Treating hole in the head

You are going to have to self educate and understand what is involved and decide which course of treatment you can best follow.
Steve's site AngelsPlus is owned by someone with over 30yrs breeding experience and he has many articles on his site explaining what and why.
The link I provided is to an angelfish breeder site and that thread is helping / guiding a new member to information dealing with HTH conditions that appeared right after receiving new fish. My post in that thread links to another thread and information from yet another long time handler and breeder of quality angels. Rather than relying on my limited experiences with it to guide you into folly reading for yourself would be a much better option in my opinion is why I posted the link. Proper treatment requires understanding what is involved.

again wishing you luck with the fish.

My temp is 82 and my thermometer goes to 86. Would 85 do anything or should I pick up a better thermometer? And go for the higher temp?
I appreciate any and all suggestions and I know I can be long winded. I hope I dont come off as anything but grateful for help.
I finished the links and read a few similar posts.
So I'm giving myself an hour to psyc myself up and trying to be positive. My plan is to bump my temp gradually to the max my thermometer will give me a reading. ( maybe pick up a new one and raise the temp higher over the next day) water changes every other day(unless that's excessive) and api general cure with the hopes of whatever recycle happens the water changes help. I couldn't find medicated flakes but considered crushing or dissolving the meds and mixing with food for a more aggressive approach. I don't know if that would be good or risky. *got the idea from winning a battle against camalanus worms, (long story first month the tank was running when I set up last year) if I can beat that I'm hoping this will be painless. Knock on pressed wood fish tank.

Yup sounds like you have a very stressful tank. when ever cichlids spawn they putnlots of stress on take mates. What size is it? Stress will make HITH worst that's why I say get a hospital tank. I never found HITH to be contagious unless the water quality was poor then many fish will get it. But besides the Uarus I posted photos of I rescued a Geo That had the start of HITH from a pet store all he needed was go get out of the over crowded tank and into some good clean water with propper food. With the Uarus was a buffalo head cichlids that I still have and has made a full recovery.

My buffalo head cichlids rescued with the Uarus from the same tank was in really bad shape.
when I got him he looked a little worst then this. These fish was rescued off Craigslist.


I took this photo a few months ago. She tail will never be the same.


To up load photos:
Open up a photo bucket account and upload photos to that then cut and paste the image link here. I have a photo bucket App for my iPhone so it really easy.

Do have a 10 gal tank to set up as a hospital tank?

You say your nitrates are at 0 ? How old is the tank? Your tank should have some nitrates. Do the water test right before you are going to do the WC not right after. then see what it says.