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Ich, or Ichthyophthirius multifiliis, is one of the most common parasitic diseases that affect aquarium fish, both freshwater and saltwater. Recognizable by the distinctive white spots that appear on the body and gills of infected fish, ich is not only distressing to see but can also be fatal if not treated promptly and effectively. In this comprehensive guide, we will delve into the causes of ich, how it spreads, and the most effective ich medicines available to treat this pervasive disease. Understanding Ich in Fish Ich is caused by a protozoan parasite that invades the skin and gills of fish. The white spots are actually cysts that form as the parasite burrows into the fish's tissues. Infected fish may exhibit signs of distress, such as rubbing against objects, rapid breathing, and lethargy, as they attempt to dislodge the irritating parasites. The lifecycle of the ich parasite includes several stages, which are important to understand for effective treatment. After feeding on