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Pomeranian Health Issues: Small Dog, Big Coat

Pomeranians often live well into their teens. Their common health issues come from being tiny, a fragile windpipe, knees and hips, crowded teeth and, in young puppies, low blood sugar, plus a coat-loss condition called alopecia X. This guide is general information, not veterinary advice.

8 min read · Updated October 8, 2026
Author: LocalPetFinder Team

The short answer

Always walk a Pomeranian on a harness, never pulling on a collar. Brush the teeth daily, watch for a skipping or limping back leg, keep a glucose source handy for a young puppy, and have the heart listened to as the dog ages. Patchy coat loss with dark skin may be alopecia X, which is mainly cosmetic but worth a vet check. Price pet insurance in your first week.

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A fluffy orange Pomeranian sitting outdoors
A harness instead of a collar protects a Pomeranian’s windpipe.

Collapsing trachea: always a harness

VCA Animal Hospitals names the Pomeranian among breeds affected by tracheal collapse, a weakening of the windpipe that causes a dry “goose honk” cough, often worse with excitement, pulling or drinking. Use a harness, keep the dog lean and see your vet if the cough is frequent or breathing looks laboured.

Knees and hips

Slipping kneecaps are common in toy breeds and show as a skip on a back leg. VCA explains the four grades; mild cases are managed with weight control and higher grades corrected surgically.

Legg-Calvé-Perthes disease, a breakdown of the head of the thigh bone in young small dogs, is a condition VCA names for Pomeranians. It causes a slowly worsening hind-leg limp, and surgery usually has dogs running again within months.

Browse adoptable Pomeranians

Foster notes often mention a cough, a skipping leg or coat condition, which is exactly what to raise at your first vet visit.

See Available Pomeranians →

Alopecia X

Alopecia X is a hair-loss condition the Merck Veterinary Manual associates with Pomeranians. In a study of affected Pomeranians, dogs lost hair at the base of the tail, the back, the thighs and the belly, the bare skin darkened, and they had no other symptoms.

Because hormone and thyroid problems can look similar, your vet will rule those out first. Alopecia X itself mostly affects the coat, so treatment is a discussion with your vet; protect bare skin from sun and cold.

Teeth and puppy blood sugar

Small breeds are more prone to dental disease, according to VCA, and Pomeranians often lose teeth early without daily brushing and regular dental care.

Toy-breed puppies, especially under three months, can have their blood sugar crash, according to Purina Pro Club’s veterinary guidance. Weakness, trembling, wobbliness and extreme sleepiness are signs; rub a glucose source on the gums and get to a vet immediately.

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The heart and the first vet visit

Mitral valve disease is common in small breeds, and VCA names the Pomeranian. A murmur is the first clue, so the heart should be checked at every visit as the dog ages.

At your first visit, ask for a dental exam, a knee and hip check, a heart listen, a skin and coat check, a body condition score and baseline bloodwork. Price pet insurance the same week; every Canadian provider excludes conditions documented before enrolment.

Frequently asked questions

What are the most common Pomeranian health issues?

Collapsing trachea, slipping kneecaps, Legg-Calvé-Perthes disease, dental disease, alopecia X, low blood sugar in puppies and heart valve disease in older dogs.

Should my Pomeranian wear a collar or a harness?

A harness. Pomeranians are prone to tracheal collapse, and pressure from a collar on the windpipe makes it worse.

Why is my Pomeranian losing its coat?

It may be alopecia X, which causes hair loss and darkened skin on the body and tail. Your vet will rule out hormone and thyroid problems first.

My Pomeranian puppy is weak and trembling. What do I do?

Treat it as possible low blood sugar: rub corn syrup or another glucose source on the gums and go to a vet right away.

How long do Pomeranians live?

Many live into their teens, with good dental care, a lean weight and regular heart checks.

Should I get pet insurance for a rescue Pomeranian?

It is worth pricing in your first week. Canadian pet insurance excludes conditions documented before enrolment, and knee surgery and dental care are common costs.

Sources

General information, not veterinary advice. Diagnosis and treatment decisions belong with your veterinarian.

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