Common Koi Disease Recognition

Early recognition of disease symptoms is critical for successful treatment. Always observe your koi daily for behavioral and physical changes.


Behavioral warning signs:

  • Flashing (scratching against objects)
  • Clamped or folded fins
  • Isolation or bottom-sitting
  • Loss of appetite
  • Rapid gill movement (gasping)
  • Jumping or erratic swimming
  • Hovering at the surface

  • Common diseases and their signs:

  • Ich (White Spot): Small white dots like grains of salt on body and fins. Highly contagious.
  • Flukes (Gill/Body): Flashing, excess mucus, clamped fins, gill irritation. Microscope scrape needed for confirmation.
  • Columnaris: White or grayish patches, cottony growths, fin erosion. Bacterial infection.
  • Dropsy: Swollen body with scales standing out like a pine cone. Often indicates organ failure.
  • Ulcers: Open red sores on the body. Usually bacterial, often secondary to parasite damage.
  • Fungus (Saprolegnia): Cotton-like white or gray growths, usually on damaged tissue.

  • What to do when you suspect disease:

  • Do NOT treat blindly -- identify the problem first
  • Test water quality immediately (poor water is the #1 cause of disease)
  • Document symptoms with photos and timeline
  • Isolate severely affected fish if possible
  • Consult a koi veterinarian for diagnosis -- many issues look similar
  • Use the Symptom Timeline Builder to create a shareable record for your vet
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