Flowerhorn with worm infestation

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RADRaze2KX

Feeder Fish
MFK Member
Dec 22, 2021
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Have you tested your water?
Yes
If yes, what is your ammonia?
0
If yes, what is your nitrite?
0
If yes, what is your nitrate?
0.5
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
What percentage of water do you change?
41-50%
How frequently do you change your water?
Every week
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.
Hello,
I have a Flowerhorn named "Peach" that I have resurrected from the brink of death. He was really bad, it looked like Dropsy, Flukes and HITH hit him simultaneously (scales were flaring out, he kept flashing and he developed a literal hole in his head). He stopped eating and became lethargic and disinterested.

I moved him into a QT tank and shotgunned Metroplex and Kanaplex simultaneously both orally by binding them with Focus to his blood worms, and by dosing the QT tank directly per the instructions of each medicine . He started to get better. I then feared he may have intestinal worms and began dosing the tank with an Epsom Salt solution (2 Tbsp for the 10 gallon). Water changes every two days, no carbon filter, no UV. You can see the before and after image below.

ZomboDroid 16122021012046.jpg

He was on his way to recovery and was active, engaging, and eating again (frozen blood worms), but he has once again stopped eating about 10 days ago.

And the feces was white. It wasn't definitive if it was white because he stopped eating or because he had worms. I tried Garlic Guard to no avail; he would eat and then spit out the food. He's now lost all interest in eating as of about 4 days ago. Bloodworms, pellets, brine shrimp, Cichlid-specific mix, he approaches it then shys away slowly and regresses to a corner and sits there.

Four days ago I came across the Epsom Salt thread @RD created. I ordered some disposable plastic pipettes and made the 3% Epsom Salt bv solution as recommended by @RD and pulled my fish and injected it into him orally (this was my first time doing this to any fish, and it was terrifying for us both, I'm sure). He proceeded to defecate the white feces, and I cleaned it up. Rinse/repeat daily.

I now have both Fenbendazole and Levamisole HCl on the way, Fenbendazole for oral treatment and Levamisole for treating the tank.

Today, a good samaritan on Facebook allowed me the usage of their microscope and I have confirmed he does indeed have what appears to be a nematode infection of Capillaria Philippinensis, concluded by the shape, length, and lemon-shaped eggs.

20211223_114329.jpg20211223_113751.jpg20211223_114112.jpg

The Fenbendazole I ordered is Safe Guard Canine Dewormer, since apparently the Thomas Labs Fish Bendazole has been discontinued. I ordered 4 of these, since they were impossible to find locally, and each comes with 3 packets. These packets are 1g total weight with 222mg each of Fenbendazole. They will arrive tomorrow.

The Levamisole I ordered is called "Fritz Expel-P" and will arrive Tuesday. It's intended for fish usage.

My questions are:
1.) I can't find a concise Fenbendazole dosage for a fish for oral delivery. I don't want to overdose this little guy; does anyone have a recommended amount? I saw 1/8 tsp per 1Tbsp of food mix scattered around these forums. Is that accurate for what is roughly a 22% Fenbendazole mixture? It was unclear what the ratio of Fenbendazole to medication-filler the poster was using since no product was listed.

2.) Should I do both force-feeding and environmental dosing of Fenbendazole, or stick with force-feeding? If both, should I cease dosing the tank with Epsom Salt when adding the Fenbendazole? If so, should I do a 100% water change prior to adding the Fenbendazole?

3.) With Epsom Salt 3%bv solution I'm piping to him orally, and the Epsom Salt I've added to the tank, is it advisable to add a little seasalt or sodium chloride to the tank water as well?

4.) Should I be adding any food to these force-fed treatments?

5.) I read all 22 pages of that Epsom Salt thread, and I couldn't find the answer to this anywhere: how often should I be doing it? once a day? twice a day? three times a day? I'll camp out and repeat it every time the feces disconnects if I have to.

6.) Finally, what is the ideal temperature for a QT tank with this sort of infection? Is there a temperature that can slow slow the reproduction of the worms during treatment?

