Stomach Cancer: Causes, Symptoms, and Prevention Tips - Gastroenterology and Hepatology

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Stomach cancer issues?


Hello, Doctor:
1.
What are the possible causes (risk factors), common age of onset, and symptoms of gastric cancer?
2.
Is it true that blood type A and Helicobacter pylori infection are associated with a higher risk of gastric cancer? Reports indicate that a significant number of people are potentially infected with Helicobacter pylori, but most do not experience symptoms.
Should I be concerned about having it and seek medical examination?
3.
Are postprandial bloating/belching or gastroenteritis related to gastric cancer?
4.
How can I prevent gastric cancer and recognize symptoms for early detection? Thank you for your guidance, Doctor.

Xiao Jie, 20~29 year old female. Ask Date: 2023/04/17

Dr. Chen Shidian reply Gastroenterology and Hepatology


Asymptomatic individuals can pay for a health check to test for Helicobacter pylori.
Those with symptoms should seek medical attention and may undergo tests covered by health insurance as needed.
It is advisable to limit the consumption of barbecued foods, smoking, and alcohol.

Reply Date: 2023/04/17

More Info


Stomach cancer, also known as gastric cancer, is a significant health concern worldwide. Understanding its causes, risk factors, symptoms, and prevention strategies is crucial for early detection and effective management.


1. Causes and Risk Factors
The exact cause of stomach cancer is not fully understood, but several risk factors have been identified:
- Helicobacter pylori Infection: This bacterium is a major risk factor for stomach cancer. It can cause chronic inflammation and ulcers, leading to changes in the stomach lining that may increase cancer risk.

- Diet: A diet high in smoked, pickled, or salted foods and low in fruits and vegetables is associated with a higher risk of stomach cancer. Nitrates and nitrites found in processed meats may also contribute.

- Age and Gender: Stomach cancer is more common in older adults, typically affecting those over 50. Men are also at a higher risk than women.

- Family History: A family history of stomach cancer can increase an individual's risk.

- Smoking and Alcohol Consumption: Both smoking and excessive alcohol intake are linked to an increased risk of developing stomach cancer.

- Obesity: Being overweight or obese can also elevate the risk.

Common symptoms of stomach cancer may include persistent stomach pain, difficulty swallowing, unexplained weight loss, nausea, vomiting, and changes in appetite. However, these symptoms can be vague and may not appear until the cancer is advanced.


2. Blood Type A and Helicobacter pylori
Research has suggested that individuals with blood type A may have a higher susceptibility to stomach cancer, particularly when infected with Helicobacter pylori. The bacterium is prevalent in many populations, and while most infected individuals remain asymptomatic, it is advisable to get tested if you have risk factors or symptoms. Testing for H. pylori can be done through breath, stool, or endoscopic biopsy tests. If you are concerned about potential infection, consulting a healthcare provider for appropriate testing is recommended.


3. Post-Meal Symptoms and Their Relation to Stomach Cancer
Symptoms such as bloating, belching, or gastritis can be common and are often related to benign gastrointestinal conditions. However, persistent or worsening symptoms should not be ignored. While occasional bloating or indigestion is usually not a cause for concern, if these symptoms are accompanied by significant weight loss, persistent pain, or changes in bowel habits, it is essential to seek medical evaluation to rule out serious conditions, including stomach cancer.


4. Prevention and Early Detection
Preventing stomach cancer involves lifestyle modifications:
- Dietary Changes: Incorporate a diet rich in fruits, vegetables, and whole grains while reducing processed and smoked foods.

- Quit Smoking: If you smoke, seek help to quit, as this significantly reduces your risk.

- Limit Alcohol: Moderation in alcohol consumption is advisable.

- Regular Check-Ups: If you have risk factors, regular medical check-ups and screenings can help in early detection. Discuss with your doctor about the need for endoscopic examinations, especially if you have a family history of stomach cancer or chronic H. pylori infection.

Self-examination for symptoms is vital. Be aware of changes in your body and seek medical advice if you notice persistent symptoms. Early detection significantly improves treatment outcomes, so don't hesitate to consult a healthcare professional if you have concerns.

In conclusion, while stomach cancer can be a serious condition, understanding its risk factors, symptoms, and preventive measures can empower individuals to take proactive steps in their health management. Regular medical consultations and lifestyle adjustments play a crucial role in reducing the risk and ensuring early detection.

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