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It is very sick and needs to either be taken to a vet or killed because it is in a lot of pain Might be a disease called "Dropsy". This disease is characterised by a swollen or hollow abdomen (Ascites). A concentration of fluid in the body tissues and cavities causes the fish's abdomen to become swollen and appear bloated. Swollen areas may exhibit a 'pine-cone' appearance caused by the fish's scales sticking out. You can best see this by viewing your fish from the top. Fish may also stop feeding, appear off-colour, become listless and/or lethargic, have sunken eyes, and hang at the top or stay at the bottom of the aquarium. The condition affects the fish's internal organs, ceasing proper function. http://en.wikipedia.org/wiki/Fish_dropsy

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Q: What does it mean when a goldfish does not swim but is still breathing and has a over sized belly?
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