The Georgia Shih Tzu
Sheralyn Milton 678-546-0186

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Raising a New Litter

Last Modified: 6/3/08

More Praise for the Crate

If you have not decided to keep your bitch confined for delivery, you will need to confine her now. There are many reasons for doing so, but the most important is for the health of the pups. If you have not already read my whelping page, let me say again, that puppies gain their antibodies against disease and infection from the mother's colustrom. It is critical that these puppies be allowed to nurse as much and as often as possible to assure their receiving all the necessary protection that will see them through the next 6 weeks. If you have a restless mother, allowed to leave and return, the puppies will not nurse as often as they could and should.

The next important reason is for the puppies' warmth and state of mind. A puppy that is constantly close to it's mother will be stronger and better adjusted once they leave your home. Puppies that are not allowed constant access to mom are more likely to suffer sickness and loneliness. Puppies are incapable of providing their own warmth. This is gained from the dam. Without her, they are not able to retain a proper body temperature for good health. They need mom's interaction to develop healthy minds and a good sense of security. Please do not take this away from your puppies because you felt sorry for your dog. If you are going to react this way, you should not be breeding! Since your dam is healthy and doing well, your attention should be on the pups. Mom should not be leaving the crate for any other reason, but to relieve herself and for short periods of exersize.

The next reason, is for the puppies' safety. Many mother's are unhappy with where you have been currently keeping the puppies and they are apt to move them to another spot. In this process, the rest of the litter is left alone while the mother moves them, one pup at a time. The unsupervised pups will lose body temperature or crawl out of their safe place and into harm. If they are not kept where you can keep an eye on them, you are more likely to lose puppies to problems that can be prevented, most likely hypoglycemia. If caught soon enough the puppy will survive, but if not you will lose that puppy. Again, I must recommend a cage. A determined mother will try to get past any barrier, but a cage is rather difficult to get past. I recommend keeping mom and pups confined to a cage until the pups naturally go about four hours between feedings. This usually happens about age 4 weeks. Once they have reached this point you can let mom out more often, keeping her close when the pups start to whine. At about 5 weeks you can allow the pups to come out of the crate for play time in a pen or around the room under strict supervision, but for no more than an hour or two and not more often then twice a day until they are 7 weeks. Puppies at this age still sleep 90 % of their day and will not get as good a rest when they are allowed to roam. They will, instead, play until they pass out, when a cage will encourage them to rest before they reach the point of exhaustion.

Another reason I suggest putting all in a cage is to keep you from giving your new owners a harder time training their puppy than they are naturally alloted. You may have been able to successfully train your dog without a cage but most of the rest of us will not be as successful and an owner who cannot train their puppy will not keep that puppy. You will end up finding that they have taken it to the pound, sold it to someone else or will try to give it back to you and you will need to find another home. The last is always the most desirable, as then you have a say in the next owner, but not every breeder is this lucky. I spend a fair amount of time on the phone and answering emails from new owners whose puppies refuse to be in a cage and it has caused these people an untold amount of grief that their sweet puppy has become such a nightmare. I am always able to help them to teach their puppy to accept the cage and train properly, but my point is that they should never have had to endure such heartache in the first place. To ensure solid homes for your pups, please consider making sure they know what the inside of a cage is like and can be comfortable.

Caring For Your Dam

Now that the puppies are here, I am sure you have noticed how ragged and dirty she looks. Do not be alarmed and do not be so quick to clean her up. The most important rule of thumb is that you should never bathe a nursing mother, unless you can be 100% positive that you will not get any soap on her nipples. The soap is poisonous to the pups and will make them very sick. It is also not a good idea to remove her from her pups for more than 10 minutes or so and bathing will take at least 30 minutes. They need her, as I stated above, for emotional support as well as physical. If you cannot bear to see her looking this bad, I have been told by one of my readers that she uses the puppy wipes to clean up her dam's legs and bottom and then she will also try to keep track of her top know so the hair does not get in her way. My dogs have always had a problem with their topknots once the puppies are here and they have almost accidently hurt their pups, trying to remove it. So this did not work for me, but I know that many of you might have calmer dogs so this is here for you! I have never used the puppy wipes on my nursing dogs. I have only used one brand on one of my over exuberant puppies that did not do a bit of good in the cleaning department. Now I know they can work I will start trying other brands.

