Diseases

Hole in the Head Disease-- Septicemia-- Ich-- Velvet Disease-- Gill Flukes-- Skin Flukes-- Slime Diseases-- Anchor Worm-- Fish Louse-- Finrot--

Introduction

It is often said, but not said enough, that the best cure for any disease is it's prevention. In the case of Oscars (and any aquarium fish, for that matter) it is doubly true. Our tropical fish live in a completely closed system that is totally dependent on us. There is nothing that enters or leaves the aquarium without our intention, help or inattention. If we have a "healthy" aquarium and suddenly a disease appears, it is always our fault. With careful aquarium maintenance there is no reason for disease to appear, except in the rarest of cases. I quote Dick Mills in his book You and Your Aquarium:
As diseases aren't always easy to cure, prevention is the key factor in fish health care. The good health of your fishes is very dependent on their environment -- poor water conditions, stress or incorrect feeding can lead to illness. The fishes have no control over their conditions, and it is therefore up to you to manage the aquarium correctly. This involves various important procedures to prevent the introduction of disease: quarantining new specimens, handling and feeding the fishes correctly, preventing the introduction of poisons or predators, keeping the heating, lighting, air supply and filtration systems functioning properly, and last, but not least, ensuring that the water is clean, fresh and correctly balanced for the fishes in it. And since plants are a vital part of a freshwater aquarium's "eco-system", caring for them is important, too.

 I cannot overemphasize the importance of a quarantine tank. Before putting anything new in our Oscar tank, with the exception of prepared foods, it must be placed in another tank and watched for a couple of weeks. Live food, new fishes, any decorations, plants, gravel, anything. I suggest even looking at the quarantine tank before you look at your Oscar tank! :-) Then if a new fish develops a disease, you've caught it before you've infected your Oscar.

Keeping a quarantine tank cycled, when it is being used for your Oscar aquarium, is a simple matter of using it to keep your feeder goldfish.

Clean Hands

Clean hands, happy Oscars. But avoid washing your hands in heavily perfumed bath or deodorant soaps, or anti-bacterial soaps. A good soap would be dish detergent, because it is designed to rinse completely off.

No Smoking

No smoking, staining furniture, painting etc. close to your aquarium! That air pump will suck up those fumes and bubble them right through your Oscar's water. Additionally, avoid using household cleaners to clean the aquarium's glass. The Oscar doesn't need a megadose of ammonia!

No Loud Noises

Try to position your aquarium away from slamming doors, loud stereos, etc. Noise can increase your fish's stress level and make it more prone to disease.

Subtle Lighting Changes

Tropical fish can be frightened by the sudden lighting or darkening of the tank, increasing it's stress level. In the morning, allow the room to lighten up a bit before you turn on the aquarium lights; and at night, leave the room light on for a few minutes after you shut down the tank lights.

Water Changes

Although I've said before that I sometimes wait 60 days to do partial water changes, I can't say that I recommend it. I depend on the outcome of my ammonia and nitrite tests to determine when a water change should be done, but it's probably a better idea to do them weekly or bi-weekly as a habit. One advantage of doing it weekly is that your Oscar gets used to it and it becomes less stressful. Another is it gives you the opportunity to vacuum the gravel more often. Whatever type of schedule you use, it is very important to stay faithful to your water changes.
Remember to unplug your aquarium heater before you change the water!

Don't Overfeed

One of the most common mistakes even experienced aquarists make is to overfeed the tank. Uneaten food decomposes and fouls the water in your aquarium very quickly. Feed as often as you wish, but feed only what your fish will consume in a few minutes. This is especially critical in an Oscar tank, because Oscars are very messy eaters anyway.
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Septicemia

Septicemia is a little discussed but very common internal ailment. In very dirty water, it can occur on it's own; however, it is normally the result of another disease. Bacteria from the primary disease enters the bloodstream of the fish causing inflammation and damage of internal organs. Blood vessel and heart tissue damage causes the leaking of fluids into the abdomen, producing "dropsy".
Affected fish will have reddening at the base of the fins and around the eyes, be very listless and disoriented, and will not eat.

Remedy

Frankly, the best option here is to euthanize the fish. In this state, disease has advanced too far to be treatable, and the other fish in the aquarium need to be protected.
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Finrot

Finrot is a disease that very rarely attacks Oscars, but is more common in heavily colored fishes like Mollies, and fish with a well defined display attribute in the fins, like Millions Fish or male Betta Splendens. The cause of Finrot is usually a very dirty aquarium and/or a very poor diet. In an Oscar aquarium, an additional cause can be fin-nipping from another aggressive species in an ill-planned setup.

