{"id":1510,"date":"2020-08-21T08:00:00","date_gmt":"2020-08-21T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=1510"},"modified":"2026-08-15T00:21:24","modified_gmt":"2026-08-14T17:21:24","slug":"%e0%a6%ae%e0%a7%82%e0%a6%a4%e0%a7%8d%e0%a6%b0%e0%a6%be%e0%a6%b6%e0%a6%af%e0%a6%bc-%e0%a6%95%e0%a7%8d%e0%a6%af%e0%a6%be%e0%a6%a8%e0%a7%8d%e0%a6%b8%e0%a6%be%e0%a6%b0-%e0%a6%a4%e0%a6%be%e0%a6%87","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/bn\/2020\/08\/21\/bladder-cancer-so-do-i\/","title":{"rendered":"Blood in the Urine Without Pain: Could It Be Bladder Cancer?"},"content":{"rendered":"<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" 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height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"\u0997\u09c1\u0997\u09b2 \u09b8\u09cd\u0995\u09b2\u09be\u09b0\"\n     aria-label=\"\u0997\u09c1\u0997\u09b2 \u09b8\u09cd\u0995\u09b2\u09be\u09b0 \u09aa\u09cd\u09b0\u09cb\u09ab\u09be\u0987\u09b2 \u09a6\u09c7\u0996\u09c1\u09a8\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"has-drop-cap wp-block-paragraph\">Bladder cancer is the commonest cancer of the urinary tract, and it announces itself in a very particular way: <strong>blood in the urine, without any pain at all<\/strong>. That absence of pain is exactly what makes it dangerous, because pain is what usually sends people to a doctor.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"1519\" data-permalink=\"https:\/\/drsoaraweeurology.com\/bn\/2020\/08\/21\/bladder-cancer-so-do-i\/halloween-concept-blood-dripping\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Blood-1.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;6.3&quot;,&quot;credit&quot;:&quot;jannoon028&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark III&quot;,&quot;caption&quot;:&quot;Halloween concept : Blood dripping&quot;,&quot;created_timestamp&quot;:&quot;1439310954&quot;,&quot;copyright&quot;:&quot;jannystockphoto@hotmail.com&quot;,&quot;focal_length&quot;:&quot;80&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.01&quot;,&quot;title&quot;:&quot;Halloween concept : Blood dripping&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Hematuria : Medical term of bloody urination\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Hematuria : Medical term of bloody urination&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Blood-1.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Blood-1.jpg?resize=800%2C534&#038;ssl=1\" alt=\"Blood in the urine, the classic painless warning sign of bladder cancer\" class=\"wp-image-1519\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Blood-1.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Blood-1.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Blood-1.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Blood-1.jpg?w=1200&amp;ssl=1 1200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Hematuria \u2014 the medical term for blood in the urine.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>One point before anything else, because it is the reason diagnoses get delayed.<\/strong> The bleeding is usually <strong>intermittent<\/strong>. It appears for a day or two, then stops completely, and the urine looks entirely normal again. That is not the problem resolving \u2014 the tumour does not go away when the bleeding does. <strong>A single episode of painless blood in the urine deserves investigation, even if it never comes back.<\/strong> Waiting to see whether it happens again is the most common and most costly mistake with this disease.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The two major <a href=\"https:\/\/uroweb.org\/guideline\/non-muscle-invasive-bladder-cancer\/\">\u099d\u09c1\u0981\u0995\u09bf\u09b0 \u0995\u09be\u09b0\u09a3<\/a><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">1. Smoking<\/h3>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"570\" data-attachment-id=\"1517\" data-permalink=\"https:\/\/drsoaraweeurology.com\/bn\/2020\/08\/21\/bladder-cancer-so-do-i\/dark-and-sullen-shot-of-a-man-smoking\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Smoking.jpg?fit=1200%2C855&amp;ssl=1\" data-orig-size=\"1200,855\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;5.6&quot;,&quot;credit&quot;:&quot;Sasin TIPCHAI&quot;,&quot;camera&quot;:&quot;NIKON D810&quot;,&quot;caption&quot;:&quot;Dark and sullen shot of a man smoking&quot;,&quot;created_timestamp&quot;:&quot;1466877444&quot;,&quot;copyright&quot;:&quot;Sasin TIPCHAI&quot;,&quot;focal_length&quot;:&quot;165&quot;,&quot;iso&quot;:&quot;80&quot;,&quot;shutter_speed&quot;:&quot;0.002&quot;,&quot;title&quot;:&quot;Dark and sullen shot of a man smoking&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Smoking is a major risk in Bladder cancer\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Smoking is a major risk in Bladder cancer&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Smoking.jpg?fit=800%2C570&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Smoking.jpg?resize=800%2C570&#038;ssl=1\" alt=\"Cigarettes, the single largest risk factor for bladder cancer\" class=\"wp-image-1517\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Smoking.