Brief Answer:
Detailed below.
Detailed Answer:
Hello!
Thank you for the query.
Bladder cancer is strongly associated with age (the risk significantly rises over 70) and
smoking. At your age, bladder cancer is really hardly possible. Please note that cancer(in general) is a rare disease. The average population risk of any cancer is about 5%. Sometimes the risk of car accident is higher (but you do not think about this possibility when driving a car, don't you?).
Same situation is with bladder cancer. Young, non-smoking person without any family history of this cancer should not be afraid of it.
You symptoms are related to
urinary tract. But is really hardly possible that you may have this cancer.
Before answering your questions, one more thing. Please note that known symptoms of any cancer are established basing on the statistics. It means that most of people have typical symptoms. But in fact every cancer is a different thing as the area where it starts growing is different to any patient. Also every patient has different DNA and so have cancer cells.
So as a conclusion, everything is possible.
Answering your questions:
1.Bladder cancer at the beginning doesn not give any symptoms at all. This can be present for quite long time (few months, year). First noticeable symptom is blood in the urine (but this does not mean that every blood in the urine is caused by a cancer). Nonspecific symptoms (different for every person) like burning when urinating, frequent urinating, lower
abdominal pain can appear, but do not have to.
2.Yes, it is possible to do not have blood in the urine and have bladder cancer.
3. Yes, pain can come and go with the cancer. It all depends how the
tumor is located and how it disturbs urine flow (bladder cancer can cause infection due to impeded urinating). But with increased tumor size, symptoms should constantly get worse (but still can come and go).
Cystoscopy is a very good choice at your situation. It will rule the cancer out and will give you a peace of mind.
Hope this will help. Feel free to ask further questions.
Regards.