Keeping her coat cleaned, without bathing and without removing her, if you can, is necessary to keeping her coat and skin in good condition. Do not freak out if in combing you pull out large chunks. This is normal for many dogs, not all, and it is not a cause for worry. The hair will grow back in time and will even be thick again! Comb her as often as you like as long as you can reach her without removing her from her pups. If she gets upset at you or fights with you, you may want to rethink your grooming routine. It is not worth it to harm her pups trying to teach her to behave and follow instructions. If you have not taught her to obey you before getting her pregnant, now is not really the time to remedy that. As I explain in Orphaned and Ignored Pups, you can train your dam, safely, to care for her pups if she rejects them, but you do not want to force her in any way that would harm her puppies. It is just not worth it.

Watch her temperature. If it gets above 104 degrees take to her the vet for a cleanout shot. I once gave this advice to a new breeder who then tried to take her to her vet only to have him say her temperature was not high enough to be a problem. A few hours later her temperature rose to 106 degrees and she was in real danger. Do not let your vet tell you they are okay. The cleanout shot will not hurt her, in fact many vets will give it to your dam anyway if she wehlps in their office. Do not take the chance, get the shot. If her temperature never rises and she acts healthy, you have nothing to worry about. Make sure she eats and and gets plenty to drink. As with pregnancy, it is not a good idea to control her food intake. Give her plenty to eat and more than enough to drink. She will need all her body can get to counteract all the puppies are taking from her. Make sure she has ample opportunity to go to the bathroom. If you do not take her out often she will section out a part of her area and then lay in it to keep her pups out of it. Not a fun situation to find yourself in. If you keep a good eye on her you will be able to keep her as healthy and happy as her puppies.

Puppy Growth and Development

Puppies should be gaining something daily. Sometimes they won't gain one day and sometimes they will gain weight quickly. Should one or more of your puppies go one day without gaining weight, is less active, breathes funny, whines, or you feel something is not right and cannot put your finger on it then you need to get a bottle of Caro syrup and a very small and skinny syringe or tiny eye dropper. Give the puppy at least 1 ml by mouth, more as they get older, and 2 times daily until you see improvement. All small breed dogs can have hypoglycemia. The sooner you get sugar into their blood stream the better off they will be. If you wait too long or ignore them completely they can or will die. The syrup can never harm them unless given too much too often so do not hesitate to administer it; better safe than sorry.

If the syrup is not working, you will need to fist make sure the pup is nursing. A pup that does not nurse on it's own may have stomach problems and force feeding them formula will only kill them when their stomach fails to break up the food. If the puppy will not nurse then you need to feed it an IV solution by dropper until it starts to nurse on it's own. Puppies can reject milk at any time between birth to weaning. Just because you saw it eat yesterday does not mean it cannot have stomach problems today. The recipe is:
1/2 c hottest tap water
1 tsp clear corn syrup
1/8 tsp salt (must be real salt!)
Directions~~ Add corn syrup to water and stir to dissolve. The add the salt and stir to dissolve. Allow to cool and feed.
If the puppy is nursing you need to think about formula supplementing or consulting a vet. If supplementing is necessary, you can find kits and instructions at a hay and feed store in your area. Pet supply stores might also be another place to look. Once a day, keep track of how much each puppy gains. If the litter is bigger than the mother can handle, you might have to rotate feedings or supplement between feedings.

Late Developments

Many defects or problems do not occur or present until the puppies are a few weeks old or older. Some puppies are born blind or may even be without an eye. Puppies who are blind will open their eyes much later than normal. Normal is two to three weeks. If there is no eye they will not open the lid at all. This is not a life threatening problem most of the time, but requires a vet. Have the puppy checked for infection. This will make or break the puppy's health. If there is no infection or the vet says it can be cleared be grateful. These puppies can still live a long and wonderful life but you will have to be extra careful when searching for it's new home.
Deaf dogs are also more likely to be fine as adults without any major health concerns, but obviously you may not notice such a deformity until the pup is older. See a vet.
Double jointed legs are nothing to fret about. Puppies grow out of it when they learn to walk. One thing you will have to keep in mind is that they tend to be lazy and will not use the leg at all if they can get by with scooting so try to keep them exercised on a carpet or in the grass to force them to use the leg.
Crooked tails or no tails are another problem that is really not a problem. But like other deformities, the puppy is not a well bred dog. You will have to make sure how your new owners feel about the puppies' lack of perfectness.

