Bladder cancer - Symptoms (2024)

Blood in your urineis the most common symptom of bladder cancer.

The medical name for blood in your urine is haematuriaand it's usually painless. You may notice streaks of blood in your urine or the blood may turn your urine brown. The blood isn't always noticeable and it may come and go.

Less common symptoms of bladder cancer include:

  • a need to urinate on a more frequent basis
  • sudden urges to urinate
  • a burning sensation when passing urine

If bladder cancer reaches an advanced stage and has spread, symptoms can include:

When to seek medical advice

If you have blood in your urine– even if it comes and goes– you should visit your GP, so the cause can be investigated.

Having blood in your urine doesn't mean you definitely have bladder cancer. There are other, more common, causes including:

Page last reviewed: 01 July 2021
Next review due: 01 July 2024

Bladder cancer - Symptoms (2024)

FAQs

Bladder cancer - Symptoms? ›

The most common symptom is blood in the urine, called hematuria. It's often slightly rusty to bright red in color. You may see blood in your urine at one point, then not see it again for a while. Sometimes there are very small amounts of blood in the urine that can only be found by having a test done.

What is the biggest symptom of bladder cancer? ›

The most common symptom is blood in the urine, called hematuria. It's often slightly rusty to bright red in color. You may see blood in your urine at one point, then not see it again for a while. Sometimes there are very small amounts of blood in the urine that can only be found by having a test done.

At what stage does bladder cancer cause pain? ›

Symptoms if bladder cancer has spread to your bones

The most common symptom if cancer has spread to the bone is bone pain. It is usually there most of the time and can wake you up at night. The pain can be a dull ache or stabbing pain.

What can be mistaken for bladder cancer? ›

The symptoms of urinary tract infections (UTIs) and the symptoms of bladder cancer can be very similar. Both may involve pain while urinating, a feeling of urgency, frequent urination, and the presence of white or red blood cells in the urine.

How do you rule out bladder cancer? ›

The most efficient, noninvasive and inexpensive test is a urinalysis/cytology. Here, a sample of urine is taken from the patient and evaluated for cancer cells, red and white blood cells (which fight urinary tract infections), and microscopic hematuria or infection.

What is the red flag of bladder cancer? ›

Most often, blood in the urine (hematuria) is the first sign of bladder cancer. There may be enough blood to change the color of the urine to orange, pink, or, less often, dark red.

What does stage 1 bladder cancer feel like? ›

The first sign of bladder cancer is blood in the urine, which is painless for most people. In the early stages, this may be your only symptom, though some people don't experience it. Other symptoms include changes in bladder habits, frequent urinary infections, and pelvic or back pain, which might be on one side.

Where does your back hurt if you have bladder cancer? ›

Back pain. Pain may start in your pelvic region, but as it worsens, you may feel pain that radiates into your lower back. Back pain associated with bladder cancer is often felt on one side of the body. You may also experience pain you feel in your bones.

How long can you have bladder cancer and not know it? ›

Even after reporting the problem to their doctors, blood in the urine may be initially misdiagnosed. It may be seen as a symptom of post-menopausal bleeding, simple cystitis or a urinary tract infection. As a result, a bladder cancer diagnosis can be overlooked for a year or more.

What are the signs that something is wrong with your bladder? ›

Some signs of a bladder problem may include:
  • Inability to hold urine or leaking urine.
  • Needing to urinate more frequently or urgently.
  • Cloudy urine.
  • Blood in the urine.
  • Pain or burning before, during, or after urinating.
  • Trouble starting or having a weak stream while urinating.
  • Trouble emptying the bladder.
Jan 24, 2022

What does urine look like with bladder cancer? ›

Bladder cancer signs and symptoms may include: Blood in urine (hematuria), which may cause urine to appear bright red or cola colored, though sometimes the urine appears normal and blood is detected on a lab test. Frequent urination. Painful urination.

Can a doctor feel bladder cancer? ›

Your GP may want to examine you internally. They put a gloved finger into your back passage (rectum) or vagin*. This is to see if everything feels normal. The doctor can sometimes feel a bladder tumour during this type of examination.

Do you feel bad with bladder cancer? ›

Feeling weak or fatigued: You may feel lethargic and extremely tired a lot of the time. Bone pain: If your cancer has spread to the bone, it can cause bone pain or a bone fracture. Swollen feet: Bladder cancer that has spread (metastasized) to your lymph nodes, for instance, could cause your feet to swell.

What are the odds of beating bladder cancer? ›

The 5-year relative survival rate of people with bladder cancer that has not spread beyond the inner layer of the bladder wall is 96%. Almost half of people are diagnosed with this stage. If the tumor is invasive but has not yet spread outside the bladder, the 5-year relative survival rate is 70%.

How can I test for bladder cancer at home? ›

If you're under surveillance for bladder cancer recurrence, a healthcare professional may recommend using at-home urine tests that measure biomarker genes. After you take a urine sample at home, you mail it back to a laboratory for analysis.

What is the most accurate test for bladder cancer? ›

Cystoscopy. Cystoscopy is the key diagnostic procedure for bladder cancer. It allows the doctor to see inside the body with a thin, lighted, flexible tube called a cystoscope. Flexible cystoscopy is performed in a doctor's office and does not require anesthesia, which is medication that blocks the awareness of pain.

Where is the first place bladder cancer spreads? ›

Where can bladder cancer spread to? Not all bladder cancers will spread. But If it does it's most likely to spread to the structures close to the bladder, such as the ureters, urethra, prostate, vagin*, or into the pelvis. This is called local spread.

Which finding is an early indicator of bladder cancer? ›

For most people, the first symptom of bladder cancer is blood in the urine, also called hematuria. Sometimes the blood is visible, prompting the patient to visit a doctor.

How long can you have bladder cancer before you know it? ›

Even after reporting the problem to their doctors, blood in the urine may be initially misdiagnosed. It may be seen as a symptom of post-menopausal bleeding, simple cystitis or a urinary tract infection. As a result, a bladder cancer diagnosis can be overlooked for a year or more.

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