Q. MY Shih Tzu IS 14 YEARS OLD. SHE WILL NOT LIFT HER HEAD UP EVEN WHEN YOU ASK HER IF SHE WANTS A TREAT. NORMALLY WHEN YOU SAY TREAT SHE COMES RUNNING .
DR. CHRISTIE LONG, D.V.M., C.V.A.
A. From what you're describing I think 2 things are likely. Either your dog has pain in her neck, which is causing her to not want to move her head, or she's feeling generalized weakness.
Neck pain in small dogs is usually due to disk problems. They get a form of disk disease known as Hansen's type II chronic disease, where the disk gradually moves upward and presses slowly on the spinal cord, causing pain and weakness.
Generalized weakness can be due to a number of conditions, starting with just not feeling well due to a GI problem (nausea, for example) to something like anemia (low red blood cell count) or heart disease. It sounds very much like your girl isn't feeling well, and likely need some diagnostics in order to figure out what's going on. You vet will start with a physical examination and rule out possible neck pain, and then will likely recommend blood work or other tests. If you want to talk to us further we can probably provide more information on a consult, where we can get more details about exactly what's going on.