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Gastric Cancer Tips

Stomach Cancer - What All Should You Know?

DNB ( Surgical Gastroenterology), Membership of The Royal College of Surgeons (MRCS), MBBS, MS - General Surgery
Gastroenterologist, Hubli-Dharwad
Stomach Cancer - What All Should You Know?

The stomach is a hollow sac which is made up of muscles, and it is connected to the esophagus at its top, and the first section of the small intestine at its bottom. The stomach's main function is to break down solid food by using stomach acid (hydrochloric acid).

What Is Stomach Cancer?

Stomach cancer is cancer developing from the inner lining of the stomach. It is also known as gastric cancer.

Statistics: It is the fifth most common cancer in the world. Globally, stomach cancer is the third leading cause of death from cancer.

Etiology: It is more common in men than women. The exact cause of stomach cancer is still unknown. It is more likely to develop amongst individuals with:

  • Age greater than 50 years
  • A habit of excessive smoking
  • Intake of low-fiber diet, and those who have highly processed food, red meat, or a diet that contains a lot of salted and pickled foods
  • Stomach infection caused by Helicobacter pylori (H. pylori) bacteria 
  • History of alcohol abuse
  • No exercise
  • A habit of improper cooking or storing of food

Signs and Symptoms

The most common symptoms of advanced stomach cancer are given below:

  1. Nausea, vomiting
  2. Frequent heartburn
  3. Loss of appetite
  4. Weight loss
  5. Constant bloating
  6. Early satiety Bloody stools
  7. Fatigue
  8. Dull aching pain in the stomach after meals

How is it Diagnosed?

It can be diagnosed by following tests:

  1. By doing blood tests to look for anemia or nutritional deficiencies
  2. By doing gastroscopy in which a thin, flexible tube will be inserted with a small camera to look into the stomach
  3. By doing a barium follow-through study in which X-rays will be taken after drinking the radio-contrast agent
  4. By doing a computed tomography scan to take detailed pictures of the inside of the body
  5. By doing a biopsy in which a small piece of tissue from the stomach will be taken to look under a microscope for signs of cancer

What is the Treatment for it?

It is treated with various methods in which either one mode is used or combinations of them can be used. They are as follows:

  1. Chemotherapy
  2. Surgery

How to prevent it?

It can be prevented in the following ways:

  1. By eating refrigerated foods rather than preserved foods (those which are salted, pickled, and smoked)
  2. By eating a healthy diet, such as choosing whole-grain bread, pasta, and cereals instead of refined grains, and eating fish, poultry, or beans instead of processed meat and red meat
  3. By doing physical activity and by maintaining ideal body weight
  4. By avoiding tobacco useBy treating H. pylori infection
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Homoeopathic Remedies For Peptic Ulcers

MD - Bio-Chemistry, MF Homeo (London), DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Kolkata
Homoeopathic Remedies For Peptic Ulcers

Peptic ulcers are open sores that develop on the inside lining of your stomach and the upper portion of your small intestine. The most common symptom of a peptic ulcer is stomach pain.
Peptic ulcers include

· gastric ulcers that occur on the inside of the stomach

· duodenal ulcers that occur on the inside of the upper portion of your small intestine (duodenum)

The most common causes of peptic ulcers are infection with the bacterium Helicobacter pylori (h. Pylori) and long-term use of aspirin and certain other painkillers, such as ibuprofen (Advil, Motrin, others) and naproxen sodium (Aleve, Anaprox, others). Stress and spicy foods do not cause peptic ulcers. However, they can make your symptoms worse.

Causes-

Peptic ulcers occur when acid in the digestive tract eats away at the inner surface of the stomach or small intestine. The acid can create a painful open sore that may bleed.

Your digestive tract is coated with a mucous layer that normally protects against acid. But if the amount of acid is increased or the amount of mucus is decreased, you could develop an ulcer. Common causes include

A bacterium. Helicobacter pylori bacteria commonly live in the mucous layer that covers and protects tissues that line the stomach and small intestine. Often, the h. Pylori bacterium causes no problems, but it can cause inflammation of the stomach's inner layer, producing an ulcer.
It's not clear how h. Pylori infection spreads. It may be transmitted from person to person by close contacts, such as kissing. People may also contract h. Pylori through food and water.
Regular use of certain pain relievers. Taking aspirin, as well as certain over-the-counter and prescription pain medications called nonsteroidal anti-inflammatory drugs (nsaids) can irritate or inflame the lining of your stomach and small intestine. These medications include ibuprofen (Advil, Motrin ib, others) and naproxen sodium (Aleve, Anaprox, others), but not acetaminophen (Tylenol).

Peptic ulcers are more common in older adults who take these pain medications frequently or in people who take these medications for osteoarthritis.

Other medications- Taking certain other medications along with nsaids, such as steroids, anticoagulants, low-dose aspirin, selective serotonin reuptake inhibitors (ssris), alendronate (fosamax) and risedronate (actonel), can greatly increase the chance of developing ulcers.

Risk factors- in addition to taking certain pain medications, including aspirin, you may have an increased risk of peptic ulcers if you

  • Smoke. Smoking may increase the risk of peptic ulcers in people who are infected with h. Pylori.
  • Drink alcohol. Alcohol can irritate and erode the mucous lining of your stomach, and it increases the amount of stomach acid that's produced.
  • Have untreated stress.
  • Eat spicy foods.
  • Alone, these factors do not cause ulcers, but they can make them worse and more difficult to heal.


