If you only learn one thing about Dropsy, 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.

The symptom

A pinecone-scale belly from fluid buildup; usually advanced internal failure.

What is actually causing it

Ranked by likelihood:

Test the water first; treat the cause, not just the spot. A a solid black beard algae: the stubborn brush makes the numbers obvious.

The treatment

Step by step:

  1. Move the sick fish to a hospital tank if you can, see a solid malaysian trumpet snail care: the burrowing cleaner.
  2. Raise the temperature slowly to 30 °C to speed the pathogen's life cycle (species permitting).
  3. Add 0.3% aquarium salt, dissolved first, and keep it stable with a 30% water change every other day.
  4. Follow the medication label exactly; overdosing does more harm than the disease.

Prevention

Quarantine every new fish for 2 weeks, keep nitrates under 20 ppm, and avoid overcrowding. Stability is the best medicine, a tank that holds its parameters rarely sees outbreaks.

A step-by-step plan

Step one: test the water and fix any ammonia or nitrite. Step two: move the fish to a hospital tank if you can. Step three: follow the medication label exactly near 30 °C. Step four: re-test every other day.