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FAQs on Freshwater Worm Parasitic Diseases: Treatments

Related Articles: Freshwater DiseasesFW Disease Troubleshooting, Ich/White Spot Disease, Choose Your Weapon: Freshwater Fish Disease Treatment Options by Neale Monks, Invertebrates for Freshwater Aquariums by Neale Monks,

Related FAQs: Worm Parasites 1, Freshwater Worms, (Freshwater Worms of All Kinds): & FAQs on: FW Worm Disease Diagnosis/Identification, & FAQs on Parasitic Worms by Group: Platyhelminths/Flatworms: (Flukes, Planaria, Tapeworms and Leeches), Acanthocephalans, Nematodes/Roundworms (e.g. Camallanus),... Anchor "Worms": See FW Crustacean Parasitic Disease, & Aquarium MaintenanceFreshwater MedicationsFreshwater Infectious Disease, Freshwater Fish ParasitesAfrican Cichlid Disease 1, Cichlid DiseaseIch/White Spot Disease,

 

Parasitic Worms Coming Out Of Fish, FW  – 8/19/07
Hi, I have a parasite ( microworm like ) eating his way out my blue and gold ram and killifish anus. It looks like something is eating the fish's anus and you can see like 4 or 5 red little worms coming out. I been looking on the internet and you guys seen to have the more knowledge on parasites. I would appreciate any help.
< Most parasites like this can be controlled with Clout or Fluke-Tabs. Just follow the directions on the package and they should be fine in a few days.-Chuck>

Platy with piles?   8/13/07
I have a platy Plec that has lumps that can only be described as piles on its anal/vent area, they are white / pink in colour and there is a lot of them. this is the only platy Plec I have in the tank along with 2 guppies, alas all the others have died over time....... please can anyone tell me what it is ......
<Hello. Sounds a lot like worms of some kind. Without a photo, can't be sure. But assuming that it is, you'll need to treat with an anti-worm medication (Waterlife Sterazin, JBL Gyrodol, Aquarium Products Fluke-Tabs, etc.). If you're losing a lot of fish in a short period of time, do also reflect on aquarium water quality/water chemistry. Platies and guppies like nice hard water with a high pH (say, 15 dH and a pH of 7.5). Water quality should be good, 0 ammonia and nitrites, and platies especially need a tank with a bit of swimming space, certainly not less than 15 gallons. Cheers, Neale.>

Red sword and Levamisole Phosphate, use of anthelminthics, FW    5/21/07
Hello fellow crew member,
This is Anna. We exchanged few e-mails a couple of months ago.
Just to give you a recap - so far my tank is doing well; I got some plants that keep growing nicely; fish seems to be happy there.. in few words - "almost perfect."
There is one issue I am not sure about. I presume my female red sword is doing well. It is first at the feeder, eating with no problems; it does not display abnormal behavior (except for the time when it hides under plants to "visit the bathroom") - it is well integrated within community. Yet, when I observe its feces I see something that other fish does not performs. Basically, the red sword is "on the toilet" :--) all the time, producing quite large amount of feces, mostly dark green (chewing my plants ??) or black, with some sort of whitish segments in between.
After studying the book of Drs. Untergasser and Axelrod I concluded that my sword might be affected by tapeworm. The books says it is okay not to take any action if fish is doing fine (my is doing well).  
Yet, I feel sorry for that fish having toilet problem all day long and would like to help it - if possible.
My colleague at another fish community suggested I use LEVAMISOLE Phosphate (injectable solution). I got one (13.65), but before using it I would like to make sure it is:
- safe for fish
- manageable
- with min. side effect.
<Mmm, I would not use this format of Levamisole... nor inject this small fish... If you were to use "L", look for the HCl (Hydrochloride) radical... to be used in foods... Or better, look to an anthelminthic that can be simply applied to the water... my choice? Praziquantel...>
Would you recommended that I use that medicine? How should I proceed with using it?
<Please see WWM, the Net, Ed Noga's works...>
As for my aquarium condition - ammonia is at zero; pH is between 6.6 - 6.8. I also trace phosphate (current level around between 0.5 and 1.0).
I do partial water changes every day to help keep the fish healthy.
Do you think there is anything I can do for my red sword with or without LEVAMISOLE?
<Perhaps...>
Please, help...
Thanks much.
Anna
P.S. - I attached some pictures of my red sword to help you see what I can see ;--) <Mime... not useful>
<Ah good... The Prazi... Bob Fenner>