Symptoms

Burning stomach pain. Feeling of fullness, bloating or belching

  • Fatty food intolerance. Heartburn. Nausea
  • The most common peptic ulcer symptom is burning stomach pain. Stomach acid makes the pain worse, as does having an empty stomach. The pain can often be relieved by eating certain foods that buffer stomach acid or by taking an acid-reducing medication, but then it may come back. The pain may be worse between meals and at night.
  • Nearly three-quarters of people with peptic ulcers don't have symptoms.
  • Less often, ulcers may cause severe signs or symptoms such as:
  • vomiting or vomiting blood — which may appear red or black
  • dark blood in stools, or stools that are black or tarry
  • trouble breathing
  • feeling faint
  • nausea or vomiting
  • unexplained weight loss
  • appetite changes


Complications-

  • Left untreated, peptic ulcers can result in:
  • Internal bleeding. Bleeding can occur as slow blood loss that leads to anemia or as severe blood loss that may require hospitalization or a blood transfusion. Severe blood loss may cause black or bloody vomit or black or bloody stools.
  • Infection. Peptic ulcers can eat a hole through (perforate) the wall of your stomach or small intestine, putting you at risk of serious infection of your abdominal cavity (peritonitis).
  • Obstruction. Peptic ulcers can lead to swelling, inflammation or scarring that may block passage of food through the digestive tract. A blockage may make you become full easily, vomit and lose weight.


