Tag Archives: oesophagus

Heartburn linked to throat cancer

People who suffer frequent bouts of heartburn have a 78 per cent higher risk of throat cancer, new research suggests.

However, the study also revealed that taking antacids has a protective effect – people who suffer from heartburn but take antacids have a 41 per cent lower risk of throat cancer than those who do not take the medication.

Experts, who published their findings in the journal Cancer Epidemiology, Biomarkers and Prevention, studied 631 patients, 468 of whom had throat cancer and 163 cancers of the vocal cord.

All participants completed a questionnaire on their history of heartburn, smoking and drinking habits, and family history of cancer.

Among those who were neither heavy smokers nor heavy drinkers, a history of frequent heartburn was linked to a 78 per cent increased risk for cancers of the throat and vocal cord.

Among those who had frequent heartburn, taking antacids, but not prescription medications or home remedies, had a protective effect, with a 41 per cent reduced risk for cancers of the throat and vocal cord.

Dr Scott Langevin, of Brown University in the U.S., said: ‘Previous studies examining gastric reflux and cancers of the head and neck have generated mixed results.

‘Most of those studies had either few numbers of cases or they were not adjusted for confounding factors.

‘Ours is a large, population-based study with robust parameters that strongly suggests gastric reflux, which causes frequent heartburn, is an independent risk factor for cancers of the pharynx (throat) and larynx (vocal cord).

‘Additional studies are needed to validate the chemo-preventive effects of antacids among patients with frequent heartburn.

Heartburn

Heartburn

‘The identification of gastric reflux as a risk factor for throat and vocal cord cancers, however, may have implications in terms of risk stratification and identification of high-risk patients.’

Heartburn is when acid leaks out of the stomach and splashes up the oesophagus.


Heartburn is not in itself dangerous. After an occasional bout the cells of the oesophagus burned by the acid will simply heal.

However, persistent heartburn can lead to the development of a protective layer of cells, a condition called Barrett’s oesophagus, which affects as many as 375,000 Britons.

The problem is that this protective layer consists of abnormal cells that withstand the acid, but are more likely to become cancerous.

As a result, some of those with Barrett’s — between 5 and 10 per cent of cases — will go on to develop oesophageal cancer.

Catching Barrett’s at the pre-cancerous stage, when it is highly treatable, is vital as the outlook for oesophageal cancer is poor, with only 13 per cent of patients surviving beyond five years. The disease kills 7,000 in Britain every year.

Heartburn is also becoming increasingly common — a recent study suggested the numbers suffering with it has risen by 50 per cent in a decade.

Much of this increase is blamed on rising levels of obesity. Excess weight can put pressure on the valve that closes the top of the stomach, allowing acid to leak out.

However, there are other factors that can increase the risk of heartburn, such as alcohol or over-indulgence.

Certain foods — those high in fat, spice or caffeine — can make it worse because they also relax the valve.

Another, more common cause is hiatus hernia, when part of the stomach pushes up into the chest, putting pressure on the stomach valve.

There are a number of different treatment options for people with severe heartburn.

It can be treated by making lifestyle changes, such as losing weight, stopping smoking and reducing alcohol and caffeine consumption.

Some people require medications, such as antacids, and others need surgery to strengthen the muscle at the bottom of the oesophagus that closes to keep food and acid from coming back up.

Cancer symptoms women should not ignore – 2

6: Difficulty swallowing

If you have difficulty swallowing, you may have already changed your diet so chewing isn’t so difficult, perhaps turning to soups or liquid foods such as protein shakes.

However, that difficulty could be a sign of a gastrointestinal (GI) cancer, such as in the oesophagus, says cancer specialist Dr Leonard Lichtenfeld. Cancer Research UK recommends seeing your doctor if the problem doesn’t go away after a couple of weeks .

Expect your doctor to take a careful history and order tests such as a chest X-ray or an examination of the GI tract.

7: Blood in the wrong place

If you notice blood in your urine or your stool, don’t assume it’s from a haemorrhoid, says Dr Mishori. “It could be bowel cancer. ”

Expect your doctor to ask questions and perhaps order testing such as a colonoscopy, an examination of the colon to look for cancer.

Seeing blood in the toilet bowl may actually be from the vagina if a woman is menstruating, Dr Mishori says. However, if not, it should be checked to rule out bladder or kidney cancer, she says.

Ovarian cancer

Ovarian cancer

Coughing up blood should be evaluated, too. One occasion of blood in the wrong place may not point to anything, Dr Mishori says, but if it happens more than once, seek medical advice.

8: Gnawing abdominal pain and depression

Any woman who has pain in the abdomen and is feeling depressed needs a check-up, says Dr Lichtenfeld. Some researchers have found a link between depression and pancreatic cancer, but it’s a poorly understood connection.


9: Indigestion

Women who have been pregnant may remember the indigestion that occurred as they gained weight. However, indigestion for no apparent reason may be a red flag. If you are having indigestion a lot, according to Cancer Research UK you should see your doctor.

It could be an early clue to cancer of the oesophagus, stomach or throat.

Expect your doctor to take a careful history and ask questions about the indigestion before deciding which tests to order, if any, or referring you to see a hospital specialist.

10: Mouth changes

Smokers should be especially alert for any white patches inside the mouth or white spots on the tongue. Both can point to a precancerous condition called leukoplakia that can progress to oral cancer.

Ask your dentist or doctor to take a look and decide what should be done next.