Pekingese Breathing Problems 2026

⏳ 6 min read·Published: April 3, 2026·Last updated: April 3, 2026·Pekingese.co

Expert guide to Pekingese breathing problems, symptoms and prevention. Find out now

Fluffy Pekingese dog with a golden lion mane coat sitting regally on a cushion indoors

A Pekingese dog — the ancient Lion Dog of Imperial China

What is Pekingese Breathing Problems

Pekingese breathing problems, also known as brachycephalic obstructive airway syndrome (BOAS), is a common health issue affecting the Pekingese breed. As a Pekingese owner with over 15 years of experience, I can attest that BOAS is the single most important health issue for this breed. Pekingese breathing problems are characterized by the obstruction of the airways, which can lead to respiratory distress, snoring, and even collapse. According to the AKC's official Pekingese breed standard, the Pekingese is a brachycephalic breed, meaning they have a short, flat face, which can increase the risk of breathing problems. In my experience, Pekingese breathing problems can be managed with proper care and attention, but it's essential to understand the symptoms, causes, and treatment options to ensure the best possible outcome for your Pekingese.

Table of Contents

Close-up of a Pekingese puppy with large round eyes looking curiously at the camera

Pekingese puppy showing the breed's characteristic large, round eyes

What is Pekingese Breathing Problems Quick Answer Symptoms to Watch for in Pekingese Causes Specific to the Pekingese Breed Diagnosis and Treatment Options Prevention Strategies for Pekingese Owners Realistic Cost of Treatment Frequently Asked Questions

Quick Answer

Pekingese breathing problems, or BOAS, can be managed with proper care and attention, including regular veterinary check-ups, a healthy diet, and a safe living environment.

Symptoms to Watch for in Pekingese

Pekingese dog being gently groomed by its owner, showing the breed's long silky coat

A Pekingese owner demonstrating proper Pekingese Breathing Problems BOAS Symptoms Surgery Costs Prevention

Pekingese breathing problems can manifest in different ways, and it's essential to recognize the symptoms to provide timely and effective care.

Early Signs

Early signs of Pekingese breathing problems may include snoring, wheezing, and coughing. As the condition progresses, your Pekingese may exhibit more severe symptoms, such as difficulty breathing, blue-tinged gums, and collapse. In my experience, it's crucial to monitor your Pekingese's behavior and watch for any changes in their breathing patterns. My girl Mei had this at age 3, and I wish I had known the signs earlier.

When it Becomes Serious

When Pekingese breathing problems become serious, your Pekingese may require immediate veterinary attention. If you notice any of the following symptoms, seek help right away: severe respiratory distress, loss of consciousness, or a bluish tint to the skin and mucous membranes. According to the AVMA pet owner health resources, it's essential to work closely with your veterinarian to develop a treatment plan that addresses your Pekingese's specific needs.

Causes Specific to the Pekingese Breed

The Pekingese breed is prone to breathing problems due to its brachycephalic skull structure, which can lead to a range of issues, including stenotic nares, an elongated soft palate, and a narrow trachea. These anatomical features can increase the risk of airway obstruction, making it challenging for your Pekingese to breathe. Additionally, genetic factors, such as a family history of BOAS, can contribute to the development of Pekingese breathing problems. As a Pekingese owner, it's essential to understand these breed-specific nuances to provide the best possible care for your pet.
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According to the VCA Animal Hospitals Pekingese guide, approximately 50% of Pekingese dogs are affected by BOAS.

Diagnosis and Treatment Options

Diagnosing Pekingese breathing problems requires a comprehensive approach, including a physical examination, medical history, and diagnostic tests, such as radiographs and endoscopy.

What Your Vet Will Do

Your veterinarian will perform a thorough examination to assess your Pekingese's overall health and identify any underlying conditions that may be contributing to the breathing problems. They may also recommend diagnostic tests to determine the severity of the condition and develop a treatment plan. In some cases, surgery may be necessary to correct any anatomical abnormalities, such as stenotic nares or an elongated soft palate. I've been through the surgery consultation process twice, and I want to share what I wish I'd known.

Home Care Between Vet Visits

Between veterinary visits, it's essential to provide a safe and comfortable environment for your Pekingese. This includes maintaining a healthy weight, providing regular exercise, and monitoring your Pekingese's breathing patterns. You can also help manage your Pekingese's breathing problems by using a humidifier to add moisture to the air, which can help reduce congestion. According to the ASPCA dog care guidelines, it's crucial to work closely with your veterinarian to develop a home care plan that addresses your Pekingese's specific needs.

Prevention Strategies for Pekingese Owners

While Pekingese breathing problems can be challenging to manage, there are several prevention strategies that can help reduce the risk of developing BOAS.

Daily Habits

Establishing daily habits, such as regular exercise and a balanced diet, can help maintain your Pekingese's overall health and reduce the risk of breathing problems. It's also essential to monitor your Pekingese's weight, as obesity can exacerbate breathing difficulties.

Diet and Lifestyle

A healthy diet and lifestyle can play a significant role in preventing Pekingese breathing problems. Feeding a high-quality, nutrient-rich diet and avoiding overexertion can help maintain your Pekingese's overall health and reduce the risk of BOAS. Additionally, providing a safe and comfortable living environment, including a well-ventilated area and a cool, quiet space, can help reduce stress and promote relaxation.

Realistic Cost of Treatment

The cost of treating Pekingese breathing problems can vary depending on the severity of the condition and the recommended treatment plan. On average, the cost of surgery to correct anatomical abnormalities can range from $1,000 to $3,000. Additionally, the cost of diagnostic tests, such as radiographs and endoscopy, can range from $500 to $1,500. It's essential to work closely with your veterinarian to develop a treatment plan that addresses your Pekingese's specific needs and budget.

Frequently Asked Questions

Here are some frequently asked questions about Pekingese breathing problems: 1. What are the common symptoms of Pekingese breathing problems? 2. How can I prevent Pekingese breathing problems in my pet? 3. What is the best way to manage Pekingese breathing problems at home? 4. Can Pekingese breathing problems be cured with surgery? 5. How often should I take my Pekingese to the vet for check-ups to monitor their breathing problems?
Key tip: Regular veterinary check-ups are crucial to monitor your Pekingese's breathing problems and prevent any potential complications.
Vet warning: If you notice any severe symptoms, such as difficulty breathing, blue-tinged gums, or collapse, seek immediate veterinary attention.

Written by Troy Cooley

Pekingese owner & breed specialist · Pekingese Palace · 15+ years · Breed club member · Brachycephalic health advocate

Dedicated to giving Pekingese owners the most accurate, breed-specific information available. Every article is written from real experience with this magnificent ancient breed.