Swim bladder disorder (SBD) is one of the most common yet misunderstood health problems in aquarium fish. Whether you are a beginner fish keeper or an experienced aquarist, you may have seen a fish that suddenly starts floating upside down, sinking to the bottom, or swimming awkwardly. These unusual behaviors are often linked to issues with the swim bladder, an internal organ that helps fish control their buoyancy.
Understanding the symptoms of swim bladder disorder is essential for early detection and effective treatment. In this article, we will explore everything about swim bladder disorder, its causes, the wide range of symptoms, how to diagnose it, prevention strategies, and treatment options. By the end, you’ll have a complete resource for recognizing and managing this condition in your aquarium.
What is Swim Bladder Disorder?
The swim bladder is a gas-filled organ located in the abdominal cavity of most bony fish. Its primary function is to regulate buoyancy, allowing the fish to maintain balance in the water column without constant effort.
When the swim bladder does not function properly, the fish may lose its ability to swim normally. Instead of gliding smoothly through the water, it may float to the surface, sink to the bottom, or tilt awkwardly. This condition is referred to as swim bladder disorder (SBD) or swim bladder disease.

It’s important to note that swim bladder disorder is not always a disease in itself—it is often a symptom of underlying issues such as constipation, infections, poor water quality, or genetic deformities.
Main Causes of Swim Bladder Disorder
Before diving into the symptoms, it’s helpful to understand why swim bladder problems occur. Common causes include:
- Overfeeding and Constipation
- Excessive food, especially dry pellets and flakes, can expand inside a fish’s digestive system and put pressure on the swim bladder.
- Poor Water Quality
- High levels of ammonia, nitrites, or nitrates can stress fish and cause bacterial infections that affect the swim bladder.
- Infections
- Bacterial, viral, or parasitic infections can lead to inflammation or fluid buildup around the swim bladder.
- Physical Injury
- Aggressive tankmates, accidents, or rough handling may damage the swim bladder.
- Genetic and Developmental Defects
- Some species, such as fancy goldfish, are prone to swim bladder issues due to their body shape and compressed organs.
- Low Water Temperature
- Cold water can slow digestion and contribute to constipation, indirectly causing swim bladder problems.
- Tumors or Organ Enlargement
- Growths in the abdomen may displace the swim bladder and affect buoyancy.
Swim Bladder Disorder Symptoms
Recognizing swim bladder disorder symptoms early can make a significant difference in saving your fish. Symptoms vary depending on whether the swim bladder is overinflated, underinflated, or compressed. Below are the most common signs:
1. Abnormal Swimming Patterns
- Fish may float sideways, upside down, or vertically.
- Some may struggle to maintain balance and appear wobbly.
- In severe cases, fish can only swim in short, jerky bursts.
2. Floating at the Surface
- Affected fish may remain stuck at the water’s surface, unable to swim downward.
- They may appear to be “tilting” or rolling while floating.
3. Sinking to the Bottom
- Some fish stay at the bottom of the tank, struggling to rise.
- They may lie on their side or rest awkwardly against decorations.
4. Difficulty Maintaining Position
- Healthy fish can stay in one spot with ease, but a fish with SBD constantly drifts up or down.
- You may notice the fish using its fins excessively to stay stable.
5. Loss of Appetite
- Swim bladder problems caused by constipation or infections often lead to reduced or no food intake.
6. Distended Belly or Bloating
- A swollen abdomen can indicate constipation, bacterial infection, or tumors pressing against the swim bladder.
7. Curved Back or Abnormal Body Posture
- Some fish may develop a bent spine or unusual posture due to prolonged buoyancy problems.
8. Stress Symptoms
- Clamped fins, rapid gill movement, or lethargy may accompany swim bladder issues.
- Stress worsens the condition and may lead to secondary infections.
Species Most Affected by Swim Bladder Disorder
While any fish with a swim bladder can develop issues, some species are more vulnerable:
- Fancy Goldfish (Orandas, Ryukins, Fantails, etc.) – Their round body shapes compress internal organs.
- Betta Fish – Prone to constipation-related swim bladder issues.
- Koi Fish – May suffer due to genetics or diet.
- Cichlids – Can develop SBD due to diet or aggression-related injuries.
How to Diagnose Swim Bladder Disorder

