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Clinical decision support tool. Does not replace professional veterinary judgment. Always verify recommendations with current references.
Thinking about this breed for your home? Read the owner suitability guide
| Condition | Prevalence | Onset | Severity | Screening |
|---|---|---|---|---|
| Gastric Dilatation-Volvulus (Bloat) | High — giant, deep-chested conformation | 2-10 years | LIFE THREATENING | Discuss prophylactic gastropexy at the time of spay/neuter. |
| Osteosarcoma | Elevated — giant-breed risk | 6-10 years | LIFE THREATENING | Radiograph any persistent limb lameness in a giant-breed dog rather than trialling analgesia first; three-view thoracic radiographs at diagnosis. |
| Hip Dysplasia | Elevated | 1-2 years | MODERATE RISK | OFA or PennHIP evaluation by age 2. Control growth rate on a large-breed puppy diet — over-nutrition worsens expression. |
| Elbow Dysplasia | Elevated | 5-12 months | MODERATE RISK | OFA elbow radiographs at 24 months. |
| Chondrodysplasia (Pyrenean Dwarfism) | Breed-specific, autosomal recessive | Congenital; disproportion evident by 8-12 weeks | MODERATE RISK | Long-bone radiographs in a disproportionately short-limbed pup. |
| Congenital Deafness | Elevated | Congenital | MODERATE RISK | BAER test litters where available — unilateral deafness is invisible to owners and to a conscious clinical exam. |
Dose to lean body mass, not scale weight — giant breeds are routinely over-dosed on scale weight and recover slowly. Pad thoroughly and rotate position on procedures over 90 minutes to prevent post-anesthetic myopathy. Deep-chested: offer prophylactic gastropexy at elective abdominal surgery. Plan for a long, warm, observed recovery; the breed club also reports prolonged sedation with alpha-2 agonists, so titrate rather than dosing to the label.