Yeah the problem stared maybe five months ago and he has just slowly gotten worse. As far as the Nitrates go they are at zero or defiantly less than 5ppm. I understand your concern but that's what it reads and I have had the LFS double check all my water parameters. Ammonia and nitrites are definitely at zero. I agree that the Ph is high but all of Iowa's water is like this. We have hard water here in iowa. If you think that the Ph is a issue how can I lower it safely? I will try a salt bath with epsom salt. how Much salt per gallon and how long should he be in the bath? Also do you repeat this daily for a week or so? Thank you so much for your help! If i do have to resort to medication, what should I use? I'll make sure I take out the carbon 