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The pineconing is technically caused by a buildup of fluid in the body. Dropsy is really just a generic term for swelling. I think it's a good sign that the swelling and pineconing is in the back of the fish rather than closer to her vital organs - it just means that there is a fluid buildup. It doesn't seem like it is organ failure based on the location of the swelling. That being said, if the fluid that's building up is pus from an infection, that's definitely worrisome. I definitely agree to treat with an antibiotic.
 
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