Camallanus dosage problem. Neotrop. cichlid dis., Levamisole/Anthelminthic, FW    2/27/07
I have a Camallanus  problem in my 125 gallon tank, with 2 fish showing the worms protruding from the anus.  My pH is around 7.8, ammonia is 0, nitrite is 0, and temperature is 80.2 degrees.
The fish are single specimens between 2"-4"of the following: blue Acara, archer fish, Nicaraguan cichlid, Red Hump Eartheater, Satanoperca jurupari, Geophagus surinamensis, Bujurquina vittata, and Hypselecara temporalis.   
I've looked this up on the Search, but I have serious questions/ doubts about dosing.
The medication I have available is Levasole (Levamisole hydrochloride) in the powdered form, and it brings 18.25 grams.
<This is the total weight of what you have available?>
here are my questions:
-What would be the appropriate dose for using it in the water instead of adding to food?
<Mmm, much better administered via food/feeding>
-How much Levasole would I need to do this?
<Mmmm, "lifted", or my new term "meta-analyzed" from Noga's fish diagnosis tome: Oral formulations: Feed 2.5 to 10 mg. Levamisole HCl/kg (you'll have to guess the weight of the fishes...) = 1.1 to 4.5 mg per pound... for seven days. As stated, I would not "pour the medicine" into the tank... or use prolonged immersion in a bath... or encourage you to try injections>
-When do I repeat the treatment, and when do I do the first water change?
<Daily for repeats, for a week... and water changes as they are needed or weekly IMO>
thanks for the help, and sorry for the long message.
<Glad to assist you. Bob Fenner>

Worms and platy fry   6/16/06
Greetings from Australia to all the crew,
<Returns from sunny southern Cal. in the U.S.A.>
having only a few months experience in keeping fish we have been running into quite a few problems with the poor things.
Our latest involves something as unpleasant as worms. The local aquarium guy has assured us it has to do with the drought affecting our area and dams and not just something we did. We bought fluke tablets and after fishing out a few platy fry (all of which seemed fine) and we set up an emergency tank for them with water from the big tank. We then added the fluke tablets but being new at this and apparently not very clever we took out the wrong piece of the filter, with the result that worms are still in the fish and tank! We had a few mishaps with the little fry in the emergency tank with a new heater going berserk and killing the poor things, we were trying so hard to save, so we decided to leave the two last fry who seemed affected by the worms in the tank when treating next, but just as we were about to add more fluke we saw about 20 little fry swimming around. To make it worse we also have a speckled Cory which the before mentioned fish guy told us will not appreciate the fluke. Now what do we do?
<I would treat all>
One of our nice big platy females is having big worm issues and is in big trouble but what about all the little new ones?
<All>
Do we risk killing them in the new little tank with water from the big tank and a crazy out of control heater or do we leave them in the big tank and hope for the best?
<I'd treat all in place, in your main/display tank>
Please help. My kids have named 10 of the little fry and will be pretty upset if I kill more than I already have..
Oh and we also have some tough neon tetras in the tank. They have survived terrible water conditions due to our inexperience, ich, etc and now worms . We managed to kill 5 guppies, and 3 tough platys early on, yet the Neons live nice and strong. Totally opposite to what we have been told. (It may not sound like it but we really tried and we do care about the fish. We have bought every single form of equipment and medicine
available. We are just not clever)
Marianne in Australia
<Bob Fenner>

