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IMO it is very bloated , have him try one tablespoon of epsom salt per gallon of water. this will reduce the swelling , do a water change of 30 percent first then add this , also if i ever deal with bloat , have on occasion I do not feed for 3 days or so , some say feed peas , IMO if they arent feeling well they dont want that for sure and as you know will foul the water . I hope this fish gets better for your friend, its a Beauty . P S if he can treat in a smaller tank fine , if not , the Epsom will not harm the other fish what so ever !