St Bernard Health Guide

Everything st bernard owners need to know about keeping their dog healthy.

8–10 years
Life expectancy
120–180+ lb
Weight range
Low to moderate
Energy level
Moderate
Grooming needs

Breed Overview

St Bernards are giant working dogs best known for their calm, affectionate temperament and historic rescue work in the Alps. Their size is part of what makes them unique, but it also shapes their health profile: they mature slowly, place heavy stress on joints, and can be more vulnerable to several giant-breed orthopedic, eye, heart, and emergency gastrointestinal conditions. Because many St Bernards do not finish maturing until around 2 years of age, growth management, weight control, and breeder health screening matter more than they do in many smaller breeds.

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Common Health Issues

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Hip dysplasia

A major inherited orthopedic concern in giant breeds. Signs can include stiffness, bunny-hopping, trouble rising, exercise intolerance, or pain after activity.

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Elbow dysplasia

Another important developmental joint disease in St Bernards that may cause front-leg lameness, limping after exercise, or early arthritis.

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Entropion and ectropion

Loose facial tissues can predispose this breed to eyelid problems. Owners may notice tearing, redness, squinting, discharge, or visible eyelid rolling or drooping.

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Dilated cardiomyopathy

Saint Bernards are listed among breeds at increased risk for dilated cardiomyopathy. Symptoms can include reduced stamina, coughing, collapse, fainting, or fast breathing.

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Bloat and GDV

A life-threatening emergency seen in large and giant breeds. Watch for a swollen abdomen, retching without producing vomit, restlessness, drooling, or collapse.

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Osteosarcoma

Giant breeds are at increased risk of this aggressive bone cancer. Persistent lameness, swelling, or pain in a limb should be checked promptly.

Preventive Care Schedule

St Bernards benefit from the standard core vaccine schedule recommended by your veterinarian, plus year-round parasite prevention and regular wellness exams. What is more breed-specific is early joint protection and screening. Feed a large-breed puppy diet through the growth period, keep your dog lean, and avoid excessive high-impact exercise while growing. For breeding dogs, the Saint Bernard Club of America recommends CHIC-aligned screening that includes hips, elbows, an eye examination by a boarded ophthalmologist, and cardiac evaluation by a boarded cardiologist; degenerative myelopathy DNA testing is also recommended, with thyroid testing optional but encouraged. In pet dogs, ask your veterinarian about orthopedic monitoring during growth, annual eye checks if tearing or eyelid issues develop, and senior screening for heart disease, arthritis, and cancer as your dog ages. Dental care should include daily tooth brushing when possible and professional cleanings as advised by your vet.

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$400–$900
Annual wellness care
$300–$900+
Hip or elbow X-rays/workup
$500–$1,500+
Entropion surgery
$3,000–$8,000+
Emergency GDV surgery

When to Use Telehealth for Your St Bernard

Telehealth can be especially useful for St Bernard owners because questions often start at home: Is this drooling normal or heat-related? Does this limp need same-day care? Is this eye irritation urgent? A virtual vet visit can help you decide whether your dog needs routine follow-up, prompt in-person evaluation, or emergency care. Telehealth is a good fit for reviewing photos or videos of limping, checking mild skin or ear concerns, discussing weight management for joint protection, reviewing senior mobility changes, and deciding whether noisy breathing, panting, vomiting, diarrhea, or eye discharge can wait. Telehealth is not enough for suspected bloat/GDV, collapse, severe breathing trouble, heatstroke, major trauma, or sudden inability to stand—those need immediate in-person veterinary care.

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St Bernard Health FAQs

What health problems are St Bernards most prone to?
The biggest concerns are giant-breed orthopedic disease such as hip and elbow dysplasia, eyelid disorders such as entropion or ectropion, heart disease including dilated cardiomyopathy, and emergency stomach bloating with possible gastric dilatation-volvulus (GDV). Osteosarcoma is also an important risk in giant breeds.
What health testing should I ask about before getting a St Bernard puppy?
Ask whether the parents completed the Saint Bernard Club of America CHIC-recommended screening: hips, elbows, a boarded ophthalmologist eye exam, and a cardiac evaluation by a boarded cardiologist. Degenerative myelopathy DNA testing is also recommended, and thyroid testing is optional but encouraged.
Are St Bernards at high risk for bloat?
Yes. As a large to giant breed, the St Bernard is considered higher risk for gastric dilatation-volvulus. Signs such as a swollen abdomen, repeated unproductive retching, pacing, drooling, weakness, or collapse are an emergency and should be treated as immediate reasons to go to an ER vet.
When should I call a vet about limping in a St Bernard?
Call your vet promptly if limping lasts more than a day, keeps coming back, worsens with exercise, or is paired with swelling, pain, reluctance to rise, or refusal to bear weight. Because St Bernards are prone to joint disease and bone cancer, persistent lameness should not be ignored.
Do St Bernards need special nutrition as puppies?
Yes. Because they are giant-breed dogs that mature slowly, they should be fed a complete large-breed puppy diet during growth and kept lean. Rapid growth and excess body weight can increase strain on developing joints, so your vet should monitor body condition and growth rate.

Disclaimer: The information provided in this article is for educational purposes only and does not constitute veterinary medical advice. Reading this content does not establish a veterinarian-client-patient relationship. Every pet is different — always consult a licensed veterinarian before making decisions about your pet's health, diet, or care. If you'd like personalized guidance, you can talk to one of our vets. If your pet is experiencing a medical emergency, contact your local emergency animal hospital immediately.

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