did a search on Hexamita. I also picked the brain of a friend of mine who is a DVM, he let me peruse thru some of his books on parasites etc.
had to deal with it recently in one of my angels..I did do quite a bit of research on the subject. the angle is fine now. the disease is very treatable and is actually quite common in cichlids.
btw, it is common for parasites to reside in animals. it just isn't a problem until the conditions permit the parasite to get the 'upper hand'. I beleive that hexamita may have a generation time around 24 hrs. stress is just one way for the parasite to gain the upperhand. this doesn't meaneverytime the fish gets stressed it will exhibit Sx(symptoms). part of that has to be the type of stress. in the case of my angel she was the only angel in a tank of 4 that had the problem..she was very stressed by spawning. the 3 others exhibited no Sx and probably carried the protazoan..`I did treat teh whole tank so hopefully I reduced the number of hexamita enough so that the angels can take care of it by being healthy.
it is also believed to be transmitted through the water from contaminated fecal matter. In the flagellated stage it makes it's way in to the upper intestinal tract.
which is why it is easy for this to infect other fish. but if the fish are healthy they may not exhibit any Sx or problems.
I don't believe I said in all cichlids . probably better to have said 'many' rather than most but it is common in cichlids especially angels and discus but it can commonly infect oscars and as observed, african cichlids as well.
there is some interesting reading about this I found the one from the University of Florida pretty enlightening.
http://edis.ifas.ufl.edu/VM053