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How to avoid and cure Malawi Bloat. Print E-mail
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Written by Bill Dent   
This article is not meant to replace existing articles about Malawi Bloat, but to supplement them with more causes, diagnosis and treatments.

There is an excellent article already on this site about Malawi Bloat. This article is meant to cover a few points that the other guide did not cover. As the article mentions there are three main causes for Bloat. Stress, Improper Salt usage and Improper Diet. The most important of these causes is of course stress, it is usually the cause of most fish diseases. The point that really needs attention though is Improper Diet. I have killed a few Cichlids and other fish with bloat and it has A LOT to do with diet! One of the worst foods you can feed Cichlids (because of their long intestines) is brine shrimp. Even for Cichlid fry, Brine Shrimp is a big no, no.

Why are Brine Shrimp so bad? Brine Shrimp are tiny crustaceans and as such, are slightly hard. Because of this texture and small size their hard parts get caught in intestinal walls and their size allows them to stay caught in there, causing a blockage. Think of it as the same way Velcro works. Malawi Bloat is mostly a death sentence to the fish it affects. The cure success is lower than with other diseases. The key is to avoid it altogether. If there is one thing I have read and learned about Bloat it’s that if your fish are herbivores, then avoid high protein foods. Make sure the foods you feed them (ie: Mbuna) have Spriulina in them and that it is high on the ingredients list. Peas are good too. Both are natural laxatives and will keep things moving along smoothly in their long intestines, avoiding the potential for Bloat. I feed my African Cichlids nothing but Veggie Blend foods or Spirulina Algae based foods and have never had another problem with Bloat since. Avoid feeding live or frozen foods like Bloodworms, Tubifex Worms, Brine Shrimp, Krill or any super high protein foods. This method has two benefits, they avoid blockages and cuts down the exposure to foreign parasites or bacteria.

Most foods, even veggie foods contain some high protein meat, including Krill, Brine Shrimp and worms. The difference is when these foods are combined with veggies in say a flake or pellet food, they are not whole. The ingredients are crushed and pulverized into powder and in some cases even sterilized, lessening the potential for foreign hitchhikers. Whole Tubifex Worms and Bloodworms (even freeze dried ones) are actually the worst choices for fish foods because these worms carry many foreign parasites and bacterium. Feeder fish are a bad idea too. In addition, you should NEVER feed your fish beef heart or any type of warm blooded animal protein because warm blooded animals carry an entirely different set of parasites, fungi and bacteria that fish have NO tolerance against. That’s why most fish foods are made with Fish Meal, not beef, chicken or pork! It’s not natural. It doesn’t happen in nature (with the exception of Pirahanas) and it should not happen in captivity either. Fish eat other fish, algae and the occasional worm or crustacean.

The best way to tell how appropriate a food is for herbivores is to make sure the minimum amount of protein in the food you buy is under 40%. Anything higher than 42% seems to cause Bloat problems and 46% to 50% is way too rich. HBH, Hikari, Omega One, Nutrifin, Dianichi and New Life Spectrum all have excellent veggie blends that have all kinds of other good veggies for your Herbivores, like Kelp, Algae, Carrots and Alfalfa. Your Cichlids will get all the protein they need in veggie food and the other ESSENTIAL veggies that will help that protein move along those intestines just fine. One last note and it’s just a cool fish fact is that Cichlids intestines are FOUR TIMES their body length, just to give you an idea of how long they really are! Veggie food is a good idea for avoiding bloat in any fish, carnivores included. I feed all my fish veggie food periodically just to supplement their diet. The result is much healthier and more disease resistant fish.  

Now for the only cure for bloat known to work and is as follows:

IMPORTANT

(1) DO NOT FEED ANYTHING during this process.

(2) Start this procedure as soon as the fish shows symptoms (spitting familiar food, hiding during feeding, etc.)

Medication required: Clout (Aquarium Products) or any medication containing Trichlorphon as the main ingredient. If you cannot find something with this drug, then a cure with Metronidazol is recommended (ie: Jungle’s Internal Parasite Guard or Jungle Parasite Clear Tablets.) Metronidazol is also known under one of it’s brand names Flagyl. Clout (Triclorphon) is the most widely used cure for bloat though.

