Your Stomach Issues: When to Seek Medical Attention

Q: Your Stomach Issues: When to Seek Medical Attention

Hello： 1. Cancer markers cannot be used to diagnose the presence or absence of cancer. 2. If the clinical physician assesses that it is necessary, an endoscopy is recommended. 3. Ultrasound can only visualize the pancreas under optimal bowel gas conditions, so

Gastric issues?

Recently, my stomach seems to be slightly off, and I'm not sure if it's just psychological.
If I wait until I experience significant weight loss, anemia, or unbearable pain before seeing a doctor for an endoscopy, will it be too late, such as in the case of late-stage cancer? Additionally, my company conducted a health check last year, and my cancer markers from the blood test were normal, which suggests I don't have any cancer concerns, right? Or would you still recommend an endoscopy? The last one I had was over ten years ago, although there were no issues then.
I would also like to ask about the abdominal ultrasound that my company provided; if that showed no problems, does it mean my pancreas is fine? Some cancers are often detected too late when symptoms appear.
Overall, if my health check from last year showed no issues, does that mean I don't need to worry about undergoing further tests and that my body is normal? The company only conducted preliminary tests, and they obviously didn't include procedures like an endoscopy.

danxin, 30~39 year old female. Ask Date: 2020/06/25

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: 1.
Cancer markers cannot be used to diagnose the presence or absence of cancer.
2.
If the clinical physician assesses that it is necessary, an endoscopy is recommended.
3.
Ultrasound can only visualize the pancreas under optimal bowel gas conditions, so it is not the best examination for the pancreas.
4.
If you have symptoms, you should see a doctor, who will evaluate the necessity for further examinations.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2020/06/25

More Info

When it comes to stomach issues, understanding when to seek medical attention is crucial for maintaining your health. Your concerns about potential underlying conditions, such as cancer, are valid, especially given the serious nature of such diseases. However, it's important to approach this topic with a balanced perspective, considering both your symptoms and the results of previous medical evaluations.

Firstly, if you are experiencing unusual stomach sensations, it is wise not to dismiss them as mere psychological effects. Symptoms such as persistent discomfort, changes in appetite, unexplained weight loss, or blood in your stool should never be ignored. While it’s common to associate stress and anxiety with gastrointestinal issues, these symptoms can also indicate more serious conditions. Therefore, waiting until you experience severe pain or significant weight loss before seeking medical attention is not advisable. Early intervention can often lead to better outcomes, especially in cases of serious illnesses.

Regarding your concerns about cancer, the fact that your cancer markers were normal during your last health check is reassuring, but it does not completely rule out the possibility of cancer or other serious conditions. Cancer can sometimes develop without presenting obvious symptoms or abnormal blood tests, particularly in its early stages. Regular screenings, such as endoscopies or colonoscopies, are essential for early detection, especially if you have a family history of gastrointestinal diseases or other risk factors.

You mentioned that you had an abdominal ultrasound as part of your health check. While a normal ultrasound can provide some reassurance regarding the condition of your pancreas and other abdominal organs, it is not a definitive test for all gastrointestinal issues. For example, conditions like gastritis, peptic ulcers, or early-stage cancers may not be visible on an ultrasound. Therefore, if you continue to experience symptoms, a gastroscopy (or endoscopy) may be warranted, even if your last one was over a decade ago.

It’s also worth noting that gastrointestinal symptoms can be influenced by lifestyle factors, including diet, stress, and physical activity. If you have made recent changes in your diet or are experiencing increased stress, these could contribute to your symptoms. Keeping a food diary or noting when symptoms occur can help identify potential triggers.

In summary, while your previous health checks provide some reassurance, they do not eliminate the need for vigilance regarding your gastrointestinal health. If your symptoms persist or worsen, it is advisable to consult a gastroenterologist. They can perform the necessary evaluations, including endoscopy, to rule out serious conditions. Early detection is key in managing health issues effectively, so do not hesitate to seek medical advice if you have concerns about your stomach health. Regular check-ups and open communication with your healthcare provider are essential components of maintaining your overall well-being.

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