Remedy

Most importantly, correct the cause of the disease. Treat the affected fish with a proprietary remedy. In severe cases, it may be necessary to take the fish to a vet, who will trim the diseased part under anaesthetic and treat with an antibacterial medication. Finrot is a good example of a disease where the best remedy is it's prevention!
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Fish Louse

Argulus is a crustacean that swims from host to host. It anchors to the fish with strong suckers and penetrates the skin with a poison spine. These parasites are visible to the naked eye and are approximately a quarter inch in diameter.

Remedy

Your Oscar will need to be removed from the tank and placed on a wet cloth. He will survive for one or two minutes. Remove the parasite with tweezers. Place the fish in your quarantine tank or other suitable hospital aquarium, so that you can treat the original aquarium with a proprietary remedy for fish lice that will kill any remaining larvae.
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Skin Flukes

Skin Flukes, Gyrodactylus, are related to Gill Flukes but have a different life cycle, and do not have the same resistance to treatment. Colors will fade and the skin will redden, and the fish will scrape against objects in the aquarium. Treat the aquarium with a proprietary remedy. A hospital tank is not necessary.
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Hole in the Head Disease (HITH)

9-27-98
UPDATE
HITH attacked one of my Oscars recently. Up to this date, I had never actually treated a case of HITH. Fortunately, what I'd learned through study and word of mouth about the disease must be accurate, because I discovered that the outbreak was very treatable and the lesions, although aggressive, healed over very quickly. From the onset of the disease to the healing of the lesions took only about 2 weeks. Here's what happened:
One of my 50 gallon aquariums has two grown Oscars (Felixia and Napoleon) and a 5 inch Dempsey, in addition to a 12 inch Pleco and a little 3 Spot Gourami that the Cichlids ignore for some reason. At about the beginning of August, two holes began to appear just to the front and a little to the sides of Felixia's dorsal fin. At first I dismissed them as injuries; sometimes Cichlid tanks do get a bit aggressive. There was tufts of mold over both lesions at this time. Usually, injuries like this heal up in a week or so; however, these holes continued to grow. A week after the disease first appeared, there were several additional lesions beginning to grow on her, particularly by the gill covers and along the top lateral line. (Cichlids, you may recall, have two lateral lines instead of the usual single line.) The mold disappeared from the original holes, which continued to grow rapidly. It was at that time that I realized I had a case of HITH.

Felixia appeared to be feeling no discomfort during the onset. She ate normally and exhibited none of her usual signs of stress (rapid breathing, lying on the bottom of the aquarium, aggressiveness, etc.). I tested the water for nitrites and ammonia. After I was certain that aquarium conditions were ideal, I headed off to the local LFS, where I got a couple packages of Clout, a general aquaria medicine that treats protozoan and viral diseases. I removed the activated carbon from the filter, ceased feeding, and treated the aquarium with Clout for 4 days. After the first day the holes ceased growing, and during the rest of the treatment they appeared to "dry up", so to speak. After the treatment, I did a 50% water change and resumed normal feeding. Over the next 3 or 4 days, the lesions healed completely and are covered with a new layer of scales. It's evident where the larger holes were, because there are slight indents in those areas, but they are completely healed.

So, how did Felixia get HITH? I'm not certain. The only recommendation I did not follow from the discussion on HITH that follows is feeding a diverse, interesting diet. Felixia was eating only a couple of varieties of processed foods in addition to the occasional feeder goldfish.

 3-3-98
In the past couple of months, the following section on Hole in the Head Disease has generated more response than any other portion of the OSCAR Study page. Unlike diseases such as Ich, it is difficult to find authoritative sources that agree on HITH's cause and cure. Most of the Emails I've received lately, and much of the discussion in the Usenet newsgroups I participate in, however, are leaning heavily toward diet being the primary cause. However, the majority of experts (books, etc.) believe the cause is the Hexamita protozoan that is found in the lesions. As a matter of fact, many experts call HITH "Hexamitiasis". One can assume that poor diet is a stress-causing factor that allows Hexamita to invade. But are the lesions themselves invaded by Hexamita, or caused by Hexamita? This is the point where in studies we see the most confusion. Nevertheless, it is commonly accepted that attending to regular maintenance to keep water quality/temperature correct, and feeding a diverse, interesting diet, almost always heads off this disease.

