Stomach Cancer

Stomach cancer occurs when abnormal cells grow out of control in one of the three layers of the stomach. Several types of cancer can occur in the stomach. Cancer usually starts in the inner layer (where food touches the stomach) and moves into the outer layers. It can spread to nearby organs or to distant areas of the body.

Treatment depends on how far the cancer has spread and on your overall health. Surgery to take out part or all of the stomach is the most common treatment. You also may take medicines (chemotherapy) or get radiation treatments to kill the cancer cells.

Treatment with chemotherapy or radiation can make you very tired and nauseated. You may vomit or have diarrhea. It also can make your immune system weaker. This can raise your risk of infection.

• Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine. You may get medicine for nausea and vomiting if you have these side effects.
• Follow your doctor’s directions for eating after you have had surgery. You will need to eat slowly and to have several small meals a day, because you will feel full sooner than you did before. Diet guidelines will help prevent a problem called dumping syndrome, which happens when food goes into the small intestine too quickly. Dumping syndrome can make you feel faint, bloated, shaky, and nauseated, and have diarrhea.
• Get some physical activity every day, but do not get too tired. Keep doing the hobbies you enjoy as your energy allows.
• Take steps to control your stress and workload. Learn relaxation techniques.
  • Share your feelings. Stress and tension affect our emotions. By expressing your feelings to others, you may be able to understand and cope with them.
  • Consider joining a support group. Talking about a problem with your spouse, a good friend, or other people with similar problems is a good way to reduce tension and stress.
  • Express yourself through art. Try writing, crafts, dance, or art to relieve stress. Some dance, writing, or art groups may be available just for people who have cancer.
  • Be kind to your body and mind. Getting enough sleep, eating a healthy diet, and taking time to do things you enjoy can contribute to an overall feeling of balance in your life and can help reduce stress.
  • Get help if you need it. Discuss your concerns with your doctor or counselor.
• If you are vomiting or have diarrhea:
  • Drink plenty of fluids (enough so that your urine is light yellow or clear like water) to prevent dehydration. Choose water and other caffeine-free clear liquids. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink.
  • When you are able to eat, try clear soups, mild foods, and liquids until all symptoms are gone for 12 to 48 hours. Other good choices include dry toast, crackers, cooked cereal, and gelatin dessert, such as Jell-O.
• If you have not already done so, prepare a list of advance directives. Advance directives are instructions to your doctor and family members about what kind of care you want if you become unable to speak or express yourself.

Call 911 anytime you think you may need emergency care. For example, call if:

• You vomit blood or what looks like coffee grounds.
• Your stools are maroon or very bloody.

Call your doctor now or seek immediate medical care if:

• Your stools are black and look like tar, or they have streaks of blood.
• You have new or worse belly pain.
• You are vomiting.

Watch closely for changes in your health, and be sure to contact your doctor if:

• You do not get better as expected.

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