Day 1: Move fish to quarantine tank and treat with Clout at full strength (1 tablet / 10 gallons--remove carbon from filter)

Day 2: No water change. Treat again with Clout at half strength.

Day 3: Do nothing

Day 4: Do an 80% water change and treat with Clout at full strength

Day 5: Do nothing

Day 6: Return fish to main tank only after symptoms have subsided and the fish has been healthy: (eating, swimming, breathing normally) for a week.


RESIST the urge to try feeding the fish until after the treatment is over and do not cut the treatment short regardless of whether the fish looks better or not. If at any time during the treatment your fish seems to be experiencing stress as a result of the medication then do an immediate 75% water change.

The only other treatment that has a positive effect on bloat is Epsom Salts. Not only do they act as a laxative for the affected fish, it also acts to draw excess moisture out of the fish, which also helps the condition especially if it is caused by GBD or Gas Bubble Disease. Bloat can be imitated by one other condition that causes the “pine cone” or raised scales appearance. Gas Bubble Disease happens most often in during the winter months. Hot water, when it comes from a water heater has gas bubbles in it. The only way to get rid of these gas bubbles is though gas exchange (heavy aeration of the water) An simple Aquarium Air Pump in the warm water about 30 min to 1 hour before changing the water will get rid of the gas bubbles. The reason it happens is the more heat used to keep the water hot in the hot water tank the more gases build up in the water (your water heater works harder in the winter to keep the water hot) What happens to your fish if you don’t get rid of the gas bubbles in the water? The same thing that happens to a diver when they don’t decompress properly, they get “the bends” the fish version of “the bends” looks exactly like Malawi Bloat and in extreme cases is treated the same way, with Clout. The gas bubbles in the water get trapped under the fish’s scales and causes the scales to appear raised (pine conned). These gases also get into the fish’s bloodstream. If you suspect that your fish have got GBD rather than Malawi Bloat then the first course of treatment is Epsom Salts and if that doesn’t improve the condition of the fish after a day or two, then use Clout.

Using the methods outlined in this guide for bloat will increase your fish’s chances of surviving Malawi Bloat dramatically. Even if your fish dies from the bloat, don't feel too bad, it's tough to beat even for the most experienced of fish keepers and the mention of Bloat makes most experienced fish keepers cringe because they know it's a 50/50 chance the fish will live, even with treatment.

Comments
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Epsom salt details
Angelafuller (Unregistered) 2008-04-25 20:58:57

Can you give more specific details on how to treat properly with epsom salt? SOmething is very wrong with my blue convict, he is severely bloated and has been for months. I don't know what to do but he seems to be surviving. He has to trap himself in the plants to stay in place and is usually hanging out vertically. I think its bloat or gas bubbles, want to try epsom salt first before trying clout b/c do not want to stain my tank accessories... any help?? reply at fuller_a_lucky@yahoo.com
Bloat Cure Works!
Sean (Unregistered) 2008-05-01 21:25:46

Thanks Bill, ur the man! Your Bloat cure worked like a champ and saved my prized Cichlid Lucy. She was in very bad shape and pulled through on day 3.
Whew! Was I ever happy...thought I had killed her with the bad diet(krill & blood worms) feeding 2x a day. What a fish... lays in my hand likes to be pet and does several tricks...no joke. Look for the vid on youtube soon! Thanks again! Great article!
wat causes bloat??
natasha (Registered) 2008-07-23 17:07:34

i wanted to know wat causes bloat and wat do i look for in the fish.... thanks
Sunken in stomache
Jamie (Unregistered) 2008-08-18 18:49:24

I have about seven african cichlids with a sunken in stomache. they seem fine but I know something isnt right. Any idea what this could be?
Sunken in Stomach
Kristin (Unregistered) 2011-01-31 11:07:49

I also have the same problem!!! The cichlids act normal, swim around, and eat. If i didn't know any better, I would say they are fine - but it looks like they are anorexic! Their stomachs are sunken in! Does anyone have an idea as to what causes this and the treatment!?

I would also like to have additional info on treating bloat with epsome salt?

