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If the spots look like regular skin underneath hes likely banged his head on something, its amazing how bettas manage that. They can be a bit of a pest finding the one bit you never thought of and hoarding it as a scratching post for later.

As to keeping him calm, having a routine during water change works- always use the same cup to transfer him, possibly even feed him a treat while in it and keep yourself in view. I do this with my own boys and they have completely stopped jumping and freaking out during changes.
You can also add indiant almond leaf to his tank water which will turn it a nice tea color. bettas love brackish water and it keeps them calmer.
 
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