Blood Cancer UK | Leukemia symptoms and signs (2024)

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Leukemia symptoms commonly include fatigue, breathlessness, infections, and bruising or bleeding more easily.

Leukemia* symptoms vary depending on the type of leukemia. Not everyone gets the same symptoms, and you won't necessarily have all of the symptoms.

Most people with these symptoms won’t have leukemia. But some people will, and the earlier it’s diagnosed, the higher the chance of treatment being successful.

Even if you only have one symptom, if it’s unexplained, goes on for a long time, or is unusual for you, you should contact your GP.

If you know which type of leukemia you need information about, go to that type for more specific information:

  • Acute myeloid leukaemia (AML)
  • Acute lymphoblastic leukaemia (ALL)
  • Acute promyelocytic leukaemia (APL)
  • Chronic lymphocytic leukaemia (CLL)
  • Chronic myeloid leukaemia (CML)
  • Childhood leukaemia

Leukemia symptoms

Leukemia symptoms commonly include:

  • fatigue (tiredness that lasts a long time and doesn’t improve with rest)
  • bruising and bleeding more easily, or bleeding that takes longer to stop
  • infections that are more frequent, severe, or last longer
  • fever (high temperature)
  • weight loss that is unexplained
  • swollen lymph nodes (glands in your neck, armpit and groin)
  • breathlessness
  • feeling generally unwell.

There are other general symptoms of leukemia such as loss of appetite and headaches. Contact your GP if you're worried about any symptoms you’re experiencing.

Infections

Infections that are more frequent, severe, or last longer, are a common symptom of leukemia. If you have leukemia, even if it’s not been diagnosed, an infection can be very serious or even life-threatening. Find out more about symptoms of an infection to watch out for.

If you think you have an infection, you should tell your GP, and tell them if you’ve been having more frequent infections, or any other symptoms.

Anaemia

Leukemia can cause anaemia. Anaemia means having a low level of red blood cells in your blood. Symptoms of anaemia are:

  • tiredness
  • breathlessness
  • dizziness or feeling faint
  • chest pain
  • pale skin.

Bleeding problems

Leukemia can affect your platelets (cells that help your blood to clot). If your platelets aren’t working properly, you may have:

  • red or purple spots or rashes on your skin (petechiae or purpura) caused by bleeding under the skin
  • blood in your poo
  • black, tarry poo, or poo that is streaked with red (because of bleeding in your gut)
  • in women, heavy periods
  • difficulty with speaking or moving parts of the body, if there is bleeding into the brain.

Increased sweating

You may have:

  • increased sweating, particularly at night
  • drenching night sweats.

Enlarged spleen or liver

Leukemia cells can build up in your spleen or liver, causing swelling or an enlarged spleen. Symptoms of this would include:

  • bloating, swelling, general discomfort and sometimes pain around the stomach area or under your ribs on the left
  • feeling full after only eating small amounts.

Bone pain

Leukemia cells can build up in the bone marrow (the soft, spongy material inside some of our bones). This can cause:

  • bone pain
  • in children, limping or avoiding walking due to bone pain.

Blood clots

Leukemia can sometimes cause blood clots to develop. Symptoms of a blood clot are:

  • a painful or swollen leg due to blood clots in the leg or tummy area
  • chest pain and difficulty breathing due to blood clots in the lungs
  • headache, being sick (vomiting) or problems with vision due to blood clots in the brain.

Acute leukemia symptoms

Acute myeloid leukaemia (AML) or acute lymphoblastic leukaemia (ALL) can develop very quickly into leukostasis or blast crisis. This means you have a very high level of white blood cells in your blood. This will make you suddenly feel very unwell and is an emergency. Symptoms may include breathing problems and neurological symptoms like changes to your vision, confusion, vomiting, loss of muscle control or seizures.

If you have these symptoms get medical help straight away by calling 999 or going to A&E.

Chloroma

A rare symptom of acute myeloid leukaemia (AML) is a chloroma. This is a lump under the skin, where leukemia cells have collected.

Worried about leukemia?

Most people with these symptoms won’t have leukemia. But some people will, and the earlier it’s diagnosed, the higher the chance of treatment being successful.

If you have just one symptom that you can’t explain, that goes on for a long time, or that’s unusual for you, book an appointment with your GP.

If you suddenly feel very unwell, get medical help straight away by calling 999 or going to A&E.

Free blood cancer symptoms guide

Our free blood cancer symptoms guide is a pocket-sized reminder of the symptoms of blood cancer and provides space for you to record any that you might experience. If you need to get checked out, it also includes things to think about before your appointment and questions to ask your doctor.

Blood Cancer UK | Leukemia symptoms and signs (1)

Worried about anything or have questions?

