
The leading cause of death for Pekes is congestive heart failure. When diagnosed early and successfully treated with prescription meds, a Peke with this problem can expect to live many years. A heart murmur is a potential sign of a problem, and must be evaluated by a veterinary cardiologist. Very often, the problem does not surface until the dog is 6 or more years old, so it is very difficult to screen the problem in a pup. Pekes' other main problems are eye issues and breathing problems, resulting from its tiny skull and flattened face, and skin allergies (and hotspots). An especially common problem is eye ulcers, which may develop spontaneously. Pekes should never be kept outside as their flattened faces and noses can develop breathing problems, which makes it difficult for them to regulate their body temperature in overly hot or cold weather. Their long backs, relative to their legs, make them vulnerable to back injuries. Care should be taken, when picking them up, to give Pekes adequate back support: one hand under the chest, the other under the abdomen. Short legs give some Pekes difficulty with stairs; older dogs may not be able to go up or down stairs alone.
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