Epigastric pain and discomfort Nearly half of the early gastric cancer patients have no clinical symptoms, and only some of them have mild indigestion and other symptoms, such as epigastric pain and discomfort, mild fullness, pain, nausea, belching, etc., which are not unique to gastric cancer.
These symptoms are not unique to gastric cancer, but can be seen in chronic gastritis, ulcer disease, functional dyspepsia, and even in normal people occasionally. The most common symptoms of early gastric cancer are upper abdominal discomfort, such as mild stomach pain, bloating and heaviness, and sometimes vague pain in the heart fossa, which are often diagnosed as gastritis or ulcer disease and treated at first.
The symptoms may be temporarily relieved. If the lesion occurs in the gastric sinus, the duodenal function may change and rhythmic pain may occur, similar to the symptoms of ulcer disease.
It is also easy to be misdiagnosed as duodenal ulcer and delay treatment. However, these symptoms can recur after a period of time. Therefore, if you have epigastric symptoms, if you have other high-risk factors, or if you have recurrent recurrences after treatment, you must be vigilant and have your patient treated.
It is important to be vigilant and to do further investigations for early detection and early treatment. Indigestion Indigestion symptoms such as loss of appetite, anorexia, nausea and vomiting, bloating after eating, belching and acid reflux are also a group of common but non-specific early signs of gastric cancer. Loss of appetite may be an early symptom of gastric cancer
If it appears together with stomach pain and hepatitis can be excluded, it should be paid special attention. Some patients automatically restrict their daily diet because of abdominal distension and belching after eating.
As a result, they lose weight and become thin and weak. Early symptoms of gastric cancer may also include feeling of fullness after eating and mild nausea. The tumor of cardia may start with eating disorder.
The tumor of pancreatic region may start to develop into dysphagia and food reflux. Further development of sinus cancer may lead to vomiting due to pyloric obstruction. The above symptoms may be misdiagnosed as functional dyspepsia, so you should seek early medical attention and undergo gastroscopy to detect gastric cancer at an early stage. Upper gastrointestinal bleeding Upper gastrointestinal bleeding, often in the form of black stools, can occur in both early stage and progressive gastric cancer. A small number of early gastric cancers may present with mild upper gastrointestinal bleeding symptoms
A small number of early gastric cancers may show mild upper gastrointestinal bleeding symptoms, i.e. black stool or persistent positive occult blood in stool. It is mostly seen in polyp-like and ulcer-like early gastric cancer, which is caused by the surface erosion of the lesion or the invasion of capillaries by the cancer, resulting in a small amount of bleeding for a long time.
It can also be seen in various subtypes of early gastric cancer with flat lesions. It is characterized by the fact that it is not easy to be controlled by drug therapy. Elderly people without gastric diseases should be more alert to the possibility of gastric cancer once black stool appears. If the stool is tarry
and persistent positive fecal occult blood test, especially when it is not easy to stop even after general diet control or gastric medicine, is one of the important symptoms of early gastric cancer. Therefore, those who have this symptom
Therefore, those who have this symptom should go to a hospital in time for gastroscopy and upper gastrointestinal barium meal X-ray to make a clear diagnosis. Lethargy and fatigue Unexplained lethargy, fatigue, and mental weakness are also common but unspecific signs of gastric cancer, and they are progressively worsening. Some of them are secondary to indigestion symptoms.
Some of them are secondary to dyspepsia, in which the patient automatically restricts the daily diet because of bloating and belching after eating, resulting in weight loss and weakness. In addition, nausea, vomiting can also be further loss of nutrients, resulting in malnutrition
In addition, nausea and vomiting can further lose nutrition and cause malnutrition, which will aggravate the symptoms of wasting and weakness. Of course, in the late stage of progressive gastric cancer, the wasting and weakness will be more obvious. In addition, it is especially worth mentioning that most gastric cancers occur on the basis of chronic gastritis (especially atrophic gastritis), Helicobacter pylori (HP) infection, residual gastritis, gastric polyps, gastric ulcer, etc.
Therefore, some patients have a long history of chronic gastric disease with symptoms such as epigastric discomfort and dyspepsia. On the basis of this, if the nature of pain, epigastric fullness, etc. has recently changed or increased, and the rhythm of pain related to diet has changed
or cannot be relieved after taking medication, or appearing emaciation and weakness, then we should be more alert to the occurrence of gastric cancer. Most of the gastric cancer patients with wasting and weakness are in the progressive stage of gastric cancer, and most of them have local or distant metastasis, and often have anemia. Vomiting A variety of causes can cause vomiting, such as common duodenal bulb ulcer or post-ulcerative scar stenosis, reflux esophagitis, cardia ulcer, etc. Cardia or gastric cancer involving the pylorus can often cause vomiting
The vomit includes rotten food, gastric juice and even coffee-like bloody liquid. Vomiting is usually a clinical manifestation of progressive gastric cancer and is often accompanied by weight loss. Enlarged left supraclavicular lymph node A painless, hard and fixed lymph node like soybean or peanut appears on the left clavicle, which is a more specific sign of gastric cancer and is mostly a sign of progressive gastric cancer with metastasis to the abdomen and other organs. Once enlarged left supraclavicular lymph nodes are found, lymph node biopsy or cytological aspiration should be done immediately; gastroscopy and biopsy of gastric cancer lesions in multiple pieces and directions should be done for pathological examination, supplemented by barium X-ray of stomach if necessary.
Gastroscopy and multi-directional biopsy of gastric cancer foci for pathological examination, supplemented by barium gastric X-ray if necessary, can immediately clarify the diagnosis.