers commonly develop tracheal collapse, where the cartilage rings supporting the windpipe weaken over time. This creates that distinctive honking cough that many owners eventually recognise. You might also notice your dog becoming fatigued more easily or even fainting during excitement or exercise.

The single most important thing you can do is switch from a collar to a harness immediately. Brands like Ruffwear and Kurgo offer well-fitted options that distribute pressure across the chest rather than concentrating it on the delicate trachea. This simple change can prevent additional damage to already vulnerable airways.

Weight management becomes crucial here as well. Extra weight puts additional strain on the respiratory system, making existing problems worse. Even a few hundred grams can make a noticeable difference in a small dog's breathing comfort.

The daily dental care requirement

Norwich Terrier receiving daily dental care with proper toothbrush and dog toothpaste, illustrating essential preventive dental hygiene for the breed

Many Norwich owners discover too late how prone these dogs are to severe dental disease. The research shows they're especially susceptible to plaque and tartar buildup, which progresses beyond simple bad breath to affect the heart, liver, and kidneys.

Daily tooth brushing isn't just recommended for these dogs, it's essential. Use a dog-specific toothpaste like Virbac CET Enzymatic Toothpaste with a soft-bristled brush. Most dogs accept this routine when introduced gradually, starting with just letting them taste the toothpaste and slowly working up to full brushing sessions.

Dental chews like Greenies or OraVet can supplement your brushing routine, but they shouldn't replace it. Annual professional cleanings under anaesthesia allow your vet to address problems below the gum line that home care can't reach. Without this level of dental attention, you're likely to see serious oral health problems develop within just a few years.

Joint and mobility challenges

Luxating patella affects many Norwich Terriers, causing the kneecap to slip out of its normal position. You'll notice this as intermittent limping or an abnormal gait, particularly after your dog has been resting and then starts moving again. Sometimes the leg appears to "skip" or your dog may hold it up briefly before continuing normally.

Mild cases often respond well to conservative management through weight control and moderate exercise. However, severe cases may require surgical correction. The key is catching this early through regular veterinary checkups, as the condition can worsen over time without proper management.

Hip dysplasia, while less common than in larger breeds, can still occur in Norwich Terriers. Responsible breeders screen for this condition, so always ask for health clearances when acquiring a puppy. Maintaining a healthy weight and avoiding excessive jumping, especially in growing puppies, helps protect developing joints.

Heart health in older dogs

As your Norwich ages, mitral valve disease becomes a concern. This heart condition typically develops gradually, with symptoms including coughing (especially at night), increased fatigue, and reduced interest in activities they once enjoyed. The coughing associated with heart disease differs from the honking cough of tracheal collapse, often sounding wetter and occurring more frequently when your dog is lying down.

Regular cardiac checkups become increasingly important as your dog reaches middle age and beyond. Your vet can detect heart murmurs and other early signs before symptoms become obvious to you. Early detection allows for management strategies that can significantly improve quality of life and potentially extend lifespan.

Choosing the right breeder and ongoing care

Genetic screening by breeders can prevent many health issues before they start. Reputable breeders test for hip dysplasia, epilepsy, and screen for upper airway syndrome in their breeding lines. When selecting a puppy, always request these health clearances and don't hesitate to ask detailed questions about the health history of both parents.

Once you have your dog, establish a relationship with a veterinarian experienced with small breeds. Annual checkups should include dental evaluation, cardiac auscultation, and orthopedic assessment. As your dog ages, consider increasing checkup frequency to twice yearly to catch age-related conditions early.

Parasite prevention remains important throughout your dog's life. Options include monthly chewables like NexGard or Simparica, topical treatments such as Frontline or Advantage, and longer-acting injectables like ProHeart. Your vet can recommend the best option based on your local parasite risks and your dog's individual needs.

When to seek immediate veterinary care

Certain symptoms require immediate attention rather than waiting for your next scheduled appointment. Breathing difficulties, including noisy, laboured, or rapid breathing, should never be ignored in this breed. The honking cough of tracheal collapse may seem manageable initially, but sudden worsening can indicate a medical emergency.