Although very uncommon in the Shih Tzu and more likely to happen in an over-bred or unhealthy bitch, you will still want to keep an eye out for Swimmers. Do not over- worry as this problem is fixable! These puppies tend to only use their front legs to move, will continue to wobble terribly when all other puppies are running, or in the worst cases of full swimmers not walk at all. The trick is to keep them off slick surfaces and standing as much as possible. Using a Hobble Brace (Picture) helps puppies into a more secure standing and walk. Those who are weak in the front will also only need a hobble brace on their back legs as getting them standing on their back legs will make the front follow. Make sure your knots are not too tight and cutting off circulation and there is enough space between the legs for the puppy to walk, but not spread out flat. You can take the gauze off after a week to check the puppy's progress or leave it on for a few weeks. If you do take it off to check how your puppy walks, be sure to put it back on if your puppy slips into old habits. The longer the rope is on the quicker your puppy will heal. Now, before I forget, be sure to check the gauze daily for fraying. The other puppies may or may not take an interest in it as a chew toy and they could make themselves sick so keep an eye on them.

Pinched nostrils are a common problem among flat faced breeds. It is normal to an extent. If you notice that one puppy is snoring, wheezing, sneezing, or sniffling, but their energy is normal and their breath does not seem labored you have nothing to worry about. However if you notice they are having to work very hard to get a breath and when you look at their tongue it is faded in color than you have one of those special puppies. They are not very common but they can happen. Even more uncommon is a puppy that cannot get enough breath and their loss of strength is scary. These puppies will need a surgery that clips the separating skin between the nostrils to open their airways. The chances of this happening are about one million to one so I would not be so quick to jump to conclusions. More likely, they start out playing or rough housing and when they calm down they have to work harder to catch their breath. Going to a vet will show that there is no fluid in the lungs and the noise is only in the nose. Many vets will try to give you antibiotics, but unnecessary antibiotics will hurt your puppy; don't accept them. The exception is if your puppy, in conjunction with the pinched nostrils, has colored or cloudy discharge coming from it's nose or green from the eyes or throwing up. This is, indeed, an infection and will require antibiotics. All, but the most rare of these puppies, will grow out of this problem by the time they are a year old. If you are not keeping this puppy be sure to find it a quiet home where the owners will be less rambunctious with him and will allow him ample time to relax after short play.

Hernias are a common problem in puppies. The most common type is the umbilical hernia and is caused by trauma to the umbilical cord during delivery. It is not hereditary, and cannot be passed to future pups. There seems to be debate on this hernia since many pet sites state the exact opposite of what I have said, but I have watched my pups be born and hernias have rarely occured and only in pups when the dam has pulled in trying to cut the cord or has cut the cord way too close to the pup. Since there is a debate on this subject it is best you know both sides so you may make the best decision for your dog. The chance of your dog having a problem with an umbilical hernia is 50%. Hernias are caused by an opening in the stomach muscles that allows organs to pass through. The danger a hernia poses is the possibility of organs getting caught in the opening and being kinked. If this happens it could kill your dog. It may not happen for years, regardless of activity level, or it may never happen at all. Puppies are under no danger while they wait to become old enough for spay and neuter surgeries when the hernias are repaired. It does make altering surgery more expensive because your vet is doing two surgeries in one visit. Floating hernias are not uncommon. As odd as it is, some hernias seem to heal themselves. Many puppies will have a hernia for awhile, but then it disappears. It may come and go for a time to then completely heal and never return. Nothing is wrong in this case, consider yourself lucky.

An inguinal hernia will be located in the back leg. They can be extremely large and look really terrible. There may be one on each side of the groin or only on one side. The good news is that most of these hernias shrink as the puppy grows. They can happen in male and female puppies. t Should you wish to have it repaired the surgery would take place during spay or neuter surgery, but it is mostly recommended waiting to see if it heals itself. It can threaten the health of your puppy if the opening is big enough to allow the intestines or the uterus to be caught. It is hereditary and if a bitch produces pups with these hernias she should be retired from breeding.

A diaphragmatic hernia forms from accidents when the diaphragm tears and the abdominal muscles and organs become caught. Puppies may vomit, have labored breathing and decreased activity. This can be harmful for your dog and needs to be corrected when found.

