Carcinoma oesophagi common symptom
March 31st, 2008 Guage
Food through slow and has the stagnant feeling The patient when swallows food, the esophagus wall seems to be the coherency, food downward slow, and has the stagnant feeling. The patient multi-principal claims change for the food orifice small reduce. Some patients described that this symptom is vivid, analogies in the esophagus to seem to be the steps and ladders, when swallows food, food slowly abort downward. Has this kind of feeling and food nature relations are not big, sometimes the potable water also has the similar feeling. Generally when feed appears, after the food, vanishes. Has the spot by the esophagus on, the center-section to be many. Starts to be often slight, aggravates gradually, and the partner sends other symptoms. Has this symptom mechanism, mainly possibly is the esophagospasm which or the stiff phenomenon the esophagus wall appears small, fills the air, the diastole variation, also possibly is because the esophagus “the carcinogenesis is wild” broadly, the esophagus mucous membrane is accompanied by the degree different chronic inflammation result.
Swallows the throat to be dry and contraction feeling
The patient principal claim neck feels uncomfortable, swallows the throat to be dry, swallows food to be disadvantageous, sometimes is accompanied by the slight ache. This symptom’s occurrence, often concerns with patient’s mood fluctuation. Eats food rough or when mastication imperfect food is especially obvious. Had this symptom mechanism still not to understand, possibly was when the esophagus had the pathological change, affects esophagus’s creeping motion, and reflectively caused swallows the esophagus sphincter contraction, but produced one kind exceptionally to feel.
Sword suddenly under or epigastrium ache
Patient principal claim many for cauterization type stabbing pain, weight varying extent. Some patients described to pass through the common heartburn, the pit of the stomach department stabbing pain or the full feeling. Also some are the long-enduring one’s secret worries. Are not big with the feed nature or the quantity relations, but many when swallows food appears, after the food, reduces or vanishing, not counter-acid. This symptom occurrence spot with pathological change spot often not really consistent, possibly is because esophagus cancer’s esophagus movement function is uncoordinated, the cardiac opening of stomach department sphincter has the intense saccadic contraction to cause.
The retrosternal stuffy bulge is ill
The patient many cannot describe specifically this symptom the accurate spot, the nature and the degree, are only the self-sensation chest are uncomfortable, good sigh. Also has the minority patient self-sensation to be in violation of sinks, the retrosternal ache and the chest emission, belches and so on symptoms toward right.
Sings the field
In summary, an early esophagus cancer patient majority has certain clinical symptoms, may only have one symptom, may also have many kinds of symptoms also to coexist, the so-called symptomless’s Asian clinical cancer only occupies very minority. When starts, the above symptom often interrupted appears, lengthens along with the course, the frequency sends gradually, the duration also gradually lengthens. What is worth proposing, after some symptom first time appears, regardless of being vanishes voluntarily, or after treatment the symptom alleviates, is only temporary, will have later still this symptom. Along with the condition development, the symptom may aggravate, or sends other symptoms again. But, many kinds of symptoms interlock appear are very few. When esophagus cancer pathological change develops the certain extent, appears a series of with swallows the barrier related typical symptom, and exists continually, is getting more and more obvious. , The diagnosis often was not by now difficult, but belongs to the mid and late stage case.
Swallows the difficulty
Carries on the nature to swallow difficultly is the esophagus cancer most prominent symptom, in the entire disease process, the duration is quite long. The start, the patient is only the feeling has slight, accidental or presents food lower pharynx not to be normal interrupted. When some patients eat dry and hard food, when or big mouth feed, because of swallows excessively quickly is had food stuck in the throat, even has the vomit, under some patients swallow several foods then to think that the retrosternal seems to be sluggishly ill, afterward presents the stem to choke the feeling, thus, the patient later not on own initiative will start to chew carefully. Thus, the diet lower pharynx is not generally difficult, but must slowly deglutition or delivers using the soup. Later will aggravate gradually, even if will enter the soft food, also similarly will appear swallows the difficulty, therefore, the patient will often adopt chews carefully, the extension feed time, to increase the diet number of times, the change body posture and so on each measure, food will swallow smoothly in order to, but will have food stuck in the throat frequently slightly carelessly, will think vividly until putting out behind. Gradually, even if enters the fluid medium diet, the lower pharynx also has the difficulty, finally the water drop does not enter.
