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See the Minerals/Redox Section of Columnaris prevention for a further explanation.
For Saprolegnia in particular, understanding the role of decaying organics, the lifecycle of Saprolegnia zoospores, and even p H play in prevention and treatment of the often very misunderstood Saprolegnia mold/fungi.
Without a microscope, Columnaris can look like Saprolegnia and is often treated as fungus, sometimes with poor results.
The best way to tell with the naked eye (using a magnifying glass) is the hair like growth structures of Saprolegnia/Fungus.
Dr Mc Millan told Brisbane's “The pebble was about eight or nine millimetres long and was stuck lengthways across the side of his mouth, which is why he couldn’t spit it out.