Forum rules
Read this before posting!!
Since this board has been up, we have found there are several questions that routinely get asked in order to help diagnose problems. If you can have that information to begin with in your post, we'll be able to help right away (if we can!) without having to wait for you to post the info we need.
1)
Your water parameters - pH, Ammonia, Nitrite, Nitrates and salinity (if appropriate). This is by far the most important information you can provide! Do not answer this with "Fine" "Perfect" "ok", that tells us nothing. We need hard numbers.
2)
Tank size and a list of ALL inhabitants. Include algae eaters, plecos, everything. We need to know what you have and how big the tank is.
3)
Feeding, water change schedule and a list of all products you are using or have added to the tank (examples: Cycle, Amquel, salt, etc)
4)
What changes you've made in the tank in the last week or so. Sometimes its the little things that make all the difference.
5)
How long the aquarium has been set up, and how did you cycle it? If you don't know what cycling is read this:
Fishless Cycling Article and familiarize yourself with all the information. Yes. All of it.
We want to help, and providing this information will go a LONG way to getting a diagnosis and hopeful cure that much faster.
While you wait for assistance:
One of the easiest and best ways to help your fish feel better is clean water! If you are already on a regular water change schedule (50% weekly is recommended) a good step to making your fish more comfortable while waiting for diagnosis/suggestions is to do a large water change immediately. Feel free to repeat daily or as often as you can, clean water is always a good thing! Use of Amquel or Prime as a dechlor may help with any ammonia or nitrite issues, and is highly recommended.
Note - if you do not normally do large water changes, doing a sudden, large water change could shock your fish by suddenly changing their established water chemistry. Clean water is still your first goal, so in this case, do several smaller (10%) water changes over the next day or two before starting any large ones.
I noticed small white dots all over two of my 4 SA puffers last night before bed, and this morning I noticed all 4 have white spots--ICH. I just got them 4 days ago 
. SA puffers are very prone to Ich (from what I've been told), so I took my fish and aquarium experts advice on wiping it out fast. Puffers are scaleless, so they are sensitive to meds, so I am using a half dose of Rid Ich (3 teaspoons in my 55 gallon tank), added 10 tablespoons of Doc Well's aquarium salt, and am gradually increasing the temp of my tank to 85 degrees. All per my friend. I also took out the carbon filter out of my filter head. He said to do a 30% water change Friday (2 days) and repeat the treatment if necessary. He said between the salt, meds, and increased temp, the Ich will be wiped out in no time. He consulted his friend about this and because I have puffers (his friend has been owning and cleaning aquariums for the last 25 years) and he agreed with the treatment. We shall see what the future holds for my new friends--I am doing what I can!! 
I will not give up.