Blue Spotted Puffer Fish-skin infection, parasite??

HB93 · May 20, 2022

Hi all, I need your help!
We’ve had this blue spotted puffer for 1 month. None of the other fish in the tank show any sign of illness. It’s a fish only tank. He’s still eating and rests on rock throughout the day. The spots started off dark, then faded to white on one side and this morning I noticed the white bump. Can you help me figure out what’s wrong with him?

tank mates:
-2 clowns
-1 damsel
-turbo snails
-scarlet hermits

water parameters: (API)
Ph-8.0
Salinity-1.027 (usually 1.025)
Alkalinity-7
Ammonia-0.25
Nitrites-0
Nitrates-20

blaxsun · May 20, 2022

#fishmedic

vetteguy53081 · May 20, 2022

Can’t open video on phone. Any still pics under white lighting?
Unusual although not impossible for rest of them not to contract disease if it’s ich
What symptoms are you seeing such as heavy breathing, loss of appetite, etc

SlugSnorter · May 20, 2022

Tank size? Tank age? diet? do you have an ATO?

Other symptoms? other effected fish?

HB93 · May 20, 2022

vetteguy53081 said:
Can’t open video on phone. Any still pics under white lighting?
Unusual although not impossible for rest of them not to contract disease if it’s ich
What symptoms are

you seeing such as heavy breathing, loss of appetite, etc

HB93 · May 20, 2022

vetteguy53081 said:
Can’t open video on phone. Any still pics under white lighting?
Unusual although not impossible for rest of them not to contract disease if it’s ich
What symptoms are you seeing such as heavy breathing, loss of appetite, etc

No symptoms. Acting like he normally does (no heavy breathing and has normal appetite)

HB93 · May 20, 2022

SlugSnorter said:
Tank size? Tank age? diet? do you have an ATO?

Other symptoms? other effected fish?

55 gallon, adopted tank 3 months ago but has been running for 2 years, no ATO, no other symptoms or effected fish

vetteguy53081 · May 20, 2022

Good news is I fi

HB93 said:
No symptoms. Acting like he normally does (no heavy breathing and has normal appetite)

nt s

HB93 said:
No symptoms. Acting like he normally does (no heavy breathing and has normal appetite)

ee ich as suspected and do see lymphocystis which is a viral condition and not disease
It is often associated with poor water quality and/or disease.
There are a couple dots on the body which may suggest bacterial or even a worm
Ruby rally pro would treat both, is mild for the puffer and safe to use

SlugSnorter · May 20, 2022

HB93 said:
55 gallon, adopted tank 3 months ago but has been running for 2 years, no ATO, no other symptoms or effected fish

get an ATO. depending on evaporation and how often you topoff there could be salinity swings

vetteguy53081 · May 20, 2022

@Jay Hemdal - please chime in if you can. It’s a typical Friday for me and we’re airborne shortly for a short period, then heading home.
thanx

HB93 · May 20, 2022

Thank you, so much! I will treat for both and do a 20% water change. If i manually top off instead of auto, will it be as effective if i create a schedule? Anything else I should do? I read that lymphocystis isn’t treatable. What are your thoughts on this?

Jay Hemdal · May 20, 2022

HB93 said:
Thank you, so much! I will treat for both and do a 20% water change. If i manually top off instead of auto, will it be as effective if i create a schedule? Anything else I should do? I read that lymphocystis isn’t treatable. What are your thoughts on this?

Welcome to Reef2Reef!

Sorry, I’m traveling and can’t view you videos on my phone.
Lymphocystis isn’t treatable, but also is hardly ever fatal, it goes away in 6 to 8 weeks
Jay

vetteguy53081 · May 20, 2022

HB93 said:
Thank you, so much! I will treat for both and do a 20% water change. If i manually top off instead of auto, will it be as effective if i create a schedule? Anything else I should do? I read that lymphocystis isn’t treatable. What are your thoughts on this?

Not salinity swings. Focus on ammonia and nitrate. Its lympho.
What test kits are you using and also what foods are you feeding?

HB93 · May 21, 2022

vetteguy53081 said:
Not salinity swings. Focus on ammonia and nitrate. Its lympho.
What test kits are you using and also what foods are you feeding?

Using API and seachem. Doing a water change lowered our nitrate to 10. Feeding brine shrimp and clams.

HB93 · May 21, 2022

Update: today, he is flashing and not eating. Appears to be hiding rather than resting on his normal rock.

vetteguy53081 · May 21, 2022

HB93 said:
Update: today, he is flashing and not eating. Appears to be hiding rather than resting on his normal rock.

Flashing a sign of flukes as is heavy breathing , yawning, twitching head or body and loss of appetite due to flukes in gills.
You can as long as fish is not breathing heavy give it a 5 min freshwater dip in a CLEAN bucket the same temperature as display tank which will offer temporary relief and even dislodge some of the flukes. Treatment in a separate setting will be prazi pro for 2 eight day intervals at 90% of recommended dosage.
Increase aeration with an air stone as Prazi does reduce both oxygen and appetite.
Other foods to offer when fish comes around is :
Spirulina brine shrimp
Mysis shrimp
Small plankton
LRS fish frenzy

HB93 · May 21, 2022

vetteguy53081 said:
Flashing a sign of flukes as is heavy breathing , yawning, twitching head or body and loss of appetite due to flukes in gills.
You can as long as fish is not breathing heavy give it a 5 min freshwater dip in a CLEAN bucket the same temperature as display tank which will offer temporary relief and even dislodge some of the flukes. Treatment in a separate setting will be prazi pro for 2 eight day intervals at 90% of recommended dosage.
Increase aeration with an air stone as Prazi does reduce both oxygen and appetite.
Other foods to offer when fish comes around is :
Spirulina brine shrimp
Mysis shrimp
Small

vetteguy53081 said:
Flashing a sign of flukes as is heavy breathing , yawning, twitching head or body and loss of appetite due to flukes in gills.
You can as long as fish is not breathing heavy give it a 5 min freshwater dip in a CLEAN bucket the same temperature as display tank which will offer temporary relief and even dislodge some of the flukes. Treatment in a separate setting will be prazi pro for 2 eight day intervals at 90% of recommended dosage.
Increase aeration with an air stone as Prazi does reduce both oxygen and appetite.
Other foods to offer when fish comes around is :
Spirulina brine shrimp
Mysis shrimp
Small plankton
LRS fish frenzy

Thank you!! I will follow your recommendations. Should I repeat fresh water dip as needed or just once?