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Usually with enlarged abdomen due to overfeeding or body shape-the fish will generally still act like his normal self-eating, pooping, swimming, responding...etc......

With bloat, constipation, swimbladder, labyrinth organ- you generally will have other symptoms along with the enlarged abdomen....like buoyancy issues, lethargic, hiding, clamp fins, stops eating, pooping, gasping, stops responding to you...etc....to name some of the most common S/S you can see...

Its important to not confuse normal enlarged abdomen with bloat, constipation, swimbladder, labyrinth organ related issue and treat needlessly
 
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