AquaNexus fish health

Fish symptom library

Browse 790 symptom differential guides covering visible signs, breathing, gills, eyes, mouth, skin, fins, digestion, buoyancy, behaviour, fry and reproductive patterns, event timelines and unexplained losses.

790 symptom guidesDiagnosis-first approachReviewed 2026-08-13

How to use this library

Symptoms overlap. Use these pages to build a short differential, rule out water and equipment problems, and then move to the disease profiles that fit the full pattern.

Symptom guide8 min

Why are my fish gills pale?

Pale gills can reflect anaemia, blood loss, severe chronic disease or sometimes normal variation.

symptomdifferentialfish health
Symptom guide8 min

Why is my fish losing scales?

Scale loss commonly follows trauma or aggression but parasites and skin disease can make scales detach more easily.

symptomdifferentialfish health
Symptom guide8 min

Why can’t my fish rise from the bottom?

A fish that tries but cannot rise may have buoyancy failure, profound weakness, neurologic disease or severe respiratory/systemic illness.

symptomdifferentialfish health
Symptom guide8 min

Why is my fish swimming backwards?

Brief backward movement can be normal in some situations, but persistent backward swimming may indicate neurologic, vestibular or severe stress problems.

symptomdifferentialfish health
Symptom guide8 min

Why are my fish sick after transport?

Separate transport stress from contagious disease by checking the timeline and whether only transported fish are affected.

symptomdifferentialfish health
Symptom guide8 min

Why is my fish mouth bleeding?

Look for a clear injury point and compare whether other fish have mouth lesions or systemic haemorrhage.

symptomdifferentialfish health
Symptom guide8 min

Why is my fish jaw swollen?

A one-sided firm swelling suggests a different differential from diffuse soft swelling in several fish.

symptomdifferentialfish health
Symptom guide8 min

Why are my fish lips turning white?

Check whether the white area is smooth pigment, eroded tissue or a raised growth and compare progression over 24–48 hours.

symptomdifferentialfish health
Symptom guide8 min

Why is my fish head swollen?

Location and texture matter: diffuse symmetrical swelling differs from a single firm mass.

symptomdifferentialfish health
Symptom guide8 min

Why do my fish eyes look sunken?

Compare body condition and both eyes; sunken eyes in a very thin fish suggests a different process from a local eye injury.

symptomdifferentialfish health
Symptom guide8 min

Why is one fish eye red or inflamed?

One-eye disease often points toward local trauma or infection, while both eyes in many fish raises environmental/systemic causes.

symptomdifferentialfish health
Symptom guide8 min

Why is my fish not passing faeces?

First confirm the fish is actually eating; absence of faeces in a fasting fish is not the same as obstruction.

symptomdifferentialfish health
Symptom guide8 min

Why do my fish faeces float?

Floating faeces by itself is weak evidence; pair it with appetite, weight trend and stool appearance.

symptomdifferentialfish health
Symptom differential10 min

Why is my fish hiding all day?

Use timing, water tests and related signs to investigate this symptom without treating it as a diagnosis.

symptomdifferentialfish health
Symptom differential10 min

Why is only one gill swollen?

Use timing, water tests and related signs to investigate this symptom without treating it as a diagnosis.

symptomdifferentialfish health
Symptom guide8 min

Why is my fish sick after spawning?

Use timing, water tests and related signs to investigate why is my fish sick after spawning without treating the symptom as a diagnosis.

symptomreproductivedifferential
Symptom guide8 min

Why did my fish stop eating after spawning?

Use timing, water tests and related signs to investigate why did my fish stop eating after spawning without treating the symptom as a diagnosis.

symptomreproductivedifferential
Symptom guide8 min

Why is my fish bleeding after spawning?

Use timing, water tests and related signs to investigate why is my fish bleeding after spawning without treating the symptom as a diagnosis.

symptomreproductivedifferential
Symptom guide8 min

Why is my male fish injured after spawning?

Use timing, water tests and related signs to investigate why is my male fish injured after spawning without treating the symptom as a diagnosis.

symptomreproductivedifferential
Symptom guide8 min

Why do my fry die after first feeding?

Use timing, water tests and related signs to investigate why do my fry die after first feeding without treating the symptom as a diagnosis.

symptomfrydifferential
Symptom guide8 min

Why won’t my fry start feeding?

Use timing, water tests and related signs to investigate why won’t my fry start feeding without treating the symptom as a diagnosis.

symptomfrydifferential
Symptom guide8 min

Why is my fry’s yolk sac swollen?

Use timing, water tests and related signs to investigate why is my fry’s yolk sac swollen without treating the symptom as a diagnosis.

symptomfrydifferential
Symptom guide8 min

Why can’t my fry stay upright?

