The well-being of fish is largely determined by the state of their environment. If the catfish lives in comfortable conditions, receives quality food, and does not experience aggression from tank mates, then instances of illness are extremely rare. If signs of illness appear in the catfish, such as lethargy, changes in body shape or color, or refusal to eat, the first step is to check the hydrochemical composition of the water. It is important to ensure there are no deviations in pH and dGH, as well as high concentrations of nitrogen cycle products. Often, restoring the normal water composition leads to recovery. However, in advanced situations, medication may be required.