Help! White Stuff on Goldfish Head

Tfatk

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Ive noticed my oranda has white stuff coming out of its head. I have 4 other goldfish, but are all doing fine. Cant figure out what it is...
 

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I’m not sure but it could be breeding tubercles that the males get on gills, pectoral fins, and sometimes head when breeding season starts. Is it on both sides of head? Otherwise, I would treat with 75% daily water changes and aquarium salt for 10 days and see if that helps. First day you clean tank and do 75% water change. Add 1 tablespoon of aquarium salt for every 5 gallons of water. Be sure salt is dissolved first. After first day, continue the 75% daily water changes but only add 3/4 tablespoon of dissolved salt for every 5 gallons. Again, do it for 10 days.
 
It doesn't seem like breeding tubercles, just because they're usually more of tiny spots, not raised looking areas. What are the water parameters? It could be ich (white spot disease), or some other type of infection. Definitely keep an eye on the other fish.
 
It's not ich (whitespot) or breeding tubercles.

It looks like hole in the head/ head and lateral line disease caused by Hexamita. However, I have never seen it in goldfish before. It is common in cichlids that are kept in dirty tanks that allow the parasites to build up and multiply before infecting the fish.

Metronidazole is normally used to treat Hexamita but I would try cleaning the tank up first and adding salt. If there's no improvement after a week of salt, post another picture and maybe try General Cure, which has Metronidazole in.

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Wipe the inside of the glass down with a clean fish sponge, then do a 75% water change and gravel clean the substrate every day for a week.
Make sure any new water is free of chlorine/ chloramine before it's added to the tank.

Clean the filter if it hasn't been done in the last 2 weeks. Wash filter media in a bucket of tank water and re-use it.

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You can add rock salt (often sold as aquarium salt), sea salt or swimming pool salt to the aquarium at the dose rate of 2 heaped tablespoon per 20 litres of water.

If you only have livebearers (guppies, platies, swordtails, mollies), goldfish or rainbowfish in the tank you can double that dose rate, so you would add 4 heaped tablespoons per 20 litres.

Keep the salt level like this for at least 2 weeks but no longer than 4 weeks otherwise kidney damage can occur. Kidney damage is more likely to occur in fish from soft water (tetras, Corydoras, angelfish, gouramis, loaches) that are exposed to high levels of salt for an extended period of time, and is not an issue with livebearers, rainbowfish or other salt tolerant species.

The salt will not affect the beneficial filter bacteria but the higher dose rate will affect some plants. The lower dose rate will not affect plants.

After you use salt and the fish have recovered, you do a 10% water change each day for a week using only fresh water that has been dechlorinated. Then do a 20% water change each day for a week. Then you can do bigger water changes after that. This dilutes the salt out of the tank slowly so it doesn't harm the fish.

If you do water changes while using salt, you need to treat the new water with salt before adding it to the tank. This will keep the salt level stable in the tank and minimise stress on the fish.
 

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