Use timing, water tests and related signs to investigate why can’t my fry stay upright without treating the symptom as a diagnosis.

symptomfrydifferential
Symptom guide8 min

Why do my fry have swollen bellies?

Use timing, water tests and related signs to investigate why do my fry have swollen bellies without treating the symptom as a diagnosis.

symptomfrydifferential
Symptom guide8 min

Why are my fish sick after a pH swing?

Use timing, water tests and related signs to investigate why are my fish sick after a ph swing without treating the symptom as a diagnosis.

symptomwater chemistrydifferential
Symptom guide8 min

Why are my fish sick after adding a buffer?

Use timing, water tests and related signs to investigate why are my fish sick after adding a buffer without treating the symptom as a diagnosis.

symptomwater chemistrydifferential
Symptom guide8 min

Why are my fish sick after changing food?

Use timing, water tests and related signs to investigate why are my fish sick after changing food without treating the symptom as a diagnosis.

symptomnutritiondifferential
Symptom guide8 min

Why is my fish sick after fasting?

Use timing, water tests and related signs to investigate why is my fish sick after fasting without treating the symptom as a diagnosis.

symptomnutritiondifferential
Symptom guide8 min

Why do my fish’s symptoms come and go?

Use timing, water tests and related signs to investigate why do my fish’s symptoms come and go without treating the symptom as a diagnosis.

symptomrecurringdifferential
Symptom guide10 min

Why are my fish sick after adding zeolite?

Use timing, water tests and related signs to investigate why are my fish sick after adding zeolite? without treating the event as a diagnosis.

symptomdifferentialfish health
Symptom guide10 min

Why are my fish sick after adding peat?

Use timing, water tests and related signs to investigate why are my fish sick after adding peat? without treating the event as a diagnosis.

symptomdifferentialfish health
Symptom guide10 min

Why are my fish sick after dosing iodine?

Use timing, water tests and related signs to investigate why are my fish sick after dosing iodine? without treating the event as a diagnosis.

symptomdifferentialfish health
Symptom guide10 min

Why are my fish sick after dosing iron?

Use timing, water tests and related signs to investigate why are my fish sick after dosing iron? without treating the event as a diagnosis.

symptomdifferentialfish health
Symptom guide10 min

Why are my pond fish sick after heavy rain?

Use timing, water tests and related signs to investigate why are my pond fish sick after heavy rain? without treating the event as a diagnosis.

symptomdifferentialfish health
Symptom differential10 min

Why are my fish sick after a cooling fan failed?

Differential guide for why are my fish sick after a cooling fan failed?, with key environmental checks, look-alikes and evidence-led next steps.

Fish healthTemperature / equipmentTimeline
Symptom differential10 min

Why does my fish have an ulcerated skin mass?

Differential guide for why does my fish have an ulcerated skin mass?, with location, progression, look-alikes and evidence-led diagnostic next steps.

Fish healthMass / surface changeMass / growth
Symptom differential10 min

Why does my fish have a growth inside the mouth?

Differential guide for why does my fish have a growth inside the mouth?, with location, progression, look-alikes and evidence-led diagnostic next steps.

Fish healthMass / oralMass / growth
Symptom differential10 min

Why does my fish have a mass behind the eye?

Differential guide for why does my fish have a mass behind the eye?, with location, progression, look-alikes and evidence-led diagnostic next steps.

Fish healthMass / orbitMass / growth
Symptom differential10 min

Why does my fish have a flat plaque-like skin mass?

Differential guide for why does my fish have a flat plaque-like skin mass?, with location, progression, look-alikes and evidence-led diagnostic next steps.

Fish healthMass / surface patternMass / growth
Symptom differential10 min

What can cause a swollen vent before spawning?

Breeding and reproductive differential for what can cause a swollen vent before spawning?, with husbandry checks, look-alikes and diagnostic next steps.

Fish healthBreeding / vent changeBreeding
Symptom differential10 min

What can cause a soft or friable kidney at necropsy?

Post-mortem differential for what can cause a soft or friable kidney at necropsy?, with autolysis limits, water/exposure checks and diagnostic next steps.

Fish healthNecropsy differential / kidneyNecropsy
Symptom differential10 min

What can cause an unusually firm kidney at necropsy?

Post-mortem differential for what can cause an unusually firm kidney at necropsy?, with autolysis limits, water/exposure checks and diagnostic next steps.

Fish healthNecropsy differential / kidneyNecropsy
Symptom differential10 min

What can cause a soft or friable spleen at necropsy?

Post-mortem differential for what can cause a soft or friable spleen at necropsy?, with autolysis limits, water/exposure checks and diagnostic next steps.

