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Hexamita effects many fishes and most causes for this disease is linked to lack of certain vitamins and poor conditions. Below is a bit of background on treatment.
Causes
The disease is linked with a protozoan parasite, Hexamita (sometimes known as Octomitus). This may often be present at low levels in fish, but the acute infection does not occur unless factors like poor water quality or poor diet have an influence. Therefore, Hexamita alone may not be the primary cause, and good water quality and a varied diet should prevent this disease occuring.
Possible cures
The fish can be treated by isolating to a separate tank and adding either Dimetridazole (5 mg/litre) or Metronidazole (7 mg/litre). In some countries (including the UK), these are only likely to be available via veterinary prescription. The treatment will probably need to be repeated a few days apart, with a 20-30% water change between each treatment. Medicated food is useful for treatment, but this can be problematic if the fish is not feeding. Direct injection near the affected area is likely to prove very effective, but should only be attempted by an appropriately qualified person.
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