Health concerns

 

Health

Health issues often seen in the Yorkshire Terrier include bronchitis, lymphangiectasia, portosystemic shunt, cataracts, and keratitis sicca.

Additionally, Yorkies often have a delicate digestive system, with vomiting or diarrhoea resulting from consumption of foods outside of a regular diet. 

 The relatively small size of the Yorkshire Terrier means that it usually has a poor tolerance for anaesthesia. Additionally, a toy dog such as the Yorkie is more likely to be injured by falls, other dogs, and owner clumsiness.

Injection reactions (inflammation or hair loss at the site of an injection) can occur. In addition, allergies can cause skin to be dry, itchy and/or red.

The lifespan of a Yorkie is 13–20 years. Undersized Yorkies generally have a shorter life span, as they are especially prone to health problems such as chronic diarrhoea and vomiting; are more sensitive to anaesthesia; and are more easily injured.

Teeth

A Morkie (half Maltese, half Yorkshire Terrier) puppy with his deciduous teeth and adult teeth growing in. As with all other dogs, Yorkies have two sets of teeth in their life. The first set of teeth is the 28-piece deciduous teeth (often referred to as "milk teeth", "baby teeth", or "puppy teeth"). The second set is the 42-piece permanent or adult teeth. Sometimes the number of permanent or adult teeth may vary, which is fine as long as they do not cause bad bite. When puppies are born, they have no teeth because milk is the only food they need. The deciduous teeth will grow from the age of 3 to 8 weeks old, in the order of incisors, canines, and premolars. Yorkie puppies have no molar teeth. Yorkie puppies will start to lose their deciduous or baby teeth when the permanent or adult teeth come in. The permanent or adult grow when the Yorkie puppies are 4 to 8 months old. By around 8 months old, those teeth should fully develop. The permanent or adult teeth will grow in the order of incisors, canines, premolars, and molars. Molar teeth will develop at around 6 to 8 months old.


Yorkies and other small dog breeds may have problems if the deciduous or baby teeth do not fall out as the permanent or adult teeth grow. This is caused by the new teeth not growing right underneath the deciduous teeth. (Usually, a puppy's body will absorb the roots of puppy teeth.) If the puppy tooth does not yield to the incoming tooth, it should be removed because it can cause a malocclusion or bad bite.

Retained teeth can cause tooth decay because food can be easily caught in between the deciduous and permanent teeth. Sometimes the new teeth are forced to grow into an abnormal position and further cause a bad bite. The retained teeth may stay or fall weeks after the new teeth have developed. When necessary, the retained deciduous or baby teeth need to be removed surgically.


A Yorkshire Terrier's retained deciduous or baby fangs

Like other small breeds, Yorkies are also prone to severe dental disease. Because they have a small jaw, their teeth can become crowded and may not fall out naturally. This can cause food and plaque to build up, and bacteria can eventually develop on the surface of the teeth, leading to periodontal disease. In addition, the bacteria can spread to other parts of the body and cause heart and kidney problems. The best prevention is regular brushing of the teeth with a toothpaste formulated specifically for dogs. Human toothpaste is not recommended, because it foams more easily and may be swallowed. Professional teeth cleaning by a veterinarian may also be required to prevent the development of dental problems.

 

Genetic defects

Certain genetic disorders can be found in Yorkshire Terriers, including distichiasis, hydrocephalus, hypoplasia of dens, Legg–Calvé–Perthes syndrome, luxating patella, portosystemic shunt, retinal dysplasia, tracheal collapse, and bladder stones. The following are among the most common congenital defects that affect Yorkies:

Distichiae, eyelashes arising from an abnormal spot (usually the duct of the meibomian gland at the edge of the eyelid), are often found in Yorkies. Distichiae can irritate the eye and cause tearing, squinting, inflammation, corneal abrasions or corneal ulcers, and scarring. Treatment options may include manual removal, electrolysis, or surgery.

Hypoplasia of dens is a non-formation of the pivot point of the second cervical vertebra, which leads to spinal cord damage. Onset of the condition may occur at any age, producing signs ranging from neck pain to quadriplegia.