Persistent limping that doesn't resolve within a day or two, especially if your dog seems painful or reluctant to move, warrants prompt evaluation. Similarly, sudden changes in eating habits, excessive drooling, or obvious oral pain can signal serious dental disease requiring immediate treatment.

Seizures, collapse, or sudden behavioural changes always require emergency veterinary care. While neurological issues are less common in Norwich Terriers, they can occur and often require immediate intervention for the best outcomes.

With informed, proactive care, most Norwich Terriers can enjoy their full lifespan as the lively, affectionate companions they're meant to be. The key lies in understanding their specific vulnerabilities and taking preventive action before problems become serious. Regular veterinary care, combined with daily dental hygiene and proper exercise management, gives your dog the best chance at a long, healthy life.

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Frequently Asked Questions

Yes, Norwich Terriers are prone to several breed-specific health issues despite their generally robust nature and 12-15 year lifespan. The most serious concern is upper airway syndrome, which can cause breathing difficulties and be life-threatening without treatment. They're also susceptible to luxating patella (kneecap dislocation), dental disease, and tracheal collapse. However, with proper preventive care and monitoring, many of these conditions can be managed effectively.
Upper airway syndrome in Norwich Terriers typically begins with noisy breathing after exercise and may progress to a persistent cough that sounds almost like honking. As the condition worsens, dogs may experience severe respiratory distress, difficulty breathing during rest, and in extreme cases, life-threatening breathing emergencies. Any changes in your Norwich's breathing pattern warrant immediate veterinary attention, as this condition can be fatal if left untreated.
Norwich Terriers have delicate tracheas that are prone to collapse, making harnesses essential for their safety. Traditional collars can put pressure on the throat area, potentially worsening breathing problems or contributing to tracheal damage. A well-fitted harness distributes pressure across the chest instead of the neck, protecting your Norwich's vulnerable airway whilst still providing secure control during walks and exercise.
Norwich Terriers require daily dental care due to their high susceptibility to periodontal disease. This should include daily tooth brushing with dog-safe toothpaste, along with dental chews or toys designed to reduce plaque buildup. Professional dental cleanings are typically recommended annually or as advised by your veterinarian. Without consistent daily care, Norwich Terriers can develop severe dental disease leading to tooth loss and other health complications.
Seek emergency veterinary care immediately if your Norwich shows severe breathing difficulty, blue-tinged gums or tongue, collapse, or inability to breathe normally at rest. Other urgent signs include persistent vomiting, inability to urinate, seizures, or sudden severe lameness. For breathing-related emergencies specifically, don't wait - upper airway syndrome can progress rapidly and become life-threatening. Keep your emergency vet's contact details readily available.
Treatment costs vary significantly by condition and location. Dental cleanings typically range from $400-800, whilst luxating patella surgery may cost $2,000-4,000 per knee. Upper airway syndrome management can range from $500-3,000 depending on severity and treatment required. Emergency breathing treatments may cost $1,000-5,000. Pet insurance can help offset these expenses, and many veterinary practices offer payment plans. Always discuss costs upfront with your veterinarian.
Unfortunately, there's no known prevention for upper airway syndrome as it appears to have a genetic basis. However, you can minimise risk factors by maintaining your Norwich at a healthy weight, avoiding excessive heat and humidity, using harnesses instead of collars, and monitoring breathing patterns closely. Early detection and management can significantly improve outcomes. If you're purchasing a puppy, enquire about the parents' breathing health history.
Recovery from luxating patella surgery typically takes 8-12 weeks, with initial rest and restricted activity for the first 2-4 weeks. Most Norwich Terriers show significant improvement within 6-8 weeks, though full healing and return to normal activity may take 3-4 months. Recovery time varies based on the severity of the condition, surgical technique used, and your dog's overall health. Your veterinarian will provide specific rehabilitation guidelines and follow-up schedules.

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