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Bladder Cancer Symptoms to Watch For

Learn the early signs of bladder cancer, including blood in urine, frequent urination, and pelvic pain. Recognise symptoms, understand risks, and know when to see a doctor.

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Written by Dr. M L Ezhilarasan

Reviewed by Dr. J T Hema Pratima MBBS

Last updated on 30th Jul, 2025

Introduction

Bladder cancer is a condition where abnormal cells grow uncontrollably in the bladder lining. While it can be concerning, early detection and treatment significantly improve outcomes. Knowing the symptoms can help you seek medical attention promptly.

Common Symptoms of Bladder Cancer

1. Blood in Urine (Hematuria)

The most common and noticeable symptom is blood in the urine, which may appear:

  • Pink, red, or dark brown

  • Visible (gross hematuria) or detectable only under a microscope (microscopic hematuria)

  • Intermittent (comes and goes)

Note: Blood in urine doesn’t always mean cancer; it could also indicate infections or kidney stones, but it should never be ignored.

2. Frequent or Painful Urination

You may experience:

  • A sudden, urgent need to urinate

  • Burning or pain during urination

  • Feeling like you need to go often, even when the bladder isn’t full

These symptoms can mimic a urinary tract infection (UTI), but if they persist after treatment, further evaluation is needed.

3. Lower Back or Pelvic Pain

Persistent pain in the lower back or pelvic area, unrelated to injury or menstrual cycles, could indicate advanced bladder cancer.

4. Difficulty Urinating

Some people may struggle with:

  • Weak urine stream

  • Inability to urinate despite feeling the urge

  • Feeling that the bladder isn’t fully empty

5. Fatigue and Weight Loss (Advanced Stages)

In later stages, unexplained weight loss, fatigue, or swelling in the legs may occur due to cancer spreading.

What Causes Bladder Cancer?

While the exact cause is unclear, certain risk factors increase the likelihood:

  • Smoking: The biggest risk factor; chemicals in tobacco enter the bloodstream and affect the bladder.

  • Chemical Exposure: Workers in dye, rubber, or paint industries may face higher risks.

  • Chronic Bladder Inflammation: Repeated UTIs or long-term catheter use may contribute.

  • Age & Gender: More common in people over 55 and in men.

  • Family History: A genetic predisposition may play a role.

When to See a Doctor?

If you notice:

  • Blood in urine (even once)

  • Persistent urinary symptoms

  • Unexplained pain or fatigue

Don’t wait—early diagnosis improves treatment success.

Get Your Symptoms Checked By An Oncologist

Dr. Rupam Manna, Radiation Specialist Oncologist

Dr. Rupam Manna

Radiation Specialist Oncologist

4 Years • MBBS MD(RADIO THERAPY)

Barasat

Diab-Eat-Ease, Barasat

700

Dr Gowshikk Rajkumar, Oncologist

Dr Gowshikk Rajkumar

Oncologist

10 Years • MBBS, DMRT, DNB in Radiation oncology

Bengaluru

Apollo Clinic, JP nagar, Bengaluru

900

135 Cashback

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No Booking Fees

Dr Devashish Tripathi, Radiation Specialist Oncologist

Dr Devashish Tripathi

Radiation Specialist Oncologist

20 Years • MBBS, PLAB, MRCP (UK)- General Medicine, FRCR (Oncology), Certificate of Completion of Training (CCT)- Clinical Oncology

Delhi

Apollo Hospitals Indraprastha, Delhi

1500

150 Cashback

1500

No Booking Fees

Dr Sunita Samleti, Oncologist

Dr Sunita Samleti

Oncologist

18 Years • M.D. (Pathology)- TN Medical College, Mumbai University, Mumbai, Mar 2005 M.B.B.S. Grant Medical College, Mumbai University, Mumbai, Oct 1999

Chinagadila

Apollo Hospitals Health City Unit, Chinagadila

600

60 Cashback

600

Dr. Gopal Kumar, Head, Neck and Thyroid Cancer Surgeon

Dr. Gopal Kumar

Head, Neck and Thyroid Cancer Surgeon

15 Years • MBBS, MS , FARHNS ( Seoul, South Korea ), FGOLF ( MSKCC, New York )

Delhi

Apollo Hospitals Indraprastha, Delhi

recommendation

89%

(25+ Patients)

1000

100 Cashback

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No Booking Fees

Diagnosis & Tests

Your doctor may recommend:

  • Urine Tests: To check for blood, infections, or cancer cells.

  • Cystoscopy: A thin tube with a camera examines the bladder.

  • Imaging Scans: Ultrasound, CT, or MRI to detect tumors.

  • Biopsy: Removing a small tissue sample for lab testing.

Managing & Reducing Risks

While not all bladder cancers are preventable, these steps can help:

1. Quit Smoking

Smoking is the leading cause, quitting reduces risk significantly.

2. Stay Hydrated

Drinking plenty of water dilutes harmful chemicals in urine.

