Stomach Issues: Are Your Symptoms a Sign of Stomach Cancer? - Gastroenterology and Hepatology

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Gastrointestinal issues


Doctor, at my age, is the likelihood of developing stomach cancer high? I sometimes experience discomfort in my stomach, which improves but then recurs after a while.
Recently, after reading information about stomach cancer, I started feeling unwell again.
Most of the time, I feel an acidic sensation when my stomach is empty, and sometimes I also feel uncomfortable after eating for a while.
Could this be stomach cancer, or is it related to my anxiety? This situation has been ongoing for over a year, ever since I had an episode of acute gastritis.

An An, 10~19 year old female. Ask Date: 2020/07/28

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: The incidence of stomach cancer at the age of 15 is low.
Symptoms of stomach discomfort are not exclusively due to stomach cancer.
More commonly, they are related to gastroesophageal reflux disease (GERD), gastritis, ulcers, or dyspepsia.
You should avoid tea, coffee, spicy foods, fried foods, and high-fat, high-protein foods.
Instead, increase your intake of fruits and vegetables and stay hydrated.
If necessary, please consult a gastroenterologist at Changhua Hospital to take care of your health.
Dr.
Cai Anshun.

Reply Date: 2020/07/28

More Info


When it comes to stomach issues and the concern about stomach cancer, it’s important to approach the situation with a clear understanding of the symptoms and their potential implications. Your symptoms, including intermittent stomach discomfort, feelings of acidity, and changes in appetite, can indeed be distressing and may lead to anxiety about serious conditions like cancer. However, it's crucial to recognize that many gastrointestinal symptoms can arise from non-cancerous conditions.

Firstly, the likelihood of developing stomach cancer, especially at a younger age, is generally low unless there are specific risk factors involved. These risk factors can include a family history of stomach cancer, certain genetic conditions, chronic infection with Helicobacter pylori, a diet high in salty and smoked foods, or previous gastric surgery. If you do not have these risk factors, the chances of developing stomach cancer are significantly reduced.

Your symptoms, particularly the sensation of acidity on an empty stomach and discomfort after eating, are more commonly associated with conditions such as gastritis, gastroesophageal reflux disease (GERD), or functional dyspepsia rather than cancer. Acute gastritis, which you mentioned experiencing, can lead to lingering symptoms that may take time to resolve. Anxiety and stress can also exacerbate gastrointestinal symptoms, leading to a cycle of discomfort and worry.

It’s important to note that while stomach cancer can present with symptoms such as persistent stomach pain, unexplained weight loss, and changes in appetite, these symptoms are often accompanied by other signs, such as vomiting blood or having black stools. The absence of these more severe symptoms is reassuring. Additionally, many individuals with stomach cancer may not experience symptoms until the disease is at a more advanced stage.

Given that your symptoms have persisted for over a year, it would be prudent to consult with a gastroenterologist. They can perform appropriate diagnostic tests, such as an endoscopy, to visually examine the stomach lining and take biopsies if necessary. This procedure can help rule out cancer and identify other conditions that may be causing your symptoms.

In the meantime, managing your anxiety is also crucial. Stress can significantly impact gastrointestinal health, leading to increased acid production and exacerbating symptoms. Techniques such as mindfulness, relaxation exercises, and cognitive behavioral therapy can be beneficial in managing anxiety and its physical manifestations.

In summary, while it’s natural to worry about serious conditions like stomach cancer, the symptoms you describe are more likely related to non-cancerous gastrointestinal issues, especially in the absence of alarming signs. Consulting with a healthcare professional for a thorough evaluation and appropriate management will provide you with clarity and peace of mind. Remember, early intervention and proper management of gastrointestinal symptoms can lead to better outcomes and improved quality of life.

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