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Smoking.jpg?resize=300%2C214&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Smoking.jpg?resize=1024%2C730&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Smoking.jpg?resize=768%2C547&amp;ssl=1 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Smoking accounts for about half of all bladder cancer.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Tobacco is by far the largest risk factor: roughly <strong>50% of bladder cancer patients have smoked<\/strong>, and smokers carry <strong>up to six times<\/strong> the risk of non-smokers. The risk rises with both how long and how heavily you smoked.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Two things are worth knowing about that. First, <strong>the elevated risk persists for decades after quitting<\/strong> \u2014 which means a man who stopped fifteen years ago should still take painless hematuria seriously rather than assuming smoking is behind him. Second, quitting is still worth it: the risk falls over time, and it also lowers the chance of a tumour coming back after treatment. The risk from electronic cigarettes is not yet established.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2. Occupational exposure<\/h3>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"1518\" data-permalink=\"https:\/\/drsoaraweeurology.com\/bn\/2020\/08\/21\/bladder-cancer-so-do-i\/car-mechanic-wearing-a-white-uniform-stand-holding-wrench-isolated-on-gray-background-with-copy-space\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Occupation.jpg?fit=1200%2C801&amp;ssl=1\" data-orig-size=\"1200,801\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;5&quot;,&quot;credit&quot;:&quot;PORNSAWAN&quot;,&quot;camera&quot;:&quot;NIKON D800&quot;,&quot;caption&quot;:&quot;Car mechanic wearing a white uniform stand holding wrench isolated on gray background with copy space.&quot;,&quot;created_timestamp&quot;:&quot;1564683729&quot;,&quot;copyright&quot;:&quot;SANGMANEE&quot;,&quot;focal_length&quot;:&quot;200&quot;,&quot;iso&quot;:&quot;200&quot;,&quot;shutter_speed&quot;:&quot;0.005&quot;,&quot;title&quot;:&quot;Car mechanic wearing a white uniform stand holding wrench isolated on gray background with copy space.&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Occupations that related with Petroleum product are also at risk\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Occupations that related with Petroleum product are also at risk&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Occupation.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Occupation.jpg?resize=800%2C534&#038;ssl=1\" alt=\"Industrial work involving petroleum products, an occupational risk factor for bladder cancer\" class=\"wp-image-1518\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Occupation.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Occupation.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Occupation.jpg?resize=1024%2C684&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Occupation.jpg?resize=768%2C513&amp;ssl=1 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Work with dyes, paint, rubber and petroleum products carries a measurable risk.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>10\u201320% of cases<\/strong> are attributed to work exposure \u2014 chemicals used in making dyes, paint, rubber and petroleum products, inhaled over years. This is a modifiable risk: proper industrial safety practice and protective equipment genuinely reduce it. If your work has involved these, it is worth mentioning to your doctor, since it changes how seriously a single episode of hematuria should be taken.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the assessment involves<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The purpose of the workup is to find or exclude a tumour, and to distinguish it from the other things that cause blood in the urine \u2014 infection and stones being the commonest.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A full history and examination come first, then urine tests, then <strong>CT with contrast<\/strong> to image the whole urinary tract. The decisive investigation is <strong>cystoscopy<\/strong> \u2014 passing a telescope into the bladder to look directly at the lining. Nothing else sees the inside of the bladder as reliably, and the same procedure allows a suspicious area to be biopsied and a tumour resected, so it is diagnostic and therapeutic at once.