At a glance
- Leonbergers face several serious health risks including hip dysplasia, bloat, and certain cancers that require early recognition
- Bloat is a life-threatening emergency requiring immediate veterinary care, with symptoms including abdominal swelling and unproductive retching
- Joint issues like hip and elbow dysplasia affect many Leonbergers and can be managed through weight control and early intervention
- Regular health screening and genetic testing help identify risks before they become serious problems
You might notice your Leonberger moving differently after a long walk, or perhaps they seem reluctant to jump into the car like they used to. These subtle changes often signal the beginning of health issues that are unfortunately common in this magnificent breed. While Leonbergers are generally robust dogs, their giant size and genetic background make them susceptible to specific conditions that every owner should understand.
Many Leonberger owners worry when they first learn about breed-specific health risks. The good news is that early recognition and proper management can significantly improve your dog's quality of life and longevity. Understanding what to watch for, when to seek help, and how to prevent problems gives you the best chance of keeping your companion healthy for years to come.
Recognising the emergency signs of bloat

Gastric dilatation-volvulus, commonly called bloat, represents the most immediate threat to your Leonberger's life. This condition can progress from first symptoms to death within hours, making recognition absolutely critical. The deep chest that gives these dogs their impressive appearance also predisposes them to this emergency.
Watch for a combination of symptoms rather than waiting for obvious signs. Your dog might seem restless, pacing or unable to settle comfortably. They may attempt to vomit but produce nothing, or you might notice their abdomen appearing swollen and feeling tight like a drum. Excessive drooling, weakness, or pale gums signal that the condition is progressing rapidly.
Research shows that feeding multiple small meals daily rather than one large meal significantly reduces bloat risk. Avoid vigorous exercise for at least one hour before and after eating. Slow feeder bowls, typically costing between $15-$30, help prevent your dog from gulping air along with their food. If you suspect bloat, don't wait to see if symptoms improve. Immediate veterinary intervention is the only treatment, and every minute counts.
Understanding joint problems in giant breeds

Hip and elbow dysplasia affect many Leonbergers due to their rapid growth and genetic predisposition. You'll often notice the first signs as subtle changes in movement. Your dog might take longer to get up from lying down, show reluctance to climb stairs, or develop a slight limp that comes and goes, especially after exercise.
These conditions develop when the hip or elbow joints don't form properly, creating instability that leads to arthritis over time. Diagnosis requires X-rays assessed by organisations like the British Veterinary Association, which uses a scoring system where lower numbers indicate healthier joints. Breeders should only use dogs with BVA hip and elbow scores of 0 or 1 to reduce the likelihood of passing these conditions to puppies.
Treatment varies depending on severity. Mild cases respond well to weight management, controlled exercise, and anti-inflammatory medications. More severe cases might require surgical intervention. Joint supplements containing glucosamine and chondroitin, costing around $20-$50 monthly, may provide additional support though results vary between individual dogs.
Cancer risks and early detection
Leonbergers face higher risks of certain cancers, particularly osteosarcoma (bone cancer) and hemangiosarcoma (cancer affecting blood vessel linings). These cancers often develop without obvious early symptoms, making regular veterinary examinations crucial for early detection.
Osteosarcoma typically appears as lameness that doesn't improve with rest, sometimes accompanied by swelling around the affected bone. Hemangiosarcoma can be more insidious, with dogs appearing normal until sudden collapse occurs due to internal bleeding. Pale gums, weakness, or unexplained lethargy warrant immediate veterinary attention.
While no guaranteed prevention exists for these cancers, maintaining regular veterinary check-ups every six months for dogs over seven years old improves the chances of early detection. Responsible breeders work to reduce cancer incidence through careful genetic selection, though this remains an ongoing challenge for the breed.
Recognising Leonberger polyneuropathy
This inherited neuromuscular disease specifically affects Leonbergers and related breeds. The condition causes progressive nerve damage that impacts your dog's ability to exercise and eventually affects their breathing and voice. Early signs include exercise intolerance that seems disproportionate to your dog's fitness level and subtle changes in their gait, often described as a "hitching" movement in the hind legs.
As the condition progresses, you might notice muscle wasting, particularly in the hind quarters, along with changes in your dog's bark or breathing sounds. Some dogs develop a distinctive noisy breathing pattern, especially during exercise or excitement. Unfortunately, no cure exists for polyneuropathy, but supportive care including physical therapy can help maintain quality of life.
Genetic testing through laboratories like the University of Minnesota Canine Genetics Lab can identify carriers and affected dogs. This testing is particularly important for breeding decisions, as avoiding affected bloodlines is currently the only prevention method available.
Thyroid and eye conditions
Hypothyroidism, often caused by autoimmune thyroiditis, commonly affects these dogs as they age. Symptoms develop gradually and include unexplained weight gain despite normal eating habits, increased lethargy, hair loss, and skin problems. The thick double coat can mask early skin changes, so pay attention to texture changes or increased shedding patterns.
Treatment involves daily thyroid hormone replacement therapy, which typically restores normal energy levels and resolves most symptoms within several weeks. Regular blood tests help monitor hormone levels and adjust medication as needed. Early diagnosis through routine blood screening makes management much more straightforward.
Eye conditions including hereditary cataracts, entropion (eyelids rolling inward), and ectropion (eyelids sagging outward) also occur in the breed. You might notice cloudy areas in your dog's eyes, excessive tearing, or signs of eye irritation like pawing at the face. Annual eye examinations by veterinary ophthalmologists help detect these conditions early, when treatment options are most effective.
Grooming considerations for health
The dense double coat requires daily brushing to prevent matting, particularly behind the ears, on the legs, and around the undercarriage where mats form most easily. Neglected coats can trap moisture and debris, leading to skin infections that compound other health issues.
Bathing every 2-4 weeks helps maintain skin health, though dogs with allergies might need more frequent baths with medicated shampoos. Omega-3 fatty acid supplements, typically costing $20-$40 per bottle, can improve coat quality and reduce skin inflammation in dogs prone to allergies.
The floppy ears common in this breed require cleaning every 2-3 weeks with veterinarian-approved products like Epi-Otic or TrizULTRA (costing $10-$25 per bottle). Look for redness, discharge, or persistent scratching at the ears, as these dogs' ear structure and allergy tendencies make them prone to ear infections.
When professional help is needed
Certain symptoms always warrant immediate veterinary attention. Signs of bloat, sudden weakness or collapse, persistent lameness, or difficulty breathing require emergency care. Progressive vision changes, ongoing eye irritation, or signs of polyneuropathy like gait abnormalities also need prompt professional evaluation.
For ongoing health management, establish relationships with specialists familiar with giant breed issues. Regular health screening should include hip and elbow scoring, eye certification, and thyroid testing. Genetic health panels help identify risks before they become problems, giving you and your veterinarian the information needed to provide the best possible care.
Remember that early intervention often provides the best outcomes for most conditions affecting these dogs. While the list of potential health issues might seem daunting, many Leonbergers live long, healthy lives with proper care and monitoring. Understanding what to watch for and when to seek help gives your companion the best chance of thriving despite breed-specific health challenges.