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What does cancerous urine look like?

In most cases, blood in the urine (called 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.

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Bladder Cancer Signs and Symptoms

Bladder cancer can often be found early because it causes blood in the urine or other urinary symptoms that cause a person to see a health care provider.

Blood in the urine

In most cases, blood in the urine (called 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. Sometimes, the color of the urine is normal but small amounts of blood are found when a urine test (urinalysis) is done because of other symptoms or as part of a general medical check-up. Blood may be present one day and absent the next, with the urine remaining clear for weeks or even months. But if a person has bladder cancer, at some point the blood reappears. Usually, the early stages of bladder cancer (when it's small and only in the bladder) cause bleeding but little or no pain or other symptoms. Blood in the urine doesn't always mean you have bladder cancer. More often it's caused by other things like an infection, benign (not cancer) tumors, stones in the kidney or bladder, or other benign kidney diseases. Still, it’s important to have it checked by a doctor so the cause can be found.

Changes in bladder habits or symptoms of irritation

Bladder cancer can sometimes cause changes in urination, such as:

Having to urinate more often than usual

Pain or burning during urination

Feeling as if you need to go right away, even when your bladder isn't full

Having trouble urinating or having a weak urine stream

Having to get up to urinate many times during the night

These symptoms are more likely to be caused by a urinary tract infection (UTI), bladder stones, an overactive bladder, or an enlarged prostate (in men). Still, it’s important to have them checked by a doctor so that the cause can be found and treated, if needed.

Symptoms of advanced bladder cancer

Bladder cancers that have grown large or have spread to other parts of the body can sometimes cause other symptoms, such as:

Being unable to urinate

Lower back pain on one side

Loss of appetite and weight loss

Feeling tired or weak

Swelling in the feet

Bone pain

Again, many of these symptoms are more likely to be caused by something other than bladder cancer, but it’s important to have them checked. If there's a reason to suspect you might have bladder cancer, the doctor will use one or more exams or tests to find out if it's cancer or something else.

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What color pee is healthiest?

The most optimal color for your urine is a pale yellow. If it is a darker yellow or orange, it can mean you are becoming dehydrated. An orange urine could indicate a serious liver condition. Darker brown can be caused by foods or medication.

It’s OK … we all do it. Look before you flush. Believe it or not, the color and consistency of your urine can say a lot about your health.

Health Clues From Color

The most optimal color for your urine is a pale yellow. If it is a darker yellow or orange, it can mean you are becoming dehydrated. An orange urine could indicate a serious liver condition. Darker brown can be caused by foods or medication. Cloudy urine can indicate the presence of phosphates which can lead to kidney stones. Urine that’s consistently foamy and frothy suggests a possible kidney issue. Never ignore a bright red urine. That can signal a bladder or kidney issue that needs a doctor’s attention.

Is it a UTI?

Urinary tract infections (UTIs) may also cause an abnormal appearance of the urine such as cloudiness, brown or red color, or an unusual smell. A UTI is nearly always accompanied by symptoms such as: needing to urinate more than normal, an intense feeling of needing to urinate, pain or burning with urination, or lower abdominal pain/discomfort. Be sure to tell your doctor if you are experiencing any of these symptoms. Cloudy or smelly urine by themselves should not be interpreted as indicators of a UTI.

An Important Test

When you go to the doctor, he or she may ask you to take a urinalysis. That test allows providers to see just what’s indicated by your urine. Methodist Physicians Clinic Regency family medicine provider Dr. Jeffrey Jenkins tells us more about what a urinalysis may indicate.

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