Warning signs & symptoms of OESOPHAGEAL(AKA esophageal /gullet) CANCER - Doctor O'Donovan explains

Doctor O'Donovan explains important red flag warning signs and symptoms of OESOPHAGEAL CANCER. He draws upon National Institute for Clinical Excellence (NICE) guideline NG12 and outlines when a patient should be immediately referred under a 2 week wait rule (2ww).

This video will be of interest to medical professionals (doctors, nurses etc.), health care students (medical and nursing students), those preparing for exams - (medical school finals, GP AKT, USMLE,) and the general public interested in health education. It is designed with the non-specialist in mind.

More information on oesophageal cancer:

Information on NICE guidelines for warning signs of cancer:

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Disclaimer and clarifying the purpose of this video:
The video is intended as an educational resource only. The information within this video or on this channel isn't designed to replace professional input, so if you have any medical issues please consult a medical provider. No professional relationship is being created by watching this video. Dr. O’Donovan cannot give any individual medical advice. All information should be verified for accuracy by the individual user. Dr O’Donovan accepts no responsibility for individual interpretation of data, although it is always accurate to the best of his knowledge at the time of the video being published. This is not a clinical information video or intended to be used as a clinical resource. It is only intended as an educational video.

[maitem-d]

My husband died from oesophageal cancer. He had trouble swallowing, then suddenly couldn’t swallow even his saliva. In the ED they put the camera down his throat, gave him prednisone for the swelling, reassured him there was no cancer. A couple of weeks later, he was admitted to hospital and after 3 weeks, they found the cancer was on the outside of the oesophagus and inoperable. He had various rounds of chemo and radiotherapy. Seven months later, he was gone. Moral: don’t trust ED doctors, if you’re still suffering, get x-rays, ultrasounds, scans, whatever - endoscopes can only see within, not what’s on the outside! God bless.

[mymlb]

I have absolutely everything here except weight loss. Weird 🤷🏼‍♀️. I have trouble with a lot of puréed food, but I’m able to eat most (definitely not all) foods if they’re cut super tiny. I can choke on things like applesauce and mashed potatoes very easily, but had tri-tip a few weeks ago when it was cut into pea sized pieced.
I find all of this odd, because choking on water is very common.
I consider myself very lucky because I have a doctor who won’t give up until he finds the answer. Thank God for truly good doctors

[sethcashman]

Thanks so much for what was perhaps the clearest explanation I've seen re: symptoms which are suspicious and warrant an endoscopy.

[J-o-n-a-t-h-a-n]

I have burning in my mid abdomen and my hemoglobin was 15 and now is 12 so I have anemia. Is the burning from esophagus or pancreatitis ?

[sky-wffe]

I am proud of you as a nursing student in iraq i am watching you 🙌🏻😊😍

[joannefonceca]

The age doesn't really matter.Young people are getting it too.

[karlenewarner]

Thank you doctor. I’ve been dealing with symptoms for several months. Down to 88 lbs. I’ve had 3 endoscopy’s. Last one show erosive esophagitis grade D. I was put in the hospital for two days placed on omeprazole twice a day and Pepcid in the evening. Prior to hospitalization I couldn’t swallow even water it was so painful. One strange thing, every time I walked I would get horrendous burping and pass so much gas. My burping got so bad i would often throw up. I quit going shopping because of throwing up in grocery stores. After the two days of hospitalization I thought I was cured. About a month ago the wretching and burping started again. I can eat now finally but only have gained about two pounds. Your discussion was very informative. I have some great doctors thankfully.

