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Full of fun but sometimes mysterious, puppies always make you wonder about their next move. For new owners and those with previous paw knowledge, figuring out if a pup has a health issue can drive anyone batty. Is a loose stool OK? What about vomiting after a meal? And how many zzzs does a puppy need anyway?

What Does a ‘Normal’ Puppy Look Like?

When a puppy seems off their game, it helps to recognize the typical signs of good canine health. Making a daily habit of checking out your puppy’s physical and mental wellness can often make the difference between life and death.

“Dogs and cats are creatures of habit,” says Jerry Klein DVM, the American Kennel Club’s Chief Veterinarian, who is an expert in veterinary emergency and critical care.

Klein cautions owners to observe changes in their pup’s behavior and health and not to feel shy about contacting their veterinarian if they think their dog is acting odd.

“This includes changes in your pup’s appetite, repeated vomiting, or diarrhea in the same day or across several days,” says Klein. “Veterinarians would rather address issues early before they become significant.”

If you choose a new puppy from a breeder, it’s important to observe the pup’s overall condition and start with a healthy dog. Most likely, a reputable breeder will not offer an unhealthy pup for sale, but it’s helpful to spot puppies in tip-top condition on your own.

Golden Retriever puppy laying indoors on a wood floor.
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Signs of a Healthy Puppy

A Healthy Puppy’s Body

All dogs in a litter should have a similar body condition: not too plump or too bony. Puppy’s coats should be shiny and clean, without any irritate, red, or bare spots. These could indicate skin problems, such as mange or skin allergies. Puppy’s ears should be clean and free of order, discharge, and redness, and eyes should be bright and clear, also free of discharge.

A Healthy Puppy’s Temperament

When assessing a puppy’s activity level, remember to keep in mind their age, breed, personality, and Taking a nap is OK—even a few throughout the day is acceptable, but a puppy shouldn’t be lethargic once they’re awake. Once your puppy settles in, they should act curious to explore their surroundings and play with people or other dogs in the household.

Bulldog puppy running in the garden.
©Willee Cole - stock.adobe.com

When competing with their littermates for food, puppies are enthusiastic gobblers. After moving to a new home, it may take a few meals before your puppy cleans the plate. Skipping one or two meals is acceptable, but missing more than that or eating only a few bites warrants a call to the veterinarian.

When AKC Breeder of Merit Cathy Chapman, a 31-year breeder of Sadik Salukis, sells a puppy, she sends a few days’ worth of dog food she’s fed the litter.

“Feeding the same diet for a few days helps avoid loose stools or upset digestion,” says Chapman. “If owners want to change the food, it gives them a chance to do so gradually.”

What Does Healthy Puppy Poop Look Like?

Look for firm, regular stools and clear urine. Bloody urine may indicate a urinary tract infection. One loose or runny stool may not indicate a problem, but repeated bloody or watery stools lasting more than 24 hours could mean a problem. Bacteria, viruses, internal parasites, ingestion of a toxic substance, or overeating may be responsible.

As for vomiting, an occasional regurgitation is probably fine, but you’ll want to keep an eye on your puppy if they are vomiting.  Repeated episodes after or during a meal signal a veterinary visit.

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Common Conditions to Look Out For

Panosteitis

Chapman also advises owners about panosteitis, or “pano.” Large breed puppies between 5 months and 18 months are commonly diagnosed with pano, which is bone inflammation. The condition causes lameness or limping and may last a few days to a few weeks. It often goes away on its own.

“If they see their pup limping, they may not panic,” says Chapman. Fever, loss of appetite, or a high white blood cell count may accompany pano. These are signs of other serious illnesses, but a veterinarian can take blood samples and x-rays to rule them out.

Parvo in Dogs

Parvo is another condition far more dangerous and potentially deadly in puppies from 6 weeks to 6 months. Highly contagious, this virus weakens the immune system, attacks the stomach and small intestines, and increases the chance of a secondary bacterial infection.

Some commons signs of parvo include lethargy in dogs, weakness, bloody diarrhea, vomiting, weight loss, and dehydration. Recognizing the symptoms of parvo and getting your puppy to see the veterinarian immediately may help save its life. Many pups who survive the first three to four days of the disease can make a full recovery.

This article is intended solely as general guidance, and does not constitute health or other professional advice. Individual situations and applicable laws vary by jurisdiction, and you are encouraged to obtain appropriate advice from qualified professionals in the applicable jurisdictions. We make no representations or warranties concerning any course of action taken by any person following or otherwise using the information offered or provided in this article, including any such information associated with and provided in connection with third-party products, and we will not be liable for any direct, indirect, consequential, special, exemplary or other damages that may result, including but not limited to economic loss, injury, illness or death.

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