The next problem may not manifest itself until after your puppies have gone home. While it is very rare, it can happen that a puppy's rectal muscles may stop developing as fast as the rest of it's body making it very difficult for the puppy to have a bowl movement. This is not related to the newborn deformity found on the Whelping page. Your new owners will notice that the puppy has not had a bowl movement in a few days and the puppy may be bloated. Should this happen there is a diet that the puppy can be put on that is mostly liquid and loosens the stool to a runny consistency which must be maintained until the puppy improves; this may take a week or more. If your vet has no idea what I am talking about, try giving the puppy a gruel made with canned puppy food mixed with plenty of milk to a very thin consistency or dry puppy soaked in milk, mashed and more milk added to thin out the solution. Feed this to your puppy and he/she should have pretty bad diarrhea that will give the rectal muscle time to develop. This may take from a week to a month to correct. The one time I heard of this, the owner was told by their vet the puppy would die. They called me and then decided to seek a second opinion. The second vet suggested the diet I just mentioned and the puppy improved and is very healthy and will continue to be so. Just so you are aware, I have also heard of this problem in children. I am going to try to find out more about what this vet did so that you will know what to tell your vet should this happen, but know it is treatable and your puppy will be perfectly healthy and live a long life.

I personally feel that small defects make a dog more special and they usually have the best personalities. However, as breeders we have to remember two things. First, that buyers have a different view and may not feel the same way. It is best to make sure that their new home will love them properly and do not be discouraged if that perfect home takes awhile to find. Second, that breeding a less than perfect dog is not responsible breeding nor is continuing to breed the parents should you have proof the problem comes from the parents and is not merely a normal defect that can happen in any litter. The goal is to breed the healthiest dogs possible and continuing to breed problem parents or breeding a defect dog can lead to other serious problems.

Weening

As your puppies get closer to weaning time, usually about 5-6 weeks they will normally become very interested in the mother's food bowl. They will start to lick at the sides or even try to chew on a mouth full. When you notice this behavior, first, check to see if they have enough teeth coming in to handle the food, if they do not then take the food you are feeding the mother and heavily soak it in water until very soft. You may give it to the puppies after you have removed the mother, as she will eat it before the puppies will have a chance. Also be sure to only make a very little at a time and do not leave extra amounts in the cage to grow mold. Remove the bowl when the puppies lose interest and either store it, if untouched covered in the fridge, or throw it away. Now you can slowly start weaning away mom. Try having her out of the cage half of the day or at longer and more frequent intervals while leaving her with them all night. You can then move to having her out all day and in all night and then later not have her in a night with an hour or two in each day. The goal is to teach them to get along without her. Be aware that some mothers may not want to wean their pups. If your puppies are going to be with you another few weeks, there is no harm in allowing her to nurse until the pups are closer to leaving, she loses interest or the pups lose interest. Otherwise, a cage becomes a necessity if you are not currently using one. You will have to train her to understand that it is okay for her pups to grow and not need her. Just be sure to give her extra attention and love so that she does not feel lost or alone.

Should one or more of your puppies not grow teeth as fast as the others or refuse all but mom's milk try a special mixture that no puppy will turn down unless it is sick. While you are feeding the mixture, if possible, allow the puppy to continue to nurse. You will need:

  • Vitamin D Goat's Milk
  • Early stage Veal baby food
  • & dry baby rice cereal

    The brand does not matter. Little puppies will not eat much at a time, especially if they are still nursing, so do not make more than you will use in a day or two. Start by pouring the cereal into a bowl and add enough milk to make the cereal runny, but not too watery. Mix well and add the veal. I usually do enough to get a good smell into the cereal and to change the color. Use your best judgment for the amounts of each. You want your puppies to be able to lick at it easily without chewing. Should you choose, you may thicken it as the puppy eats better. Keep checking every few days to see if puppy has grown any teeth or, if you have a puppy with teeth whom is not eating, slowly add a few kernals of a different dog food to the mix to encourage puppy to eat. The usual reaon for a puppy with teeth to refuse food is because they are allergic to the food you are trying to feed them. In this instance, you do not want to do a slow switch. If you are not already feeding this brand, I recommend switching to Iams. All the puppies I have had with this problem do much better with Iams. If you are currently trying Iams, try looking for another brand you can trust or go natural with a brand that does not have artificial anything and no preservatives. I am afraid food allergies are a guessing game and the best you can do is to keep trying, but I have noticed that most allergies disappear when a puppy is fed a more natural diet. Kep in mind, this is not the rule. I feed my dogs only all natrual food and I still managed to hav a puppy alergic to it and I had to switch him to Iams. Do not ever be surprised, since no two dogs are alike.

