Appearance: The illness causes alterations in the appearance of the fish. The body may show the presence of red spots, white cottony patches, lumps, etc. One or both eyes may appear to be swollen or protruding, and the gills may not close completely, remaining open halfway. The scales may be raised resembling pine cones. The belly may appear abnormally swollen and protruding. The tail and fins may appear blackened or spotted. Overall, the fish may appear paler, duller and darker.