If you only learn one thing about Anchor worms, make it this: the visible symptom is rarely the real problem. The good news: most cases are treatable at home if you act in the first few days.

What is actually causing it

Ranked by likelihood:

Test the water first; treat the cause, not just the spot. A our Temperature Controller Guide guide makes the numbers obvious.

The symptom

Tiny threads with a greenish base embedded in the skin; fish scratch constantly.

The treatment

Step by step:

  1. Move the sick fish to a hospital tank if you can, see this Bacterial Septicemia Guide piece.
  2. Raise the temperature slowly to 28 °C to speed the pathogen's life cycle (species permitting).
  3. Add 0.1% aquarium salt, dissolved first, and keep it stable with a 34% water change every other day.
  4. Follow the medication label exactly; overdosing does more harm than the disease.

Stopping it before it starts

Stop Anchor worms before it starts: quarantine newcomers for 2 to 4 weeks, hold nitrates under 20 ppm, and avoid daily temperature swings above 2 °C. Stable water is the best defence.

Prevention

Quarantine every new fish for 3 weeks, keep nitrates under 20 ppm, and avoid overcrowding. Stability is the best medicine, a tank that holds its parameters rarely sees outbreaks.