The main reason discus are considered difficult is their susceptibility to disease. Though keeping discus in not as difficult as many think the fact remains that many hobbyists have more disease problems with discus than with other common aquarium fish. Therefore, the discus keeper must surpass the average tropical fish keeper in the skills of preventing, diagnosing. and treating diseases.

PREVENTING DISEASE

It is best to avoid disease rather than to have to cope with it, because many disease problems are difficult to diagnose, and some disease problems are difficult or impossible to treat at all.

Proper disease prevention techniques will save you headache and heartbreak, because you can keep many diseases out of your aquarium in the first place if you follow a few rules.

• All new fish, including discus and any fish intended to be kept with discus should be kept in at least a three-week quarantine for observation for signs of disease which should be treated accordingly. By the end of this period, and if you are absolutely certain that the fish is free of the most common discus ailments and eating a normal aquarium diet, you may then transfer them to the display aquarium.

• The next best thing you can do to prevent disease is to maintain consistently excellent water quality. It is critical to maintain ammonia and nitrite levels at zero, and nitrate below 40 ppm (ideally below 20 ppm).

Though a particular pH and water hardness is not critical, it is important to maintain these parameters at constant levels. It is possible to maintain healthy discus at anywhere below or above what is ideal in pH and hardness, but you will not be very successful if the pH in your aquarium constantly fluctuates. Especially the temperature of the aquarium water, which should be kept absolutely stable at a temperature between 82-86°F (27-30°C). A quick temperature drop of 3°-4°F can bring on a parasitic infestation.

As organics accumulate in mechanical media, they decompose. Bacterial decomposition processes suck dissolved oxygen out of the water, and can cause consequential decreases in dissolved oxygen levels. Dissolved oxygen levels can be kept higher by keeping accumulated wastes in the aquarium at a minimum, and by faithfully cleaning mechanical filtration media.


• Well-fed fish are usually healthy fish. If you are careful to feed your discus a varied diet, based on highly nutritious food, your fish will demonstrate much of their natural disease resistance.

ACCESSORIES
• There are a few more pieces of filtration equipment that can be immensely useful for preventing disease problems. ULTRAVIOLET STERILIZERS are used to kill bacteria and some free-swimming parasites in aquarium water and could therefore be a very useful component in your set up. OZONIZERS do the same job and are also a means of chemical filtration through oxidation of dissolved organics. It also increases the dissolved oxygen content of the water. But the user must be careful when using this equipment because if not used correctly, ozone is damaging to gill tissue and discus' sensitive skin. We should also mention here that DIATOM FILTERS are able to filter many of the larger free-swimming parasites out of the water, so diatom filtration can be considered a usefull mechanical aid in combating some parasite problems.

-THE DISCUS KEEPERS MEDICINE CHEST

Here are the medications I keep on hand at all times and in sufficient quantities for those disease problems that typically plague discus. Note that several of these medications are available only from a veterinarian or a regular drug store, so you won't find them at your local pet store. If you don't want to go to the trouble of getting medications from a vet or drugstore, there is usually an alternative treatment available from pet stores, but it may not be as effective. Also note that whenever you purchase a commercial medication from a pet store, you should follow the dosage directions for that particular preparation, even if they conflict with the dosages that follow here.


Formalin is a 37-40 percent solution of formaldehyde gas in water, and Malachite Green is a dye. They can be used separately, but a mixed solution of formalin and malachite green has a synergistic effect (more effective than either medication alone) in controlling both external protozoans and monogenetic trernatodes. This combination is readily available in local fish stores, though a breeder or large scale hobbyist can make up a stock solution by adding 1.4 grams of malachite green to 380 cc of 37% formalin. Formalin is used in a one-hour bath at a dosage of I ml stock solution per gallon (20 drops/gallon), or in an established aquarium at I ml stock solution per I 0 gallons (2 drops/gallon) every 3 days for three total treatments. The one-hour formalin bath is excellent for body and gill flukes, and the 3-day treatment is the treatment of choice for common protozoans such as costia, chilodonella and other agents of slime disease. Malachite/formalin is the treatment of choice for "ick". Formalin drastically reduces dissolved oxygen levels, so aeration must be provided via an air stone during the one-hour bath. Remembering that the capacity of water to hold dissolved oxygen decreases as the temperature increases, formalin should never be dosed into an aquarium if the water is above 80°F (26.6°C) without additional aeration. In addition, a one-hour formalin bath should never be used on fish with sores or ulcers, as the formalin will cause the fish to lose body fluids and dehydrate.

