Shih Tzus are a brachycephalic (flat-faced) breed, which means they have naturally narrower airways. While not as severely affected as French Bulldogs or English Bulldogs, many Shih Tzus experience some degree of breathing difficulty — snoring, snorting, reverse sneezing, and exercise intolerance are common.
Excess weight significantly worsens these issues. Fat deposits around the throat and chest compress the already-narrow airway, making breathing harder during exercise, in warm weather, or during sleep. Overweight brachycephalic dogs are at higher risk of Brachycephalic Obstructive Airway Syndrome (BOAS), which can require surgical correction in severe cases.
Keeping your Shih Tzu at the lower end of the healthy weight range (9–12 lbs) is one of the most effective ways to minimise breathing difficulties. If your Shih Tzu snores excessively, pants heavily during mild activity, or has episodes of laboured breathing, consult your vet — and check their weight as a first step.
Brachycephalic breeds like Shih Tzus are disproportionately affected by excess weight due to already-compromised airways.