Symptoms vary with the species of worm and the phase of infection. Heavy infestation (many parasites) may cause fever, chills, lymph node enlargement, and liver and spleen enlargement. Initial invasion of the skin may cause itching and a rash (swimmer's itch). In this condition, the schistosome is destroyed within the skin. Intestinal symptoms include abdominal pain and diarrhea (which may be bloody). Urinary symptoms may include frequent urination, painful urination (dysuria), and blood in the urine (hematuria).
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