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Black spot disease?


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My pea puffer has had this for about 4 months It first i thought it would just go away but it did not and now i am worried.

Ammonia 0

Nitrite 0

Nitrate less than 1

Ph 7.4

Its on its forehead

Its a 5.5 gallon tank with 1 pea puffer and some ramshorn snails at 78 degrees


Edited by Chris287
adding information
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17 minutes ago, Colu said:

It could be a cyst or nematodes worms  can cause lumps like this 

Will panacur c kill those i just got some to kill my planaria. Would it still be a cyst that is what i thought at first but it lasted for a long time.

Edited by Chris287
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