Naso tang not eating

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i currently have a naso tang for a a year in the same tank along with other tangs. Recently I noticed the stomach looks sucked in and haven't eaten in three days. All the other tangs are normal. The naso is still swimming and has a normal routine but a bit shy at times. Any recommendations? I already have a quarrentine tank running and could move him over. Just looks like a slow demise, no ich spots everything on the skin appears normal. Thanks for any help.
 
So he stopped eating all together? Or he's been eating but getting steadily skinnier the whole time until he stopped eating 3 days ago? Have you seen any white stringy poop coming from him?
 
I haven noticed any poop. Just stomach is sucked in and doesn't even mouth any food.
 
Sunken stomach can be a symptom of intestinal worms. Another symptom is stringy white poop. Ever see that coming out of him?

Edit: Meredith beat me to it. ;)
 
No haven't noticed any pooping. What actions should I take?
 
It sounds like it could be intestinal worms and you just haven't seen the poop yet. You can treat with prazipro. Two rounds 5-7 days apart with a water change in between. Keep trying to get him to eat.
 
So I would have to remove him to my quarrentine setup? Is the med reef safe ?
 
So I would have to remove him to my quarrentine setup? Is the med reef safe ?

Does he have any other symptoms? Heavy breathing, head twitching, scratching/rubbing on rocks?

Answer these first ^^^ before moving into treatment. We want to eliminate any other causes first. But to answer your other question, prazi is reef safe with caution. So you could treat in your dt, but be prepared that you could lose feather dusters and may encounter some fading of sps corals.
 
Over the past 3 days I've noticed maybe a handful of times on the head twitching. No scratching or rubbing. Breathing is equal to any other fish in the tank.
 
Over the past 3 days I've noticed maybe a handful of times on the head twitching. No scratching or rubbing. Breathing is equal to any other fish in the tank.

The head twitching could be flukes or parasites in the gills. If flukes, dosing Prazipro is the right thing to do and may also help if intestinal worms are in play. However, if its parasites (such as ich) you would need to catch all your fish and treat in a separate QT. If you can catch the naso and perform a FW dip (see below), that will confirm flukes and that Prazipro is the correct course of action to take.

Freshwater Dip: Provides temporary relief for Brooklynella, Flukes, Marine Velvet disease (Amyloodinium); possibly even Ich & Uronema marinum (both unproven). Can be used to confirm the presence of Flukes.

How To Treat - Fill a bucket with RODI water, and use a heater to match the temperature to the water the fish is coming from. Aerate the water heavily for at least 30 minutes prior to doing the dip, then discontinue aeration while performing the dip. Fish aren’t overly pH sensitive for short durations like this, but you can squirt a little tank water into the dip just before the fish goes in to help bring it up.

Place the fish in the freshwater (FW) dip and observe closely. It is not unusual for them to freak out a little at first. Also, tangs are notorious for “playing dead” during a FW dip. The important thing is to watch their gills; they should be breathing heavily at all times during the dip. If breathing slows, it’s time to exit the dip. Dip the fish for no longer than 5 minutes. Multiple dips may be done, but it’s important to give your fish a day to recuperate in-between dips.

For flukes, use a dark (preferably black) bucket so you can see if tiny white worms fall out of the fish (especially out of the gills) at around the 3-4 minute mark. The worms will settle to the bottom, so you can use a flashlight to look for them there as well.

Pros - Provides temporary relief for a wide range of diseases in a chemical free environment. Can “buy you more time” until a proper treatment can be done.

Cons/Side Effects - Not a permanent “fix” for any disease, as FW dips are not potent enough to eradicate all of the parasites/worms afflicting the fish. Some fish can have an adverse reaction to a FW dip by appearing unable to maintain their equilibrium once returned to the aquarium. If this happens, hold the fish upright (using latex, nitrile or rubber gloves), and gently glide him through the water (to get saltwater flowing through the gills again). It is also a good idea to place the fish in an acclimation box until he appears “normal”.
 
Thank you for info. I dosed tank with prazipro. Here's a picture of my hippo tang. She has these lumps on her for appx two weeks. I thought it was ich but no scratching, normal breathing and eats nonstop. Could this be related to naso.

And naso still does not show these bumps and looks normal other than the non eating issue.

image.png
 
Have those lumps been in the exact same spots for two weeks?
 
It looks like she has developed more of them since the earlier picture. Is this correct?
 
Yes. Looks like acne on the skin. They disappeared and came back. Eating great and still very active
 
She's been in tank for over a one and a half years
 
Yes. Looks like acne on the skin. They disappeared and came back. Eating great and still very active

They disappeared? About how long were they on her the first time before going away? Then about how long before they came back?
 
They were always visible but not as visible around the 23rd ish, looked like it was almost gone and now becoming more visible again today. Flaring up. No flicking, no head shakes, no erratic swimming during this period. And incredible appetite
 

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