Fish Disease Diagnosis
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Fish Diseases Home Page

Fish disease is a fact of life and in common with all pet owners,  fish-keepers need to be able to recognize the signs of ill-health in their fishy charges.  These pages give a comprehensive view of  common diseases including typical signs of disease and  how to systematically diagnosis both health problems and their causes.

An overview of aquatic health

Explains why disease occurs. It explains the various diagnostic steps to take and outlines the various treatment methods. 

The fish health work-up

An invaluable step by step guide to diagnosis health problems and their causes. 

Clinical signs of disease

Although it is impossible to make a diagnosis based purely on behaviour we can use typical behaviour and physical changes as indicators of possible health problems.


The fish louse. A real nasty. In the confines of a pond or tank these can be real killers and finding even one louse warrants immediate treatment. 

Bacterial infections

Including fin rot and ulcers are a serious threat to health.

Bacterial gill disease

Is usually a 'management' problem, arising from less than ideal conditions.


A common parasite, often occurring at low temperatures. It is a threat as it often causes severe damage before any signs are evident.


Is able to reproduce rapidly under ideal conditions and  cause serious tissue damage, particularly in the gills.


A  quite horrifying condition that leaves koi covered in angry-looking lesions - but then disappears literally overnight!

Fin rot

With few exceptions, fin rot is always precipitated by stress and is often one of the first signs that a health problem exists.

Skin and gill flukes

Are common parasites that are often the precursor to gill damage, bacterial infections and ulcers. Treatment can sometimes be tricky.


Saprolegnia infections can spread rapidly and even though the damage is often superficial, prompt treatment is essential to avoid fatalities.

Parasites - an overview

Fish are potential hosts to a range of parasites. While small numbers of parasites do little harm in most cases, in large numbers they can seriously compromise the health of the fish


A common parasite. At low levels it doesn't  pose a health problem. However, as with most parasites they have tremendous reproductive potential. 

Bacterial body ulcers

Are a common problem. An early, accurate diagnosis and treatment is vital if losses and expensive treatment costs are to be avoided.

White spot

A nasty parasite capable of causing serious tissue damage. Up to 100% fatalities can occur without prompt treatment.

I should stress, that although these diseases sound daunting, most are easily cured if treated early enough.

The key is observing behaviour. Any changes from normal behaviour that persist for more than a day or two must be investigated - as it usually indicates something is wrong.

However It is important to understand that a definite diagnosis can't be made purely on the basis of the behaviour changes - a proper examination is usually required.

"Koi Health & Disease" by Dr. Erik Johnson DVM is 200+ pages from Fish Health Practice - Readable by Beginners and delivered overnight from

Fish disease problems? Need some help? The help pages take you through the basics of the 'fish health work-up' diagnosis method and basic fish disease treatment methods.

90% of all health problems and fish deaths are caused by poor fish keeping! The key pages are essential reading for all beginners and intermediates who are serious about disease prevention.


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What if you could just get "Here's what to treat with." and no advice or education?

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Expanded Content by Dr. Erik Johnson, and Used with Permission; Frank Prince-Iles ©2009 All Rights Reserved