Fish keepers often confuse swim bladder disorder with other diseases. Here’s how to differentiate:
- Ich (white spot disease): Shows visible white spots on the body and fins, not swimming imbalance.
- Dropsy: Causes pinecone-like scales and extreme bloating.
- Fin rot: Affects fins, not buoyancy.
- Parasites: Lead to rubbing/scratching, not necessarily buoyancy problems.
A diagnosis is usually based on behavioral symptoms (swimming issues) combined with visual signs (bloating, posture changes).
Treatment for Swim Bladder Disorder Symptoms
Treatment depends on the underlying cause. Here are the most effective methods:
1. Adjust Feeding
- Fast the fish for 24–48 hours to relieve constipation.
- Resume feeding with blanched peas (a natural laxative).
- Switch to high-quality sinking pellets instead of floating flakes.
2. Improve Water Quality
- Perform partial water changes (25–50%).
- Test water parameters regularly (ammonia, nitrites, nitrates).
- Maintain proper filtration and aeration.
3. Temperature Adjustment
- Raise water temperature slightly (around 78–80°F for tropical fish).
- This speeds up digestion and reduces constipation risk.
4. Medication (If Caused by Infection)
- Use broad-spectrum antibiotics for bacterial infections.
- Apply anti-parasitic treatments if parasites are suspected.
5. Reduce Stress
- Provide hiding spaces.
- Avoid overcrowding the tank.
- Keep aggressive tankmates separated.
6. Physical Support
- Some fish keepers create floating baskets to keep affected fish upright during recovery.
7. Surgery (Last Resort)
- In rare cases, veterinarians may perform surgery to remove tumors or drain fluid around the swim bladder.
Prevention of Swim Bladder Disorder
Prevention is always better than treatment. Here are preventive measures:
- Feed Properly
- Offer a varied diet (pellets, flakes, frozen foods, vegetables).
- Avoid overfeeding.
- Soak dry food before feeding to reduce bloating.
- Maintain Water Quality
- Weekly water changes.
- Use water conditioners to neutralize chlorine/chloramines.
- Tank Management
- Avoid sharp decorations that can injure fish.
- Provide enough swimming space.
- Temperature Control
- Keep water within species-appropriate ranges.
- Buy Healthy Fish
- Purchase from reputable breeders or stores.
- Avoid fish showing early signs of buoyancy issues.
Long-Term Outlook

Swim bladder disorder symptoms can be temporary or permanent, depending on the cause.
- Temporary cases (constipation, minor infections) often resolve within days with proper care.
- Chronic cases (genetics, deformities, tumors) may not be fully curable, but symptoms can be managed.
Fish with permanent swim bladder issues can still live quality lives with proper adjustments, such as shallow tanks, soft plants, and easy access to food.
FAQs About Swim Bladder Disorder Symptoms
1. What are the first signs of swim bladder disorder?
The earliest signs include difficulty swimming, floating on one side, or sinking to the bottom of the tank.
2. Can swim bladder disorder kill fish?
Yes, if left untreated, complications such as starvation, infections, or stress can lead to death.
3. How long does it take to cure swim bladder disorder?
Mild cases may improve within a few days, while chronic cases may last weeks or become permanent.
4. Can swim bladder disorder spread to other fish?
No, the condition itself is not contagious. However, infections that cause SBD (like bacteria or parasites) may spread.
5. Why do goldfish often suffer from swim bladder disorder?
Fancy goldfish have short, round bodies that compress internal organs, making them prone to buoyancy issues.
6. Will feeding peas really help with swim bladder disorder?
Yes, blanched peas act as a natural laxative, relieving constipation—a common cause of swim bladder problems.
7. Can betta fish recover from swim bladder disorder?
Yes, bettas often recover with fasting, diet changes, and clean water, unless the issue is genetic.
8. What water temperature helps with swim bladder disorder?
Maintaining 78–80°F (25–27°C) can aid digestion and reduce constipation-related SBD.
9. Should I isolate a fish with swim bladder disorder?
Yes, it’s best to isolate affected fish to reduce stress and monitor treatment.
10. Can swim bladder disorder be permanently cured?
It depends on the cause. Constipation-related SBD can be cured, but genetic deformities or tumors may only be managed.
Final Thoughts
Understanding swim bladder disorder symptoms is essential for every fish keeper. Early detection, proper diagnosis, and quick treatment can save your fish from prolonged suffering. Since this disorder is often linked to diet and water quality, focusing on prevention through balanced feeding and clean aquariums is the best strategy.
If you notice your fish floating awkwardly, sinking, or struggling to swim, don’t ignore it. With the right care and attention, many fish can recover from swim bladder disorder and live long, healthy lives.