The Chihuahua's health list is long for such a small animal, and four entries shape daily routine.
Dental disease is first and is likely to be the largest recurring veterinary cost across a life that may run twenty years. Forty-two adult teeth in the smallest jaw in dogdom means severe crowding, early plaque, gum recession and tooth loss. Retained baby teeth appear separately on the list and make the crowding worse — they should be removed rather than left, usually at neutering. Daily brushing from puppyhood plus professional scaling under anaesthetic every one to three years is what carries the dog into its teens with a functional mouth.
Collapsing trachea is second, and the fix is free: use a harness, never a collar. The windpipe's cartilage rings can weaken and flatten, producing a dry honking cough that worsens with excitement, heat or lead pressure on the throat.
Hypoglycaemia is third and matters most in puppies and the smallest adults. A 2 pound dog has almost no glycogen reserve, so a missed meal or a long stressful day can produce wobbling, weakness and collapse. Frequent small meals are standard advice, and many owners of very small Chihuahuas keep a glucose gel in the house.
Hydrocephalus is fourth. Many Chihuahuas have a molera — an open soft spot on the top of the skull where the bones have not fully fused. A small one is common and usually harmless, and simply means protecting the head from knocks. A large one, or a domed head with neurological signs such as circling, disorientation or seizures, is a different matter and needs veterinary assessment.
Heart disease, patellar luxation and eye infections complete the list.
The Pit Bull's risks are larger and less frequent: hip and elbow dysplasia, skin allergies, heart murmurs, bloat, obesity, cruciate ligament disease, arthritis and cancer.