Bilharzia Test Package | Schistosomiasis Microscopy | Epicentre
Bilharzia

Been in fresh water? Check for bilharzia

Bilharzia is picked up from rivers, dams and lakes in many parts of South Africa. This simple microscopy test checks a urine or stool sample for the parasite, so it can be treated early.

No doctor's referral 1 markers Results in 2 to 5 days
Schistosomiasis microscopy
R253
A single microscopy test for bilharzia. No doctor's referral, results in 2 to 5 working days.
1markers
Nofasting
2 to 5day results
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A simple sample at the branch. Bilharzia is common in SA fresh water.

Medically reviewed by Dr Samantha Naidoo, MB ChB, FCP (SA), Medical Director. Reviewed 2 June 2026.
Quick and private

How would you like to get started?

Walk in

Prefer to just come by? Visit any branch, Monday to Friday, 08:30 to 16:00.

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Not sure if this is the right test? Message us on WhatsApp and we will help.

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Google rating
25 yrs
Open since 2001
100k+
Tests done
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Accredited labs
What's tested

What does the test check?

A microscopy test that looks for the bilharzia parasite in a urine or stool sample, the simple, affordable way to check after freshwater exposure.

Common in SA fresh water: bilharzia is picked up from rivers, dams and lakes in many parts of South Africa. This microscopy test checks a urine or stool sample for the parasite, so it can be treated early.

Bilharzia microscopy

Bilharzia Microscopy (urine, or stool if advised). A sample is examined under the microscope for the eggs of the schistosome parasite that causes bilharzia.

How it works

Three steps, no GP needed

1

Book or walk in

Book online or walk into any branch. No doctor's referral needed.

2

Provide a sample

You provide a urine sample, or a stool sample if advised, at the branch. No fasting needed.

3

Results in 2 to 5 days

A clear result with a free certificate you can share with your doctor.

When this helps

Who is this for?

Most useful after contact with fresh water in a bilharzia area.

Swam in fresh water

You have been in a river, dam or lake in an area where bilharzia occurs.

Blood in your urine

A classic sign of urinary bilharzia that should be checked.

Returning travellers

You have come back from a region where bilharzia is common.

Living in an endemic area

Bilharzia occurs in parts of Limpopo, Mpumalanga, KwaZulu-Natal and the Eastern Cape.

Children who play in water

Children who swim or paddle in fresh water are often exposed.

Quiet peace of mind

You want to rule it out after exposure, even without symptoms.

From our patients

What people say

★★★★★ 4.7 / 5 based on verified Google reviews
★★★★★

Friendly and competent staff. Both at reception and the nurse. A much simpler process than going through doctors. Thank you ladies.

A
Agata G.
Parktown North · 3 months ago
★★★★★

The staff at reception as well as the nurses are friendly and professional. I've also always received results timeously. I would give 10 stars if I could.

A
Abedah M.
Parktown North · Local Guide · 3 weeks ago
★★★★★

Highly highly highly recommend. The experience was painless and the practice was inviting and well kept. The report was extremely detailed and informative and I would have this as top of my list for preventive care.

N
Nadia P.
Observatory · 8 months ago
★★★★★

Amazing experience, highly professional staff. Very reasonable prices. Highly recommend.

C
Caitlin C.
Observatory · 1 year ago
★★★★★

I cannot recommend Juliette and her team enough, friendly and kind from the get go. Bloods were drawn with minimal discomfort and the labs came back quickly.

L
Laura S.
Hillcrest · 1 month ago
★★★★★

Excellent experience at Epicentre. The staff were professional, kind, and took time to explain everything clearly. The facility was clean, booking was easy, and I did not feel rushed.

A
Aaron R.
Hillcrest · 1 month ago

What this does not do

This is a microscopy screen for bilharzia. It is a starting point for a conversation with your doctor, not a complete assessment on its own.

  • The parasite's eggs take several weeks to appear after exposure; testing too early can miss an infection.
  • A single negative does not always rule it out; your doctor may advise a repeat test or a blood test.
  • If you have blood in your urine or other symptoms, see a doctor as well as testing.
  • Results are meant to inform a discussion with a registered practitioner.
Common questions

Quick answers

A bilharzia (schistosomiasis) microscopy test on a urine sample, or a stool sample if advised. It is R253, with results in 2 to 5 working days.
You provide a urine sample at the branch, or a stool sample if advised. No fasting is needed.
The parasite's eggs take several weeks to appear, so testing a few weeks after exposure is more reliable. Message us if you are unsure of the timing.
No. Book online or walk into any branch without a doctor's referral.
Typically within 2 to 5 working days, with a free certificate.
Where to test

Three walk-in labs

Related packages

Round out the picture

Medically reviewed by Dr Samantha Naidoo, MB ChB, FCP (SA), Medical Director at Epicentre Walk-In Labs. Reviewed 2 June 2026. Epicentre Aids Risk Management (Pty) Ltd provides diagnostic laboratory testing and does not provide diagnoses, treatment or prescriptions to the public; results are intended to inform discussions with a registered healthcare practitioner.

Been in fresh water? Check for bilharzia

No doctor's referral, results in 2 to 5 working days. Book a visit or walk in, or message us if you are not sure whether you need it.