Head and Lateral Line Erosion, known as Hole in the Head disease, is a fairly common threat to Oscars. It also effects Discus and other Cichlids, and, reportedly, many saltwater fish. There has never been a definitive answer to it's causes (see note above), although there is a lot of agreement as to certain conditions that almost always exist with the infection. Those are:

--The absence of a varied diet. It has been said that the absence of Vitamin C in the diet can be a contributing factor. Feeding from a variety of sources, including plant, will help.
--The presence of activated carbon in the filter. It's unclear to me whether the carbon would be a cause of the disease, or whether it removes a substance that may prevent it; but word is that aquarists that avoid activated carbon have had little or no problems with HITH. (Your Mileage May Vary: I have never seen this demonstrated, but it's a popular claim among some aquarists.)
--Elevated Nitrate levels. This is unproved, but many people contend that elevated levels of Nitrate can cause HITH. Nitrate can be lowered by regular and frequent water changes, and live plants.
--Stress and poor water quality.

HITH, untreated, can lead to certain disfigurement and sometimes death. The fish does not seem to be in any pain, because there is no scraping or change in mood associated (that I have observed, but I am open to correction). It is characterized by an approximately 1/8 inch deep crater that grows in the forehead and along the lateral line. Hexamita is always found in the hole.

Remedy:
The cure for HITH may be as unclear as the cause, but eliminating possible causes certainly is the first step: Begin feeding a more varied diet, concentrating on Vitamin C. Do regular frequent water changes and pay special attention to the aquarium's water conditions. Remove any sources of stress; loud noises, aggressive tankmates, etc. Finally, to deal with the infection of Hexamita, find a commercial medication containing metronidazole. During treatment with this medication, avoid the use of activated carbon in the filter.
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Velvet Disease

Oodinium limneticum, known as Velvet Disease, is a tiny parasite seen as a gold "dusting" on the fish's skin. It roots to the fish, drawing nourishment. Additionally, like plants, it contains a pigment that uses light as an energy source. Velvet very rarely attacks an Oscar tank because it needs rancid water conditions to thrive; it is more common in smaller, closed environments like Bettas and certain Annual Fishes (Killies) are forced to endure.

Remedy:
Remove activated carbon from the filter, and treat the entire aquarium with a proprietary medication. You may also want to shade the aquarium during treatment.
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Gill Flukes

Gill Flukes, Dactylogyrus, are tiny, worm-like flukes that attach themselves to the fish's gill membranes. Your fish will scrape against aquarium decorations, breathe rapidly at the surface of the water, and a mucus will form over the gills. In an advanced state, the gills will be eaten away.

Remedy:
To treat Gill Flukes, your fish will need to be removed from the aquarium into a hospital tank. Completely break down, clean and disinfect the main aquarium. The reason for this is that the flukes lay eggs that fall into the gravel, and these eggs are very resistant to treatment. Give affected fish a short-term formalin bath, then treat the hospital tank weekly until all the larvae are killed. Note: Add the proprietary remedy to the hospital tank before adding the affected fishes.
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Freshwater White Spot Disease

Otherwise known as Ich, Ichthyophthirius is one of the most common diseases in a freshwater tropical aquarium. It is a parasite that is visible to the naked eye. It lives a cyclical lifestyle, which makes it a fairly easy disease to treat when done correctly. It appears as white spots, up to 1 mm in size, on the fish's skin. When it is on the skin, it cannot be treated; but this parasite must leave the host and sink to the floor of the aquarium to reproduce. While on the floor, it secretes a jelly-like covering around itself and divides into many young. When this covering bursts, the new parasites seek a new host.

Remedy:
Remove activated carbon from the filter, and treat the aquarium with a proprietary medication. The infection cannot be treated while the parasite is on the host or while it is in the jelly-like covering. Therefore, since Ich's cycle takes approximately 5 days to complete, the medication needs to be administered over a period of ten days to be certain to kill all of the parasites.
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Slime Diseases

Slime diseases are caused seperately or in concert by three protozoan parasites: Chilodonella, Costia (Ichtybodo), and Cyclochaeta (Trichodina). Initially, your Oscar will dull in color because of the overproduction of mucus; followed by the fraying of the fins, weakness and disorientation, gill damage and death. Caught early (before it spreads to the gills), it can be treated with a proprietary remedy. This adds a lot of importance to your ability to keep a careful eye on your fish!
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Anchor Worm

This crustacean, Lernaea, has an anchor-shaped head which it buries in the fish's tissues. It is large enough to be clearly visible on the fish, and when it falls off it may leave an infected sore. Your Oscar will scrape against objects in the aquarium, and there will appear whitish-green threads that will hang out of his skin.

Remedy: The fish needs to be removed from the tank, and then the Anchor Worm removed with tweezers. An Oscar will not be injured if kept out of the water for two minutes or less. Place him in very clean water, treated with a proprietary remedy that will protect him against a fungus attack.
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