Legg–Calvé–Perthes syndrome, which causes the top of the femur (thigh bone) to degenerate, occurs in Yorkies in certain lines. The condition appears to result from insufficient circulation to the area around the hip joint. As the blood supply is reduced, the bone in the head of the femur collapses and dies and the cartilage coating around it becomes cracked and deformed. Usually the disease appears when the Yorkie is young (between five and eight months of age); signs are pain, limping or lameness. The standard treatment is surgery to remove the affected part of the bone.  Following surgery, muscles hold the femur in place and fibrous tissue forms in the area of removal to prevent bone rubbing on bone.  Although the affected leg will be slightly shorter than prior to surgery, the Yorkie may regain almost normal use.

Luxating patellas (slipping kneecaps) are another common defect considered to be genetic in Yorkies, although it may also be caused by an accidental fall. Weak ligaments and tendons in the knee or malformed (too shallow) patellar grooves, allow the patella to slip out of its groove sideways. This causes the leg to 'lock up' with the foot held off the ground. A dog with this problem may experience frequent pain and lameness, or may be bothered by it only on occasion. Over time, the patellar ridges can become worn down, making the groove even more shallow and causing the dog to become increasingly lame. Surgery is the main treatment option available for luxating patellas, although it is not necessary for every dog with the condition. The severity of luxating patellas are on a scale of 1 to 4, with 4 being the most severe. Many dogs will not develop past a stage 1 or 2.

Portosystemic shunt, a congenital malformation of the portal vein (which brings blood to the liver for cleansing), is also common in Yorkies. In this condition some of the dog's blood bypasses the liver and the "dirty" blood goes on to poison the heart, brain, lungs and other organs with toxins. A Yorkie with this condition might exhibit a wide variety of symptoms, such as small stature, poor appetite, weak muscle development, decreased ability to learn, inferior coordination, occasional vomiting and diarrhoea, behavioral abnormalities, seizures (especially after a meal) and blindness, which could lead to a coma and death. Often, the shunt can be treated with surgery.

Tracheal collapse

Tracheal collapse, caused by a progressive weakening of the walls of the trachea, occurs in many toy breeds, especially very tiny Yorkies. As a result of genetics, the walls of the trachea can be flaccid, a condition that becomes more severe with age. Cushing's syndrome, a disorder that causes production of excess steroid hormone by the adrenal glands, can also weaken cartilage and lead to tracheal collapse. There is a possibility that physical strain on the neck might cause or contribute to trachea collapse. Since this is usually caused by an energetic Yorkie pulling against his collar, many veterinarians recommend use of a harness for leashed walks. An occasional "goose honking" cough, especially on exertion or excitement, is usually the first sign of this condition. Over time, the cough may become almost constant in the Yorkie's later life. Breathing through the obstruction of a collapsed (or partially collapsed) trachea for many years can result in complications, including chronic lung disease. The coughing can be countered with cough suppressants and bronchodilators. If the collapse is advanced and unresponsive to medication, sometimes surgery can repair the trachea.

Hypoglycaemia

Low blood sugar in puppies, or transient juvenile hypoglycaemia, is caused by fasting (too much time between meals).  In rare cases, hypoglycaemia may continue to be a problem in mature, usually very small, Yorkies. It is often seen in Yorkie puppies at 5 to 16 weeks of age.  Very tiny Yorkie puppies are especially predisposed to hypoglycaemia because a lack of muscle mass makes it difficult to store glucose and regulate blood sugar.  Factors such as stress, fatigue, a cold environment, poor nutrition, and a change in diet or feeding schedule may bring on hypoglycaemia.  Low blood sugar can also be the result of a bacterial infection, parasite or portosystemic liver shunt.  Hypoglycaemia causes the puppy to become drowsy, listless (glassy-eyed), shaky, uncoordinated, since the brain relies on sugar to function. During a hypoglycaemic attack, the puppy usually has very pale or grey gums.  The puppy also may not eat unless force-fed.  Hypoglycaemia and dehydration seem to go hand-in-hand, and force-feeding or injecting fluids may also be necessary. Additionally, a hypoglycaemic Yorkie may have a lower than normal body temperature and, in extreme cases, may have a seizure or go into a coma. A dog showing symptoms should be given sugar in the form of corn syrup or Nutri-Cal and be treated by a veterinarian immediately, as prolonged or recurring attacks of hypoglycaemia can permanently damage the dog's brain. In severe cases, it can be fatal.