Homoeopathic remedies-

  1. Argentum nitricum 30-Argentum nitricum is one of the top remedies for stomach ulcers. This medicine is well indicated when sharp ulcerative or burning pain is felt in the stomach and radiates to other regions of the abdomen. The pain is sometimes gnawing in nature. Symptoms such as belching, nausea, vomiting may also appear along with these radiating pains. Abdominal distension may also be present in argentum nitricum.
  2. Abies canadensis 30- Abies can. Is an excellent remedy for gastric ulcer. There is gnawing, hungry faint feeling at the epigastrium. Burning and distension of stomach is present. Tendency to eat far beyond the capacity for digestion. There is great appetite, craving for meat, pickles, radish, turnips coarse food. Flatulence disturbs the heart’s action. Want to lie down all the time.
  3. Abies nigra 30- Abies nigra is prescribed when pain pain in stomach comes after eating. Sensation as if hard boiled egg had lodged in the cardiac end of stomach. Great craving for food at noon and night. It is suitable for dyspepsia of the aged. Also dyspepsia after tea or tobacco. Sour eructations.
  4. Acetic acid 30- Burning pains as of an ulcer. Cancer of stomach. Sour eructations. Vomits every kind of food. Heartburn and water brash. Hyperchlorhydria. Profuse salivation. Intense burning thirst. Haemorrhage from bowels. Great prostration. Pale, lean, emaciated persons.
  5. Anacardium 30- Anacardium is an excellent remedy for duodenal ulcer. All gone sensation when stomach is empty, > By eating, during the process of digestion. Apt to choke while eating and drinking. Swallows food and drink hastily. Ineffectual desire for stool, rectum seems to be plugged up. Sensation of a band or hoop around a part. Sudden loss of memory. Hypochondriac.
  6. Arsenicum album 30- Burning pains in abdomen, burns like fire, as if hot coals were applied to the parts. > By heat, hot drinks. Vomiting of bile, blood, brown-black mucus mixed with blood. Gastralgia < at midday and midnight. Cannot bear the smell or sight of food. Excessive thirst for warm drinks at short intervals. Diarrhea, stool scanty, dark, offensive < after eating and drinking. Bad effects of decayed food or animal matter. Gastric derangements after fruits, ice creams, beer, strong cheese, alcohol. Fear, anxiety, restlessness. Prostration.
  7. Atropium-3x- Chronic stomach affections. Paroxysms of gastric pains. Vomiting of all food. Hyperchlorhydria. Pyrosis. Great dryness of throat, almost impossible to swallow.
  8. Bismuth 30- Gastralgia, pain from stomach through to spine. Vomiting of water as soon as it reaches the stomach, food retained longer, of enormous quantities at intervals of several days when food has filled the stomach. Purging, offensive stools. Pressure in stomach as from a load in one spot, alternating with burning, pain crampy, spasmodic. Anguish, always desire company.
  9. Carbo veg 3x- Carbo veg is an excellent remedy for peptic ulcers. It is most helpful when burning pain in the stomach is accompanied by sour belching or heartburn. The pain may extend from the stomach to the back. The epigastric area may also be sensitive and tender to touch. Eating the smallest amount of food, even light food, worsens the symptoms
  10. Calcarea carb 30- Acidity of the digestive tract, sour eructations, sour vomiting, sour stool, sour odor of the whole body. Ravenous hunger. Pit of stomach swollen like an inverted saucer, painful to pressure. Aversion to milk and meat, craving for eggs. Habitual constipation, stool has to be removed mechanically. Leucophlegmatic, fair, obese persons.
  11. Cadmium sulph. 30- Burning and cutting pains in stomach. Carcinoma. Persistent vomiting, violent nausea, retching, vomiting of black, coffee ground matter, of blood. Severe prostration. Black offensive clots of blood from bowels. Chilliness and coldness.
  12. China 30- Hyperacidity, vomiting of undigested food. Hungry without appetite. Excessive flatulence of stomach and bowels (lower abdomen), fermentation, belching gives no relief. Colic at a certain hour, each day, periodical. < night, eating fruits, touch. > Hard pressure, bending double. Diarrhoea painless at night, undigested food particles. Haematemesis and Malena. Hemorrhage long continued. Ulcers with persistent suppuration. Longing for sour things. Broken down constitution, loss of vital fluids.
  13. Condurango 30- Gastric ulcer, carcinoma of stomach. Constant burning pains. Vomiting of food, burning behind sternum, where food seems to stick. Stricture of oes ophagus. Chronic gastric catarrh. Painful cracks at corners of mouth.
  14. Cupressus lawsoniana 30- Terrible pains in stomach. Sharp, piercing and pricking pains. Increased appetite followed by loathing of food. Feeling of warmth in stomach
  15. Geranium maculatum 30- Catarrhal gastritis with profuse secretion, tendency to ulceration and massive hemorrhage. Lessens the vomiting in gastric ulcer. Vomiting of blood. Atonic, foul ulcers. Constant desire to go to stool, with inability to pass anything for some time.
  16. Graphites 30- Graphites is prescribed when vomiting immediately after eating food is present. Constrictive and burning pain in the stomach is experienced after eating. Excessive belching, taste of ingesta is also an attending symptom in such cases where graphites is prescribe
  17. Grindelia squarrosa 3x- Gastric ulcer, gastric pains associated with splenic congestion. Nausea and retching. Hyperchlorhydria. Hyperaemia of gastric mucus membrane. Dullness and pain in left hypochondrium. Paresis of pneumogastric. Gastritis with asthmatic symptoms. Smothering when falling asleep.
  18. Hydrstis canadensis 30- Hydrastis can. Is one of the best medicines for stomach ulcers when they are accompanied by weight loss and emaciation. A key symptom is a constant sore feeling in the stomach. Cutting and sharp pain in the stomach may also be present. Weakness and a loathing of food in epigastrium are other symptoms to look out for. Hydrastis is also one of the major homeopathic medicines for chronic gastritis.
  19. Iodum 30- Duodenal ulcer; ravenous hunger, must eat every few hours, feels ameliorated while eating or after eating. Empty eructations, as if every particle of food was turned in to air. Constipation > By drinking cold milk. Emaciation, losing flesh while eating well. Scrofulous diathesis.
  20. Iris versicolor 30- Hyperacidity, burning of the whole alimentary canal. Vomiting sour, bloody, biliary. Nausea, profuse salivation. Deficient appetite. Diarrhoea stools watery with burning of anus.
  21. Kali bichromicum 30- kali bichromicum is another excellent remedy for stomach ulcers. It is indicated in round ulcers with a feeling of heaviness in the stomach soon after eating. The food seems to sit in the stomach like a load. Appetite is low in cases where kali bichromicum will work as one of the most effective homeopathic medicines for stomach ulcers.
  22. Kreosotum 30- Gastric ulcers; carcinoma of stomach. Vomiting of food several hours after eating, vomiting of sweetish water with ptyalism. Haematemesis and malena. Flow passive, dark, oozing. Diarrhea offensive, dark brown, bloody stools. Corrosive fetid ichorous discharges from mucus membranes.
  23. Lycopodium clavatum 30- Lycopodium is prescribed for stomach ulcers where the main symptoms are burning, constrictive pains attended with marked flatulence and fullness/bloating of the abdomen are present. Bloating starts soon after eating. Lycopodium may get relief in pain from taking warm water. Farinaceous food like cabbage and beans worsen the symptoms. The patient has craving for sweets.
  24. Natrum phos 30- Excessive acidity, sour eructations, sour vomiting, spits mouthfuls of food. Gastritis. Flatulence. Yellow creamy coating at the back part of tongue and roof of mouth.
  25. Nux moschata 30- Gastric ulcer; pain in stomach while or immediately after eating. Eating a little too much causes headache. Abdomen enormously distended after every meal. Flatulent dyspepsia. Diarrhea, stool white, fetid. Great dryness of mouth without thirst. Women, hysterical temperament, drowsiness, sleepiness, inclination to faint.
  26. Nux vomica 30- Nux vomica is prescribed when pain in the stomach is felt from eating even the smallest amount of food. The stomach region is also sensitive to touch in such cases. Nux vomica is also one of the best suited homeopathic medicines for stomach ulcers where spicy food, coffee, tobacco and alcoholic drinks worsen the symptoms. Tightness and pressure may be felt in the stomach after eating. Nausea, vomiting, eructations, flatulence and heartburn may accompany the above symptoms.
  27. Ornithogalum 30- Gastric ulcer, carcinoma of stomach and caecum. Haematemesis and malena. Vomiting of coffee ground matter. Pains increased when food passes pyloric outlet. Frequent belching of offensive flatus. Flatus rolls in balls from one side to another. Loss of appetite, phlegmy retchings, loss of flesh.
  28. Petroleum 30- Duodenal ulcer; ravenous hunger, must rise at night to eat. Pain abdomen > By constant eating 
  29. Phosphorus 30- Phosphorus is another top remedy for stomach ukcer when the pain is relieved by taking cold drinks. Burning in the stomach after eating is complained of. Along with this, sour, bitter belching may also be experienced in such cases.
  30. Pulsatilla nig. 30- Pain in stomach an hour after eating. Pain with chilliness, rapidly shifting, appear suddenly, goes gradually. Vomiting of food eaten long before. Eructations, taste of food remains a long time. All gone sensation in tea drinkers. Complaints from eating rich food, cake, pork, sausage. Thirstlessness with dry mouth and tongue. Diarrhoea only at night, greenish yellow, very changeable.
  31. Robinia 3x- Hyperchlorhydria. Nausea, sour eructations. Profuse vomiting of an intensely sour fluid. Great distension of stomach and bowels. Flatulent colic. Sour stools. Nightly burning pains in stomach. Acidity accompanied by frontal headache.
  32. Sulphur 30- Burning pains in stomach < at night, warm food and drinks. Weak empty all gone sensation at about 11 am > By eating, cannot wait for lunch. Acidity, sour eructations. Desire for sweets. Diarrhoea, driving out of bed early in the morning. Constipation, stools hard, dry as if burnt, painful. Redness of external orifices. Chronic alcoholism. Nervous temperament, scrofulous diathesis
  33. Sulphuric acid 30- Hyperacidity, heartburn, sour eructations, sets teeth on edge. Sour vomiting. Haemorrhage of black blood from bowels. Ulcers bleed easily. Water causes coldness of stomach, must be mixed with alcohol. Pains come gradually and goes suddenly. Tremor and weakness.
  34. Symphytum 30- Gastric and duodenal ulcers. Gastralgia. Stimulates the growth of epithelium on ulcerated surfaces.
  35. Uranium nitricum 3x- Uranium nitricum to be the ideal homeopathic remedy for gastric and duodenal ulcers characterized by boring pain in the pyloric region, a bloated abdomen, and a ravenous appetite followed by flatulence.
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Causes and Symtoms of Stomach Cancer

