Could Your Symptoms Indicate Stomach Cancer? Key Insights - Gastroenterology and Hepatology

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Is it possible that it is stomach cancer?


Hello, doctor.
For the past three days, I have been feeling a bit nauseous right after eating, along with a burning sensation in my upper abdomen.
Additionally, I have been experiencing more frequent soft stools and almost always have abdominal pain before a bowel movement.
I have scheduled an upper endoscopy and colonoscopy for next week.
However, with the recent onset of these symptoms, I am increasingly concerned about the possibility of having cancer and cannot find peace of mind.
I would like to ask the doctor if these symptoms could raise suspicion for stomach cancer.

Daxuesheng, 20~29 year old female. Ask Date: 2019/05/22

Dr. Chen Qifeng reply Gastroenterology and Hepatology


A diagnosis will be made once the examination is completed.

Reply Date: 2019/05/22

More Info


Your symptoms, including nausea after eating, a burning sensation in the upper abdomen, and increased frequency of soft stools accompanied by abdominal pain, can understandably cause concern about the possibility of stomach cancer. However, it is important to approach this situation with a balanced perspective, considering both the likelihood of serious conditions and the more common gastrointestinal issues that could be at play.

Stomach cancer, or gastric cancer, often presents with vague symptoms in its early stages, which can include indigestion, stomach discomfort, nausea, and changes in appetite. However, these symptoms are not exclusive to cancer and can be indicative of a variety of gastrointestinal disorders, such as gastritis, peptic ulcers, or functional dyspepsia. The fact that you are experiencing nausea and a burning sensation could suggest issues related to the stomach lining or acid reflux rather than cancer itself.

The upcoming endoscopy (gastroscopy) and colonoscopy are excellent steps to take. These procedures will allow your healthcare provider to visually inspect the gastrointestinal tract and take biopsies if necessary. Endoscopy is particularly useful for diagnosing conditions like gastritis, ulcers, and tumors. It is worth noting that while imaging tests like ultrasounds and CT scans can provide valuable information, they are not definitive for diagnosing stomach cancer. A biopsy taken during an endoscopy is the gold standard for confirming or ruling out cancer.

Regarding your symptoms, the presence of soft stools and abdominal pain could indicate a functional gastrointestinal disorder, such as irritable bowel syndrome (IBS) or a reaction to certain foods. Stress and anxiety can also exacerbate gastrointestinal symptoms, leading to a cycle of discomfort and worry. It is essential to consider your emotional well-being in conjunction with your physical symptoms, as anxiety can significantly impact digestive health.

In terms of your concern about cancer, it is important to remember that many benign conditions can present with similar symptoms. For instance, gastritis or peptic ulcers can cause burning sensations and nausea, and they are much more common than stomach cancer, especially in younger individuals. The risk of developing stomach cancer increases with age and is more prevalent in individuals with certain risk factors, such as a family history of the disease, smoking, or specific dietary habits.

If you are feeling increasingly anxious about your symptoms, it may be beneficial to discuss these feelings with your healthcare provider. They can provide reassurance and possibly refer you to a mental health professional if your anxiety is affecting your quality of life.
In summary, while your symptoms warrant investigation, they are not definitive indicators of stomach cancer. The upcoming endoscopy will provide clarity and help determine the underlying cause of your symptoms. In the meantime, focus on maintaining a balanced diet, managing stress, and staying in communication with your healthcare team. Remember that many gastrointestinal issues are treatable, and early intervention can lead to better outcomes.

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