Asked for Female | 45 Years
Could my symptoms indicate gastric cancer risk?
Patient's Query
Hi, 45f, Caucasian. History family of cancer from father side (prostate) and liver (grandmother) Started developing GI symptoms 2 years ago. Main symptoms are pain/discomfort on the epigastric region, increased burping, nausea and loss of apetite and normal stools intercalated with mushy stools. Did several FBC, stool test for blood and HPylori, and US, all normal apart from uncomplicated gallstones. After being put on PPIs for 2 weeks I felt slightly better but the symptoms kept coming and going. Pushed for another GE appointment and had a Upper endoscopy done that revealed excessive bile in stomach and non working LES. Again was advised PPIs for 3 weeks and that's it. I keep on having on and off symptoms and had had another stool test that came back negative. I'm scared this is a gastric cancer, can you please advise? Thank you!
Answered by Dr. Samrat Jankar
The symptoms you mentioned—such as pain, burping, nausea, and changes in appetite—can be caused by various conditions like gastritis or GERD. Excess bile in the stomach or a weak LES (lower esophageal sphincter) could be contributing to your discomfort. It's a relief that your tests have ruled out serious conditions like cancer. It’s important to monitor your symptoms and work with your doctor to manage them, possibly with medications like PPIs. Your gastroenterologist will continue to follow up if any issues persist.

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