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Health Testing Guide
Which tests matter, how to spot responsible breeders — and what it costs when things go wrong.
For the American Bulldog we've compiled 2 tests in the recommended health standard and 2 additionally recommended tests, drawn from veterinary databases such as CIDD (University of PEI) and OMIA — weighted by severity and heritability.
View verified breedersWhat this grade means
The American Bulldog receives a grade of C, as the breed is heavily burdened by severe joint problems such as hip dysplasia (HD) and elbow dysplasia (ED), which require strict breeding selection. Additionally, the severe skin disorder ichthyosis occurs in the breed, which fortunately can be controlled via genetic testing. Buyers should exclusively rely on parents that have undergone comprehensive testing in order to avoid painful joint conditions.
Every breed is susceptible to certain inherited conditions. Just like humans, dogs inherit predispositions from their parents. Responsible breeders screen their breeding dogs for these conditions and make informed mating decisions to reduce the risk passed on to puppies.
No — but it's the strongest tool we have. Diet, exercise, environment, and genetics all contribute to whether a dog develops a condition. When breeders use the right tests to identify risk in potential parents, the likelihood of many conditions appearing in the puppies drops significantly.
There's no one-size-fits-all here. The recommended health standard for the American Bulldog covers 2 tests, plus 2 additional recommended tests. The specific tests and passing thresholds are detailed further below.
Keep in mind
Reliable screening tests still don't exist for many hereditary conditions, and tests for complex polygenic conditions don't always predict severity in the puppies. Even so, they're a powerful tool of responsible breeding.
There are two main types of health tests:
Screen the dog's DNA for known disease-causing mutations. Can be performed from puppyhood and give a binary result (clear / carrier / affected).
Clinical and imaging exams like X-ray, ultrasound, or ophthalmoscopy. They show how a predisposition actually manifests — usually only conclusive after 12–18 months.
We group breeding programs into three levels based on testing depth. Ask your breeder directly which level they meet.
A breeder at the Great level meets the Good level and performs 2 additional clinically recommended screenings that reduce risk in this breed.
In addition to Good:
Hyperuricosuria(HUU)
Nieren
Hyperuricosuria is an inherited metabolic disorder affecting the renal system, specifically how the kidneys process uric acid. Due to a genetic mutation, excess uric acid is excreted into the urine rather than being broken down. This high concentration can cause the acid to crystallize, leading to the formation of painful bladder or kidney stones, also known as uroliths.
Body-fluid analysis · Passing: clear or carrier
Lysosomal storage diseases(LSD)
Stoffwechsel
Lysosomal storage diseases are inherited metabolic disorders where a dog's cells lack the specific enzymes needed to break down cellular waste. Without these enzymes, waste products build up inside the cells and cause severe, progressive damage to organs, particularly the brain and nervous system.
DNA test · Passing: clear
These levels are a comparison framework, not an official certification. They help compare breeding programs at a glance.
A complete checklist with every core-standard and additionally recommended test, plus identity and rearing questions — take it with you.
Open the full checklistFor breeders
Machine-readable mating rules, minimum ages, scoring schemes, and what's required for HonestDog verification — as a printable guide.
Example rule — Elbow Dysplasia
Both parents must be ED 0 or better.
We take mandatory tests from official breed regulations, build the recommended health standard from veterinary databases — and cross-check every uploaded certificate against the dog's profile using AI.
L1 = core standard: the club's required tests where its rules set them, otherwise the recommended health standard for the breed. L2 = additionally recommended or clinically indicated. L3 = lower prevalence. Every assignment carries a source and confidence rating.
VDH breeding regulations, CIDD (University of PEI), OMIA (University of Sydney), curated veterinary input.
Uploaded certificates are read by AI and checked for date, result, and consistency with the dog's profile — our team reviews anything inconclusive.
We do not list an inherited extreme-breeding trait for the American Bulldog. It does appear on our page “Cropping & docking”, which is about a procedure on the dog, not a consequence of breeding. That does not mean it is free of hereditary disease: which ones are typical, and which tests the parents should have, is on this page.
Self-check
Answer 6 quick questions about your everyday life and see how well the American Bulldog fits you — including an honest cost estimate per month, per year, and across the dog's lifetime.
See breeders who have already uploaded their health test results for verification.
View verified breeders