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Metronidazole, HELP! (UK)

Fish do a stringy white poop for several reasons.

1) Internal Bacterial Infections causes the fish to stop eating, swell up like a balloon, breath heavily at surface or near a filter outlet, do stringy white poop, and die within 24-48 hours of showing these symptoms. This cannot normally be cured because massive internal organ failure has already occurred.

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2) Internal Protozoan Infections cause the fish to lose weight rapidly (over a week or two), fish continues to eat and swim around but not as much as normal, does stringy white poop. If not treated the fish dies a week or so after these symptoms appear. Metronidazole normally works well for this.

There is a medication (API General Cure) that contains Praziquantel and Metronidazole and might be worth trying.

It's interesting that API and the Californian government have listed Metronidazole as a carcinogen. That's a concern considering it was widely used to treat intestinal infections in people.

Anyway, handle with care, don't inhale the medication, and wash hands with soapy water after treating the fish or working in the tank.

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3) Intestinal Worms like tapeworm and threadworms cause the fish to lose weight, continue eating and swimming normally, do a stringy white poop. Fish can do this for months and not be too badly affected. In some cases, fish with bad worm infestation will actually gain weight and get fat and look like a pregnant guppy. This is due to the huge number of worms inside the fish.

If the fish are still eating well, then worms is the most likely cause.

You can use Praziquantel to treat tapeworm and gill flukes. And Levamisole to treat thread/ round worms. If you can't find these medications, look for Flubendazole.

Remove carbon from filters before treatment and increase aeration/ surface turbulence to maximise oxygen levels in the water.

You treat the fish once a week for 4 weeks. The first treatment will kill any worms in the fish. The second, third and forth treatments kill any baby worms that hatch from eggs inside the fish's digestive tract.

Treat every fish tank in the house at the same time.

You do a 75% water change and complete gravel clean 24-48 hours after treatment. Clean the filter 24 hours after treatment too.

Do not use the 2 medications together. If you want to treat both medications in a short space of time, use Praziquantel on day one. Do a 75% water change and gravel clean the substrate on day 2 & 3. Treat the tank with Levamisole on day 4 and do a 75% water change and gravel clean on day 5, 6 & 7 and then start with Praziquantel again on day 8.

The water changes will remove most of the medication so you don't overdose the fish the next time you treat them. The gravel cleaning will suck out any worms and eggs that have been expelled by the fish. Repeating the treatment for 3-4 doses at weekly intervals will kill any worms that hatch from eggs. At the end of the treatment you will have healthier fish.
 
Thank you! I've looked for api general cure but they dont seem to sell it in the UK, cant find it anywhere.. it sounds like it could either 2 or 3, what medications contain those meds which are available here in the UK? I really dont want the rest of my fish getting infected with this!
 
2) Waterlife Octozin. Although it doesn't contain metronidazole, it does contain dimetridazole which is supposed to kill protozoa.

3) eSHa gdex contains praziquantel
eSHa-ndx contains levamisole
Kusuri Wormer Plus contains flubendazole
 
Thank you both! Would you recommend me dosing the tank as soon as or should I see if her symptoms get worse first?
 
If fish are getting sicker, then treat asap.

Depending on what else is in the tank, you could try salt but you have to add a lot and it doesn't always work but might.

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.
 
Oh okay thank you, think I might try that before doing the meds, that might get rid of the worms/parasites? I do have a couple of corydoras, ottos and a bristlenose pleco? Will the lower dose rate be okay with them?
 
Salt won't affect intestinal worms and is for protozoan infections. It might work but it might not work. It's more something you can try if your having trouble getting Metronidazole or something to treat internal protozoan infections.

The lower dose rate (2 heaped tablespoons per 20 litres) is fine for catfish.
 

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