Rummy Nose Tetra with worm?  12/20/2005
I could sure use some help!  I have a rummy nose tetra that has a worm in his front right fin and I have treated him with Fluke Tabs and Aquari Sol (my tank had ick) and the worm is still in the fin (must be internal).
<Might be>
I have taken the fish out and put him in a hospital tank and  under a microscope to make sure the worm is in the fin and sure enough it is!  I have taken him to a fish store and chatted with a woman that has worked a lot of science when it comes to sick fish but even she was unsure what to do She told me she would look further for more information but could find nothing.  The fish is breathing heavy and flapping his fins.  I am very good
with a scalpel and was thinking on cutting part of the fin off to remove the worm (clove oil to anesthetize??)
<Mmm, possibly, but hard to do on such a small specimen...>
and then treat with an antibiotic.  Under the scope I also found a very very light dusting of black dots that can only be seen under a scope.  I am thinking on doing the removal of the fin as a last resort.  I would appreciate any information you could give me as time is running out.
Sincerely,
I. Garrett
<I would use an anthelminthic here. Please use this term in the Google search tool on WWM... Bob Fenner>

Camallanus Worms - Treatment 7/23/05
Hello, I am currently having a problem with treating Camallanus worms (red worms hanging out of the anus) in my 75 gallon aquarium.  I know that there are several articles throughout your website, but none of them seem to answer the questions that I have.  My aquarium currently houses three semi-adult Bolivian Rams (Microgeophagus altispinosa), ten of their fry, and ten Otocinclus affinis.  Sadly I had to have two of the other Rams put down, and I have lost a countless number of fry.  I have tried treating them with Piperazine citrate by treating the tank water and through their food to no avail.  Since then I have tried treating them with a newer product on the market called Gel Tec Ultra Cure PX, which is supposed to treat internal parasites, and contains Praziquantel (.0057%),
<Not enough>
Metronidazole (.30%), and Flubenol (.03%); this did not get rid of the worms either.  I have been reading a lot of literature from your website and others, as well as from numerous books.  Many of them said to treat with Piperazine citrate (which didn’t work), Levamisole, or Fenbendazole.  I have finally found and purchased Fenbendazole, but it is for dogs and I am unsure of the dosage as there is little literature about dosing, and it usually is conflicting just like anything in fish keeping is.
> Ed Noga's "Fish Disease, Diagnosis & Treatment", prolonged immersion calls for adding 2 mg./l (7.6 mg./gal.) once a week for three weeks, orally 25-50 mg/kg body weight (11-23 mg/pd.) for two weeks>
  My fish and I would sincerely appreciate anyone who could tell me how to dose the Fenbendazole granules, as the vets here don’t treat fish.  It is in 1g packets, and contains 22.2% or 222mg/g Fenbendazole.  I would prefer to treat the water due to the fact that I have the Bolivian Ram fry, but my three large Bolivian Rams will take medicated chunks of broken up frozen bloodworms.  These worms are basically eating my fish alive.  As of right now they only have a couple of worms protruding, but the two that I had to have killed were suffering and badly infested.  I don’t know how they have gotten Camallanus worms.  These fish aren’t wild caught, nor have they been fed live foods, and they haven’t been in contact with any unquarantined fish.  This is a new tank for my five juvenile discus, and the Rams were supposed to be cycling the tank for the discus.  With the addition of Bio Spira the tank cycled within a few days with only .25 NH3/NH4, and I never detected any nitrites, so they never experienced anything overly traumatic, and this is obvious to me because they were breeding a week later.  The tank is now only one and a half months old, and I don’t know if I’ll ever move my discus to this tank as I have heard that you basically have to, as another website stated, “nuke the tank”.  These fish are my pets, and I care for them immensely.  They rely on me for care, and I will do anything to provide the best for them.  I perform frequent weekly water changes of 30% or more’ making sure it is of the same in temperature, pH, etc. although I’ve upped this and am doing it every two days due to the way this worm spreads through the fecal matter.  The current parameters are pH 6.6, Nitrate 0, Nitrite 0, Ammonia 0, Buffering 70ppm, and Hardness 90ppm.  I would like to thank anyone who is able to give me this information,
<Welcome>
and if my fish parish due to this new medicine I will hold no one responsible because my fish will die without being medicated anyway.  Any information on the origin of this worm, treatment, and if it is safe to add other fish eventually, if ever, would be appreciated.  Having these fish killed is a last resort, and I would only be willing to do so if they were suffering.  Thank you in advance for any words of wisdom.  Sincerely, Angela
<If the "Panacur" doesn't kill off these nematodes, I'd look to the product "Prazipro" next. Good life to you. Bob Fenner>