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"1200\" data-attachment-id=\"1516\" data-permalink=\"https:\/\/drsoaraweeurology.com\/bn\/2020\/08\/21\/bladder-cancer-so-do-i\/hematuria-urine-bag\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Hematuria-urine-bag.jpg?fit=1200%2C1800&amp;ssl=1\" data-orig-size=\"1200,1800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1542041581&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Bloody urination extremely upset the one whom suffered\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Bloody urination extremely upset the one whom suffered&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Hematuria-urine-bag.jpg?fit=683%2C1024&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Hematuria-urine-bag.jpg?resize=800%2C1200&#038;ssl=1\" alt=\"Visibly bloodstained urine, an alarming but investigable sign\" class=\"wp-image-1516\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Hematuria-urine-bag.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Hematuria-urine-bag.jpg?resize=200%2C300&amp;ssl=1 200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Hematuria-urine-bag.jpg?resize=683%2C1024&amp;ssl=1 683w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Hematuria-urine-bag.jpg?resize=768%2C1152&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/08\/Hematuria-urine-bag.jpg?resize=1024%2C1536&amp;ssl=1 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Frightening to see \u2014 but far better seen and investigated than ignored.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">The encouraging part is that bladder cancer found early is very treatable. Most cases are non-muscle-invasive at diagnosis and are managed endoscopically, without removing the bladder. What decides the outcome, more than almost anything else, is how quickly the first episode of bleeding is investigated. If a tumour is found and treated, <a href=\"https:\/\/drsoaraweeurology.com\/bn\/2020\/12\/18\/%e0%a6%ae%e0%a7%82%e0%a6%a4%e0%a7%8d%e0%a6%b0%e0%a6%be%e0%a6%b6%e0%a6%af%e0%a6%bc-%e0%a6%95%e0%a7%8d%e0%a6%af%e0%a6%be%e0%a6%a8%e0%a7%8d%e0%a6%b8%e0%a6%be%e0%a6%b0-%e0%a6%8f%e0%a6%96%e0%a6%a8%e0%a6%93\/\">regular surveillance afterwards<\/a> becomes part of the picture too.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you have experienced painless blood in urine or would like a bladder cancer evaluation, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. <a href=\"\/bn\/\u09aa\u09b0\u09be\u09ae\u09b0\u09cd\u09b6\u09c7\u09b0 \u099c\u09a8\u09cd\u09af \u09ac\u09c1\u0995\u09bf\u0982\/\">\u09aa\u09b0\u09be\u09ae\u09b0\u09cd\u09b6 \u09ac\u09c1\u0995 \u0995\u09b0\u09c1\u09a8<\/a>. Appointments at Samitivej Sriracha Hospital can be arranged by calling the Urology department on <a href=\"tel:0880221445\">088-022-1445<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions about Bladder Cancer<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1\"><strong class=\"schema-faq-question\">What is the most common symptom of bladder cancer?<\/strong> <p class=\"schema-faq-answer\">The most classic and common symptom of bladder cancer is painless hematuria &#8211; blood in the urine without any associated pain. This is the hallmark warning sign that should prompt immediate urological evaluation. Because it is painless and often intermittent, patients sometimes ignore it or assume the problem has resolved when the urine clears, which can delay diagnosis. Any episode of blood in urine, even a single occurrence, warrants investigation.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-2\"><strong class=\"schema-faq-question\">Does smoking really cause bladder cancer?<\/strong> <p class=\"schema-faq-answer\">Yes. Smoking is the single most significant risk factor for bladder cancer, responsible for approximately 50% of cases. Smokers have up to six times the bladder cancer risk of non-smokers. The risk increases with both the duration and intensity of smoking. Importantly, quitting smoking reduces risk over time but elevated risk persists for decades after cessation.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-3\"><strong class=\"schema-faq-question\">Who else is at risk for bladder cancer besides smokers?<\/strong> <p class=\"schema-faq-answer\">Workers with chronic occupational exposure to aromatic amines and other chemicals used in the production of dyes, rubber, paint, and petroleum products account for 10&#8211;20% of bladder cancer cases. Other risk factors include older age, male sex, chronic urinary tract infections, and certain medications such as cyclophosphamide used in chemotherapy.