Help identify sick grouper??

Ryan99639

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My panther grouper is very bloated and has a small circular sore on his side I can't tell if it's a parasite or a wound.? Not sure what to do or what to treat with.
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Also this is a 75 gallon, the nitrates are A little on the high side since this is a predator tank. But I've been keeping up with weekly water changes and everything else tests ok. 0 ammonia
 
I am no expert but could it be swim bladder issues?
 
The only other possibility I can think of is that he swallowed something he can't pass. Like something with a shell i.e. snail or hermit crab.
 

IF YOU HAD TO TAKE A REEFING EXAM, WOULD YOU PASS?

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