Ruby (ACF) is bloated

[celticstarb]

How is Ruby today?

[Collegekid]

She doesn't physically look less bloated to me but she isn't floating and was in a horizontal position on the bottom today. She was also a little more lively when I went to catch her for her salt bath, but maybe that's just wishful thinking.
I did not do a water change today. I'm not sure how that works with the meds. Is the medicine cumulative or does it wear off every day? If it's cumulative and every packet actually stays in the water for the week I'd need to add extra medication to make up for what I'm removing and I'm not sure how to do that.

[celticstarb]

The instructions say to do a water change after 5 days, but I would do a water change daily before dosing the QT.

[celticstarb]

How is she today?

[celticstarb]

Any updates?

[Collegekid]

Sorry to drop off the face of the Earth like that. She finished her antibiotics a few days ago so I put her back in the main tank but she didn't look any better and was still acting pretty lethargic. She also hasn't eaten anything since she bloated. In the days since I've stopped the treatments the bloating on her back has gone down significantly but her legs are still full of fluid. I'm also much more concerned about her behavior, she's having trouble swimming normally and when she's floating at the surface she's not straight up and down, she leans slightly to the side and backwards. I'm afraid if it continues to get worse she may have trouble getting her nose above water.

Not sure what, if anything, I can do for her at this point.

[celticstarb]

To be honest, bloat can be very tricky to treat. It may take several rounds of the antibiotics to see results. If you are worried about her reaching the surface, you can lower the water level to about 4 inches and adjust the antibiotics accordingly. You will have to be very diligent with water changes during this time since smaller bodies of water are not as stable as larger amounts.