Understanding Nausea And Vomiting
Nausea can be described as having a sick or uncomfortable feeling in the back of your throat and stomach. There are many other words describing the feeling of nausea, including “sick to one’s stomach”, “queasy”, or “upset stomach”. Other symptoms can happen at the same time as nausea, such as increased saliva , dizziness, light-headedness, trouble swallowing, skin temperature changes, and a fast heart rate.
Vomiting is also described as throwing up. Nausea can lead to vomiting, and sometimes nausea and vomiting happen at the same time, but they can be totally separate problems, too. When you vomit, your stomach muscles contract and push the contents of your stomach out through your mouth.
Retching is when your body tries to vomit without bringing anything up from your stomach. Other words used to describe retching are gagging or having the dry heaves.
Certain Factors Affect Prognosis And Treatment Options
The prognosis and treatment options depend on the following:
- The stage of the cancer .
- The patients general health.
When gastric cancer is found very early, there is a better chance of recovery. Gastric cancer is often in an advanced stage when it is diagnosed. At later stages, gastric cancer can be treated but rarely can be cured. Taking part in one of the clinical trials being done to improve treatment should be considered. Information about ongoing clinical trials is available from the NCI website.
Testing For Stomach Cancer
Stomach cancer is usually discovered when someone goes to the doctor after noticing some of the symptoms shared above. To confirm the diagnosis, the following tests can be administered:
- Upper endoscopy
- Computed tomography scan
- Magnetic resonance imaging scan
- Positron emission tomography scan
- Chest X-ray
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Acute And Delayed Nausea And Vomiting Are Common In Patients Being Treated With Chemotherapy
How often nausea and vomiting occur and how severe they are may be affected by the following:
- The specific drug being given.
- The dose of the drug or if it is given with other drugs.
- How often the drug is given.
- The way the drug is given.
- The individual patient.
The following may make acute or delayed nausea and vomiting with chemotherapy more likely if the patient:
- Had chemotherapy in the past.
- Had nausea and vomiting after previous chemotherapy sessions.
- Is younger than 50 years.
- Has a history of motion sickness.
- Has a history of morning sickness during pregnancy.
Patients who have acute nausea and vomiting with chemotherapy are more likely to have delayed nausea and vomiting as well.
What Happens At The Gp Appointment
The GP may feel your tummy.
They may ask you to give a poo or pee sample, or have a blood test.
The GP may refer you to see a specialist in hospital for more tests if they think you have a condition that needs to be investigated.
This may be an urgent referral, usually within 2 weeks, if you have certain symptoms. This does not definitely mean you have cancer.
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There Are Three Ways That Cancer Spreads In The Body
- Tissue. The cancer spreads from where it began by growing into nearby areas.
- Lymph system. The cancer spreads from where it began by getting into the lymph system. The cancer travels through the lymph vessels to other parts of the body.
- Blood. The cancer spreads from where it began by getting into the blood. The cancer travels through the blood vessels to other parts of the body.
The Small Intestine Or Colon
If the tumor starts in the small intestine, it can cause the intestines to kink and be blocked for a while. This can cause cramps, belly pain, weight loss, fatigue, bloating, diarrhea, or nausea and vomiting, which might come and go. These symptoms can sometimes go on for years before the carcinoid tumor is found. A tumor usually has to grow fairly large before it completely blocks the intestine and causes severe belly pain, nausea and vomiting, and a potentially life-threatening situation.
Sometimes a carcinoid tumor can block the opening of the ampulla of Vater, which is where the common bile duct and the pancreatic duct empty into the intestine. When this is blocked, bile can back up, leading to yellowing of the skin and eyes . Pancreatic juices can also back up, leading to an inflamed pancreas , which can cause belly pain, nausea, and vomiting.
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How Can You Treat Stomach Cancer
The treatments for stomach cancer vary depending on the type of cancer you have, its location in the body, if it is advanced and your personalized care plan. At The University of Kansas Cancer Center, we offer that may provide new treatment options for stomach cancer.
Possible options include:
- : High-energy X-rays to destroy cancer cells, typically done using a machine outside the body.
- : Using one or more drugs to destroy cancer cells by preventing cancer cell growth.
- Surgery: GI surgery is typically a minimally invasive procedure. The surgeon removes the tumor, as well as some surrounding healthy tissue to determine the extent of disease.
- Targeted therapy: Treatment that targets the genes, proteins or tissue that supports the cancerous cell growth and survival. Targeted therapy blocks the growth and spread of cancer cells and minimizes damage to healthy cells.
