Help please, Upset and frustrated! HITH, thought we beat it...

  • We are currently upgrading MFK. thanks! -neo
If I feed him his normal food which I was up until just recently he still goes bananas for it. Like no lack of appetite at all. Which is why I think it's just a mild case which also connects with only the single small pit on his head.
 
My mistake,I never noticed the spot in the middle just the four pits.
I'll get my coat.lol.
 
If I feed him his normal food which I was up until just recently he still goes bananas for it. Like no lack of appetite at all. Which is why I think it's just a mild case which also connects with only the single small pit on his head.
 
I tend to disagree - don't confuse HITH (a symptom) with S. vortens (a parasite). A lot of people simply don't understand HITH, and the actual causes. In this case, the trigger may have been an eye injury, but your fish must have been carrying a mild case of S. vortens parasites which multiplied due to his stress. No fish with a healthy gastrointestinal system craps clear poop once or twice a day.

Under normal conditions fish can live with this parasite for years, no prob, but they can also become overcome with the parasites, and die, if their immune system becomes compromised. This parasite causes major mortalities in commercial facilities.
 
If it were me, I'd try mixing seachem metroplex in with his regular pellets. You might be able to get more metronidazole in him feeding the pellets he's used to eating. Of course, he might not like them any better than hexshield but it might be worth a try considering a tube of metroplex doesn't cost much.

There are instructions on the label for dosing food. I believe seachem suggests one measuring spoon of metroplex (measuring spoon included) per one tablespoon of pellets. It depends on the brand of pellets used, but this yields roughly 10 mg/g food assuming all medication is soaked up by the pellets.

Dr. Noga's treatment for food was for 25 mg/Kg of body weight/day for 5 to 10 days or 100 mg/kg of body weight for 3 days, and the paper RD. RD. linked to says:

"Metronidazole can be administered orally in feed at a dosage of 50 mg/kg body weight (or 10 mg/g feed) for 5 consecutive days."

According to seachem one measuring spoon of metroplex is 125 mg, so mixing that into 12.5 grams of food should give you ~10 mg/g.
 
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IME presoaking pellets with Metroplex is very hit & miss, in so much as this medication is not very water soluble, so most of the metro just sits on the surface of the pellets. So unless the fish takes the pellets at or near the surface of the water, most of the metro ends up in the tank water, and not in the fish. It's certainly worth a try, but the target dose of meds may not be ideal.
 
after a min or two in the tank he does it the nls hex shield and is pooping normal. So i think I will just ride it out for a bit with this. I can also try something different down the road if needed. The little wound is definitely smallest it has ever been and looking like its almost healed up. So i think We might be on the road to recovery :)

At least I am hoping.
 
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