Fish with Worms
Hi Chuck! I have been following your advice and treated the tank with Fluke-Tabs. No new sick fish so far but a bit too early to say if it really worked. One thing though: it didn't prevent the fishes that already showed symptoms of infection to die.
-Is this normal?
<If sick fish are treated too late then a combination of illness and medication will kill them sooner than the parasite alone. Either way they would of died.>
They Can this medication save fishes already sick?
< The key is early detection. If the disease is treated early enough then it can cure fish without killing them.>
-I discovered another (expensive) medication called PIPERAZINE CITRATE. Would it be even more effective than Mebendazole and Trichlorfon (Fluke-Tabs)?
<Depending on the parasite one may be more effective than the other.>
I think I will treat the tank again in a month even if there is no sign of the parasite. I want to be sure it's gone before I introduce the 5 discus I plan to buy. And at least I will be prepared for the next attack.
Dominique
<Good luck with those new discus.-Chuck>

Methylene blue, harm, internal worm diseases
In my freshwater aquarium I have internal worms in the sail fin mollies. I am going to treat with Methylene blue 1mg/litre. Will this harm my apple snails, African dwarf frogs and plants?
<Will not harm these other organisms, but will do nothing directly to eradicate the worms either... Please read here: http://www.wetwebmedia.com/FWSubWebIndex/fwsubwebindex.htm
sort through re parasitic disease, mollies. Bob Fenner>

De-worming fish in the hospital tank (11/22/03)
<Hi! Ananda at the keyboard tonight...>
Hi, I had some bad luck with internal worms, so I decided to start a nurse tank to minimize my losses.
<Good idea.>
My mother who is also a fish lover advised me to medicate the tank.
<I always try to avoid medicating the display tank -- much easier/cheaper to medicate a hospital tank. Some courses of medications get so expensive with a big tank that you'd actually save money if you bought a small tank and treated the affected fish in the small tank.>
She said not to use the full dosage but wasn't sure what meds to use or how much. What would you recommend in such a situation.
<For internal worms and similar nasties, Discomed is a good one to use. Since you soak food in Discomed + water, you just follow the directions on the box.>
I want to make sure the fish I put in my tanks are disease free. All of the tanks are fresh water community-semi-community. Thanks
<Ah, that brings to mind an image of a town full of fish driving tractor-trailers.... Your desire to keep your fish healthy via a hospital tank is a good one. Do check out our freshwater forums at http://wetwebfotos.com/talk . --Ananda>

Leeches
For the reader that was trying to control leeches, Dimilin or Formalin will work, but care must be used in selecting dosage. Be careful!  Formalin will cause problems in bio-filters if applicable. Also try: http://www.state.me.us/dep/blwq/doclake/leech.htm
Craig>

