Symptoms of bladder cancer

The main symptom Open a glossary item of bladder cancer is blood in your urine. This is the same for both men and women. 

Bladder cancer symptoms to look out for:

  • blood in the urine
  • problems passing urine
  • bone, lower back or tummy pain
  • feeling tired
  • weight loss for no reason

If you have any of these symptoms you must get them checked by your GP. But remember, they can all be caused by other conditions. Most people with these symptoms don’t have bladder cancer.

Blood in the urine

Blood in the urine is the most common symptom of bladder cancer. 80 out of 100 people with bladder cancer (80%) have some blood in their urine. Doctors call blood in the urine haematuria (pronounced heem-at-you-ree-ah).

You may see the blood in your urine. It usually looks bright red. Rarely, it may look dark brown. Sometimes the blood is there in such small amounts that you can't see it. But a urine test will pick it up.

The blood may not be there all the time. It can come and go. The bleeding is not usually painful. But if you ever see blood in your urine, you should go to your GP.  

It can help if you tell your GP whether: 

  • there is blood only when you start to pee
  • the blood is mixed with all the urine you pass
  • you had any pain when you passed the urine with blood in it

Problems passing urine

Other urine problems with bladder cancer can include:

  • passing urine very often (frequency)
  • passing urine very suddenly (urgency)
  • pain or a burning sensation when passing urine

These symptoms are much more likely to be caused by other conditions rather than cancer. For example a urine infection, particularly if you do not have blood in your urine. For men, the symptoms could be caused by an enlarged prostate gland Open a glossary item

Tell your doctor straight away if you have these symptoms. If you have an infection, it can usually be treated quickly with antibiotics Open a glossary item. And it is always best to check for cancer as early as possible so that it can be diagnosed while it is easier to treat.

Other symptoms

You might have other symptoms if bladder cancer is locally advanced Open a glossary item or has spread to other parts of the body (advanced bladder cancer). These include:

  • weight loss for no reason
  • pain in your back, lower tummy or bones
  • feeling tired and unwell
  • Suspected cancer: Recognition and referral
    National Institute for Health and Care Excellence (NICE), June 2015

  • Bladder Cancer: diagnosis and management of bladder cancer. 
    National Institute of Health and Clinical Excellence (NICE), 2015

  • Cancer: Principles and Practice of Oncology (12th edition)
    VT DeVita, TS Lawrence, SA Rosenberg
    Wolters Kluwer, 2023

  • Clinical Oncology: Basic principles and practice (5th edition)
    P Hoskin
    CRC Press, 2020

  • Bladder cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up
    T Powles and others
    ESMO Annals of Oncology, 2022. Volume 33, Issue 3, Pages 244-258

  • The information on this page is based on literature searches and specialist checking. We used many references and there are too many to list here. Please contact patientinformation@cancer.org.uk with details of the particular issue you are interested in if you need additional references for this information.

Last reviewed: 
23 Apr 2025
Next review due: 
23 Apr 2028

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