Sorry so long-winded. I'm silently freaking out. These health issues have been going on for almost two months, 33% of the time I've had him, and I'm slowly losing my mind. I love this fish so much.

I should add that he is idling weird. He seems like he twitches now, every 2-4 gill-flares. His mouth bobs like he's breathing, and then on the 3rd or 4th mouth bob, he does a quick little micro-twitch. It doesn't seem to affect him, but idk wtf I'm doing and it could be terminal. Who knows? Anyone? *sigh*

Thank you for taking the time to help me save my fish. We both appreciate it, I'm sure.
20211222_003812.jpg
This picture was taken 3 days ago, so he's much improved, but I'm worried about my little guy.

#FarmerPeachTheFlowerhorn ?
 
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I would also like to mention that as of yesterday, his QT tank is being treated w/ Prazipro, since I didn't know what I was dealing with until this morning. I will be doing a 100% water change before adding the next med (Fenbendazole)
 
It gets worse. I noticed what looked like two black protrusions from his underside by his anus and thought nothing of it, but it started weighing on my mind that they may be Camallanus Worms. I snapped this picture:
20211223_220326.jpg

Can someone confirm? They're so close to his tail fin that I thought they were part of it, but I'm starting to have my doubts. Luckily the treatment is the same for both, I suppose. I've lost so much sleep over this fish lord help me.

View attachment 148254120211223_215952.jpg
 
Hard to make out. Could be dead worms. Camallanus is usually redder in color and not black when alive. Seen dead camallanus worms die and turn black in color. If it’s moving around then they aren’t dead.
 
Thank you for the reply. I recall one of my fish having the red tails coming out but I can't recall if it was Peach or his Pleco partner. It they were dead, wouldn't he be able to excrete them?
 
Thank you for the reply. I recall one of my fish having the red tails coming out but I can't recall if it was Peach or his Pleco partner. It they were dead, wouldn't he be able to excrete them?
Know they eventually erode away. Maybe too packed in there. I’d net the fish and get some tweezers and try removing very carefully. Make sure to redose the febendazole.
 
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Don’t know anything about the epsom salt treatment…maybe RD. RD. can help

I have dealt with camanallus and levamisole works great. First of all, you don’t have to panic if the fish isn’t eating while you’re medicating. They can go a while without eating.

I’ve tried Fritz Expel P and it works fine…just follow the directions and be sure to dose 2 separate times, 3 weeks apart so you get any newly hatched worms.

I’ve also gotten levamisole from Select Aquatics and Charles at http://www.inkmkr.com/Fish/ItemsForSale.html

The stuff from Charles is potent
 
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I found the answer to question #5, need to dose twice a day. I don't know if I missed the answer on the 22+ page thread but I found the answer in another post from RD.

A bit of good news:
1.) The Fenbendazole arrived today. I made a concoction of 1/16 tsp mixed with 2 Tbsp of the 3% Epsom Salt mixture that I had warmed up in the microwave, mixed it as best I could and let it cool, then piped it into Peach. Now we wait.

2.) While wondering about Camallanus Worms and if I could figure out how to find images of other flowerhorns and their nether regions, I remembered the topic of Flowerhorn Gendering for figuring out male or female and looked up "Flowerhorn Vents" and found tons of pictures where other Flowerhorns have similar protrusions. This is great news because TNO ("Tino", The New One), also has those little tiny fin flares around his vent, also black, and I was worried. So I may not have to deal with a Camallanus infection after all. ?? The red potrusions I was recalling yesterday may actually be a distorted memory of when Peach swims straight up and I see his red gills from his underside, which I haven't seen in a while because he's lurching. Some of these images were actually pulled here from other pages, but I'll put them here for consolidated reference if anyone has this same issue. I'd cross-post the links but I don't think I'm at 6 posts yet. :)
51T4BwEOfnL._AC_SL1500_.jpgFB_IMG_1504193273049.jpg

I'm starting to feel a bit more optimistic about this, but I know I've got about another 6-9 weeks of this Wormageddon Exterminatiom Extravaganza, so I'm still on edge.

We'll see how it goes. Here's a picture of Peach from three days ago (12/21/21) Cheers20211221_234002.jpg
 
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