3. Eat a Healthy Diet

  • Include fruits, vegetables, and whole grains.

  • Limit processed meats and excessive caffeine.

4. Workplace Safety

If exposed to industrial chemicals, follow safety guidelines and wear protective gear.

5. Regular Check-ups

If you have risk factors, discuss screening with your doctor.

Treatment Options

Treatment depends on the cancer stage and may include:

  • Surgery: Removing tumors or part/all of the bladder.

  • Chemotherapy/Immunotherapy: Drugs to kill cancer cells.

  • Radiation Therapy: Targeting cancer with high-energy beams.

When to Seek Help?

If you experience any concerning symptoms, consult a doctor immediately. Early action can make a big difference.

Need Expert Advice?

If you or a loved one has symptoms, don’t delay, book a consultation with an Apollo specialist today. Early detection saves lives. Book an appointment now on Apollo 24|7

Conclusion 

Bladder cancer can be life-threatening, but early detection and timely treatment greatly improve the chances of recovery. By recognising symptoms early and taking preventive steps, you can protect your health and well-being. Don’t hesitate to seek medical advice—your vigilance could make all the difference.

Get Your Symptoms Checked By An Oncologist

Dr. Rupam Manna, Radiation Specialist Oncologist

Dr. Rupam Manna

Radiation Specialist Oncologist

4 Years • MBBS MD(RADIO THERAPY)

Barasat

Diab-Eat-Ease, Barasat

700

Dr Gowshikk Rajkumar, Oncologist

Dr Gowshikk Rajkumar

Oncologist

10 Years • MBBS, DMRT, DNB in Radiation oncology

Bengaluru

Apollo Clinic, JP nagar, Bengaluru

900

135 Cashback

900

No Booking Fees

Dr Devashish Tripathi, Radiation Specialist Oncologist

Dr Devashish Tripathi

Radiation Specialist Oncologist

20 Years • MBBS, PLAB, MRCP (UK)- General Medicine, FRCR (Oncology), Certificate of Completion of Training (CCT)- Clinical Oncology

Delhi

Apollo Hospitals Indraprastha, Delhi

1500

150 Cashback

1500

No Booking Fees

Dr Sunita Samleti, Oncologist

Dr Sunita Samleti

Oncologist

18 Years • M.D. (Pathology)- TN Medical College, Mumbai University, Mumbai, Mar 2005 M.B.B.S. Grant Medical College, Mumbai University, Mumbai, Oct 1999

Chinagadila

Apollo Hospitals Health City Unit, Chinagadila

600

60 Cashback

600

Dr. Gopal Kumar, Head, Neck and Thyroid Cancer Surgeon

Dr. Gopal Kumar

Head, Neck and Thyroid Cancer Surgeon

15 Years • MBBS, MS , FARHNS ( Seoul, South Korea ), FGOLF ( MSKCC, New York )

Delhi

Apollo Hospitals Indraprastha, Delhi

recommendation

89%

(25+ Patients)

1000

100 Cashback

2000

No Booking Fees

Get Your Symptoms Checked By An Oncologist

Dr. Rupam Manna, Radiation Specialist Oncologist

Dr. Rupam Manna

Radiation Specialist Oncologist

4 Years • MBBS MD(RADIO THERAPY)

Barasat

Diab-Eat-Ease, Barasat

700

Dr Gowshikk Rajkumar, Oncologist

Dr Gowshikk Rajkumar

Oncologist

10 Years • MBBS, DMRT, DNB in Radiation oncology

Bengaluru

Apollo Clinic, JP nagar, Bengaluru

900

135 Cashback

900

No Booking Fees

Dr Devashish Tripathi, Radiation Specialist Oncologist

Dr Devashish Tripathi

Radiation Specialist Oncologist

20 Years • MBBS, PLAB, MRCP (UK)- General Medicine, FRCR (Oncology), Certificate of Completion of Training (CCT)- Clinical Oncology

Delhi

Apollo Hospitals Indraprastha, Delhi

1500

150 Cashback

1500

No Booking Fees

Dr Sunita Samleti, Oncologist

Dr Sunita Samleti

Oncologist

18 Years • M.D. (Pathology)- TN Medical College, Mumbai University, Mumbai, Mar 2005 M.B.B.S. Grant Medical College, Mumbai University, Mumbai, Oct 1999

Chinagadila

Apollo Hospitals Health City Unit, Chinagadila

600

60 Cashback

600

Dr. Gopal Kumar, Head, Neck and Thyroid Cancer Surgeon

Dr. Gopal Kumar

Head, Neck and Thyroid Cancer Surgeon

15 Years • MBBS, MS , FARHNS ( Seoul, South Korea ), FGOLF ( MSKCC, New York )

Delhi

Apollo Hospitals Indraprastha, Delhi

recommendation

89%

(25+ Patients)

1000

100 Cashback

2000

No Booking Fees