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-4\"><strong class=\"schema-faq-question\">How is bladder cancer diagnosed?<\/strong> <p class=\"schema-faq-answer\">Bladder cancer diagnosis typically involves a combination of urine cytology (microscopic examination for cancer cells), CT urography with contrast (to assess the entire urinary tract), and cystoscopy (direct endoscopic visualization of the bladder interior). Cystoscopy allows for biopsy and transurethral resection of suspicious lesions, serving as both a diagnostic and therapeutic tool.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-5\"><strong class=\"schema-faq-question\">Is bladder cancer treatable?<\/strong> <p class=\"schema-faq-answer\">Yes. When detected early, bladder cancer has excellent treatment outcomes. Non-muscle-invasive bladder cancer (the most common type) is treated with endoscopic resection and intravesical therapy, with high survival rates. Muscle-invasive cases require more aggressive treatment including radical cystectomy or chemoradiation. Early detection through prompt evaluation of hematuria is critical to achieving the best outcomes.<\/p><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u09a6\u09be\u09ac\u09bf \u09aa\u09b0\u09bf\u09a4\u09cd\u09af\u09be\u0997<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice. No medical advice, diagnosis or prescription is provided through personal messaging channels. Always consult a qualified healthcare professional before starting any medical treatment.<\/p>\n\n\n\n<script type=\"application\/ld+json\">{\n    \"@context\": \"https:\\\/\\\/schema.org\",\n    \"@type\": \"MedicalWebPage\",\n    \"headline\": \"Blood in the Urine Without Pain: Could It Be Bladder Cancer?\",\n    \"description\": \"Why painless, intermittent blood in the urine is the warning sign of bladder cancer that most often gets ignored, the two major risk factors, and how CT and cystoscopy establish the diagnosis.\",\n    \"datePublished\": \"2020-08-21\",\n    \"dateModified\": \"2026-08-12\",\n    \"inLanguage\": \"en\",\n    \"author\": {\n        \"@type\": \"Physician\",\n        \"name\": \"Dr. Soarawee Weerasopone\",\n        \"medicalSpecialty\": \"Urology\",\n        \"url\": \"https:\\\/\\\/drsoaraweeurology.com\\\/\"\n    },\n    \"reviewedBy\": {\n        \"@type\": \"Physician\",\n        \"name\": \"Dr. Soarawee Weerasopone\",\n        \"medicalSpecialty\": \"Urology\"\n    },\n    \"about\": {\n        \"@type\": \"MedicalCondition\",\n        \"name\": \"Bladder Cancer\",\n        \"signOrSymptom\": {\n            \"@type\": \"MedicalSignOrSymptom\",\n            \"name\": \"Painless hematuria\"\n        }\n    }\n}<\/script>","protected":false},"excerpt":{"rendered":"<p>Painless blood in the urine is the classic warning sign of bladder cancer \u2014 and because it stops on its own, it is the one most often ignored. Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, explains the risk factors, the workup, and why waiting is the real danger.<\/p>","protected":false},"author":185281453,"featured_media":10022,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Painless blood in the urine is the classic sign of bladder cancer. The two major risk factors, why intermittent bleeding causes dangerous delays, how it is diagnosed with CT and cystoscopy. By Dr. Soarawee Weerasopone, urologist, Bangkok.","jetpack_seo_html_title":"Painless Blood in Urine: Could It Be Bladder Cancer? | Dr. Soarawee","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1364],"tags":[1429,1481,1425,1480],"class_list":["post-1510","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-oncology","tag-bladder-cancer","tag-blood-urine","tag-hematuria","tag-why-bladder-cancer"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-om","jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/Bladder-Cancer-2.webp?fit=1200%2C630&ssl=1","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/posts\/1510","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/comments?post=1510"}],"version-history":[{"count":22,"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/posts\/1510\/revisions"}],"predecessor-version":[{"id":11308,"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/posts\/1510\/revisions\/11308"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/media\/10022"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/media?parent=1510"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/categories?post=1510"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/tags?post=1510"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}