Common Symptoms of Puppy Mill Dogs
It’s rarely obvious that a puppy you want to adopt was born of inhumane breeding practices. However, there are some key signs you should look out for.
It’s rarely obvious that a puppy you want to adopt was born of inhumane breeding practices. However, there are some key signs you should look out for.
by Dr. Maria Zayas, | July 14, 2025

David Prado / Stocksy
There are an estimated 10,000 active puppy mill facilities in the United States, with an estimated 2.6 million puppies, who are bred in these facilities, sold annually. The practice of breeding puppies in puppy mills relies on unsafe, overcrowded, and unsanitary living conditions for the dogs. The puppies are undersocialized and receive little (if any) veterinary health care. They’re often bred with no regard to their genetic issues or the presence of medical conditions.
Symptoms of a puppy mill dog can include difficulty housetraining, lack of confidence, and health issues (such as parasites). But there are also more severe signs, such as anxiety, aggression, compulsive behaviors, as well as long-term health issues associated with the heart, skin, ears, eyes, teeth, and more.
Puppies bred in a puppy mill aren’t always sold to the public from the puppy mill. So it is important to know how to identify the warning signs and symptoms of puppies from puppy mills.
Puppy mills are large-scale, commercial breeding facilities. They rapidly produce puppies of many breeds, usually focusing on the most popular ones. Due to this business model, dogs are bred younger and more frequently to the detriment of their health and development (due to being separated from their moms too early). Meanwhile, the volume of puppies produced significantly contributes to overpopulation and overburdened shelters. Puppy mills spend no time carefully selecting parents for a litter to help eliminate genetic diseases, improve breed health, or foster lines of dogs with stable personalities.
Although it is important to remember that any dog can have a health complication, there are certain health issues common to puppy mill dogs. They include:
Presence of parasites upon purchase
Dirty and/or malodorous
Dental disease, including excessive wear or trauma
Eye disorders, such as infections or cherry eye
Ear infections or trauma from poor ear-cropping
Rectal prolapse
Skin infections
Bald areas on their coat, especially on the underside of their trunk or limbs
Genetic heart conditions
Joint-related diseases (elbow dysplasia, hip dysplasia, luxating patellas, premature osteoarthritis)
Lifelong difficulties with gastrointestinal sensitivities (predisposed to vomiting, soft stools, or diarrhea)
Deafness
Blindness
Respiratory disease (kennel cough, pneumonia)
Any dog can have behavior issues, but puppies from puppy mills may be prone to some behavior problems due to their upbringing. If your puppy shows some of these signs, it could indicate they were bred in a puppy mill.
Anxiety
Strong fear response or lack of confidence
Compulsive behaviors (spinning, barking, self-induced trauma)
Difficult to house train or train in general
Distrust of strangers
Separation anxiety
Aggression
When considering if a puppy has come from a puppy mill, there are consistent red flags to look out for.
Despite any breeder excuses, at the end of the day, if you cannot tour where a puppy was bred, this is a sign that there may be something to hide. Puppy mills are notoriously loud and overcrowded, keeping dogs in small areas or cages that smell terribly, where they eat and eliminate in the same spot.
Meeting a puppy’s mother is standard practice for reputable breeders. Dogs may be showing signs of disease or illness, which is why breeders will encourage you to select a puppy without seeing where they came from. If you are unable to meet a puppy’s mom, that could be a sign that a puppy mill is involved.
Because the goal of puppy mills is to produce a high volume of puppies as quickly as possible, time is not spent on veterinary care for them. This usually means no health screenings after they’re born, as well as not receiving vaccines.
Responsible breeders are interested in confirming the health of new puppies, identifying problems, and making sure that you know about them, which includes taking notes to plan future litters. In these cases, puppies will receive at least an initial round of vaccines and deworming, if not more, before going to a new home.
Dogs from responsible breeders will come with papers outlining their lineage. They can tell you about the puppy’s parents, as well as several more generations from their line. The puppy should also have paperwork for genetic testing, which screens for health conditions common in the breed. A puppy being sold without this paperwork may have come from a puppy mill, where there aren’t concerns about the health of the puppies being sold.
By not investing in standard care for their puppies, puppy mills can sell their puppies for less than market value. This is also how they maintain quick enough sales to continue overproducing puppies. If you find a puppy for less than you anticipated, check for other signs indicating that the puppy was bred in a puppy mill.
Careful breeders will focus on one or two breeds. This avoids the risk of unintentionally mixed lines and comes from a place of respect, care, and interest in the health of a breed they love. When you find a potential breeder who has many litters for sale simultaneously, is breeding more than a couple breeds at a time, and has many popular breeds available to purchase (usually online), then you should be concerned that the breeder is actually a puppy mill.
Reputable breeders will ask you to sign a contract when you purchase a puppy from them. This usually includes a promise to return the puppy to the breeder if there are issues, rather than rehoming or surrendering them to a shelter. In contrast, puppy mills do not want to take possession of any dogs they have sold.
When talking to a breeder, if the process of obtaining a puppy seems rushed and without any screening process to make sure you are a good match for the dog, you should be suspicious about their intentions. If you do purchase a puppy, the breeder should be checking in to hear how they are settling into their new home, and they will want to know if any health issues arise. Puppy mills, in contrast, are concerned with selling the puppy, without an interest in what happens afterward.
For proper long-term development, a puppy should remain with their mom and littermates until they are eight weeks old. Puppies younger than this age may be sold to help with turnover, which is a telling tactic of puppy mills.
Most puppies sold in pet stores come from puppy mills. States have banned the sale of puppies in pet stores, requiring them to take in dogs from rescue or shelter organizations instead. If a puppy is being sold with no clear details or paperwork from one of these organizations, it is very likely that they came from a puppy mill.
To avoid unintentionally purchasing a dog from an unethical breeder, head to a reliable animal welfare organization. Shelters often have puppies and adult dogs as well, with 25 percent of them estimated to be purebred. Meanwhile, you can find rescues for most major dog breeds, including rare breeds.
Meanwhile, trusted sites, such as Adopt a Pet, can help you find an adoptable dog in your area. (As a bonus, adoption fees will be much more affordable than the fee of purchasing a dog.)
A puppy mill dog is a dog who was bred in a high-volume commercial breeding facility that focuses on output at the expense of a dog’s health. These dogs often struggle with several problems, such as housetraining, confidence, and genetic health issues.
Dogs from puppy mills may come to you dirty or smelly, with health concerns such as parasites or infections. They may suffer from extreme anxiety or compulsive behaviors, struggle to housetrain, or may struggle with training in general, and suffer from lifelong health difficulties or conditions. If your puppy didn’t come with a breeder contract, genetic testing, parentage papers, or you weren’t allowed to meet the puppy’s parents and littermates in their home, these may be indications that your dog has come from a puppy mill.
“Adopting a Puppy Mill Dog.” SPCA of Texas, spca.org/file/Adopting-a-Puppy-Mill-Dog.pdf.
“Puppy Mills: Facts and Figures.” The Humane Society of the United States, Jan. 2021, www.humaneworld.org/sites/default/files/docs/puppy-mills-facts-and-figures.pdf.

Dr. Maria Zayas attended Ross University School of Veterinary Medicine where she completed her veterinary degree in addition to participating in and presenting research related to aquatic animal medicine. She spent her first year as a doctor working with a low cost spay/neuter and general practice clinic before returning to her home state of New York and entering the world of housecall veterinary medicine. Falling in love with this area of medicine, she launched her own housecall veterinary practice in addition to writing pet health articles. She loves all things related to water and continues to travel and explore with her three dogs and one cat, all of whom also love to swim.
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