Okay, trying to look at this again, as he’s still alive and the same.
Tank:
(From new API kits)
Ammonia 0 ppm
Nitrites 0 ppm
Nitrates 10 ppm
pH 7.0
GH 3
KH 4
26C
Symptoms:
Laying on his side, and difficulty righting himself, but can do so, but spending more time lying on his side than upright. When upright seems to easily float over.
Probably not eating.
Faster breathing.
Definitely, pinkish underneath his head mouth on his underside - I imagine this isn’t normal, but have not seen under a healthy cory recently to compare.
Redish looking in his gills. I thought maybe he didn’t before, but on a closer look I’d say he does.
Episodes of coughing and quick rapid breathing, as if he is irritated by something.
May be a bit twitchy, but this might be his attempts to get upright when lying on his side.
Other things to say are that the pH went lower than 6.0 recently, and there may have been ammonia spikes in the past. It’s a small tank and not the best water flow though a large filter (AquaNano 30 - 22 litre capacity), although an air stone helps with the flow. He’s still got all his colour, though slim for a cory, and all fins sticking out and not clamped. No obvious neurological signs other than balance.
Previous treatment:
Salt at about half the recommended max dose - dosed less due to reading about corys possibly being sensitive to salt.
Interpret anti-bacterial medications containing, bronopol, formaldehyde, benzalkonium chloride (started with Interpret Anti-Internal Bacteria, then went to Interpret Swim Bladder Treatment as a second dose - same ingredients, but the swim bladder treatment has double the dose).
Considering parasitic treatments, but no obvious signs of external or internal parasites - abdomen looks normal, and have not seen him poo.
Surely a factor must be his reddish gills, rapid breathing and coughing. Any other suggestions on treatment based on these symptoms? There’s the swim bladder symptoms of course. I’m wondering if he is hypoxic due to whatever is affecting him and this in turn could be affecting his balance. Probably not, but really wracking my brains on this one. It’s frustrating as I don’t know what the disease is, and I don’t want to euthanise him (he’s not even my fish, I’m just looking after him) without covering all avenues first.
If I go for a anti-parasitic med, I live in the UK, so some products are limited.
If he’s in osmotic shock, or has had damage caused by this, or by ammonia or nitrite spikes in the past, is there anything that can help him other than ensuring my tank water quality is as good as it can be?