    As puppies start weaning from mom you may start to feel pretty safe, but please keep a close eye on your puppies. At this time it is very easy for a puppy to choke on their food or have a portion of it lodged uncomfortably in their throat and in coughing it back up are very likely to aspirate the substance into their lungs. If your puppy starts to cough or gag immediately take him up and placing your hands around his upper body while supporting his head with your thumbs and index fingers throw your arms forward in a short, jerking motion once or twice to help the puppy get the intrusion up and out. Keep your hands tight on the puppy, do not throw it. When the puppy has stopped gagging let him go and watch him for 20 minutes to see if his breathing becomes labored. If this happens and his breathing is loud and visible and his tongue has paled get to a vet. He has aspirated whatever he was gagging on into his lungs and he will need a breathing treatment along with antibiotics and steroids. I have recently learned the hard way that not all puppies openly show they are having problems. I lost a 7 week old puppy to a severe upper respiratory infection that, we are fairly certain, must have started with aspirating something. I had heard no choking or coughing from the pup and the last time I had checked he seemed normal and fine. Then in the evening I brought him out to play and he would not get up and his breathing was labored. When corn syrup would not help him I rushed him to an emergency vet and they kept him thru the night; no improvement. We moved him to my regular vet and he was holding until late afternoon when his temperature dropped and his breathing became a struggle. I was heartbroken when I signed the order to put him down and pleaded with my vet to tell me what I had done wrong. She told me that I can not protect every puppy from everything, no matter what I do, and even with something that seems so easy to prevent, I must occasionally bow to nature. I can not stop myself from thinking I must have felt my puppies too safe and I could have prevented this. I may be wrong, but I implore you not to let your guard down ever. It is then that you lose a puppy.

    Another problem to watch for in weaning puppies is hypoglycemia. I have mentioned this problem numerous times before and this is another cause. When puppies are weaning it is natural for mom to want to spend more time from them or stay away altogether. If a puppy starts to lose activity or look slower than normal put the mom back in. That puppy is not emotionally ready for the separation and will need a quarter teaspoon of corn syrup and mom back. You can try again to separate them later.

    Puppies uninterested in weaning, mother is definitely ready and the puppies have shown interest in the bowl may try mother's food ground to a suitable size, if not in crumbs. You can use a food processor, blender, grinder or even a hammer and a clean towel. Remove the mother and see if they take to it. If not, moisten your finger and dip it into the crumbs or pinch a little between two fingers and encourage the puppies to lick your fingers. This should get them to the bowl on their own; otherwise try again later.

    It is rare, but it is possible to have a puppy that just refuses to ween. So far this has happened to me once. The only way to handle these pups are to allow them to continue to nurse for as long as they want. You may even have to alert owners that their puppy will not be ready for home at the originally appointed time. Even while you are extending the nursing period be sure to take the mother from the pups at enough intervals to add food to the cage to see if the pups will eat. If your pups have turned their noses up at hard dog food, try a little of its soft equivalent. Do not simply soften the hard dog food you have been feeding the mother as this will not work. Do not force your pups unless the mother has no milk with which to feed them. An empty teat produces a puppy that continuously nurses and does not have energy for anything else or eventually does not have energy to nurse. What ever happens, know that in this period the pup will nurse almost every half hour, stop gaining or lose weight, as they are not getting the right type of food for their growing needs. As long as your pup still has energy to play and is nursing often I would allow them the time their body seems to need. I would be surprised if the mother were unable to sustain her pups at any age as the only time the milk will dry is when pups are no longer nursing, but anything is possible.

    Food Allergies

    In my own experience, the puppy had all his teeth and he was very active. His weight development was good and he had seemed healthy except that I had never seen him eat from the offered food bowl. I, at first, thought that maybe he was lazy and by removing the mother he would get the point and eat. Instead he lost weight and started to lose energy. In fear, I took him to my vet and had all manner of testing to find the problem. All tests proved him to be nothing but healthy. Finally, the only option was to put him back on mother and to remove her between feedings to put a bowl of prescribed canned food in the kennel. At this point the puppy was having to nurse every half hour to keep his hunger at bay. After three days I noticed he started to show interest in the canned food and slowly started eating more of it. Since the food was prescribed, it could not be permanent so I went back to adding some of the original food to the canned. The puppy immediately turned his nose up at it and refused to touch it. The only thought this brought was that maybe the pup had a natural allergy or other problem with my regular brand. So, late at night I went to the grocery store and purchased a bag of soft food from another brand I trust and came home and offered it to the puppy. He immediately ate when offered the food and he went home two days later. Now, I am not sure that this may happen to you in the same way but it should give you some ideas to try should one of your pups have the same problem.

