Any signs of flicking and rubbing against objects.
Check the gills to see if there pale with excess mucas, or red and inflamed.
Flukes can cause a fish to go skinny and also with flukkes they swim in a jerky movement.
Take alook here as we need to rule flukes out.
Increased breathing, (as for oxygen deficiency), shying at objects, jerky swimming movements in conjunction with shock colouring or apathetic "hanging around" in the aquarium are signs of infection with gill worms.
In the case of infection with skin trematoda, bloodshot areas of skin may also be observed. Infection of the gills may be diagnosed using simple means as follows: catch the suspected fish and lay them on a damp surface, then, with a pair of tweezers, carefully raise one gill cover. The white worms may be easily recognised using a magnifying glass (10x).