How Stomach Cancer Spreads
There are 3 ways stomach cancer can spread:
- directly the cancer can spread from the stomach into nearby tissues and organs, such as the pancreas, colon, small intestine and peritoneum
- through the lymphatic system the lymphatic system is a series of glands located throughout your body, similar to the blood circulatory system the glands produce specialised cells needed by your immune system to fight infection
- through the blood which can cause the cancer to spread from the stomach to other parts of the body, most commonly the liver
Stomach cancer that spreads to another part of the body is known as metastatic stomach cancer.
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Tests That Examine The Stomach And Esophagus Are Used To Diagnose Gastric Cancer
The following tests and procedures may be used:
- Physical exam and health history: An exam of the body to check general signs of health, including checking for signs of disease, such as lumps or anything else that seems unusual. A history of the patients health habits and past illnesses and treatments will also be taken.
- Blood chemistry studies: A procedure in which a blood sample is checked to measure the amounts of certain substances released into the blood by organs and tissues in the body. An unusual amount of a substance can be a sign of disease.
- Complete blood count : A procedure in which a sample of blood is drawn and checked for the following:
- The amount of hemoglobin in the red blood cells.
- The portion of the sample made up of red blood cells.
What Causes Stomach Cancer
Your stomach is just one part of the upper section of your digestive tract. Your stomach is responsible for digesting food and then moving the nutrients along to the rest of your digestive organs, namely the small and large intestines.
Stomach cancer occurs when normally healthy cells within the upper digestive system become cancerous and grow out of control, forming a tumor. This process happens slowly. Stomach cancer tends to develop over many years.
Stomach cancer is directly linked to tumors in the stomach. However, there are some factors that might increase your risk of developing these cancerous cells. These risk factors include certain diseases and conditions, such as:
- H. pylori bacterial infections
- tumors in other parts of the digestive system
- stomach polyps
Stomach cancer is also more common among:
- older adults, usually people 50 years and older
- people with a family history of the disease
- people who are of Asian , South American, or Belarusian descent
While your personal medical history can impact your risk of developing stomach cancer, certain lifestyle factors can also play a role. You may be more likely to get stomach cancer if you:
- eat a lot of salty or processed foods
- eat too much meat
- have a history of alcohol abuse
- dont exercise
- dont store or cook food properly
Some of the most common symptoms of advanced stomach cancer are:
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Can You Treat Stomach Cancer By Changing Your Diet
Using a healthy diet to treat stomach cancer is not enough to cure cancer, but you can talk to your doctor about using it as part of a medical plan to improve your overall health. Those who eat a diet rich in produce like fresh fruits and vegetables and whole grains may decrease their risk for stomach cancer. However, some studies show that increasing plant-based foods reduces the risk of fatal stomach cancer in men, but not women. Talk with your healthcare provider about your dietary options.
Questions To Ask About Nausea And Vomiting
Ask your cancer care team these questions:
- Is my cancer treatment likely to cause nausea and vomiting?
- Can my nausea and vomiting be prevented or controlled?
- How will you decide which anti-nausea/vomiting treatments I should use?
- How much will the anti-nausea medications cost?
- Do the anti-nausea/vomiting treatments you want me to use have side effects?
- When and how often should I take each medicine?
- What will we do if the treatment doesnt control my nausea and vomiting?
- At what point do I need to call if I still feel nausea or still vomit after taking the medicine?
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What Are The Different Stages Of Stomach Cancer
Stomach cancer is staged based on the severity of cancerous cell growth and spread. Adenocarcinoma is initially evaluated by the tumor, node metastasis system.
- T: How deeply has the tumor spread into the stomach wall?
- N: Has the stomach cancer spread to the lymph nodes?
- M: Has the stomach cancer spread to other parts of the body?
After the TNM staging information has been taken into account, the cancer is staged at 0 or 1 to 4. Tumor classifications for staging are as follows:
- Stage 0 is early cancer on the surface of the stomach lining.
- Stage 1A or 1B
- Stage 2A or 2B, commonly with deeper stomach wall involved
- Stage 3A or 3B or 3C, commonly with lymph node involvement
- Stage 4 means cancer has metastasized elsewhere in the body outside of the stomach.
Is There A Difference In The Way Nausea Feels When Its Caused By Cancer Vs Ibs
Or is all nausea the same, whether its caused by cancer or irritable bowel syndrome?
Nausea, regardless of whether its from colon cancer or IBS, in and of itself feels the same.
Nausea is a symptom that refers to a sick feeling in ones stomach that makes them feel as though vomiting is imminent.
Nausea can feel mild, moderate or severe, and can come in waves or be persistentwhether you have irritable bowel syndrome or colon cancer.
