Schistosomiasis

Also called Bilharzia or Snail fever

Schistosomiasis (bilharzia) is an infection caused by tiny parasitic worms that live in fresh water, such as lakes and rivers, in parts of Africa, South America, the Middle East and Asia. You can get it by swimming, paddling or washing in infected water. It does not spread from person to person.

Last updated Nov 9, 2026

What it is

Many people have no symptoms at first. Without treatment, it can damage organs such as the bladder, liver and gut over time.

It is treated with a medicine called praziquantel, usually taken after waiting a few weeks from exposure. Avoiding fresh water in affected areas prevents it.

Common signs

  • An itchy rash where the worms entered the skin
  • High temperature, cough and aches a few weeks later
  • Tummy pain or diarrhoea
  • Blood in pee or poo
  • Tiredness

How it is usually diagnosed

  • Questions about travel and swimming in fresh water
  • Blood tests
  • Urine or stool tests

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Blood, urine and stool test results
  • Travel clinic or infectious disease letters
  • Prescriptions

Questions to ask your doctor

  • When should I be tested after exposure?
  • Do I need follow-up tests after treatment?
  • Could any organs have been affected?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Large amounts of blood in pee or poo, or vomiting blood: call 112

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

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