I would get that guy in a quarantine tank and do frequent water changes. Is he eating? If so, make sure you are feeding something with vitamin C in it. Apparently, Hole-in-the-head has been possibly linked to a deficiency.
Is his feces normal?
If not, and its white and stringy he may have hexamita, an intestinal parasite. There is some debate as to whether or not it is linked to hexamita, and thus treatable with metronidazole. However, cultures of the holes have not been shown to actually have any bacteria or parasite in them. As a result, the correlation between internal hexamita and hole-in-the-head may just be due to the inability to absorb vitamins.
If you want treat with metronidazole, please note that it is not well absorbed by fresh water fish. Oral metronidazole is much more effective. Gel-tek has great products which can be mixed with food; just make sure to let it sit for 15 minutes or more before you feed it.
Hope this helps.
Is his feces normal?
If not, and its white and stringy he may have hexamita, an intestinal parasite. There is some debate as to whether or not it is linked to hexamita, and thus treatable with metronidazole. However, cultures of the holes have not been shown to actually have any bacteria or parasite in them. As a result, the correlation between internal hexamita and hole-in-the-head may just be due to the inability to absorb vitamins.
If you want treat with metronidazole, please note that it is not well absorbed by fresh water fish. Oral metronidazole is much more effective. Gel-tek has great products which can be mixed with food; just make sure to let it sit for 15 minutes or more before you feed it.
Hope this helps.