Is he doomed?! :(

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Gourami Swami said:
But when I see white bumps, I generally think lymphocystis,
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lymphocystis looks like cauliflower and normally spreads all over the body. It doesn't look like a bump.

The fish may just need a break from meds? Perhaps it's just nothing...
If the kanamycin doesn't help, I'd leave it be for a couple of months and see how it goes....Antibacterial meds just reduce the number of pathogens, the rest is due to the fish's immune system to deal with.

Also, if you're still thinking HITH or Hex, alternative treatment is high temperatures, in the range of over 31C-32C ! It can only be done if the fish can naturally handle high temps for prolonged periods. That temperature will also kill true fungus(non-bacterial) If it is bacterial based, high temps will obviously be counteractive.
 
I'd be curious to see what the white stuff emerging from the bump looks like under your scope if you can get a sample. I'd fall out of my chair if .. what was it ... capillaria? shows up.

There is disagreement regarding whether heat treatment is useful for HITH. Some believe in it. Some believe in anything. I'd want to see a scientific paper on the effect of heat on hexamita pathogens, spironucleus specifically, and/or roundwonds like capillaria.
 
philipraposo1982 said:
Recently he hasnt been on any meds. I didn't know about the heat treatment as being an option for hex hith
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It's in some scientific studies on hex. I had fish with hex I couldn't get rid of for some time,...a year maybe....I read a ton on the matter.... I can't quote links as its been some time since but I am certain about it...Very high temperatures kill hexamita., i.e spironocleus vortens parasite and majority of studies are on cichlids, as they're the most susceptible, though mine were liverbrearers...
 
Coryloach said:
lymphocystis looks like cauliflower and normally spreads all over the body. It doesn't look like a bump.
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Yes it does look like cauliflower when developed, but earliest sign would be a bump like this. It doesn't just instantly appear all over the fish looking like cauliflower. Not saying this is definitely lymph... but wouldn't necessarily rule it out based on that criteria.
 
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tarheel96 said:
I'd want to see a scientific paper on the effect of heat on hexamita pathogens,
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There is some info below, not very difficult to find if you google spironocleus vortens and temperature....

The parasite does multiply faster at temperatures of 28, 31C but it was observed to last just 4 days after that...At 37C it dies within 24hrs.

The optimal temperature for S. vortens growth in this study was determined to be 25°C because the parasites had a high replication rate, good motility, and extended survival period of up to 6 days. Although at 22°C the organisms survived longest and had no difference in growth rate compared to those at 25°C, they were less active throughout the culture period and required longer period to reach a maximum number. At 28°C and 31°C, the parasites had the high replication rate, reached maximum numbers by day 4, but did not survive after
that time. Either a shortage of nutrients and/or increased waste products released from live or dead cells are factors that may have contributed to the death of the parasites. In addition, temperature was considered to be the primary factor in the death of S. vortens in cultures maintained at 34°C or higher. The parasite’s growth was significantly suppressed and was lethal within 24 h at 37°C.

http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.519.4664&rep=rep1&type=pdf

The same study also touches on pH and it says the following:

Parasites survived only a few days in PH 5.5, 8.0 and 8.5 and were killed within 24hrs at a pH above 8.5 or below 5.5.

 
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Coryloach said:
Parasites survived only a few days in PH 5.5, 8.0 and 8.5 and were killed within 24hrs at a pH above 8.5 or below 5.5.
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One can use soda bicarbonate or potassium carbonate and slowly raise the ph above 8 for a few days. The fish should not be stressed as it will not alter the conductivity of the water by much. TDS/conductivity is what causes osmotic shock and not pH....for those concerned with my suggestion. People dose carbonates and bi-carbonates all the time in RO water to get some buffering capacity, not much of an issue to fish...It will alter the KH, and in turn the pH but after dosing is stopped, it will slowly go back to the natural tank value as KH is used up in nitrification/by the filter bacs. Soda bi-carbonate or potassium carbonate does not raise the GH.
 
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