    During the first six weeks, many problems can occur with a litter. Visit Additional Reading to find other available sites that name common and uncommon problems with puppies and mothers, symptoms, and how to treat. Watch for unabated whining, constant shivering, listlessness, muscle spasms (please do not confuse this with dream movements) and lack of interest from the mother. Most mothers will naturally push a puppy away when they feel it will not survive; others will refuse to give up. A good mom watches to make sure every puppy is nursing and warm.

    Vaccinations & Deworming

    As much as I am not a fan of chemical health, I agree, wholeheartedly, with vaccinating your puppies and initial de-worming. If you go to a vet, please be sure that you ask what is being given and why. If you have a friend administer, please ask the brand and contents, then research before giving. I did some reading on medical sites and learned that not all puppies need shots at the exact same age. New recommendations for revaccinating have come to light. It is now suggested that vaccinating pups before they are 8 weeks of age is pointless. They retain the immunity from their mother's before this age and that immunity renders the shot useless. The next shot they will need is at 12 weeks and again at 16 weeks. once they are 18 weeks they can have their rabies vaccine. Many vets are now suggesting that yearly vaccinations are pointless and all that is required is a booster at 16 to 18 months and they will be protected for life.

    There is still some debate here so I leave this decision to you. Know that over vaccinating can be harmful. It was stated that vaccines are only effective when given at periods of low antibodies in the puppy. High levels of mom's antibodies present in the puppies' bloodstream will block the effectiveness of a vaccine. When those antibodies drop to a low enough level in the puppy, immunization by a commercial vaccine will work. From nursing, a puppy has gained it's mother's antibodies which will remain until a certain age, depending upon the above circumstances. During a certain point the antibodies from the mother wear off and are too low to protect against disease, but too high for a vaccine to work. This window is your litter's most dangerous age if disease is prevelant.

    It is recommended that non- nursing pups start vaccinations at 6 weeks. They have not had the benefit of mom's antibodies and are at the greatest risk. Do not vaccinate them earlier than 6 weeks. Many puppies have severe reactions to the vacines at too young an age. When you start should depend on what makes you most comfortable and the environment your dogs are exposed to. I spent two days on the internet reading mostly vet sites, but also other breeder sites and forums. The wealth of information is incredible and almost scary. What I brought from all this is that puppies that might be more susceptible to the core diseases should be vaccinated at 6 weeks with boosters occuring at 10 weeks and 14 weeks then rabies at 16 weeks.

    Please use your instincts. You have them for a reason and they will help you decide when it is best to start.

    Everything changes if you have a sick puppy. For any kind of chemical prevention the following rule applies, no matter what. If your puppy is sick, delay the prevention. This means de-worming, heart-worm pills, vaccinations, and all flea and tick preventions; even topical. Never inoculate a sick puppy or dog. Ever! There is no exception. Wait until they have completely recovered to vaccinate and then booster every two to four weeks. The same with all other preventative medicines.

    If you really want to know what I have decided, I am currently vaccinating at 8 weeks and requiring boosters at 12 weeks and 16 weeks. Then I strongly urge owners to delay the rabies until 18 weeks to ward of reactions to the shot. Note the rabies vaccine is required in all states and most require it be administered by a vet.

    As for de-worming, that really hasn't changed much. Depending on where you live, most dam's have dormant worms and pass them onto their pups, even if you have been de-worming her. In the desert, worms are not a problem and it is unnecessary to prevent something that is not a threat. In most other places, it is a necessity. Start de-worming at 3 weeks, unless a pup is sick. Then de-worm every three weeks or as your vet or the bottle recommends. Common de-worming is very easy on a dog's system and the only chemical that I do not worry about giving my dogs. I am currently trying an all natural de-wormer, but I cannot vouch for it's effectiveness since, I have not been using it long.

    My hope is that the information I provide is helpful. If so please sign my Guestbook.
    *For questions or comments, please email me at The Georgia Shih Tzu