No specific diseases unique to this species have been recorded. Like other members of the Anostomidae family, these fish are sensitive to water quality and dissolved oxygen levels due to their natural habitat in strong currents. The main risk factors are: — bacterial and fungal infections arising from non-compliance with water parameters or the accumulation of organic waste; — stress caused by insufficient aquarium volume or lack of hiding places, which reduces immunity and makes the fish vulnerable to parasitic diseases; — injuries sustained during careless transportation or incompatibility with aggressive tankmates. To prevent diseases, it is necessary to maintain high aeration and filtration, regularly change the water, and provide a balanced plant-based diet. If signs of illness appear, such as changes in coloration, apathy, or skin lesions, the hydrochemical parameters of the water need to be checked.