Please let me know on whitejade128@gmail.com. Thanks in advance!
are my other fish okay?
sara (Unregistered) 2008-09-01 21:08:31

I have only one fish with bloat but all my other fish in the tank seems fine . Should I treat the whole tank anyways? or would that stress the fish out for no reason? Help!
Jake (Unregistered) 2009-04-22 18:51:09

I am new to keeping African Cichlids and none of mine are eating. I saw a tip when setting up my tank to use 1 table spoon of epsom salt, 1 teaspoon of baking soda, and 1 teaspoon of aquarium salt per 5 gallons of water. Should these amounts be used for each and every water change as well?
epsom salts - really?
meh (Unregistered) 2008-11-02 21:08:02

Sure epsom salts may make a good laxative for people, but in fish? Eh I'm sceptical of such a claim. All it would do is push up the water hardness, which is probably a good thing for african cichlids anyway.

The claim that "it also acts to draw excess moisture out of the fish" is a bit strange - normal salt (sodium chloride) does the same thing (changes osmotic pressure) - so why not do that. Oh wait, wasn't that a cause of bloat? So I'm confused.

I thought bloat was a dietary issue. It seems many fishkeepers have gotten it confused with dropsy, which is bacterial.

Currently I am trying to find out which foods are best to reduce the likelihood of my fishes developing bloat but am not able to find an answer at this point. It would be interesting to find some information on the dietary requirements of different cichlids.
tropheus polli
mark (Unregistered) 2009-05-28 21:45:38

one of my tropheus polli shake back and forth is this a sign of bloat or what going on mark l
bloat
chris walker (Unregistered) 2009-07-31 21:45:18

I have lost 17 fish before finding out what is killing them. I have a 150 oceanic tank with peaocks in it. Why are so many dying off and catching this on a daily basis? This has been going on for over a month. Can you treat the whole tank or do you have to take them out? How do you dose the epsom salt? Thanks
jack dempsey color fading
felix (Unregistered) 2009-08-14 09:45:33

I have a male jack dempsey & noticed recently
That his scales have faded on his underbelly
& lower sides are white. His mouth & top of head
Are starting 2 fade now. He's in a 125gl tank with
8 small-med convicts & 1 med silver dollar. I
Feed them frozen brine shrimp. Please help!
I've had my jack for 5 yrs he's 9in. What could
Be the problem?!
cichlids breeds?
Dorothy Fisher (Unregistered) 2009-09-03 03:09:56

Oh yes! Diseases to my fishes is what I hate the most. they look so ill. We avoid and care our fishes from those diseases what ever cichlids breeds it is. Keep them healthy.
http://fishy-whisperer.com/CichlidFishSecretsReview.html
Is Bloat Contagious?
Steve (Unregistered) 2009-10-03 11:15:08

I had wild caught haplochromines for years that stayed healthy with all types of foods and stress. Not until I added some new small haps from the fish store did they all suddenly lose their appetites. Many now appear to have bloat.I even quarantined the new fish for a month in another tank before adding but bloat is not a disease that shows up in quarantine.
rose dewille (Unregistered) 2009-11-08 20:25:32

I have a jewel cichlid and she or he is getting a red (possible) sore mouth area. Is this normal? We did just introduce another cicklid to the tank...an orange one. I don't know if it is a male or female. They seemed okay together at first but now the jewel (ruby) swims away from it. It is only slightly bigger than ruby as we were told to get one a bit bigger as she has been in tank by herself for a long time and this should prevent ruby from being to aggressive.