Dylox (Trichlorofon)is an organophosphate, available as an over-the-counter preparation under such names as LifeBearer, Di!ox, Clout, Masoten and Anti-parasite. This drug is effective against protozoa, gill and body flukes, and to a lesser extent, Capillaria, but is highly stressful and potentially toxic to fish. Dylox treatment will make the fish nervous and will increase their respiration. Dylox. a neurotoxin, is very injurious to humans, and it is easily absorbed through the skin and mucous membranes. So you must be very careful not to inhale it or handle it without protective rubber gloves. Dylox is very effective, but some strains of body fluke have developed a resistance to it, so its usefulness may vary.

Praziquantel is available from veterinarians under the trade name Droncit. Flukes on wild-caught discus will he immediately killed by dylox, but tank-raised discus may carry flukes that have developed a resistance to dylox. Praziquant.el is used in a 1-2 hour bath at a dosage of 15-20 ppm (rng/L) or 60-7 5 mgs. Per gallon. It can also be dosed through food at 20-150 mgs/kg (2.2 lbs.) of fish weight for nematodes (Capillaria). Praziquantel is very safe to use; overdosed fish display uncoordinated swimming and irregular breathing. Both symptoms disappear when returned to unmedicated water.' Praziquantel is ineffective against fish lice (Argulus) and anchor worms, for which dylox is still necessary. Praziquantel also cannot be used in an aquarium with a functional biological filter, so use it only in a 1-2 hour bath or in food.

Metronidazole is available as the prescription drug Flagyl and in aquarium medications with the trade names Hexout and Hexamit. Metronidazole is used to treat the notorious internal flagellate protozoans Hexamita and Spironucleus. Metronidazole is administered at 250 mgs. per 20 gallons (75.6L) every other clay for three treatments, with 50% water changes in between. The medication is absorbed through the gills. As the fish improves, a food medicated with metronidazole (I gram per 4 ounces of food) should be given. The sugar base in metronidazole tablets may produce a bacterial bloom, so water changes every second day are recommended.

Fenbendazole is available through veterinarians under the trade name Panacur. It is very useful for Capillaria and other internal nematode worms. It is a very safe medication to use in either of two ways:
It can be dissolved in a frozen gel food at I percent by food volume (1 gram per 4 ounces of food), or if the fish has stopped feeding, "tubed" with a syringe directly into the fish's mouth at 75-100 mgs per kg. (2.2 bs) of the fish's weight. Panacur is most commonly available in a 10% suspension, so the above dosage should be multiplied by 10 when using a 10% diluted solution. One large medicated feeding or two small ones are sufficient to rid the fish of nematodes, but the fish should be treated again after 3 weeks. Often fish stop eating when infested with internal nematodes, so direct injection into the fish's mouth maybe necessary. Other medications for this purpose are Ivermectin, Fubendazole and Flubenol but the proper dose cannot be recommended at the time of this writing.

Potassium Permanganate
An old-fashioned cure, but still one of the best for external fungus is potassium permanganate. A daily bath in a 1:5000 dilution by weight (about 75 mgs./gallon) of purple crystals in water is very effective against fungus. Always mix a fresh solution before use, as the solution quickly deactivates. The container used for the bath must be very clean, because potassium permanganate is an oxidizer and will be "used up" by organics in the container before the solution can be effective against fungus.


Sodium Chloride (Salt)
Certainly the oldest medication for fish diseases is none iodized cooking salt. I tablespoon per gallon of water will often cure mild cases of fungus in two or three days, and discus can handle the added salt for the brief time necessary. This level of salt will kill aquarium plants and most snails, hence a separate treatment aquarium is necessary.

Ceftazidine
Used by doctors under the trade name Tazicef. Ceftazidine is extraordinarily effective for treating bacterial infections. Gaping, bloody wounds that are thought untreat able are oten reduced to scar tissue several days after treatment with ceftazidine. Inconveniently, ceftazidine is generally used as an injection in the epaxial mustlejust below the dorsal fin. The dosage is one injection every third day for a total of three injections at . I mL of reconstituted solution pe(kilogram (2.2 lbs.) of body weight. Ceftazidine is very expensive, so it usually is not used as a bath. Also, because ceftazidine deactivates rapidly after reconsitution, the unused solution should be frozen.


Nitrofurazone is the antibiotic of choice for most bacterial problems such as cloudy eyes, eroding fins and tails, external bacterial infections, and minor abrasions and wounds. Nitrofurazone does not inhibit nitrifying bacteria, so fish may be treated in the display aquarium if necessary. An additional benefit of nitrofurazone is that it may be safely triple-dosed in difficult cases. Nitrofurazone will color the water yellow during treatment, but this color will quickly disappear after filtering through activated carbon. Dissolve nitrofurazone in aquarium water at 50 mgs per gallon every other day for seven days (four treatments) with a 25% water change between dosages. The level of medication in the aquarium will build up over the course of the treatments despite the water changes. Nitrofurazone may also be added to food at 6 mgs. Per 4 ounces (.05 mgs/gram) of food twice a day for nine days. If you find that nitroturazone is ineffective against a particular bacterial problem; try a preparation of tetracycline according to its manufacturer's recommendations.

