"Pollowy, Richard" <rpollowy@INTEGRACAP.com> wrote: <<<<Subject: "It's a matter of Breeding" (...) The aformentioned Bolivian Rams (Microgeophagus Altispinosa) seem to have a case of worm/nematodes. Symptoms: tiny red pin shaped "spikes" hanging out their anus and have clamped fins. I've tried Hexamite unsuccessfully and a deworming medication with pellets and frozen brine shrimps. I actually removed several with a tiny pair of tweezers. All remedies aside, they still have these damn worms sticking out their butts!!!! WHAT CAN I DO?>>>>> Your diagnosis seems right. As Erik mentioned, piperazine (available also for aquarium use from, if I am not wrong, Aquatronics) is one choice. Another simple approach is to use Fluke-Tabs, one tablet/10 gal only once (repeted treatments or higher doses may not be well tolerated. Lower doses may be ineffective). I wrote a paper on discus diseases (available in AWMagazine, on the Web) where I also give info on flubenol, which is another possibility. The Tetra medicated food or metronidazole on the contrary will be ineffective. Some Discus keepers mix garlic extract with their beefheart, because it seems effective in repelling nematodes out of the guts of the fishes that eat it. It's not 100% proven, but it causes no harm and some people (including myself) do not mind to use it. I never tried it on apistos, but I wonder if they would accept flakes or tetra bits soked in a diluted garlic extract (you seem quite gastronomically oriented in your post, and maybe you are the right men who can give a try!) . Another opinion: FORGET ABOUT THE TWEEZERS! Let us know how things go. Bye Dionigi