Please if anyone can answer this I really need help as soon as possible. Thanks.
Anonymous (Unregistered) 2010-08-16 11:48:11

what did you hear about this? because i think my fish is has the same
is he gonna pop?
Brianne (Unregistered) 2009-12-04 10:58:49

I have a fish that is extremely bloated and its eyes are protruding...can i use epson salts? will that help at all or is my fish a gonner? please reply at brittany.schlenker@telus.net
holes?
Sandi (Unregistered) 2010-01-10 10:55:00

What would cause holes in an oscar?
Bloats overnight after feeding
Anonymous (Unregistered) 2010-07-03 19:03:03

I have a Datnoid that only blows out after eating after a day or two it returns back to normal.
During the time it bloats you see the fishes discomfort.
Not sure if its malawi bloat?
Bloat
Ken (Unregistered) 2010-09-29 15:30:35

We had a cure for bloat 20 years ago that worked 90% it's an antibiotic called emtral. We saved fish that hadn't fed for days and most recovered.
The biggest cause of bloat is stress usually when they were shipped wild and to high nitrite levels.
cichlidmaniaman (Registered) 2010-10-05 07:36:00

i getting 4 electric yellows for the first time and i need to know how to cure some common parasites. I also want to know wat food is good for them
bloat
fish guy (Unregistered) 2011-05-24 21:16:31

i just lost four cichlids to bloat but before i seen them my others ate there stomachs out is this going to affect them or is it not contageous??? answer if u can at m.gunhusmchsi@yahoo.com thanks
After bloat treatment is over
Amelia (Unregistered) 2011-07-24 18:47:35

Bill :
Ok so im on day 5 of this bloat treatment with the clout. Now on day six says to transfer back into tank once all symptoms have subsided. What if he still wont eat after day six. He's looking really healthy and better but if he still doesn't eat what is my next step?
Thanku so much Bill I feel this is really gonna save my precious demspy.
Cichlid Diseases
Robert (Unregistered) 2011-08-10 12:06:57

I lost 3 Jack Dempsey cichlids when i first started keeping cichlids as a boy to Malawi boat. Ofc i didnt understand at the time but sounds like your doing just fine Bill.

Theres also other diseases you should be aware of, read more here

http://www.cichlidsecretanswers.com/cichlid-diseases
I am Scared
Jazz (Unregistered) 2011-10-27 14:21:24

Um, I was supposed to take care of two betta(fresh water fish)and return them back to a friend because she was on vacation. For two months they are in my care now. During the last week of October, the female betta fish's scales are raised, her colour faded from royal blue to greyish-green, and she stays at the bottom of the tank. What could be wrong? I'm not sure if it's due to bacteria or stress because my little brother likes playing with the fish and i change the water every two weeks like instructed. My friend will be very mad if she finds something wrong.
What is the fish's problem and how can i cure it?
Please tell me
jazzfashionqueen@hotmail.com
omega one?
anton (Unregistered) 2011-11-20 05:12:36

i have recently gotten my african cichlids, and most of the big ones that eat a lot of the omega one pellets i have, has this problem (bloat)... :( my nitrite levels are always high too... its a fairly new tank (2-3 weeks old). i can get the ammonia levels down by changing the water almost every other day, but the nitrite levels are always high no matter what i do.... please help.... :(
Don't know if bloat or not
Steve (Unregistered) 2011-12-01 14:58:36

My case is similiar to the one posted by Anton. I too recently started a cichild tank, 55 gallon, 400 gph filtration, and currently hold 10 unitl one died yesterday. I feed them twice a day, 8:30 am and 8:30 pm. Omega one pellets, regular pellets in the morning and veggie pellets at night, and sometimes vice versa. I had one fish in the tank who was the alpha male and always tended to eat more than the others, therefore, i sometimes put a little extra in to ensure that all of them get some. I've had the tank up and running for about 1 month and half now and kept the same routine. Just the other day though, I fed them in the morning as usual and the alpha male stuck to his usual feeding where he generally eats the most. I come home at night and find him dead in the corner of the tank. When I take him out, he has a hole in his belly half the size of his eye. I'm confused as to what happened because after i came home from work 12 hours later he's dead. Is this caused by Bloat? Is it cause he could have had a disease? Is this hole because other fish picked at him while I wasn't home? Although it didnt really look like that. I tested my water conditions after that and everything was where it normally is with the exception of Nitrate, which was the highest I have ever seen at 160 ppm. But again, only one fish, not to mention the one who runs the tank, is the one who dies and not any of the others?. I did not notice any of the symptons discussed above, so I'm I have no idea what could have caused this, not to mention I'm new. Any ideas? Please email me at steven.castiglia@verizon.net if possible. Thanks.
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