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Beta fish with bulge on chest

My betta fish has developed what appears to be a huge bulge on his chest. It starts right after his little front fins and continues to his tail. Almost as if he’s really fat. (I don’t overfeed him though) His skin is so stretched the bulge is white. The poor guy is so top heavy and I see him laying on the bottom with his head down and his tail facing up. Also, he has lost some of his color on the rest of his body (it’s faded) and has little white spots on him. I tried Ick treatment for the spots at the recommendation of the pet store but it doesn’t seem to have helped and the bulge is getting bigger. I’m afraid to change his water because I don’t want to make anything worse. I’m very afraid he’s going to die. He still seems to be eating and swims around actively, but I know something is seriously wrong. Thank you.

Note : Beta fish question from Ask a vet

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