Sick South American Leaf fish -- how to treat with a new medication? (02/15/03)
I have a South American Leaf fish (Monocirrhus polyacanthus) who I believe is infested with Camallanus sp. parasites.  He has the swollen anus with red fibers that move in and out.  
<That is the primary symptom...>
I have tried Piperazine (which I did not expect to work) and Discomed (Levamisole).  I dosed the Discomed at 1 tab/8gallons per an article I read on a cichlid site.  The results have been
mixed: fewer fibers, but some remain.  There is one other drug I have seen talked about, Ivermectin.  I have this "gold standard drug" but I can not find any recommendations on dosing.  For humans the dose is 150-200mcg/kg.  Should I dose per volume (kg=liters) of the aquarium?  That would be a lot of Ivermectin (almost 21 mg).
<If you choose to try this, I would dose by the weight of the fish, and administer the Ivermectin in food.>
I thought about moving him to a quarantine tank, but his current tank would remain infected and will have to be treated with Ivermectin anyways and the problem of dosing the quarantine tank remains.
<You might want to put the fish into a quarantine tank anyway -- the substrate and decorations in the main tank need to be cleaned, and you can somewhat mitigate the problem by "screening" the larvae away from the fish. Dieter Untergasser's "Handbook of Fish Diseases" suggests suspending a fine screen above the bottom of the aquarium, which the larvae will fall through, preventing the fish from eating them off of the bottom of the tank.>
Also, I have read several articles about the use of Ivermectin with salmon to treat sea lice, so I assume Ivermectin is safe for fish.  Any thoughts or ideas?
<On Ivermectin, no. Untergasser suggests a couple of different methods for treating this, which I'll summarize. One is Concurat L 10%: dissolve 2gm in 1 litre of water. Soak live bloodworms in this until the first ones die, and then immediately feed the still-live ones to the fish. Another is Flubenol 5%: add 100mg to 100gm feed mix. Then give that five times every second day, with only one normal feeding on those days. The book includes recipes for the feed mix, also. This is a book I recommend to every serious aquarist with expensive or unusual fish!>
This is a very interesting fish and from what I understand this infestation is fatal unless treated.  I would appreciate any advice or anecdotes you have to offer on my attempt(s) to help it.
<Do get the Untergasser book. You might also be interested in its "big brother", Edward Noga's "Fish Disease: Diagnosis and Treatment". I would be interested in hearing which approach you take and how it works out.>
Thank you
Steve Thornton MD
<You're welcome. --Ananda>

Update Re: Monocirrhus polyacanthus with Camallanus infestation - 02/22/03
Ananda,
Just an update.  
<Hello, and thanks for the additional info!>
The Discomed actually appeared to have worked.  I dosed 1 cap per 8 gallons twice over 5 days with a 30% water change in between.  The leaf fish no longer had the bulging anus with the red fibers and appeared to be getting back to normal as the feeder fish were disappearing.  
<I did a little digging and found an alternate way of administering this for fish that are fussy eaters. Dissolve one capsule of Discomed in 2 ounces of water. Soak live brine shrimp in that for a few minutes and immediately feed them to the fish. This was fed to the fish -- killifish, in the example I found -- twice a day for two weeks.>
However, two days ago he suddenly developed  bulbous <bubble-like> lesions on the right side of his face that proceeded to become hemorrhagic looking.  I tried dosing with PCN <penicillin> and tetracycline after doing another water change, but it was futile as was dead the next day.
<I'm sorry to hear that -- this is such a neat fish. Did those lesions release any fluid?>
I have never seen anything like this before.  
<I haven't read about anything like this, either.>
It was strange that it only affected the right side of his face from mouth to gills, but no lesions on left side of face or body.  It could have been a burn, but from what I don't know.  The heater is a submerged type and the temp in the tank was only 78 degrees.  Unfortunately, I am stuck with only speculation.
<Me too. I'm going to pass this along to the rest of the crew and see if these symptoms sound familiar to anyone. --Ananda>
Steve Thornton MD

There is a very safe treatment for flukes
<Ananda here today...>
Flukes are easily and safely treated with the dog worming medication:
Droncit.  
<With a bit of research, I found that Droncit is also known as Praziquantel. It is prescribed as a tapeworm medication for both dogs and cats.>
Treatment on day 1 and day three or four, successfully kills flukes in Goldfish.  See Dr. Erik Johnson's book, Fancy Goldfish for precise dosages.
Best wishes,
Goldfish geek
<Thank you for the heads-up on this book. I took a look at the book previews and it appears to be a very good book to have, even if you don't keep goldfish. --Ananda>

 

 



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