Several steps to do asap
1. clean filetr media and assure good water movement
2. Dose with the maracyn product for ulcers ( i cant remember the exact medicine but its made by maracyn. Takes doses at day one , three and five.
3. Add a air pump with a fractionation stone.
I have had this b4 and this took care of it within a week.
The water quality as far as cleanliness is a must also....
If you need to do so, replace any carbon with new if you use carbon or clean any pads/sponges/etc.