At a glance
- Rat Terriers are prone to specific eye conditions like Primary Lens Luxation and Progressive Retinal Atrophy that require early detection
- Heart disease often develops silently in older dogs, making regular veterinary check-ups essential
- Joint problems including hip dysplasia and patellar luxation affect mobility and require both preventive care and active management
- Weight management through portion control and regular exercise prevents many secondary health complications
Recognising early warning signs in your dog
You might notice subtle changes in your Rat Terrier's behaviour before obvious symptoms appear. Many owners report their dogs seeming "off" or less enthusiastic about activities they once enjoyed. These early signals often precede more serious health issues by weeks or months.
Eye problems frequently show up as minor changes first. Your dog might bump into furniture in dim lighting, or you'll catch a slight cloudiness in their eyes during certain angles of light. Progressive Retinal Atrophy typically begins with night blindness, whilst Primary Lens Luxation can cause sudden changes in eye appearance, including visible lens displacement or excessive tearing.
Heart conditions develop more quietly. Research shows that valvular heart disease is common in the breed and often remains asymptomatic until quite advanced. Watch for subtle signs like tiring more easily during walks, occasional coughing (especially at night), or reluctance to climb stairs they previously managed without difficulty.
Joint issues present differently depending on the specific condition. Hip dysplasia, which occurs in about 3-4% of Rat Terriers, often starts as mild stiffness after rest or slight reluctance to jump. Patellar luxation causes intermittent limping that may come and go, whilst Legg-Calve-Perthes disease typically develops in younger dogs with progressive lameness in one hind leg.
Understanding breed-specific eye conditions

Primary Lens Luxation represents one of the most serious eye conditions affecting these dogs. The lens becomes displaced from its normal position, potentially leading to glaucoma and blindness if untreated. Unlike gradual conditions, PLL can develop rapidly, making genetic testing particularly valuable for early identification.
Progressive Retinal Atrophy follows a more predictable pattern. Your dog will first struggle with vision in low light conditions, then gradually lose peripheral vision before central vision deteriorates. Many Rat Terriers adapt remarkably well to vision loss when it progresses slowly, but early detection allows for better management of their environment.
Regular veterinary eye examinations become crucial around age four to five years. Your vet can detect early changes in eye pressure, lens position, and retinal health before you notice symptoms at home. Genetic testing for PLL costs around $100-$200 but provides valuable information for managing your dog's long-term eye health.
Surgery may be necessary for Primary Lens Luxation, particularly when glaucoma develops. Early intervention typically produces better outcomes than waiting until vision is severely compromised.
Managing heart health throughout their lifetime
Heart failure ranks as a leading cause of death in older Rat Terriers, yet many heart conditions remain undetected during their early stages. Valvular heart disease develops gradually, often without obvious symptoms until the condition becomes quite advanced.
Regular heart auscultation during routine veterinary visits can detect murmurs or irregular rhythms before symptoms appear. Your vet might recommend more frequent check-ups as your dog ages, particularly after seven or eight years old.
When symptoms do develop, they often include persistent coughing (especially at night or upon waking), difficulty breathing during normal activity, unexplained fatigue, or occasional fainting spells. Weight loss despite normal appetite can also indicate advancing heart disease.
Maintaining ideal body weight significantly reduces strain on the cardiovascular system. Even moderate obesity exacerbates existing heart conditions and accelerates their progression. Regular, moderate exercise supports heart health, though activities should be adjusted based on your dog's current condition and your veterinarian's recommendations.
Preventing and treating joint problems

Joint health requires both preventive care and active management once problems develop. Hip dysplasia, whilst less common in Rat Terriers than larger breeds, still affects 3-4% of the population and can significantly impact quality of life.
Patellar luxation occurs more frequently in smaller dogs and causes the kneecap to dislocate temporarily. You might notice your dog occasionally holding up one hind leg whilst walking, then continuing normally after a few steps. This intermittent lameness often worsens over time without proper management.
Legg-Calve-Perthes disease affects blood flow to the hip joint, leading to bone collapse and arthritis. This condition typically appears in younger dogs and causes progressive lameness that doesn't improve with rest.
Conservative treatment often includes controlled exercise, pain management, and physical therapy. Joint supplements containing glucosamine and chondroitin provide additional support, particularly for older dogs or those with existing joint issues. Products like Nutramax Dasuquin or Cosequin offer proven formulations, though you should consult your veterinarian for appropriate dosing.
Surgery becomes necessary for severe cases, particularly when conservative management fails to maintain comfort and mobility. Early intervention typically produces better long-term outcomes than waiting until joint damage becomes extensive.
Controlling weight for better health outcomes
Obesity exacerbates nearly every health condition common in these dogs. Excess weight increases strain on joints, worsens heart conditions, and reduces overall mobility and lifespan. Many owners underestimate their dog's weight, particularly as dogs age and become less active.
Portion control provides the most effective approach to weight management. Free-feeding often leads to overeating, whilst measured portions twice daily help maintain consistent weight. Tools like the Houndsy Kibble Dispenser allow precise portion control and help establish regular feeding schedules.
Choose high-quality, AAFCO-approved dog food for Rat Terriers formulated for small to medium active breeds. Look for foods rich in protein with balanced carbohydrates. Fish-based proteins or fish oil supplements support skin and coat health whilst providing anti-inflammatory benefits for joint conditions.
Regular exercise remains important throughout your dog's life, though intensity should match their current health status. Daily walks and playtime support cardiovascular health and help maintain muscle mass. These energetic dogs benefit from both mental and physical stimulation, which can help prevent destructive behaviours that sometimes develop when dogs are understimulated.
Addressing allergies and skin conditions
Allergic reactions manifest differently in individual dogs but commonly include excessive scratching, licking, red or inflamed skin, recurrent ear infections, and sometimes gastrointestinal upset. Environmental allergens, food ingredients, and contact irritants can all trigger reactions.
Identifying specific allergens often requires systematic elimination and veterinary testing. Your vet might recommend antihistamines for mild reactions, hypoallergenic diets for suspected food allergies, or medicated shampoos for skin conditions.
Flea and tick prevention plays a crucial role in skin health. Use veterinarian-recommended preventatives like Frontline Plus or Seresto collars, chosen based on your dog's health status and local parasite prevalence. Even dogs that spend most time indoors can benefit from parasite prevention, as fleas and ticks can be brought inside on clothing or other pets.
When professional veterinary care becomes necessary
Certain symptoms require immediate veterinary attention rather than home management. Sudden or persistent limping, difficulty walking, or obvious signs of pain warrant prompt evaluation. Changes in vision or eye appearance, including cloudiness, redness, or excessive tearing, need professional assessment to prevent permanent damage.
Respiratory symptoms like persistent coughing, breathing difficulties, or fainting spells can indicate serious heart conditions requiring immediate treatment. Don't wait to see if these symptoms resolve on their own, as early intervention often produces much better outcomes.
Significant behavioural changes, unexplained weight loss or gain, persistent lethargy, or dental problems including bad breath, bleeding gums, or difficulty eating all indicate underlying health issues requiring veterinary diagnosis and treatment.
Regular preventive care costs significantly less than treating advanced conditions. Routine veterinary visits typically cost $50-$150 depending on location and services, whilst surgery for severe joint or eye conditions can reach several thousand dollars. Genetic testing, joint supplements, and quality feeding tools represent moderate investments that often prevent much more expensive treatments later.
With proper preventive care and early intervention when problems develop, most Rat Terriers enjoy healthy, active lives reaching 15-18 years. Understanding these breed-specific health risks allows you to provide the targeted care that keeps your dog comfortable and thriving throughout their lifetime.