Fishtify All guides Open Fishtify

White spot disease (ich): how to recognize and treat it

How to recognize white spot (Ichthyophthirius) in freshwater fish, why it spreads, and proven heat, salt and medication treatments.

2 min read · Updated 2026-09-29

White spot, also called ich or Ichthyophthirius multifiliis, is the most common disease in freshwater aquariums. It looks like the fish has been sprinkled with grains of salt. Treated early, it is very curable. Left alone, it can wipe out a whole tank.

How to recognize it

If the coating looks more like fine gold or gray dust, it may be velvet, which needs a different treatment.

Why it spreads so fast

The parasite has a life cycle with a stage on the fish and a free-swimming stage in the water. The white dots are parasites protected under the skin, where medication can’t reach them. They drop off, multiply in cysts on the substrate and release hundreds of new swimmers. Treatments only work on the free-swimming stage, so you must keep treating until every cycle is broken.

Treatment options

Heat (with or without salt)

  1. Raise the temperature gradually, 1–2 °C per day, to about 30 °C. This speeds up the parasite’s cycle.
  2. Add an air stone; warm water holds less oxygen.
  3. Optionally add 1–3 g/L of plain, non-iodized aquarium salt, dissolved first and added in portions.
  4. Vacuum the substrate and change 25–30% of the water every 1–2 days to remove cysts.
  5. Continue for at least 7 days after the last spot disappears, then lower the temperature slowly.

Coldwater fish (goldfish, koi, white cloud minnows) are not suited to the heat method. Avoid salt with corydoras, loaches, scaleless fish, shrimp, snails and live plants.

Medication

Use a white spot treatment, usually based on malachite green and/or formalin, at the dose on the label. Remove activated carbon, switch off UV and follow the label’s interval for repeat doses. Scaleless fish and some tetras often need a half dose, and invertebrates can be harmed.

Preventing it

Saltwater fish get a different parasite, Cryptocaryon, which needs copper, hyposalinity or tank transfer instead. Fishtify’s quarantine mode includes day-by-day plans for both, with a dose calculator for your tank volume.

Let Fishtify do the math for your tank

Log your tests and get targets and step-by-step fixes tailored to your own fish, plants and corals. Free for 30 days, no card required.

Try Fishtify free