European Society For Medical Oncology certification, DM - Oncology, MD - General Medicine, MBBS, Fellowship in Bone Marrow Transplant
Oncologist, Faridabad
Causes and Symtoms of Stomach Cancer

A study conducted by World Health Organization across the globe revealed that approximately 723,000 cancer-related deaths annually, are caused due to stomach cancer. Stomach or gastric cancer is the growth of abnormal cells that form a mass in any part of the stomach. The most common stomach cancer, which has been reported around 90-95% of the total cases, affects the mucosa or the most superficial lining inside the stomach. This type of stomach cancer is referred to as adenocarcinoma.

Causes of Stomach Cancer

Any type of cancer occurs due to a change in the DNA structure, which disrupts the instructions that control the cell growth. However, the exact medical cause of stomach cancer is still unknown, but some common knowledge of the disease may let you know that it can also be caused due to smoking, unhealthy diet and hereditary factors.

Symptoms of Stomach Cancer

The symptoms of stomach cancer in its early stage is difficult to diagnose. As the initial symptoms are associated with some very common medical conditions, most people fail to recognize them as stomach cancer. This includes, a sensation of feeling full during meal, dysphagia or swallowing difficulties, feeling bloated after meals, excessive rate of burping, heartburn, continuous ingestion, stomach ache that rises to the breastbone, trapped wind and vomiting that contains blood.

As the tumor grows more prominent symptoms starts to appear. They include a staggering condition of dysphagia and extreme indigestion along with unexpected weight loss, continuous sickly feeling or anemic. Symptoms like accumulation of fluid inside stomach, black and bloodied stool, fatigue also constitutes to an advanced stage of stomach cancer.

Treating Stomach Cancer

The treatment of stomach cancer will depend on the stage of cancer and the overall health of the patient. There are several treatments available to treat, not cure, stomach cancer.

Surgery

Surgery involves removal of part or entire stomach along with the surrounding lymph nodes. In subtotal gastronomy, a part of the stomach is surgically removed, whereas, in total gastronomy, the whole stomach is removed. Patient is able to eat normally, though smaller quantities than before. Patients undergoing laparoscopic or robotic surgery recover quicker than those undergoing open surgery. Surgery is the main treatment in cancer.

Radiation Therapy

Radiation therapy or radiotherapy uses energy rays to target and kill the cancerous cells. This, however, is not commonly used to treat stomach cancer as there is a chance of harming the adjacent organs.

Chemotherapy

This treatment uses drugs to stop the fast division and multiplication of the cancerous cells and shrink the tumor. The drugs for chemotherapy are known as cytotoxic medicines, and they travel through the whole body to attack the particular affected area and other areas where cancer is located.

These are just a few, there are many more treatments that have brought results in treating and controlling stomach cancer, and the doctor will advise on the procedure most suitable for any particular condition.

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Stomach Cancer - Dispelling Common Myths!

M.ch - Surgical Oncology
Oncologist, Hyderabad
Stomach Cancer - Dispelling Common Myths!

Gastric cancer is more commonly known as stomach cancer. It is usually diagnosed in later stages as symptoms are few in early disease and are often neglected by people. Feeling of fullness in upper abdomen, decrease in hunger, weight loss, weakness, vomiting, are some of the common symptoms. Like all cancers, stomach cancer is shrouded in a culture of myths and baseless facts.

Here are some of these myths and actual facts to dispel any doubts: 

 

 

  1. It’s not cancer if there is no pain: In the early stages of stomach cancer, symptoms are either absent or very mild so that they are usually neglected. This leads to delay in diagnosis. It needs to be stressed again that absence of pain does not mean that cancer can not be there. Slight fullness in the upper abdomen, decrease in appetite, etc. can be signs of stomach cancer.
  2. Sustained indigestion equals stomach cancer: While it is true that one of the symptoms of stomach cancer is indigestion, burping and/or acidity. But, indigestion doesn't always mean that it is stomach cancer. Most of the times, indigestion is not due to cancer. However, if there is recent onset of indigestion (from 2 weeks to a few months) with loss of appetite, weight loss and vomiting, possibility of cancer should be thought of and testing carried out. 
  3. Stomach cancer is rare: Stomach cancer occurrence varies and it is more common in some areas and much less common in other areas. However, in totality, it is one of the very common cancer types. In India, stomach cancer is more common in southern and north-eastern parts of the country but it can occur in persons in any part of the country. 
  4. Stomach cancer is not genetic: Even though it is not commonly seen as a hereditary disease, stomach cancer can be passed down through the genes, thereby increasing the chances of stomach cancer in people who possess it by 70 to 80 percent. Mutation in the CDH1 gene is usually the reason behind this. Sometimes also known to contribute to breast cancer in women. 
  5. Stomach cancer has no cure: This is a misconception. Except for most advancer stage of cancer (stage IV), stomach cancer can be cured by proper treatment. Surgery is the mainstay of curative treatment for stomach cancer. Chemotherapy and radiation therapy are also required in addition to surgery in many cases."

