Why does my aquarium fish have a hole in his head
Heximita is an intestinal parasite which seems to reduce the amount of nutrients the intestines can absorb, it has been thought of as a main cause of HITH, but now it seems it might just be an extra problem for these fishes.
Treatment
To cure HITH you need to take good care of the infected fish, you want to start by ensuring the water quality is as perfect as can be, I would suggest doing 20% water changes every 1-2 days to help, you also should add some aquarium salt (1 tablespoon per 5 gallons), a good diet is essential, so ensure that the food you give is high quality.
Remove all carbon - this only makes sense if you think it could be the carbon causing the problems, also raise the temp to around 82-86 this might help kill off the disease, and increase the speed of recovery.
There are also medicines that may help the treatment of HITH, but you may need a vets prescription. Dimetridazole and Metronidazole are said to be effective as is Waterlife "Octozin".
My Oscar also has Hole In The Head disease - he's also affected by having a long line through his body, aka lateral line disease - before I read up on them he was in such poor water conditions it's a complete shock he's still alive. But you can find the meds for HITH at www.drfostersmith.com - it's called hole in head guard. You have to do a 20% water change every other day while adding the meds on alternating days, as well as remove all carbon from your filters. You may have to do several rounds of this, depending on how bad it is. Good luck!
When my freshwater angel had HITH, I got it to clear up by:
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