Colu

If the spots are raised you could be dealing epistylis it feeds off of gram negative bacteria on the slime coat of your fish and spreads more quickly at higher temperatures the most effective treatment is maracyn2 in food feeding a small amount twice a day for 7 days dose the tank with ick X you can add maracyn2 to repashy add the medication as it starts to thicken that when it rapidly losses heat as some medication are heat sensitive you can store any leftover medicated food in the fridge for 7 days

Salt won't cause any negative interactions with kanaplex it's fine to use the two together

it might be fine I would make a new batch

You can Store them in fridge for upto 7 days after that make a new batch

Most case of fin rot are caused by gram negative bacterial infections so the recommended treatment would be kanaplex a broad spectrum antibiotic treatment Melafix and pimafix are more of a mild antiseptic when it comes to treating bacterial infections better at treating some types of fungal infections if your going use one these medication i would also add some aquarium salt 1 table spoon for 2 gallons for 2 weeks just remember to only put back in what you take out of if you do a 2 gallon water change put 1 table spoon of salt back in as salt only removed though water changes

What are your water parameters could be over production of the slime coat or it could have a bacterial component if your water parameters are fine I would do a course of kanaplex or maracyn2 which every one is more readily available then give an update @Sage_Senpai

Columnaris is a gram negative bacterial infection that spreads more quickly at temperatures over 75 and can kill in 24hr to 7 days depending on the stain the most effective treatment I have found is kanaplex and jungal fungus clear fizz tabs containing nitrofurazone following this treatment plan as you have maracyn2 to hand I would start treating straight away I would get holed of kanaplex and jungal fungus clear fizz tabs just in case you need it if your having persistent problems with parasite I would use flubendazole or fenbendazole both are toxic to shrimp and snails @svelez

Good to hear he's maid a full recovery

Sorry for your loss

Use one scoop of medication for 5 gallons every 48hr repeat for a maximum of 3 dose then give us an update

What I would suggest is one full course of kanaplex dosing tank with ick X that deal with any remaining epistylis

If your not using garlic guard add more water to the mix

You don't have to use garlic guard that's just to make the medicated food more appetising to your fish

I would do another course of kanaplex and stop treating with paraguard

Add the pellets add one scoop focus one scoop metroplex one cap garlic guard and a few drops of water and mix it well it form a medicated slurry

Yes do one course following the instructions of the box than give use an update

Sorry to hear she not doing well If she not eating keep dosing the tank if she not eating and becoming weak it's difficult one you could add some garlic guard to her food to help stimulate her appetite other than that it's a case of wait and see at this point hope she turns a corner

If your fish has ich I would use ick X and aquarium salt as ich causes massive electrolyte loss and the salt will add back in essential electrolytes up the temperature as @Tony srecommended

Most effective treatment is ick X or a similar medication containing malachite green such as kordon rid ick plus and aquarium salt 1 table spoon for 3 gallons as ich causes massive electrolyte loss and the salt adds back in essential electrolytes ick X safe for bristlenose I have used it before not had any issues @EcstaticTiara

What I use is metroplex in food feeding a small amount twice a day for upto 3 weeks and dose the tank with kanaplex I have found that to be the most effective way to treat with these medication together

At the level I recommended it's fine just remember to only put back in what you take so if you did a 10 gallon water change put 1 table spoon of epsom salt back as salt only removed though water changes

Could have puffed up and got trapped air or over eaten and become bloated what I would do is fast for a Couple of days add low dose of epsom salt 1 table spoon for 10 gallons as epsom salt acts as a muscle relaxant it won't harm your puffer or plants at that level for 5 days then give an update @Ryan1988

Low temperature is probably what's been causing most of your issues that could have contributed to the fin rot looking at the mouth that could have a bacterial component what I would do is another course of kanaplex along side the salt and catappa leaves make sure temperature is stable other wise medication wont work as well because the fish will be stressed that will affect there imume response @Nick93

If there internal it could be a parasite some larvae can coil up and form a cyst around them in the muscle tissue it's difficult to say for sure I would quarantine if you can and treat with levamisole active ingredient in expel p once a week for 4 weeks give us an update if your not seeing any change in the next couple of weeks or it gets worse if you have snails in tank i would remove them as levamisole can be harmful to some species of snail

I don't think she has fin the low dose of salt will aid Gill function and add essential electrolytes I can't tell of your picture if she has camallanus worms that why I give you some pictures for comparison doe's it look like any of the pictures