In case you have a concern or query you can always consult an expert & get answers to your questions!

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Stomach Cancer Symptoms, Treatment - पेट के कैंसर के लक्षण, उपचार

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Stomach Cancer Symptoms, Treatment - पेट के कैंसर के लक्षण, उपचार

पेट का कैंसर या दूसरे शब्दों में कहे तो गैस्ट्रिक कैंसर, इसके कुछ असामान्य और घातक कोशिकाओं का समूह होता है, जो पेट के पार्ट में ढेर बना देता है. आमतौर पर यह पेट की आंतरिक परत में स्थित कोशिकाओं में विकसित होता है. साथ ही समय समय के साथ पेट की दीवार में फ़ैल जाता है. पेट का कैंसर, पेट की दीवार से आगे बढ़ कर जैसे जिगर, अग्नाश्य, ग्रासनली और आंतों के आस-पास के अंगों में फैलता है. आइए पेट के कैंसर के लक्षणों और इसके उपचार के बारे में जानें.

पेट के कैंसर का लक्षण
पेट के कैंसर की बात करें, तो इससे जुड़े ऐसे कई लक्षण होते हैं. यह अन्य कई प्रकार की गंभीर बीमारीयों से भी जुड़े होते हैं. इस कारण से पेट कैंसर को प्रारंभ में ही पहचान पाना कठिन होता है. कई कैंसर ग्रस्त मरीजों का निदान तब तक नहीं हो पाता, जब तक कैंसर पूरी तरह से विकसित ना हुआ हो. कैंसर के प्रारंभिक लक्षणों में निम्न शामिल होते हैं -

  • भोजन करने के बाद एकदम से पेट फूलना महसूस होना है.
  • डिस्फेजिया (निगलने में कठिनाई) खाना खाने के बाद पेट का ज्यादा फूला हुआ महसूस होना है.
  • बार-बार डकार आना.
  • सीने में जलन महसूस होना.
  • खट्टी डकारें या अपचन जो ठीक नही हो पा रही हो.
  • पेट दर्द या छाती की हड्डी में दर्द का होना.
  • पेट में हवा भरना जैसा महसूस होना है.
  • उल्टी आना या कई बार उलटी में खून आना भी आ सकता है.


पेट के कैंसर का इलाज
पेट के कैंसर का इलाज कई कारणों पर निर्भर होता है. जैसे कैंसर की गंभीरता कितनी है, मरीज का स्वास्थ्य कैसा है और साथ ही रोगी की प्राथमिकताओं आदि का होना भी शामिल है. जबकि इसके इलाज की बात करें तो सर्जरी, कीमोथेरेपी, रेडिएशन थेरेपी और दवाओं आदि के विकल्प उपलब्ध होते हैं.

सर्जरी
सर्जरी जिसे आम भाषा में शल्य चिकित्सा भी कहा जाता है. इसका उद्देश्य पेट के कैंसर को शरीर से बाहर निकालना होता है. जिससे स्वस्थ ऊतक क्षति होने से बच जाएं. जबकि सर्जरी के दौरान यह भी देखना होता है कि कोई कैंसर से ग्रस्त सेल शरीर में ना रह पाए. इसके कुछ उदाहरण इस प्रकार हैं –
एंडोस्कोपी म्यूकोसल रिसेक्शन - इसका उद्देश्य कैंसर के प्रारंभिक स्टेज में पेट से ट्यूमर को निकाल देना होता है. यह पेट की अंदरूनी परत में विकसित हो जाते हैं. जिसे सर्जरी करने वाला डॉक्टर एंडोस्कोपी की मदद से पेट में मौजूद बहुत छोटे ट्यूमर्स को शरीर से निकाल देता हैं.
सबटोटल गैस्ट्रेक्टॉमी – इस सर्जरी की मदद से पेट के कैंसर प्रभावित भाग को शरीर से बाहर निकाल दिया जाता है.
टोटल गैस्ट्रेक्टॉमी – इसमें सर्जरी की मदद से पूरे पेट को हटा दिया जाता है.

पेट से जुड़ी सर्जरी में सभी प्रक्रियाएं पेचीदा होती हैं, इन्हें ठीक होने में भी लंबा समय लगने की संभावना रहती हैं. सर्जरी होने के बाद रोगी को दो हफ्तों तक हॉस्पिटल में रहना पड़ सकता है. जिसके बाद मरीज को घर पर स्वस्थ होने के लिए कई हफ्तों तक आराम करने की जरूरत होती है.

