Screening results
Most American Bullies whose hearts are checked get normal results.
The one condition the breed is known to be prone to is hip dysplasia, and it is easier to manage when you plan for it from puppyhood.
Puppy First, Health First
The big picture
Most American Bullies whose hearts are checked get normal results.
The one condition the breed is known to be prone to is hip dysplasia, and it is easier to manage when you plan for it from puppyhood.
A few everyday habits do a lot of the work.
Worth knowing
This list is not exhaustive or official. Keep asking your veterinarian as your puppy grows.
Hip dysplasia is a hip joint that has not developed normally.
Hip X-rays show how the joint has formed, and the PennHIP method works from 16 weeks of age.
Keep your Bully lean, because weight control is key to managing it. Elbows: elbow X-rays are part of the breed's OFA health program (CHIC), and controlled play while the joints grow is the everyday step that helps.
Both breed standards call for a muzzle long enough for normal breathing.
How well a Bully copes with heat depends on its own muzzle and body condition.
Watch your Bully closely in hot weather and keep it lean. Before travel, the vet checks how open the nostrils are, the breathing rate and any coughing or congestion.
Missing teeth and an uneven bite, overshot or undershot, turn up in some American Bullies.
A vet can check the bite and count the teeth in a young puppy.
The Veterinary Health Report records the mouth check, and your own vet looks again at puppy visits.
Ichthyosis is a skin condition caused by a genetic mutation that keeps the outer layer of skin from developing properly.
Look for rough skin with thick, greasy flakes that stick to the hair, most often in young dogs.
A DNA test confirms it, and skin treatments manage it rather than cure it.
Less common
Cataract is listed as an eye condition presumed inherited in the breed, so cloudiness in an eye is worth a vet visit.
DNA tests
A cheek-swab DNA test can check an American Bully for several inherited conditions, such as a scaly skin condition and two eye diseases. The list shows which tests exist, not how common each condition is.
Each result is clear, carrier or at risk. Clear means no copies of the gene change. A carrier has one copy and is healthy, and that matters only for breeding. At risk means two copies and a higher chance of the condition, not a diagnosis. For one of these tests, degenerative myelopathy, an at-risk dog may never get sick, or may get sick late in life.
Checkups your dog will get
Care plan by life stage
Planning for American Bully vet costs
These are typical published costs for treating what an American Bully vet exam looks at and the conditions the breed is known to be prone to. Each range shows where it comes from and when, and your own vet's estimate will differ.
| Item | Typical cost | Per | Source | Year |
|---|---|---|---|---|
| Soft-tissue surgery workup with advanced imaging | $800–$1,200 | per workup | at one US veterinary teaching hospital (Illinois) | 2023 |
Planning for pet insurance
When you are ready to compare plans, here is one option for Pawrade buyers.
Only with Pawrade, you receive a pet insurance policy with no waiting period included for immediate accident or illness coverage, 1 month, with every puppy.† You activate it by calling MetLife; instructions arrive with your travel details. Continuing MetLife coverage after the first month is strongly recommended.
View the MetLife 30-day offer →†NH, NY, RI, SC and TN residents excluded. Activated by calling MetLife; coverage begins immediately following policy activation. See the offer for full terms.
Whichever plan you look at, read the policy before you buy. Check the waiting periods, how it defines a pre-existing condition, and its deductible, reimbursement percentage and annual limit.
A waiting period is how long after you buy a pet insurance policy before a claim counts.
| Policy | Accidents | Illness | Joints |
|---|---|---|---|
| MetLife policy included with your Pawrade puppy† | None | None | None |
| MetLife, bought directly | None | 14 days | Not listed |
| Industry standard | 0–14 days | 14–30 days | 6–12 months |
| Nationwide | 14 days | 14 days | Not listed |
| Trupanion | 5 days | 30 days | 30 days |
| Embrace | 2 days | 14 days | 6 months |
| Figo | 1 day | 14 days | Not listed |
What the Veterinary Health Report checks
The breeder's licensed vet checks your puppy before it goes home. The vet follows PetPay's exam standards, and the results go in your puppy's Veterinary Health Report.
The vet checks how open the nostrils are, counts the breathing rate and listens for coughing or congestion.
The breed standards call for a muzzle that never makes breathing hard.
The vet checks your puppy's basic response to sound.
If there is any doubt, a hearing test (BAER) gives a definite answer.
The vet checks the bite for an overshot, undershot or crooked jaw, looks for missing teeth and checks the roof of the mouth for a cleft palate.
In males, the vet feels for both testicles.
The vet checks how open the nostrils are, counts the breathing rate and listens for coughing or congestion.
The breed standards call for a muzzle that never makes breathing hard.
The vet checks your puppy's basic response to sound.
If there is any doubt, a hearing test (BAER) gives a definite answer.
The vet checks the bite for an overshot, undershot or crooked jaw, looks for missing teeth and checks the roof of the mouth for a cleft palate.
In males, the vet feels for both testicles.
Puppies grow and change quickly, and their immune systems are still developing, so no exam can find everything. The exam is a strong early indicator and a documented starting point that your own vet builds on.
Health guarantee
Every Pawrade puppy comes with a health guarantee administered by PetPay, independent of the seller. The terms are on the health guarantee page.
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Alford · American Bully“Excellent service start to finish im very excited my puppy came home clean and happy!!”
American Bully Puppies for Sale
Frequently asked questions
The condition the breed is known to be prone to is hip dysplasia; the breed's OFA health program (CHIC) also asks for elbow X-rays. Keeping your Bully lean and favoring controlled play while it grows help you stay ahead of both.
Copy link to this questionHip dysplasia is the condition the breed is known to be prone to, so it is worth planning for from puppyhood. Of the American Bullies whose hip X-rays were sent to OFA, about 4 in 10 had hips rated abnormal. Those ratings describe the X-rays owners chose to send in, and weight control is key to managing the condition.
Copy link to this questionBoth breed standards call for a muzzle long enough for normal breathing and penalize muzzles so short they impair it. Heat tolerance still varies with each dog's muzzle and body condition, so watch yours closely in hot weather.
Copy link to this questionIchthyosis is a skin condition caused by a genetic mutation that keeps the outer layer of skin from developing properly. A DNA test confirms it, and it is managed with skin treatments rather than cured.
Copy link to this questionMissing teeth and an uneven bite turn up in some American Bullies. In OFA's dental records, about 1 in 5 American Bullies had an abnormal result, so ask your vet to check the bite and count the teeth at puppy visits.
Copy link to this questionCheek-swab DNA panels for the American Bully check for several inherited conditions, including a scaly skin condition (ichthyosis), two eye diseases and urinary stones. A carrier has one copy of the gene change and is healthy, and an at-risk result means a higher chance, not a diagnosis.
Copy link to this questionPennHIP hip X-rays can be taken from 16 weeks of age, if you and your vet want them. Ask your vet when to follow up with more hip X-rays as your Bully grows.
Copy link to this questionThe breeder's licensed vet checks a puppy's basic response to sound before it travels. If there is any doubt, a hearing test called BAER gives a definite answer from 35 days of age.
Copy link to this questionKeep your Bully lean, favor controlled play while it grows, and watch it closely in hot weather. Ask your vet when hip and elbow X-rays make sense once your Bully is old enough.
Copy link to this questionAt the first visits, your vet listens to the heart and checks the bite, the eyes and, in males, both testicles. Bring the Veterinary Health Report, so your vet starts from the same record.
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