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Everything You Need To Know About Stomach Cancer
Stomach cancer, also known as gastric cancer, is a fairly uncommon form of cancer in the United States, accounting for 1.5% of all cancers diagnosed each year. This disease primarily affects people above the age of 65 years old and is more common in men than in women. Over the past decade, the rate of new stomach cancer cases in the United States has dropped by just over a percent per year.
Experts suggest this may be due to improvements in food storage and diet choices, along with a decline in the occurrence of certain gastrointestinal bacteria that are commonly associated with stomach cancer. Learning about stomach cancer and its risk factors, symptoms, treatment options and more can help you become more proactive about managing your health or better prepare for care if you or a loved one receive a diagnosis.
Early Symptoms Are Commonlyoverlooked
Early stomach cancer symptoms are typically so unremarkable that they go completely unnoticed.
Stomach cancer is one of those tricky diagnoses where most people may have retrospectively felt symptoms, but theyre usually vague symptoms that can be confused with many other benign gastrointestinal disorders.
Some of these early symptoms include:
- A general feeling of discomfort.
Because these symptoms tend to be dismissed as normal GI issues and they are for most people when stomach cancer is finally diagnosed, its often in the advanced stages.
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Common Early Signs Of Stomach Cancer
More than 7 in 100,000 people are diagnosed with each year, while 3 in 100,000 die from the disease. About 0.8% of all men and women will be diagnosed with stomach cancer at some point in their life. As of 2017, 116,525 in the United States were living with stomach cancer.
In 2020, the National Cancer Institute estimates 27,600 new cases of stomach cancer will be diagnosed, which is roughly 1.5% of all new cancer cases. The NCI also projects 11,010 deaths from stomach cancer in 2020, which is 1.8% of all cancer deaths.
Because stomach cancer affects men and women differently, and can be difficult to diagnose, it is crucial to understand its unique traits and the illnesses it can mimic. This article covers the signs and symptoms of stomach cancer, the different disease stages, primary causes, warning signs and how to manage it.
Indigestion That Doesn’t Go Away And Burping
You can get indigestion when acid from the stomach goes back up into the food pipe . Or you can get it if you have any irritation in your stomach. This often happens after eating .
Remember, indigestion is common and it’s not usually caused by cancer. Indigestion and heartburn can be very painful, even if nothings seriously wrong. See your doctor if youve had heartburn most days for 3 weeks or more.
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Anticipatory Nausea And Vomiting May Occur After Several Chemotherapy Treatments
In some patients, after they have had several courses of treatment, nausea and vomiting may occur before a treatment session. This is called anticipatory nausea and vomiting. It is caused by triggers, such asodors in the therapy room. For example, a person who beginschemotherapy and smells an alcohol swab at the same time may later havenausea and vomiting at the smell of an alcohol swab. The more chemotherapy sessions a patient has, the more likely it is that anticipatory nausea and vomiting will occur.
Having three or more of the following may make anticipatory nausea and vomiting more likely:
- Having nausea and vomiting, or feeling warm or hot after the last chemotherapy session.
- Being younger than 50 years.
- Being female.
- A history of motion sickness.
- Having a high level of anxiety in certain situations.
Other factors that may make anticipatory nausea and vomiting more likely include:
- Expecting to have nausea and vomiting before a chemotherapy treatment begins.
- Doses and types of chemotherapy .
- Feeling dizzy or lightheaded after chemotherapy.
- How often chemotherapy is followed by nausea.
- Having delayed nausea and vomiting after chemotherapy.
- A history of morning sickness during pregnancy.
Could This Be Bowel / Stomach Cancer
In about December my stomach started playing up, i had one day of diarrhoea that did go quickly. Anyways since then all day every day my stomach has been making loud and i mean loud gurgling / rumbling noises. Everyone around me can hear them and its worse after i have eaten but they are there all the time.
Before Christmas i did go and see a GP she was very dismissive and although she did a physical check of my stomach bascially sent me on my way and made me feel like i had waisted her time.
So on to today..the noises are still there louder than ever and show no sign of going away. I am going to make an appointment with my GP but waiting times are about a week, I am 41 year old male by the way.
Could this be a sign i have bowel / Stomach Cancer? Dr google is freaking me out and i am conviced i now have that.
Thanks for any input
Hello Chris and welcome to Cancer Chat!
Im sorry you are feeling poorly and dismissed by the GP you saw before Christmas. Have you managed to book an appointment with your GP after that?
Looking up things on Dr Google is something we all do from time to time, but at least in my experience the more we do the more we worry so try to refrain from doing so if you can.
As for the question you ask, if you feel like speaking to someone on the phone you can give our cancer nurses a call, they are available Monday – Friday between 9a.m – 5p.m on 0808 800 4040, this phone number is free of charge from a UK landline.
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