Do Runt Puppies Have Health Problems? What You Need to Know Before Adopting

October 3, 2025 |

Raising a runt puppy is not an easy task. The name runt puppy is often associated with the weakest and youngest pup in the litter.

So, should you choose a runt puppy? Will the runt puppy grow to a normal size? Are there any health risks associated with runt dogs? Can they survive and thrive with other puppies?

We investigated and answered all possible questions and concerns about the runt of the litter puppies. Let’s dive in!

Unlike the “Pick” of the litter, the healthiest and most powerful puppy, the smallest puppy puppy. The runt puppy is usually weak and has a low chance of survival.

But, why is there a runt? This means that the placenta cannot supply enough oxygen and nutrients to run from the mother’s bloodstream. This dysfunction of the placenta prevents the growth of runts and chances of fertilization.

One way to understand why runt puppies occur is natural selection. Liters compete for milk and good places near the dam, especially in dense garbage. Young puppies with this advantage grow stronger and grow faster than their littering counterparts.

Runts, on the other hand, are often the last to be eaten, leading to inadequate nutrition and growth. Does this mean that runt dogs cannot grow up to be happy, healthy, normal dogs? Not really. We explain below.

Depending on the body type, the runt of the litter puppy has a smaller body shape than its siblings or looks just below the size / weight of its breed or age. Another common characteristic of runts is their fragile bodies and weak bone formation.

Newborn runt pups can also have a weakened sense when a fingertip is placed in the mouth. Severe muscle weakness is also present. Talk to your veterinarian about the appropriate weight gain expected of your dog breed and check all puppies for signs of malnutrition.

Whether the problem is irritability and inflammation among respiratory diseases, a defect that exists from an early age due to genetic abnormalities, or one that begins in adulthood, a weak trachea limits the oxygen supply they need in dogs. As dogs sweat profusely, panting not only provides cool air but also provides heat relief, making the larynx especially useful during warmer seasons or during strenuous exercise.

Runt dog personality is as closely linked to human personality as any other dog. There is no clear evidence that the runt of the litter will be prioritized to build a certain personality.

You can expect runt puppies to have the most common personality traits of their kind but the growth of your child’s personality and its changes over time will be shaped by the owner.

Researching the personality traits of a runt dog is probably a good indication of what kind of personality your runt will have. However, research suggests that, as humans, when dogs undergo major changes in life, their personality traits change.

That tiny, adorable pup at the bottom of the pile has stolen your heart. The runt of the litter often tugs at our heartstrings with their small size and seemingly underdog status. But before you bring home that miniature bundle of fur, you might be wondering do runt puppies have health problems?

As someone who’s worked with dogs for years, I can tell you that the answer isn’t black and white. Let’s dive into the world of runt puppies and explore what health challenges they might face and whether that should influence your decision to welcome one into your home

What Exactly Is a Runt Puppy?

First, let’s clear something up. In everyday conversation, people often call the smallest puppy in a litter the “runt.” But being small doesn’t necessarily make a puppy a true runt.

A true runt puppy has an abnormally low birth weight that falls outside the healthy range for their breed These puppies might struggle to gain weight after birth and reach developmental milestones more slowly than their littermates

So while all runts are small, not all small puppies are runts in the medical sense!

Common Health Issues in Runt Puppies

Unfortunately, runt puppies can face several health challenges due to their size and potential underdevelopment. Here are some common concerns:

1. Weakened Immune System

Runts often have underdeveloped immune systems, making them more susceptible to infections and diseases. This vulnerability means they require extra care and attention, particularly in their early weeks.

2. Hypoglycemia (Low Blood Sugar)

Due to their small size and rapid metabolism, runts can quickly deplete their energy reserves, leading to hypoglycemia. This potentially life-threatening condition can cause weakness, lethargy, and even seizures if not properly managed.

3. Growth and Development Challenges

Runts typically struggle with growth and development. They may take longer to reach important milestones such as walking, teething, and weaning compared to their littermates.

4. Respiratory Issues

These tiny pups may be more prone to respiratory problems like pneumonia and bronchitis. Their underdeveloped respiratory systems and weaker lungs make them more vulnerable to infections.

5. Structural or Congenital Defects

Some runts might have structural abnormalities or congenital defects, such as heart murmurs, cleft palates, or orthopedic problems. These issues can significantly impact their quality of life and may require medical intervention.

Why Do Runts Have Health Problems?

You might be wondering why runts face these health challenges in the first place. The answer lies in their development before birth.

Contrary to popular belief, runts aren’t conceived later than their littermates. Rather, their birth weight is determined by their inherent capacity for growth and the nutrients they receive while in the womb.

