Bloated Flowerhorn (possibly hexamita) not improving with treatment

  • We are currently upgrading MFK. thanks! -neo

Velocifish

Feeder Fish
MFK Member
May 15, 2021
10
11
8
29
Have you tested your water?
Yes
If I did not test my water...
  1. ...I recognize that I will likely be asked to do a test, and that water tests are critical for solving freshwater health problems.
Do you do water changes?
Yes
If I do not change my water...
  1. ...I recognize that I will likely be recommended to do a water change, and water changes are critical for preventing future freshwater health problems.
I've never had to treat bloat or hex in fish before (usually I keep nano fish which don't seem to be as prone to this). My new 5.5" male flowerhorn came in the mail a little over 2 weeks ago. I think I was scammed because he showed up grossly bloated and unable to swim with white poop. Basically spent the next couple days laying in a corner of the tank. Otherwise fine with clear eyes, good skin, not breathing heavy, etc. Looked very alert and attempted to fight his reflection & the neighboring betta for a bit. He wouldn't eat so I've been syringe-feeding metronidazole solution down his throat twice a day and giving him daily epsom salt baths + large water changes. After not seeing any changes, a couple days ago I started to dose his tank with nitrofurazone and kanamycin in addition to the metronidazole as a broad-spectrum treatment. I stopped the epsom baths since they aren't healthy long-term and didn't seem to make a difference.

He's swimming more than laying now and enthusiastically eat bloodworms (spits out other foods). I'd rather have him eat something unhealthy than nothing at all when he is so weak. His poops are normal now, as well. He's also no longer afraid of me/bites my hands despite the fact that I literally yoink him out of the water 2x a day. So he must be feeling better, not 100% but getting there. However, the swelling in his belly has not gone down AT ALL. It's still 2-3x as wide as it should be and he "waddles" when swimming like a goldfish. He also sinks to the bottom when not moving. He can't stay buoyant.

Is this just a symptom that takes a long time to go away? Or is it a sign of something worse like organ damage/excess internal fluids?

He's in a cycled 17 gal hospital tank (has a cycled 90g waiting for him when he's healthy). Daily 100% WC. API liquid test kit shows 0 0 0 because I change the water so often, but it is cycled. I have a hob, small wave maker, and a bubble maker for extra oxygen. Temperature is at 80. Male kamfa, not a short body, golden base fader if that matters.
 
Here's some pics of the patient. In the 2nd one you can really see how swollen his belly is. IMG_20210811_125409__01.jpgIMG_20210818_211404.jpg
 
The fish in that particular post improved without a known cure and OP did mostly the same treatments that I have been doing. However, I will add methylene blue baths to my treatment plan. I'm hopeful after reading about a fish making a full recovery after so long and now I have something new to research treatment for. Thank you.
 
Unfortunately gastrointestinal issues are quite common in FH, this one probably triggered from the stress of being netted, bagged, and transported. Probably not an overly pleasant experience for most fish, the more intelligent, the more stressful.

Good luck
 
In case anyone ever comes across this post with a similar issue, my fish made a 100% recovery. I took him to the vet where he got the fluid in his belly removed via syringe and lab work done. It was an anaerobic bacteria in his intestine. Ended up doing a round of vet-prescribed liquid metronidazole baths and he was perfect within 10 days of treatment. According to my vet, the liquid stuff is much better than powdered.
 
That's great news, well done. If you look back, I would think that your initial syringe-feeding metronidazole solution down his throat twice a day and giving him daily epsom salt baths + large water changes, is what actually saved this fish. Many FH get past the point of no return & don't ever bounce back. The vet helped your FH get over the final hurdle, and totally eradicate the bacteria, but you definitely saved this fish by jumping on a treatment straight away. The powder doesn't dissolve as well in tank water, but by force feeding you got the meds where they were needed the most, the same manner as human/dog/etc treatment, using Flagyl aka metronidazole. Thanks for the update, congrats on a good save.
 
MonsterFishKeepers.com