Is my Shih Tzu's pale tongue and gum color normal or a health concern?

The color of the tongue and gums and skin can change shades based on things like hydration level, blood pressure (which is influenced by hydration and activity level), ambient temperature, oxygenation, red blood cell level, etc. In this case, if Brooke's blood pressure is just a little lower because she has been sleeping, then she may appear a little more pale. Shades of pink are good! White, blue, gray, or purple are bad. But often there can be severe medical issues and the gums can still be nice and pink, so it is rarely a true indication of disease.

I would say that the only thing that really looks pale to me is the tongue and some dog breeds have this genetic tendency so this is also a possibility, i wouldn't be too worried about it, do take her to the vet for a checkup but it is not urgent.

It's a little difficult to fully assess Masha's tongue color in the first picture due to the lighting, but in the second picture it looks very normal. As long as Masha is behaving normally otherwise I would not be concerned. If she starts having difficulty breathing, her tongue becomes blue in color, develops a cough, or any other abnormal signs I would have her examined by a veterinarian right away. Thanks for using Petco Pet Education Center, formerly Petcoach!

I realize that looking up possible causes of pale gums points you down some scary roads with different cancers, bone marrow conditions or bleeding issues. Some medications can adversely affect the bone marrow, but at 1 year of age, I doubt that Spock has received any of these medications. Typical flea/tick and heartworm preventatives would not be expected to cause any of these issues. If Spock's gums are consistently pink (even with some variation in shade of pink) and he is otherwise eating, drinking and acting normally, these types of issues are far less likely. Try to determine if his gums change color throughout the day. During times of excitement or stress, a dog's blood pressure can rise a bit and cause the gum color to be a darker pink than the normal baseline. Concurrently, during times of rest and extreme relaxation, the blood pressure is a bit lower and can cause the gums to be a slightly lighter pink. If Spock's gums are every very pale and he is lethargic, this is an emergency condition and would need to be addressed immediately. Otherwise, you can continue monitoring his gum color as your vet recommended, or ask if he can be examined now if you need the extra peace of mind. :-)

Pale pink gums are still normal for a dog. Since you say that Bentley is acting normal, eating and drinking, I would not worry. Check his gums once a day every day for the next few days. Should the gums turn pale or white, you will need to call your vet for an appointment.

If your dog's tongue has changed to a dark gray or purple color than he should be examined by a vet to make sure there isn't a problem. Your vet can do a complete examination, check bloodwork to evaluate his red blood cells, and take an x-ray, if needed. Without an examination, it is difficult to know if there is a problem.

Hi there and thank you for using Petco Pet Education Center, formerly Petcoach to address your concern. Based on the pictures you have provided, I would say that Nova's gums look more pale than I am comfortable with. This could be due to dehydration, hemorrhage, destruction of the red blood cells from an immune mediated process, an infection, cancer, etc. I would recommend having Nova evaluated by a veterinarian so that the most appropriate diagnostic and treatment recommendations can be made. I would recommend having her blood tested to start to see if she is anemic and to see what other values may be abnormal. The sooner she is seen the better in case this is something severe that needs immediate treatment. I hope this helps guide you in the right direction. Please let me know if you have any other questions or concerns and I would be more than happy to help you further.