Stomach cancer: how to recognize the first signs and protect yourself

2. Early symptoms – when should we see a doctor?

In its early stages, stomach cancer often occurs without clear signs, but there are some symptoms that should not be ignored.

Stomach complaints:

  • Feeling of heaviness and bloating after eating, even with a small amount of food.

  • Heartburn or belching that didn’t bother you before.

  • Nausea for no apparent reason, sometimes accompanied by vomiting (which may contain traces of blood).

  • Aversion to certain foods – most often meat, fish, and other protein products.

  • Dull pain or burning in the upper abdomen, especially after eating.

  • Common signs:

    • Unmotivated weight loss – 5–7 kg in a few months.

    • Constant fatigue, lack of energy, apathy.

    • Anemia – paleness, dizziness, weakness.

    • Dark or black stools – a possible sign of internal bleeding.

    Important: These symptoms can also occur with other diseases such as gastritis or ulcers, but you should not ignore them. Timely consultation with a doctor is the surest way to rule out a serious diagnosis.

    3. Diagnostics – how to check the stomach

    If you have suspicions, the doctor may recommend the following tests:

    Gastroscopy (FGDS)

    • Allows direct viewing of the gastric mucosa with an endoscope.

    • If necessary, a biopsy is taken for laboratory analysis.

    • Recommended frequency: after the age of 40 – once every 2-3 years, and in case of chronic diseases – once a year.

    Test for Helicobacter pylori

    • It is performed by testing blood, exhaled air, or a fecal sample.

    • If the bacteria is detected, treatment with antibiotics and preparations to restore the mucosa is prescribed.

    Abdominal ultrasound and computed tomography (CT) scan

    • They provide information about the possible spread of the disease and the presence of metastases.

    Tumor marker analysis (CA 72-4, CEA)

    • It does not replace gastroscopy, but can be an additional guide to the condition of the body.

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