Eye Problems in Lhasa Apsos
Their large, expressive eyes are beautiful but delicate. Conditions such as dry eye (keratoconjunctivitis sicca), cataracts, and corneal ulcers are standard. A memorable case was Bella, a seven-year-old Lhasa I treated last spring. Her owner brought her in because her eyes were constantly watery and she seemed irritated.
A closer examination revealed dry eye, which can become serious if untreated. In Bella’s case, medicated eye drops and trimming the hair around her eyes helped reduce irritation. I often advise Lhasa owners to monitor their dog’s eyes daily for redness, discharge, or cloudiness, because catching problems early usually prevents more invasive treatments.
Skin and Coat Problems
The Lhasa’s thick, double coat is beautiful but can conceal issues such as hot spots, fungal infections, or allergic reactions. I remember treating Toby, a five-year-old Lhasa who had itchy patches under his fur. His owners hadn’t noticed until the skin became inflamed.
We implemented weekly brushing, medicated baths, and dietary adjustments to reduce allergens. Within weeks, his skin cleared, and he was far more comfortable. From my experience, regular grooming isn’t just aesthetic—it’s critical for spotting early signs of irritation and preventing infections.
Patellar Luxation (Kneecap Dislocation)
Patellar luxation, or dislocation of the kneecap, is particularly common in small breeds like Lhasa Apsos. Symptoms can be subtle, such as occasional skipping steps or slight limping. Max, a three-year-old Lhasa, first came in after his owner noticed he “skipped” down the stairs.
X-rays confirmed mild patellar luxation. Early intervention with controlled exercise and joint supplements allowed Max to maintain mobility without surgery. I often tell owners that early detection can save not just money but discomfort and potential long-term joint issues.
Dental Health Concerns
Dental health is another area where Lhasa Apsos require vigilance. Their small mouths crowd the teeth, increasing the risk of tartar buildup and gum disease. I once treated a four-year-old Lhasa whose teeth were severely decayed because at-home care had been inconsistent.
After professional cleaning and guidance on at-home dental maintenance—including brushing and dental chews—the dog’s oral health stabilized. In my experience, Lhasas benefit greatly from dental routines starting as puppies to prevent serious problems later.

Respiratory Issues
Respiratory issues occasionally occur because of their slightly flattened faces. While they aren’t as prone as pugs or bulldogs, heat and humidity can make them vulnerable. Coco, a young Lhasa, struggled with labored breathing during a brief outdoor play session in Texas during the summer.
We managed the issue by keeping her indoors during peak heat hours and offering plenty of water. Owners often underestimate how quickly small, flat-faced dogs can overheat, so monitoring their activity and environment is crucial.
Kidney and Liver Problems
Another concern I see is kidney and liver issues, which can arise due to genetics or age. A client’s Lhasa, Sammy, started showing signs of lethargy and decreased appetite. Blood tests revealed early-stage kidney disease.
By adjusting his diet and closely monitoring his hydration, we slowed the progression and improved his quality of life. I’ve found that routine annual blood work is essential for catching these internal issues before they become critical.
Weight Management and Obesity
Weight management is often overlooked, but obesity exacerbates many Lhasa health problems, from joint strain to diabetes. I worked with a client whose Lhasa had gained significant weight over a year.
By establishing a controlled feeding schedule and increasing short indoor play sessions, the dog gradually returned to a healthy weight. Minor adjustments in diet and exercise can prevent complications before they become serious.
Behavioral Health and Stress
Lastly, behavioral health is linked to physical well-being. Lhasas can be anxious or territorial, which sometimes leads to stress-related health problems like hair loss or gastrointestinal upset. I remember a client who noticed her Lhasa’s coat thinning during long periods alone at home.
Addressing the anxiety with interactive toys, consistent routines, and occasional companionship visits improved both her behavior and her skin condition.