रेडिएशन थेरेपी
रेडिएशन थेरेपी में उर्जा की किरणों की मदद से कैंसर कोशिकाओं को खत्म किया जाता है. रेडिएशन थेरेपी को पेट के कैंसर के इलाज के लिए सामान्य रूप से प्रयोग नहीं किया जाता क्योंकि इसमें आसपास के अन्य अंगों को हानि पहुंचने का खतरा बना रहता है. हालांकि, अगर पेट कैंसर विकसित हो चुका है या और अत्यधिक दर्द और खून बहने जैसे लक्षण दिखने लगे हैं तो ऐसे में रेडिएशन थेरेपी ही मुख्य विकल्प माना जाता है. रेडिएशन थेरेपी के दो प्रकार होते हैं जिनको इस्तेमाल किया जाता है –

निओएजुवेंट रेडिएशन – इस थेरेपी का प्रयोग सर्जरी करने से पहले किया जाता है. इससे होता यह है कि ट्यूमर्स छोटे हो जाते है ताकि सर्जरी के दौरान ट्यूमर्स को आसानी से निकाला जा सके.

एजुवेंट रेडिएशन – सर्जरी हो जाने के बाद इस थेरेपी का प्रयोग किया जाता है. अगर इसका प्रयोग रोगी के पेट में बची कैंसर कोशिकाओं को खत्म करने के लिए किया जाता है.

कीमोथेरेपी
कीमोथेरेपी में कुछ ख़ास दवाइयों का उपयोग किया जाता है जो तेज़ी से बढ़ रही कैंसर कोशिकाओं को ख़त्म कर देती हैं. इन दवाइयों को साइटोटोक्सिक दवाओं के नाम से जाना जाता है. ये दवाइयां मरीज के शरीर में फैल जाती है और कैंसर के शुरू होने वाली जगह पर वार करती है. इसके साथ ही अगर कैंसर अन्य अंगों में फ़ैल गया है, तो उधर भी कैंसर कोशिकाओं को ख़तम करती हैं. कीमोथेरेपी के दो प्रकार होते हैं:-

निओएजुवेंट कीमोथेरेपी – इस थेरेपी का उपयोग सर्जरी से पहले करने पर ट्यूमर सिकुड़ जाता है. जिसके बाद सर्जरी की मदद से ट्यूमर को आसानी से निकाल लिया जाता है.

एजुवेंट कीमोथेरेपी – सर्जरी के बाद उपयोग की जाने वाला यह थेरेपी, पेट में बची हुई कैंसर सेल को खत्म करता है. गैस्ट्रिक लिम्फोमा, गैस्ट्रोइंटेस्टिनल स्ट्रोमल ट्यूमर और कुछ अन्य प्रकार के गैस्ट्रिक कैंसर के लिए कीमोथेरेपी को प्रमुख इलाज तरीका माना जाता है.

दवाएं
उदाहरण के लिए कुछ दवाइयां जैसे सूटेंट, ग्लिवेक आदि, गैस्ट्रोइंटेस्टिनल स्ट्रोमल ट्यूमर के रोगियों को दी जाती हैं. यह रोगी के शरीर में कैंसर की विशिष्ट असामान्यताओं पर अटैक करती हैं.

Myths About Stomach Cancer That You Should Be Aware Of!

MBBS, MS - General Surgery, FICS (Surgical Oncology), Fellowship of Association of Indian Surgeons(FAIS), Fellowship in Minimal Access Surgery(FMAS) & Reproductive Medicine, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
Oncologist, Ghaziabad
Myths About Stomach Cancer That You Should Be Aware Of!

Gastric cancer is more commonly known as stomach cancer. It is usually diagnosed in later stages as symptoms are few in early disease and are often neglected by people. Feeling of fullness in upper abdomen, decrease in hunger, weight loss, weakness, vomiting, are some of the common symptoms. Like all cancers, stomach cancer is shrouded in a culture of myths and baseless facts. Here are some of these myths and actual facts to dispel any doubts: 

  1. It’s not cancer if there is no pain: In the early stages of stomach cancer, symptoms are either absent or very mild so that they are usually neglected. This leads to delay in diagnosis. It needs to be stressed again that absence of pain does not mean that cancer can not be there. Slight fullness in the upper abdomen, decrease in appetite, etc. can be signs of stomach cancer.
  2. Sustained indigestion equals stomach cancer: While it is true that one of the symptoms of stomach cancer is indigestion, burping and/or acidity. But, indigestion doesn't always mean that it is stomach cancer. Most of the times, indigestion is not due to cancer. However, if there is recent onset of indigestion (from 2 weeks to a few months) with loss of appetite, weight loss and vomiting, possibility of cancer should be thought of and testing carried out. 
  3. Stomach cancer is rare: Stomach cancer occurrence varies and it is more common in some areas and much less common in other areas. However, in totality, it is one of the very common cancer types. In India, stomach cancer is more common in southern and north-eastern parts of the country but it can occur in persons in any part of the country. 
  4. Stomach cancer is not genetic: Even though it is not commonly seen as a hereditary disease, stomach cancer can be passed down through the genes, thereby increasing the chances of stomach cancer in people who possess it by 70 to 80 percent. Mutation in the CDH1 gene is usually the reason behind this. Sometimes also known to contribute to breast cancer in women. 
  5. Stomach cancer has no cure: This is a misconception. Except for most advancer stage of cancer (stage IV), stomach cancer can be cured by proper treatment. Surgery is the mainstay of curative treatment for stomach cancer. Chemotherapy and radiation therapy are also required in addition to surgery in many cases." In case you have a concern or query you can always consult an expert & get answers to your questions!
2829 people found this helpful

Stomach Cancer - How Radiation Therapy Can Help?

MBBS, MS - General Surgery, DNB - Surgical Oncology
Oncologist, Surat
Stomach Cancer - How Radiation Therapy Can Help?

