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Warning-sign checks

Esophageal cancer: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency help if:

    • You cannot swallow saliva or fluids
    • Food is stuck and is affecting breathing
    • You vomit a large amount of blood
    • You pass black stools and feel faint, weak, or breathless
    • You develop severe chest pain or sudden breathing difficulty
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Arrange a prompt medical assessment if you develop new difficulty swallowing, food repeatedly feels stuck, or swallowing is becoming harder.

    You should also seek assessment for unexplained weight loss, ongoing vomiting, persistent chest discomfort, worsening indigestion, or a hoarse voice that does not settle.

    Contact your cancer team promptly if known esophageal cancer or its treatment is causing reduced food or fluid intake, increasing pain, fever, repeated vomiting, or new shortness of breath.

    These symptoms should not wait for routine follow-up.

  3. 3

    Does any of this apply?

    Book an appointment

    And for anyone, someone who:

    • has noticed a lump, a mole that has changed, or unexplained weight loss

Every sign above is quoted from the sofidex article on Esophageal cancer. If you are not sure, err upward — it is always reasonable to be checked.