A runt puppy might have failed to develop properly due to:

  • A congenital defect that impeded their growth
  • Their placenta embedding in an unfavorable spot on the mother’s uterus, limiting nutrient supply
  • Competition from other puppies in the womb

Once born, runts face additional challenges. They often struggle to compete with their larger siblings for food and warmth, which can further impact their development.

Caring for a Runt Puppy: What to Expect

If you’ve decided to bring home a runt puppy or find yourself caring for one, here’s what you need to know:

1. Regular Veterinary Care

This is crucial! All puppies should be checked by a vet in their first few days, but it’s especially important for runts. A vet can help distinguish between puppies who are small but healthy versus those who are dangerously underweight.

2. Special Feeding Requirements

Runts may need more frequent feedings to maintain their blood sugar levels and support growth. In some cases, they might require:

  • Hand-expressed milk from the mother
  • Puppy formula recommended by a vet
  • More frequent, smaller meals once weaned

Remember: never give puppies human baby formula or cow’s milk! These don’t provide the right nutrition for puppies.

3. Extra Warmth

Puppies can’t regulate their body temperature at birth, and runts lose heat faster due to their small size. You might need to:

  • Keep the room temperature between 86-89°F
  • Use a heating pad or heat lamp (following vet recommendations)
  • Ensure the runt isn’t pushed away from mom by bigger siblings

4. Protection from Infection

If a runt puppy doesn’t get colostrum (the mother’s first milk rich in antibodies), they’ll need extra protection from infections. Your vet might recommend starting vaccinations earlier than usual.

5. Growth Monitoring

Weighing a runt puppy daily is important to track their progress. This helps identify when a puppy is gaining weight too slowly or stops gaining altogether, allowing for prompt intervention.

Do Runts Stay Small Forever?

Here’s something that might surprise you: runts who are small but otherwise healthy often catch up to their littermates once they start eating solid food!

In fact, many owners report that their “runt” grew up to be one of the largest dogs in their breed range. So if you’re hoping for a permanently tiny version of a larger breed, a runt isn’t necessarily your answer.

Success Stories: When Runts Thrive

Despite the challenges, many runt puppies grow up to be healthy, happy dogs with the right care. Take it from real dog owners:

“My Saint Bernard was the runt of his litter. I was initially unsure about getting him since the breeder responsibly disclosed that information from the start; however, his temperament was ideal so thankfully I brought him home anyways. He is getting ready to turn 3 this February, and well I am happy to report that he weighs in at about 153lbs and has no known health issues to date.” – Lee, dog owner

“I rescued a 13 month old ‘tea cup Sheltie’ as I was told from previous owner who couldn’t care for him. He was cryptorchid. Did DNA test: he’s Sheltie, Yorkie, dachshund and Feist. He’s so small (5lbs) and has chronic UTI bladder infections.” – Kim, dog owner

As these stories show, results vary widely. Some runts thrive with minimal issues, while others may require ongoing medical care.

Should You Adopt a Runt?

If you’re considering adopting a runt puppy, here are some things to consider:

Green Flags:

  • The puppy is small but active and energetic
  • They’re eating well and gaining weight
  • The breeder is transparent about the puppy’s health
  • The puppy has been examined by a vet and given a clean bill of health

Red Flags:

  • The puppy is significantly underweight with no improvement
  • They’re lethargic or unresponsive
  • The breeder markets them as a special “teacup” variety at a premium price
  • The breeder won’t allow you to speak with their vet

If you do decide to bring home a runt puppy, ask to speak directly with the vet who has cared for the litter. A responsible breeder will have no problem with this request.

Also, consider whether you’re prepared for potentially higher veterinary costs if the puppy does have health issues.

The Bottom Line: Runts Can Thrive With Proper Care

Do runt puppies have health problems? They certainly can, but that doesn’t mean all runts are destined for a life of medical issues.

With proper care, attention, and veterinary support, many runt puppies grow up to be healthy, happy dogs who live normal lifespans. The key is working with a responsible breeder and a good veterinarian to ensure your puppy gets the best possible start in life.

Remember that adopting any puppy, runt or not, is a commitment to their well-being for their entire life. If you’re prepared to give a runt puppy the extra care they might need, you could be rewarded with a loyal companion who defies the odds.

Have you ever raised a runt puppy? I’d love to hear about your experiences in the comments below!

do runt puppies have health problems

Risks and Health Problems

It can be hard to be a runt puppy. There are several problems with runt dogs associated with runt puppies. Here is a list of the most common health problems.

1. Low birth weight: It is important to weigh each puppy at birth. Measuring each puppy in the trash will help you identify a runner puppy that is small in the trash. The puppy should get about 5% to 10% of daily birth weight. Weight loss will be followed by fatigue and constant tiredness. If your puppy runt does not meet this mark, you can feed him by hand or place him on the udder and watch for milk discovery.