Fish healthNecropsy differential / spleenNecropsy
Symptom differential10 min

What can cause an unusually firm spleen at necropsy?

Post-mortem differential for what can cause an unusually firm spleen at necropsy?, with autolysis limits, water/exposure checks and diagnostic next steps.

Fish healthNecropsy differential / spleenNecropsy
Symptom differential10 min

What can cause a very blood-filled spleen at necropsy?

Post-mortem differential for what can cause a very blood-filled spleen at necropsy?, with autolysis limits, water/exposure checks and diagnostic next steps.

Fish healthNecropsy differential / spleen circulationNecropsy
Symptom differential10 min

Why are my fish sick after quarantine?

Symptom-first differential for why are my fish sick after quarantine? using timing, water tests and exposure clues before treatment.

Fish healthQuarantine / timelineTimeline
Symptom differential10 min

Why are my fish sick after adding driftwood?

Symptom-first differential for why are my fish sick after adding driftwood? using timing, water tests and exposure clues before treatment.

Fish healthAquascape / materialTimeline
Symptom differential10 min

Why do my fish keep relapsing after feeding?

Symptom-first differential for why do my fish keep relapsing after feeding? using timing, water tests and exposure clues before treatment.

Fish healthPattern / feedingTimeline
Symptom differential10 min

Why are only older fish getting sick?

Symptom-first differential for why are only older fish getting sick? using timing, water tests and exposure clues before treatment.

Fish healthPattern / ageTimeline
Symptom differential10 min

Why are only breeding females getting sick?

Symptom-first differential for why are only breeding females getting sick? using timing, water tests and exposure clues before treatment.

Fish healthPattern / reproductiveTimeline
Symptom differential10 min

Why are only male fish getting sick?

Symptom-first differential for why are only male fish getting sick? using timing, water tests and exposure clues before treatment.

Fish healthPattern / sexTimeline
Symptom differential10 min

Why are my fish sick after adding root tabs?

Differential guide for why are my fish sick after adding root tabs?, with the key environmental checks, look-alikes and evidence-led next steps.

Fish healthPlanted tank / fertiliserTimeline
Symptom differential10 min

Why are my fish sick after using liquid carbon?

Differential guide for why are my fish sick after using liquid carbon?, with the key environmental checks, look-alikes and evidence-led next steps.

Fish healthPlanted tank / chemicalTimeline
Symptom differential10 min

Why are my fish sick after adding crushed coral?

Differential guide for why are my fish sick after adding crushed coral?, with the key environmental checks, look-alikes and evidence-led next steps.

Fish healthWater chemistry / mineralsTimeline
Symptom differential10 min

Why are my fish sick after an ammonia spike?

Differential guide for why are my fish sick after an ammonia spike?, with the key environmental checks, look-alikes and evidence-led next steps.

Fish healthWater quality / ammoniaTimeline
Symptom differential10 min

Why are my fish sick after a nitrite spike?

Differential guide for why are my fish sick after a nitrite spike?, with the key environmental checks, look-alikes and evidence-led next steps.

Fish healthWater quality / nitriteTimeline
Symptom differential10 min

Why are my fish sick after a nitrate spike?

Differential guide for why are my fish sick after a nitrate spike?, with the key environmental checks, look-alikes and evidence-led next steps.

Fish healthWater quality / nitrateTimeline
Symptom differential10 min

Why are my fish sick after a power surge?

Differential guide for why are my fish sick after a power surge?, with the key environmental checks, look-alikes and evidence-led next steps.

Fish healthEquipment / electricalTimeline
Symptom differential10 min

Why are my fish sick after the sump overflowed?

Differential guide for why are my fish sick after the sump overflowed?, with the key environmental checks, look-alikes and evidence-led next steps.

Fish healthFiltration / sumpTimeline
Symptom differential10 min

Why are only my scaleless fish getting sick?

Differential guide for why are only my scaleless fish getting sick?, with the key environmental checks, look-alikes and evidence-led next steps.

Fish healthCohort / sensitivityTimeline
Symptom differential10 min

Why are only juvenile fish getting sick?

Differential guide for why are only juvenile fish getting sick?, with the key environmental checks, look-alikes and evidence-led next steps.

Fish healthCohort / ageTimeline
Symptom differential10 min

Why are only the largest fish getting sick?

Differential guide for why are only the largest fish getting sick?, with the key environmental checks, look-alikes and evidence-led next steps.

Fish healthCohort / sizeTimeline
Symptom differential10 min

Why are my fish sick after TDS changed suddenly?

Differential guide for why are my fish sick after tds changed suddenly?, with the key environmental checks, look-alikes and evidence-led next steps.

Fish healthWater chemistry / dissolved solidsTimeline