Close-up portrait of a Shih Tzu with long, silky coat showcasing the breed's distinctive features and beautiful coat that requires careful skin care management
8 min read
Published on October 13, 2025

Understanding and Managing Shih Tzu Skin Problems

Complete guide to understanding and managing Shih Tzu skin problems. Learn to identify common conditions like eczema and pyoderma, plus prevention strategies.

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At a glance

  • Shih Tzus are prone to specific skin conditions including eczema, pyoderma, and yeast infections due to their long coats and sensitive skin
  • Regular grooming every three to four weeks with gentle, dog-specific shampoos helps prevent many skin problems
  • Early detection through consistent monitoring during grooming sessions is crucial for preventing secondary infections
  • Most skin conditions require veterinary diagnosis, though proper prevention can significantly reduce occurrence

You might notice your Shih Tzu scratching more than usual, or perhaps you've spotted some unusual patches on their skin during grooming. Many owners worry when they see these changes, and rightfully so. These dogs are particularly susceptible to skin problems due to their luxurious double coats and naturally sensitive skin.

Understanding what to look for and how to respond can make the difference between a minor skin irritation and a serious secondary infection that requires extensive treatment.

Recognising the most common skin conditions

Veterinarian examining a Shih Tzu's skin by parting the coat to reveal various skin conditions including redness and irritation that are common in the breed

When it comes to skin problems in Shih Tzus, several conditions appear more frequently than others. Eczema often shows up as itchy, inflamed patches with a scaly appearance. You'll typically notice your dog scratching or licking these areas persistently, and the skin may appear red or irritated.

Pyoderma presents quite differently. This bacterial infection creates sores, pustules, and crusty areas on the skin. The affected areas often feel warm to the touch and may have an unpleasant odour. Without proper treatment, pyoderma can spread rapidly and cause significant discomfort.

Skin yeast infections bring their own distinctive signs. The itching tends to be particularly intense, and you'll often notice a distinct, musty smell. The skin texture changes, becoming either greasy or unusually dry, and the affected areas may appear darker than the surrounding skin.

Less commonly, some dogs develop sebaceous adenitis, a rare condition that causes hair loss, scaly skin, and that characteristic musty odour. This condition often starts subtly, making regular grooming checks essential for early detection.

Understanding the underlying causes

Atopic dermatitis affects many of these dogs, often triggered by environmental allergens or dietary sensitivities. Research tells us that this condition frequently develops alongside other skin problems, creating a cycle where one issue exacerbates another.

The breed's long, dense coat creates an environment where moisture can become trapped against the skin, particularly in the facial folds and around the legs. This trapped moisture provides ideal conditions for bacterial and fungal growth, explaining why yeast infections and pyoderma occur so frequently.

Sometimes the reasons are medical, sometimes environmental. Hormonal imbalances can trigger skin problems, while external factors like humidity levels, parasites, or even stress can contribute to skin sensitivity. Understanding these various triggers helps explain why a comprehensive approach works better than treating symptoms alone.

Establishing an effective grooming routine

Professional groomer brushing a Shih Tzu's long coat while examining the skin underneath, demonstrating proper grooming techniques essential for preventing skin problems

Regular brushing prevents matting and removes loose fur that can irritate the skin. Most dogs benefit from daily brushing, particularly during seasonal coat changes when loose hair accumulates more rapidly.

Bathing every three to four weeks with gentle, dog-specific shampoos removes dirt and prevents oil buildup without stripping the skin's natural protective barriers. Some dogs with active skin conditions may need more frequent baths with medicated shampoos like KetoChlor or Douxo, but this should always be done under veterinary guidance.

During each grooming session, take time to examine the skin thoroughly. Look for changes in colour, texture, or smell. Early detection of problems like eczema or the first signs of sebaceous adenitis can prevent more serious complications from developing.

Creating the right environment for healthy skin

Hydration plays a crucial role in skin health. Ensure access to fresh water at all times, and consider using a humidifier in dry climates to prevent the skin from becoming overly dry and irritated.

Parasite control cannot be overlooked. Regular use of flea, tick, and mite prevention products helps avoid the skin infections and allergic reactions that these parasites commonly cause. Many skin problems that appear mysterious actually trace back to parasite activity that owners haven't noticed.

Diet quality affects skin health more than many owners realise. Feed a high-quality diet appropriate for your dog's age and health status. Adding omega-3 fatty acids can help manage skin health, particularly for dogs prone to atopic dermatitis or chronic skin sensitivity.