2. Shortage of Colostrum Milk: Colostrum is a special milk produced by the dam within the first 24 to 48 hours after birth. Colostrum has strong nutritional and growth factors that ensure the health and strength of the newborn puppy. If the runt fails to drink this milk, the immune system will become very weak, making the runt more susceptible to illness and disease.

Human intervention may be needed to help the runt find the right amount of Colostrum. You may need to buy alternatives to colostrum milk.

Pro Tip: Runts that always tend to suck after birth as they are weak. It’s a good idea to let another puppy nurse first. Once the milk has started to flow into the mammary glands, move the puppy and replace it with a runt so that it can suckle easily.

3. Fading Puppy Syndrome: It can be caused by a number of factors including, low birth weight, poor maternal growth, infection, environmental impact, or congenital malformations. “Faders” may seem normal at first, but they start to deteriorate a bit. Garbage runt is at high risk for this condition due to its maturation of the body and is weak.

Fader puppies simply fail to gain weight, vomit, lethargic, and often cry out loud. Sometimes they separate themselves from the corners away from their friends and trash. Neonatal mortality in puppies varies from 12% to 36%, which is why human intervention can keep a puppy dry if the condition is detected early.

4. Birth Defects: Birth defects or birth defects can be very serious. Why? Runt pups do not get the right nutrients while they are in the womb. This affects inadequate growth, leading to genetic defects or inadequacy than other puppies at birth. Other disabilities include oral cavity, heart failure, and blurred vision. To avoid any other health problems, veterinary treatment should follow as soon as you notice any genetic disorder in the runts.

5. Infections and General Infections: Puppies are at high risk of parasites. Runts cannot withstand parasite load like hookworms and worm. These caterpillars use the puppy’s body as a host and can cause irreversible growth and weight loss which can be harmful to the runt.

6. Hypothermia and hyperthermia: Did you know that hypothermia is a major or contributing factor in the death of many newborns? Puppies are poikilothermic, meaning they cannot control their body temperature for a week or two after birth. Garbage litter should always be kept close to the mother. Projects & Cases

Do runt puppies stay small?

FAQ

Are Runt puppies always unhealthy?

It’s simply not true that runt puppies are always unhealthy. The truth is that some runt puppies are unhealthy, and others have fairly good health. Their health usually comes down to how quickly they received the appropriate care after being born.

Should puppies have runts?

Many dog breeders believe that a responsibly-reared litter of puppies shouldn’t have any runts. Abnormally small puppies who are likely to suffer health complications in future, or could pass on congenital problems if they survive and breed are often euthanized at birth.

What does it mean if a puppy is a runt?

The term “runt” doesn’t have a precise definition and is more of a colloquial term. Typically, calling a puppy a runt means it is the smallest of the litter and may show signs of poor health and weakness. There are no established parameters that define a puppy as a runt, so the term is used loosely and subject to personal interpretation.

Is a Runt a good dog?

As long as the breeder gave adequate care for the runt, and runt has passed necessary health checks, the runt is just as good as the other pups. If your breeder is experienced, they will know that the runt, is worth just as much as any of the other puppies. Don’t look for a bargain, focus on the health of the runt.

How do you know if a puppy is a runt?

Always ensure they have passed health check-ups with a veterinarian before deciding. When looking at a litter of puppies, you may notice one that is particularly smaller than the rest. This puppy is known as the runt of the litter. They are …

Are Runt puppies dangerously underweight?

Runt puppies hold a unique appeal in our hearts. We want them to thrive so that we can share in their triumph. Sometimes a runt is the smallest, but healthy, sibling. But some runts are dangerously underweight, and this can be caused, or accompanied, by very real health problems.

When should I be concerned about my runt puppy?

If growth has been consistent and there are no health concerns noted in the puppy’s record, then I wouldn’t be too worried. If the runt is a runt because they’re sick, that’s a problem; if a runt is small but otherwise healthy, then them being the runt is not likely to cause health problems down the line.

Do runts live shorter lives?

No, runts do not necessarily live shorter lives; a runt’s lifespan depends on whether its small size is due to a lack of resources or a congenital health defect. If a runt is healthy but merely smaller, it will often catch up to its siblings and live a normal, healthy life, especially with proper care.

Do runts have more issues?

Runts face many challenges in comparison to their normal birth weight peers – they are more likely to contract diseases, and die in the neonatal period, have lower glycogen stores, suffer from developmental delays, insulin resistance, hypothermia, and low blood pressure.

What is the runt of the litter syndrome?

Runts are usually significantly smaller than their siblings, having not received vital nutrients during and after pregnancy. Runts struggle to suckle and are much weaker, so they may not play or explore the house like their litter-mates.