[thunderball]

Yeah I have had chest pains lump in throat below Addams apple nausea. A feeling someone is standing on my chest saliva comes out of corner of mouth when asleep night sweats so yeah o had a endoscopy 2 years ago all clear Fast heart beat. But it comes and goes not there all the time

[Trish]

Hello, my name is Trish and I’ll be turning 38 at 4:20am when I’m asleep tonight. So, since the early winter last year (2022) I’ve found myself having trouble swallowing certain foods like bread, pretzels, chips, toast, and a few other foods. I have to take rather large sips of water in order for my food to go down my throat and often times I get really bad upper back pain where my spine is as it goes down my throat. Sometimes I have trouble swallowing anything for a few moments as if I completely forgot how to swallow which then sets off a panic attack. About 12 years ago I had severe internal bleeding from my esophagus which had to be cauterized. I had a few biopsies from my stomach which showed H. Pylori. I often get acid reflux and heartburn so bad that it actually comes out of my nose when I’m sleeping. Taking some tums does calm it down for a little bit but I have to keep taking them practically all day. Also, if I eat chocolate at night it happens to me too in my sleep. Should I be concerned about it? I was at one point a good 130lbs and now I’m down to 90lbs thinking that I lost all my weight from a medication. If you doctor could please put in your input in this, I’d highly appreciate you! Thank you!

[usmanzafar]

Great video, could you make a video about barrett esaphagus?

[GeorgecharleyNatou-kyne]

hi Doctor Donovan thanks for your information is helpfull, can you show how to cure oesurphageal cancer naturelly.

[theoutsider]

Hi Dr Donovan, thanks for this video. I have been having some odd symptoms lately which are that I feel like I have a lump in my throat just below the Adam's apple area which may or may not be accompanied with a feeling of tightness in my throat when swallowing saliva, but no difficulty in eating any foods, hard crusty French bread and meats are fine. I do find I get this sort of symptom an hour or two after eating mostly the evening meal and particularly with very fatty/processed oil rich foods like a fish and chippy. And this is apparently worse if I have had a few drinks the night before, as I'm feeling now. I have an appointment with my GP next week Wed, and have to say its a bit concerning. Could this be anything liver related as I've periodically had a slight pain there over the last few years? Oh and I don't really have any of the burnt sensations of reflux, assuming that is always associated with burning sensations....

[lynnwalker]

I have esophageal nut cracker spasms and had the upper gi
Their Exhausting these attacks, so many symptoms when you have these attacks so many things can trigger them I'm finding
Dizapan work sometimes I have had as a prn
Now trying famotidine tablets, and baclofan
Tablets much of the time I have a extremely hot bath and lay in it for over a hour, Back and forth till it eases,
Helps me

[michelleedwards]

I be told I have gist of the esophagus, as gist runs in my family still waiting nothing been done, so far,

[loveanimalsmost]

I had major dysphagia when I had a brain tumour

[BoofyTurkTown]

I've had chronic gerd symptoms for months now, constantly in pain and discomfort, prescribed meds doing nothibg and syptoms getting worse, last few days been feeling lightheaded and constantly dehydrated aswel, only just been referred to gastro specialists so I could be waiting months again. Been told I'm not seen as a priority because I'm only 33 and they don't think it's something serious. I hope for my kids sake it's not esophageal cancer because I'd have no chance to catch it early the way the doctors in my surgery do things

[talhaakhtar]

Hello sir i feel like something is stuck in my throat with numbness in mouth and also with stomach pain. i'm worried about my symptoms🙏

[JamesBowens-jlyd]

I have been having worst heartburn i have ever had recently despite being on ppi's. Usually if i take my ppi my symptoms are fine. First started having noticeable symptoms 3 years ago. I had an endoscopy a little over 2 years ago no signs of esophagitis or anything wrong... Could this disease develop in the last 2 years like that?

[damian-]

I get bad pain in the cardiac sphincter when first eating. Feels like food gets stuck ( constricted oesophagus ) . Start hiccups and coughing and its a horrible pain.

[stevanmilenkovic]

Hi i seek help, i was diagnosed with gerd gr-A 2y ago am 31y old i quit smoking coffe and alchocol 2years ago i have few days now trouble swollowing hurts and i have papilomas in my throat and tongue mybe its lpr? Am scared mybe ill get cancer i dont think itd that easy to get it i meam how ppl have it flr 5 or plus years and nothing