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Aquarium Fish Disease Guide Find Causes and Care Articles by Symptom

851 words, 4 min read

Aquarium Fish Disease Guide – Find Causes and Care Articles by Symptom
Header image (illustration): a freshwater angelfish shown as a representative species, not a depiction of disease signs

A fish's appearance and behavior offer clues, but they can't confirm a disease on their own. This index organizes the series by symptom to help you check water quality and recent changes first, then learn about possible causes, how to confirm them and key points of care.[1][2]

Deal with breathing problems and equipment failures first

Illustration: a healthy angelfish as a reference for observation; appearance, behavior, water quality and history need to be interpreted together.

If several fish suddenly gasp at the surface, breathe rapidly or lose balance, first check aeration, filtration and the water source, and measure water temperature, pH, ammonia and nitrite. Contact an aquarium fish veterinarian at the same time as needed; don't delay dealing with an obvious acute problem in order to read through the articles one by one.[1][2]

Find articles by the symptoms you see

Symptom or situationArticles to read first
Cause unknown, or fish in the same tank starting to dieWhat to Do When Your Fish Is Sick: Reading Aquarium Fish Symptoms and What to Do First
Gasping at the surface, labored breathing, problems in a new tankAmmonia and Nitrite Poisoning, Monogenean Parasites of the Gills and Skin
Sudden problems after a water changeFish Gasping or Dying After a Water Change
Salt-grain-like white spotsWhite Spot Disease (Ich) in Freshwater Fish
Fine golden or rust-colored dustVelvet Disease in Freshwater Fish
Eroded mouth or fins, cottony lesionsColumnaris Disease Symptoms, Is White Fuzz on Your Fish Water Mold?
Red patches, bleeding, spreading woundsRed Patches, Bleeding and Ulcers on Fish
Swollen belly, raised scalesCauses of Dropsy and Raised Scales in Fish
Visible thread-like parasites or moving discs on the bodyParasites Visible on Your Fish: Anchor Worms and Fish Lice
Pits on the head or lateral lineWhat Causes Hole-in-the-Head Disease
Floating belly-up, head-down postureGoldfish Floating Upside Down or Head-Down
Repeated flashing, clamped fins, excess mucusFlashing, Clamped Fins and Excess Slime in Fish, Monogenean Parasites of the Gills and Skin
White feces, sunken belly, ongoing weight lossWhite Stringy Poop and Ongoing Weight Loss in Fish
Long-term weight loss, recurring ulcers, spinal deformityWhat Is Fish TB
Bulging or cloudy eyesPopeye and Cloudy Eyes in Fish
Wart-like white lumpsWart-Like Growths on Fish: Lymphocystis Disease
Getting ready to add new fishHow to Quarantine New Fish

One symptom may correspond to several articles, because environmental problems and infections can occur at the same time. The index is meant to narrow down what to check, not to choose a medication directly from a symptom.

What information to prepare before submitting samples

Gather the species, number of fish kept, when illness first appeared, death records, water quality readings, changes in feeding and water changes, and a complete medication record. Prepare the fish and the original tank water sample separately, and ask the diagnostic lab about its submission and storage requirements first.[3]

The complete series

References

  1. Francis-Floyd R, Stilwell NK, Yanong RPE. Introduction to Fish Health Management. UF/IFAS, CIR921/FA004, 1990 (revised 2025).
  2. Francis-Floyd R, Yanong RPE, Petty BD. Environmental Diseases of Aquatic Animals in Aquatic Systems. Merck Veterinary Manual, revised 2023.
  3. Stilwell NK, Yanong RPE, Francis-Floyd R. Submission of Fish for Diagnostic Evaluation. UF/IFAS, FA055, 2001 (revised 2025).
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