If you need someone to talk to, please don't hesitate to contact our Support Service by phone or email.

Support for you

More leukemia information

We have more information about leukaemia, what it is, how it’s diagnosed and treated, and the prognosis.

*We've used both the English and American spellings of leukaemia/leukemia on this page, to make sure that anyone searching for information and support in the UK can find our information, however they spell leukaemia.

We're here for you if you want to talk

0808 2080 888

[emailprotected]

Blood Cancer UK | Leukemia symptoms and signs (2024)

FAQs

Blood Cancer UK | Leukemia symptoms and signs? ›

Many people enjoy long and healthy lives after treatment for blood cancer. Sometimes, the treatment can affect a person's health for months or even years after it has finished. Some side effects may not be evident until years after treatment has ceased. These are called 'late effects'.

What are the top 3 symptoms of blood cancer? ›

Symptoms of blood cancer vary by disease but typically include the following:
  • Fever.
  • Chills.
  • Fatigue.
  • Weakness.
  • Bone and joint pain.
  • Weight loss.

What were your first blood cancer symptoms? ›

Blood Cancer Symptoms
  • Coughing or chest pain. Possible cause is a buildup of abnormal blood cells in your spleen.
  • Frequent infections. ...
  • Fever or chills. ...
  • Unexplained rash, bruising, or bleeding. ...
  • Itchy skin. ...
  • Loss of appetite or nausea. ...
  • Night sweats. ...
  • Persistent weakness and fatigue.

Can you live a long life after blood cancer? ›

Many people enjoy long and healthy lives after treatment for blood cancer. Sometimes, the treatment can affect a person's health for months or even years after it has finished. Some side effects may not be evident until years after treatment has ceased. These are called 'late effects'.

What can be mistaken for blood cancer? ›

Leukemia is commonly misdiagnosed as the following conditions:
  • Influenza.
  • Fever.
  • Pathological fracture.
  • Bleeding disorders.
  • Immune thrombocytopenic purpura.
  • Trypanosomiasis.
  • Autoimmune lymphoproliferative syndrome.

Do you feel sick with blood cancer? ›

Some blood cancers and treatments for blood cancer can make you feel sick (nausea) and, sometimes, cause you to be sick (vomit).

What is the first stage of blood cancer? ›

The blood cancer 1st stage includes the enlargement of the lymph nodes. This happens because of the sudden increase of the number of the lymphocytes. The risk at this stage is very low as the cancer is not yet spread or affected any other physical organ.

How curable is blood cancer? ›

Can blood cancer be cured? Yes. Often, the goal of blood cancer treatment is curing the condition. But when a cure isn't possible, there are a growing number of treatments that may put some blood cancers into remission.

What is the main cause of blood cancer? ›

Blood cancer is caused by changes (mutations) in the DNA within blood cells. This causes the blood cells to start behaving abnormally. In almost all cases, these changes are linked to things we can't control. They happen during a person's lifetime, so they are not genetic faults you can pass on.

Is blood cancer usually terminal? ›

But while 70% is an overall average for all types of blood cancer, different types have very different survival rates. Research breakthroughs over the last few decades mean that the five-year survival rates for chronic myeloid leukaemia (CML), chronic lymphocytic leukaemia (CLL) and follicular lymphoma are over 85%.

How long can you have blood cancer without knowing? ›

Chronic leukemia involves more-mature blood cells. These blood cells replicate or accumulate more slowly and can function normally for a period of time. Some forms of chronic leukemia initially produce no early symptoms and can go unnoticed or undiagnosed for years.

Would I know if I had blood cancer? ›

Bruising or bleeding that is unexplained. Lumps or swellings. Shortness of breath (breathlessness) Drenching night sweats.

Can a CBC detect blood cancer? ›

A CBC can detect some blood or immune system cancers like leukemia and lymphoma. But it can't detect solid organ cancers like lung, breast or colon cancers. It can tell your provider how your body responds to treatment and whether the cancer has spread to your bone marrow. Tumor marker blood tests.

What does stage 1 leukemia look like? ›

What does stage 1 leukemia look like? Stage 1 leukemia can look like symptoms such as fatigue, bruising more easily, breathlessness, and having enlarged lymph nodes.

What happens to your body when you have blood cancer? ›

In most blood cancers, the normal blood cell development process is interrupted by uncontrolled growth of an abnormal type of blood cell. These abnormal blood cells, or cancerous cells, prevent your blood from performing many of its functions, like fighting off infections or preventing serious bleeding.

Does blood cancer spread fast? ›

Leukaemias are grouped in two ways: the type of white blood cell affected - lymphoid or myeloid; and how quickly the disease develops and gets worse. Acute leukaemia appears suddenly and grows quickly while chronic leukaemia appears gradually and develops slowly over months to years.

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