Yes and know. What you have to realise is that dropsy can be the effect of many different types of infections and/or diseases with the end result of a net fluid accumulation in freshwater fish.
Before we get into a general treatment protocol for dropsy, I would like to refer you to previous posts:
•Dropsy definition
•What does it mean if my fish has dropsy?
To reiterate, dropsy is a clinical sign indicating loss of fluid balance where there is a net influx of water. This is most commonly due to damage to kidney, gills and skin, from a variety of infectious and non-infectious causes. The prognosis for survival is poor.
Here is what you must do to reach a diagnosis (rather than spend valuable time guessing by trial and error with a cocktail of drugs). Full water quality analysis and microscopic examination of skin mucus scrapes and gill biopsies to exclude any underlying disease issues (e.g. ectoparasites) are a must. Fine needle aspirates, blood tests and bacterial cultures may also help with making a diagnosis. These findings are essential to formulate a treatment regimen.
In the case where it is an uncomplicated bacterial infection, these are the steps I take:
1. Maintain all water parameters at the fish’s optimal range (especially temperature).
2. Maintain salt (NaCl) at a rate of 5g/L (to reduce osmoregulatory stress).
3. Maintain epsom salt (MgSO4) at a rate of 1g/L (to aid gut and muscular function).
4. Perform 20-30% partial water changes using aquarium water every 2 days (to reduce waste build up).
5. Add appropriate antibiotic as a course (from the aquatic veterinarian).
6. Add frusemide to the water at 0.5-3mg/L every 3 days until clinical signs subside (as a diuretic).
*Note that all these drugs are used off-label and under veterinary supervision.
Dr Richmond Loh
DipProjMgt, BSc, BVMS, MPhil (Pathology) Murdoch, MANZCVS (Aquatics & Pathobiology), CertAqV.
Veterinarian | Adjunct Lecturer Murdoch University | President-elect WAVMA |
Secretary Aquatic Animal Health Chapter – ANZCVS.
The Fish Vet, Perth, Western Australia, AUSTRALIA.
Mobile Veterinary Medical & Diagnostic Services for fish and other aquatic creatures.
http://www.thefishvet.com.au
Ph: +61 (0)421 822 383





