That would be helpful if I knew when the tank was properly cycled.About a month after the tank was properly cycled
If you had the fish less than 2 weeks, I'd guess ich. It sure isn't likely to be sand, although a lot of things are possible. Not all fish react to ich the same way, so flashing, while a good indicator, isn't a definitive test.
If you've had the fish for several months, and have not gotten any new fish or plants in the last few months, I'd lean elsewhere.