Care at the end of life for advanced cancer patients


The symptoms of advanced stomach cancer depend on what part of the toàn thân the cancer has spread to. 

Advanced stomach cancer means that a cancer that began in the stomach has spread to lớn another part of the body.

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General symptoms

The most common symptoms of stomach cancer include:

unexplained weight lossblack poo which contains blood (melaena)feeling & being sick stomach paindifficulty swallowingfeeling tired

Symptoms of cancer that has spread to lớn the liver

You might have any of the following symptoms if your cancer has spread lớn the liver:

discomfort or pain on the right side of your tummy (abdomen)feeling sickpoor appetite & weight lossa swollen tummy (called ascites)yellowing of the skin and whites of the eyes (jaundice)itchy skin

Symptoms if cancer has spread lớn the lymph nodes

Lymph nodes are part of a system of tubes & glands in the toàn thân that filters body toàn thân fluids & fights infection.

Cancer can spread to:

 close by lymph nodes in the tummy (abdomen) – these are called regional lymph nodes lymph nodes further away, for example close to your collar bone – these are called distant lymph nodes

The symptoms you have depend on which lymph nodes contain cancer. The most common symptom is the lymph node feels hard or swollen. Swollen lymph nodes in the chest can make it difficult lớn swallow. You might have severe upper abdominal pain that moves into your back if you have cancer in the lymph nodes in the back of your abdomen.


Symptoms if cancer spreads lớn the tissue lining your abdomen (peritoneum)

You might have a swollen tummy (abdomen) if your cancer has spread khổng lồ the tissue that lines your abdomen (peritoneum). The swelling is due lớn a build up of fluid called ascites. It can make your clothes feel tighter. Your tummy might feel bloated. You might also find it difficult khổng lồ sit comfortably or khổng lồ move around.

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The swelling caused by the build up of fluid can be uncomfortable. You may have other symptoms such as:

loss of appetiteindigestionfeeling sickconstipationshortness of breath

Other symptoms if cancer has spread to lớn your peritoneum can include:

a blockage in your small bowela lump in your abdomen

Symptoms if cancer has spread to lớn the lungs

You may have any of these symptoms if your cancer has spread into the lungs:

a cough that doesn’t go awaybreathlessnessongoing chest infectionsa build up of fluid between the chest wall & the lung (a pleural effusion)

Controlling symptoms

Symptoms can usually be well controlled. Your doctor or nurse can tell you about medicines that will help you. They can also tell you about things that you or your friends & family can do.

There are symptom control teams in most cancer units. They can help you lớn stay as well as possible for as long as possible. They are also in hospices & many general hospitals.

Most symptom control teams have home care services so they can visit you at home.