Sick clown fish please help

NewNanoTank · Aug 20, 2020

If anyone can help me identify if this is ich or something else it would be much appreciated.
Also if you have advice on treating that would help a lot too.
As for treatment I am unable to set up a QT right now. Whatever I treat with will have to go in the main tank. All I have is my two clowns and rock in there but I was hoping to eventually add inverts and coral.

Mattiejay6 · Aug 20, 2020

It looks like ich from what I can see on my phone. Here is a great article outlining the illness and treatments. Always best practice to use a hospital tank, but if you can’t hyposalinity may be an option here.

“
Most hobbyists will encounter ich at some point in one of two settings:

1) A newly acquired fish in a quarantine tank (QT) – proceed to “Treatment options” below.

2) Fish in the display tank (DT) – There is no easy way of dealing with this. Even in fish only systems, it can be problematic trying to treat in the DT. Copper (and other medications) can be absorbed by rock/substrate, and doing hyposalinity risks possibly wiping out your bio-filter. You have to catch ALL of your fish, and quarantine/treat using one of the treatment options mentioned below. The DT itself should be left fallow (fishless) for 76 days to starve out any remaining parasites. Continue to periodically feed your corals/inverts; a pinch of flake food every 2-3 days will help maintain bacteria levels in the DT. Remember there is no “reef safe” ich treatment that will actually eradicate all of the parasites! Tea tree oil from India or garlic extract or any other herbal/natural “medication” is designed to only help fish manage their symptoms.”
Quoted from link above.