A study conducted by World Health Organization across the globe revealed that approximately 723,000 cancer-related deaths annually, are caused due to stomach cancer. Stomach or gastric cancer is the growth of abnormal cells that form a mass in any part of the stomach. The most common stomach cancer, which has been reported around 90-95% of the total cases, affects the mucosa or the most superficial lining inside the stomach. This type of stomach cancer is referred to as adenocarcinoma.

Causes of Stomach Cancer

Any type of cancer occurs due to a change in the DNA structure, which disrupts the instructions that control the cell growth. However, the exact medical cause of stomach cancer is still unknown, but some common knowledge of the disease may let you know that it can also be caused due to smoking, unhealthy diet and hereditary factors.

Symptoms of Stomach Cancer

The symptoms of stomach cancer in its early stage is difficult to diagnose. As the initial symptoms are associated with some very common medical conditions, most people fail to recognize them as stomach cancer. This includes, a sensation of feeling full during meal, dysphagia or swallowing difficulties, feeling bloated after meals, excessive rate of burping, heartburn, continuous ingestion, stomach ache that rises to the breastbone, trapped wind and vomiting that contains blood.

As the tumor grows more prominent symptoms starts to appear. They include a staggering condition of dysphagia and extreme indigestion along with unexpected weight loss, continuous sickly feeling or anemic. Symptoms like accumulation of fluid inside stomach, black and bloodied stool, fatigue also constitutes to an advanced stage of stomach cancer.

Treating Stomach Cancer

The treatment of stomach cancer will depend on the stage of cancer and the overall health of the patient. There are several treatments available to treat, not cure, stomach cancer.

Surgery

Surgery involves removal of part or entire stomach along with the surrounding lymph nodes. In subtotal gastronomy, a part of the stomach is surgically removed, whereas, in total gastronomy, the whole stomach is removed. Patient is able to eat normally, though smaller quantities than before. Patients undergoing laparoscopic or robotic surgery recover quicker than those undergoing open surgery. Surgery is the main treatment in cancer.

Radiation Therapy

Radiation therapy or radiotherapy uses energy rays to target and kill the cancerous cells. This, however, is not commonly used to treat stomach cancer as there is a chance of harming the adjacent organs.

Chemotherapy

This treatment uses drugs to stop the fast division and multiplication of the cancerous cells and shrink the tumor. The drugs for chemotherapy are known as cytotoxic medicines, and they travel through the whole body to attack the particular affected area and other areas where cancer is located.

These are just a few, there are many more treatments that have brought results in treating and controlling stomach cancer, and the doctor will advise on the procedure most suitable for any particular condition. In case you have a concern or query you can always consult an expert & get answers to your questions!

2095 people found this helpful

Cancer - 6 Ways To Help You Manage Your Condition!

MBBS, MD, DM - Oncology
Oncologist, Pune
Cancer - 6 Ways To Help You Manage Your Condition!

We live in an age where every single individual, more or less, is exposed to the risk of cancer. It is probably an unfavorable lifestyle we lead that deprives us of good health. This might alarm many but considerable changes in lifestyle can help you realize cancer as a preventable disease. Cancer does not only make you undergo severe suffering but it also affects your friends and family. The pallor of misery spreads wider than you think.

  1. Abstain from tobacco: Consuming raw tobacco or smoking tobacco can be equally detrimental to your health. Tobacco increases your chances of contracting the disease. As is known, passive smoking can also affect your health adversely. Tobacco can be the potential cause behind cancer of the mouth, throat, larynx, lungs, oral cavity and even the pancreas. It might harm your kidneys and cervix. It is upon you to quit tobacco at the earliest possible. One should also try and persuade friends and relatives to give up smoking.
  2. Drink alcohol in moderation: Complete abstinence from alcohol might not be possible if you have already been ushered into your work- life. The society might require you to be an occasional drinker. It is important to drink in moderation. Crossing the limit can propel consequences as serious as cancer of the stomach, pancreas, liver and the heart.
  3. A balanced and nutritious dietDeciding on a plant- based diet or a Mediterranean diet can aid your fight against the risk of cancer. A Mediterranean diet will involve green leafy vegetables, lots of fresh fruits, whole grains, mixed nuts, legumes and also the use of extra- virgin olive oil. Fish can be a safe bet but red meat should be avoided. One must also try to avoid processed meat as they tend to make you prone to the risk of cancer.
  4. Immunization: Hepatitis B and HPV or Human papilloma virus vaccines are extremely necessary to protect you against the sexually transmitted types of cancer.
  5. Sun protection: Caring for your skin doesn't arise from vanity. Skin cancer is one of the most prevalent kinds of cancer; the chances of this disease can be restricted by remaining in shade especially during midday, by wearing covered clothes and by using a good sunscreen lotion repeatedly while outside.
  6. Exercise diligently: Did you think it was okay to have weaker muscles and bulging layers of fat? If yes, you probably have grown numb to the inadequacies you face in result. Unchecked fat can lead to obesity which further complicates health conditions. Metabolic activity differs from person to person. Regular exercising can help regulate metabolism according to the needs of your body. Physical exercise protects you against the risk of breast and colon cancer. Moderate or vigorous physical activity for 150 to 75 minutes a week respectively can reduce the risk of cancer.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2188 people found this helpful

Cancer Of Stomach - Know How To Diagnose It!

Dr. Sanjeev Kumar 90% (89 ratings)
MBBS, MS - General Surgery, MCH - Surgical Gastroenterology, Ex assistant professor
Gastroenterologist, Patna
Cancer Of Stomach - Know How To Diagnose It!

Cancer is a disease everyone dreads. It is not only difficult to come to terms with this but in many cases, it can be downright traumatic. Cancer is a medical condition wherein the growth of abnormal cells cannot be controlled. In some kind of cancers, the cells spread to other tissues making the situation worse.