When professional treatment becomes necessary

Bacterial infections like pyoderma typically require oral antibiotics or medicated shampoos prescribed by a veterinarian. These conditions rarely resolve with home care alone, and delayed treatment often leads to more extensive infections that take longer to clear.

Yeast infections usually need oral or topical antifungal medications. While some over-the-counter products provide temporary relief, proper diagnosis and prescription treatment typically resolve the problem more completely and prevent recurrence.

For immediate relief while waiting for veterinary care, products like Vetericyn Plus Antimicrobial can help soothe irritated skin. However, these should be considered temporary measures rather than complete treatments for diagnosed conditions.

Supporting long-term skin health

Immune system support can play a role in preventing recurring skin problems. Products like organic mushroom blends may help support immune balance, potentially reducing the frequency of skin issues in susceptible dogs.

Consistency in diet and exercise routine reduces stress, which can trigger or worsen skin conditions. Many dogs show improvement in chronic skin problems when their daily routine becomes more predictable and stress levels decrease.

Regular health checks help catch problems early. Monitor for signs of skin problems during routine grooming and report any changes to a veterinarian promptly. Most skin conditions respond better to early intervention than to treatment after they've become established.

If you notice signs of skin infection such as redness, swelling, or discharge, or if your dog shows signs of discomfort or pain due to skin issues, veterinary consultation becomes essential. When home remedies don't improve the condition within a few days, professional diagnosis and treatment typically provide faster, more complete resolution.

Complete Your Shih Tzu Health Check

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

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Frequently Asked Questions

Yes, Shih Tzus are particularly susceptible to skin problems due to their luxurious double coats and naturally sensitive skin. They're prone to specific conditions including eczema, pyoderma, and yeast infections. Their long coats can trap moisture and debris against the skin, creating ideal conditions for bacterial and fungal growth. Regular grooming and monitoring are essential for early detection and prevention of these common skin issues.
Yeast infections in Shih Tzus typically present with intense itching, redness, and a distinct musty odour. You may notice changes in skin texture, with the affected areas becoming greasy or waxy. The skin often appears inflamed and may have a brownish discolouration. These infections commonly occur in warm, moist areas like skin folds, ears, and between toes. Early recognition is crucial for prompt treatment.
Regular grooming every three to four weeks with gentle, dog-specific shampoos helps prevent many skin problems in Shih Tzus. Between professional grooming sessions, daily brushing is recommended to prevent matting and allow for consistent monitoring of your dog's skin condition. This routine grooming schedule enables early detection of skin issues and prevents the buildup of debris and moisture that can lead to infections.
Early detection through consistent monitoring during grooming sessions is crucial for preventing secondary infections in Shih Tzus. What starts as a minor skin irritation can quickly develop into a serious bacterial or fungal infection requiring extensive treatment. Most skin conditions require veterinary diagnosis, but catching problems early significantly improves treatment outcomes and reduces the risk of complications that can be more difficult and expensive to treat.
Treatment costs for Shih Tzu skin problems typically range from $200-600 for basic conditions, but can reach $1,000-2,500 for complex cases requiring ongoing management. Initial veterinary consultation and diagnosis usually costs $150-300, with medications and medicated shampoos adding $100-400. Severe cases requiring specialist dermatology referral may cost significantly more. Costs vary by location and severity, so consult your veterinarian for specific estimates.
Seek emergency veterinary care if your Shih Tzu shows widespread skin infection with pustules, severe swelling or facial involvement, difficulty breathing due to allergic reactions, or open wounds that won't stop bleeding. Other urgent signs include sudden onset of severe itching with self-trauma, signs of systemic illness like lethargy or loss of appetite alongside skin problems, or any rapid deterioration in skin condition despite treatment.
Treatment duration varies significantly depending on the condition. Simple bacterial infections (pyoderma) typically resolve within 2-4 weeks with appropriate antibiotics. Yeast infections may take 3-6 weeks to clear completely. Chronic conditions like eczema or sebaceous adenitis often require ongoing management for months or even lifelong care. Most dogs show improvement within the first week of treatment, but completing the full course is essential to prevent recurrence.
Daily brushing helps prevent matting and allows you to monitor skin condition closely. Keep your Shih Tzu's skin folds clean and dry, especially around the face and tail area. Use only veterinary-recommended shampoos and avoid over-bathing, which can strip natural oils. Ensure your dog's bedding is clean and dry, and consider using a humidifier in dry conditions. Always consult your veterinarian before starting any home treatments or supplements.

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