Swallows difficultly is not the symptom which esophagus cancer must have, according to the statistics, approximately has 10% case not this symptom. Because, does not have pathological change’s esophagus part to be possible to expand, causes the liquid or the food group passes, when esophagus cancer invades and 1/2~1/3 week diameter, food through is blocked, only then appears swallows the difficulty. Because the partial patients the esophagus cancer spot is accompanied by the inflammation dropsy, the cause high and low end pipe wall has the convulsion obstruction, may appear suddenly swallows the difficulty, even the water drop does not enter, after suitable just right for the illness processing, causes the inflammation dropsy to reduce, symptom change for the better.
Sometimes because swallows difficult degree and esophagus cancer’s clinical minute has certainly related, the cancer organizes necrosis to fall off, swallows difficultly may alleviate temporarily.
In brief, swallows the difficult this symptom the tendency is aggravates gradually, but sometimes is during this process light time the heavy performance, it reduces either the aggravation does not represent pathological change’s true change for the better or the worsening.
Ache
Only the partial patients appear swallow the ache, the formation rate account for about 10%, the later period may reach above 70%. It appears with the early case swallows the ache to be different, the painful degree is heavy, moreover is lasting, often tallies with the pathological change spot. Ache nature for one’s secret worries, burningly painful or stabbing pain, when diet aggravates. The ache spot occurs much in retrosternal some section, the top digit esophagus cancer case, may have the ache in the pate, compares the low position esophagus cancer case, suddenly under or the epigastrium may have the ache in the sword. When enters the class food, the soft food, the ache is light, swallows stickiness big or when solid food the ache is heavy. The protothorax either the back are specially the interscapular area present the regular serious feeling or the dull pain, compares the later period case’s common symptom. This kind of ache symptom sees much in ulcer or the medullary substance is accompanied by ulcer’s esophagus cancer case. The serious partner spits up blood.
The ache occurrence, is as a result of food direct stimulation pathological change which place swallows, or causes as a result of the esophagus intense saccadic contraction. Certainly, also possibly is because the cancer implicates the nerve fiber directly. Outside the later period tumor invades, causes around the esophagus the inflammation, the mediastinitis, when particularly or periphery infringement the internal organs, affect the nerve, the change has the ache. This kind of ache’s emission direction, according to exhausts oneself the nerve to decide, when the cancer and the shift infection invade and or oppresses the spinal nerve and the chest and belly, then appears ache many in the chest back side. When has the serious ache or is accompanied by the whole body gives off heat, often is the tumor perforation omen, must observe carefully.
Spits the froth type mucilage
Often when swallows the difficult aggravation appears, when the obstruction is specially serious is especially remarkable. This kind of phlegmatic sticks thickly, Cola grows into the strip, but unceasingly, if the egg white shape, clamps has many froths, sometimes mixes has the food debris, the minority case still permissible mixes has the obsolete blood, the later period case may be accompanied by the wicked stink, even has the tumor organization which the scrap falls off. The vomitive quantity is different from person to person, starts not to be often many, later will be serious when will put out the quantity to be possible every day to amount to 1500~3000 milliliters. Has this symptom reason, on the one hand is because esophagus’s obstruction causes the saliva and the esophagus secretion energy flow does not enter the stomach, on the other hand is because esophagus cancer infiltration and the inflammation cause the esophagal gland and salivary gland’s reflective secretion increase. This symptom generally when sleep reduces, but accumulates on esophagus’s mucilage regular session is inhaled the respiratory tract to cause the cough, affects the sleep, or causes the imbedibility pneumonia.
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