Stomach cancer usually occurs across the lining of the stomach that is responsible for producing mucus. This form of cancer is known as adenocarcinoma. It has been witnessed that cancer occurring in the body of the stomach has drastically reduced. Instead, the cases of cancer occurring in the upper portion of the stomach have increased. This area of the cancer is termed as gastroesophageal junction.

What are the symptoms of stomach cancer?
Symptoms and visible signs of gastroesophageal junction cancer include the following:

  • Fatigue throughout the day
  • Feeling of bloating just after a meal.
  • Loss of appetite or feeling full after consuming very little food
  • Sharp to dull to constant pain in the stomach
  • Frequent but unexplained nausea
  • The persistent problem of indigestion.
  • Frequent heartburn
  • Frequent and persisting vomiting. This is applicable before and after dinner
  • A feeling of weakness throughout the day

Causes of stomach cancer:
Stomach cancer like any other cancer occurs when there is a mutation occurs in a cell. The mutation forces the cell to rapidly divide and grow. Like other cells, they do not die. They also affect the nearby organ and thus spreads throughout the body. Gastroesophageal junction cancer is closely related to smoking, obesity and gastrointestinal reflux disease. Studies have shown a high correlation between cancer in the main body of the stomach and salted foods.

What are the risks involved?
The primary risk for this condition is obesity and GERD. Factors that can increase the risk of stomach cancer include the following:

  • Smoked food or a diet that is rich in salt.
  • A family history of stomach cancer.
  • Polyps in the stomach.
  • A long history of inflammation of the stomach.
  • A diet that is not rich in vegetables and fruits.
  • Food infection with a fungus called aflatoxin.

Diagnosis of Stomach Cancer:
Diagnosis is done by a series of tests. Th first one being upper endoscopy that involves the insertion of a tiny camera inside the stomach to find out the inner picture. In the case of any suspiciousness, a small tissue is taken out to inspect. Some other imaging tests include CT scan, barium swallow etc. There could be four stages of cancer depending on the advancement of the spread of the cancer cells in other organs of the body.

Treatment:
The treatment plan is decided depending on the stage of cancer. If a doctor feels that surgery is required to eradicate the infected tissue, he suggests the same along with radiotherapy. If, however, the surgery is not needed, doctors suggest chemotherapy followed by few dosages of radiotherapy. The dosage is decided on the extent of the spread of cancer and other factors such as future threat, the present medical condition of the patient etc. Surgery is the only best hope available in present world depending upon the stage !

In case you have a concern or query you can always consult an expert & get answers to your questions!

2059 people found this helpful

Know the Symptoms, Causes and Treatment of Stomach Cancer

MBBS, DNB Gen Surgery, DNB Surgical Oncology
Oncologist, Bangalore
Know the Symptoms, Causes and Treatment of Stomach Cancer

A study conducted by World Health Organization across the globe revealed that approximately 723,000 cancer-related deaths annually, are caused due to stomach cancer. Stomach or gastric cancer is the growth of abnormal cells that form a mass in any part of the stomach. The most common stomach cancer, which has been reported around 90-95% of the total cases, affects the mucosa or the most superficial lining inside the stomach. This type of stomach cancer is referred to as adenocarcinoma.

Causes of Stomach Cancer

Any type of cancer occurs due to a change in the DNA structure, which disrupts the instructions that control the cell growth. However, the exact medical cause of stomach cancer is still unknown, but some common knowledge of the disease may let you know that it can also be caused due to smoking, unhealthy diet and hereditary factors.

Symptoms of Stomach Cancer

The symptoms of stomach cancer in its early stage is difficult to diagnose. As the initial symptoms are associated with some very common medical conditions, most people fail to recognize them as stomach cancer. This includes, a sensation of feeling full during meal, dysphagia or swallowing difficulties, feeling bloated after meals, excessive rate of burping, heartburn, continuous ingestion, stomach ache that rises to the breastbone, trapped wind and vomiting that contains blood.

As the tumor grows more prominent symptoms starts to appear. They include a staggering condition of dysphagia and extreme indigestion along with unexpected weight loss, continuous sickly feeling or anemic. Symptoms like accumulation of fluid inside stomach, black and bloodied stool, fatigue also constitutes to an advanced stage of stomach cancer.

Treating Stomach Cancer

The treatment of stomach cancer will depend on the stage of cancer and the overall health of the patient. There are several treatments available to treat, not cure, stomach cancer.

Surgery

Surgery involves removal of part or entire stomach along with the surrounding lymph nodes. In subtotal gastronomy, a part of the stomach is surgically removed, whereas, in total gastronomy, the whole stomach is removed. Patient is able to eat normally, though smaller quantities than before. Patients undergoing laparoscopic or robotic surgery recover quicker than those undergoing open surgery. Surgery is the main treatment in cancer.

Radiation Therapy

Radiation therapy or radiotherapy uses energy rays to target and kill the cancerous cells. This, however, is not commonly used to treat stomach cancer as there is a chance of harming the adjacent organs.

Chemotherapy

This treatment uses drugs to stop the fast division and multiplication of the cancerous cells and shrink the tumor. The drugs for chemotherapy are known as cytotoxic medicines, and they travel through the whole body to attack the particular affected area and other areas where cancer is located.

These are just a few, there are many more treatments that have brought results in treating and controlling stomach cancer, and the doctor will advise on the procedure most suitable for any particular condition. If you wish to discuss about any specific problem, you can consult an Oncologist.

2800 people found this helpful
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