Furazolidone is an antibiotic closely related to nitrofuarazone . It can be adminstered in food to fish at a dosage of .05 mgs per gram of the fish's body weight for six days. Several commercial preparations are available that combine nitrofurazone and furazolidone. One such commercial medication is Furan II and another is Furazone Light. A capsule of This is the most dreaded disease of discus, but proper quarantine treatment for all new fish lessens the threat considerably. Hexamita are intestinal flagellated prntozoa that attack the lower intestine. Hexamita iniestat ions are often confused with a syndrome known as "Head and Lateral Line Erosion" which is caused by environmental conditions. When infested by Hexamita, the fish often hide in the corner head down, become thinned at the head above the eyes, blac ken in color, swim backwards, and excrete slimy white feces. The slimy, mucous feces are the first symptom of Hexamita, even while the fish are still eating and behaving normally. Fortunately, a sure treatment for Hexamita has been validated by the experience of many aquarists through metronodizale, which may be dispensed by dissolving in aquarium water, mixing with food or force feeding through a tube. Note that because of intestinal damage, the fish may not begin eating for seven to ten days after elimination of Hexamita.


COMMENTS THAT MAY HELP YOU.

Spironucleus is similar to Hexamita, as is Octomitus, and it produces similar symptoms. For all practical purposes, the aquarist may consider Spironucleus and Hexamita as the same condition.

Slime Disease

Costia and Chilodonella are parasites easily resisted by healthy fish. Weakened fish are susceptible, though, arici show patches of excessive mucus, rapid breathing, lethargy, and then slough ing off of skin in patc lies. There is a gray coating on the body, often accompanied by bloody patches on the body. Fungus often follows.

Body Flukes

Monogenetic tremnatodes are parasitic worms that require no intermediate host, so they can rapidly multiply in an aquarium. These livebearing parasites often attack discus. They reproduce rapidly, with each fluke containing within its body three more generations. The embryo within a mature fluke already contains within it another embryo, which already contains another embryo! A mature fluke can produce about a million descendants within a month. Body flukes feed on the skin and blood of fish. Each individual fluke does little damage, but massive populations are devastating to fish. Healthy fish in a healthy aquarium are usually able to resist serious damage. Flukes cause open skin wounds that become infected with bacterial, further compounding ~he problem. Worms removed from the fish can live up to ten days without a host. Symptoms include twitching and scratching, but with the absence of white dots typical of "ick". In heavy infestations, minute red dots appear on the body and fins, and fins may fray slightly.
cont.

Gill Flukes
Another monogenetic trematode. This egg laying parasite can survive up to 8 days without a host fish. Fish infested with gill flukes often breath out of only one set of gills at a time. Discus with gill flukes also rut) and scratch themselves against objects in the aquarium in an attempt to dislodge the flukes. The afflicted discus also often exhibit "spitting" behavior.

Capillaria
Capillaria is introduced into the tank with wild-caught fish. Mild infestations are tolerated well by healthy fish, but a serious case emaciates the dorsal ridge, and then the rest of the body. The fish also becomes seclusive, and eventually stops eating. Often the stomach bulges '~vith worms, not food. The infection spreads as Capillaria eggs in a fish's feces are ingested by other fish. The eggs will not hatch outside of a fish so good aquarium care goes a long way toward prevention.

Hole in the Head
"Hole in the head" or Head and Lateral Line Erosion syndrome (HLLE) begins as small pits on the head and face, usually just above the eye. If unchecked, HLLE causes cavitation on the head, with progressive erosion along the lateral line. Astonishingly, the fish lives through the syndrome, in some extreme cases appearing like a corpse while swimming around as if nothing is wrong. Eventually bacterial infections in the bared tissues lead to death. A source of great confusion among discus keepers has been the association of "hole in the head" disease with Hexamta. Hexamita has never been found to cause "hole in the head" disease. HLLE is attributed to a nutritional deficiency of one or more of these essentials: vitamin C, D, calcium and phosphorus. This deficiency is assumed to be the result of poor choice or variety in food, lack of partial water changes, or overfiltration with chemical media such as activated carbon.

EUTHANASIA
There are those cases when a fish does not respond to treatment, or a fish has acquired an untreatable illness, or a fish is so damaged or wounded that its death is inevitable. In such cases the fish can be placed in a sealed plastic container with enough water for it to stand upright, and this container is placed in a freezer, where the fish's metabolism simply slows down and stops. This is humane and the this is demonstrated by the fact that the fish can be found several hours later frozen upright, and not in a contorted position. Alternately, the fish can be given the anesthetic MS222 at 500 mgs per liter in a small bucket.

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