Stomach Discomfort: Causes and Cancer Concerns - Gastroenterology and Hepatology

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Stomach discomfort?


Hello, doctor.
Recently, I have been experiencing a feeling of heat in my stomach and stomach pain while fasting, which has lasted for about a few weeks.
Taking regular antacids provides some relief.
I would like to know what the possible causes could be.
Is there a significant risk of cancer? Thank you, doctor.

Xiangyu, 10~19 year old female. Ask Date: 2023/10/06

Dr. Chen Shidian reply Gastroenterology and Hepatology


It is mostly acid reflux, with less acidity/sweetness and less coffee.

Reply Date: 2023/10/06

More Info


When experiencing persistent stomach discomfort, such as a burning sensation or pain, it is essential to consider various potential causes, including gastritis, peptic ulcers, gastroesophageal reflux disease (GERD), and even functional dyspepsia. These conditions can lead to symptoms like abdominal pain, bloating, and changes in appetite. While it is natural to worry about the possibility of cancer, especially with ongoing symptoms, it is crucial to approach this concern with a balanced perspective.

Firstly, the symptoms you describe—persistent stomach discomfort and pain—can often be attributed to non-cancerous conditions. Gastritis, which is inflammation of the stomach lining, can result from factors such as excessive alcohol consumption, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), or infections, particularly with Helicobacter pylori. Peptic ulcers, which are sores that develop on the lining of the stomach or the upper part of the small intestine, can also cause similar symptoms and are often treatable with medications that reduce stomach acid.

Regarding your concern about cancer, it is important to note that while chronic gastritis and untreated peptic ulcers can increase the risk of stomach cancer over time, the vast majority of individuals with these conditions do not develop cancer. The risk factors for stomach cancer include a family history of the disease, certain genetic conditions, and lifestyle factors such as smoking and diet. If you have been experiencing symptoms for several weeks, it is advisable to consult with a healthcare professional who can perform the necessary evaluations, such as endoscopy or imaging studies, to rule out any serious conditions.

In terms of cancer risk, the likelihood of developing stomach cancer from gastritis or ulcers is relatively low, especially if you are receiving appropriate treatment and monitoring. Regular check-ups and following your doctor's recommendations can help manage your symptoms and reduce any potential risks.

Additionally, lifestyle modifications can play a significant role in managing stomach discomfort. These include:
1. Dietary Changes: Avoiding spicy, acidic, or fried foods can help reduce irritation in the stomach. Eating smaller, more frequent meals instead of large ones can also alleviate symptoms.

2. Hydration: Staying well-hydrated is essential for overall digestive health. Drinking plenty of water can help dilute stomach acid and promote digestion.

3. Avoiding Irritants: Limiting alcohol consumption and avoiding smoking can significantly improve stomach health and reduce the risk of complications.

4. Stress Management: Stress can exacerbate gastrointestinal symptoms. Engaging in relaxation techniques, such as mindfulness, yoga, or deep-breathing exercises, can be beneficial.

5. Regular Medical Check-ups: Keeping up with regular medical appointments allows for early detection and management of any potential issues.

In conclusion, while it is understandable to be concerned about the possibility of cancer given your symptoms, it is essential to focus on the more common and treatable causes of stomach discomfort. Consulting with a healthcare provider for a thorough evaluation and appropriate management is the best course of action. They can provide reassurance and guide you through the necessary steps to address your symptoms effectively. Remember, early intervention and lifestyle changes can significantly improve your quality of life and reduce health risks.

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