Part UT Health San Antonio
UT Health San AntonioUT Health San Antonio

UTSA Part of UT Health San Antonio

Contact Us | 210-450-9000

Menu
  • Find a Provider
  • Services
  • Cancer Types
  • Locations
  • Patient Care
  • Cancer Center
  • MyChart
  • X
  • Conditions
  • Conditions In-depth
  • Procedures
  • Wellness Centers
  • Natural & Alternative
  • Drug Info
  • Procedure Animations
  • Wellness Videos
Symptom CheckerQuick Nav
 
Health Library Home>Conditions InDepth>Article

Symptoms of Esophageal Cancer

by Ricker Polsdorfer, MD
Main Page
Risk Factors
Reducing Your Risk
Screening
Symptoms
Diagnosis
Treatment Overview
Chemotherapy
Radiation Therapy
Surgical Procedures
Lifestyle Changes
Talking to Your Doctor
Resource Guide

Symptoms may not appear until esophageal cancer is in advanced stages. If you any experience symptoms, do not assume it is due to cancer. Many symptoms can be caused by other, less serious conditions, such as gastroesophageal reflux disease (GERD) or a gastric ulcer. However, it is still important to discuss them with your doctor. Early detection and treatment improve outcomes for both cancer and other health conditions.

Difficulty Swallowing and Weight Loss

The most common symptoms of esophageal cancer are difficulty swallowing (dysphasia) and weight loss. Dysphagia may be with or without pain. As food moves down the esophagus, there may be a sensation that food is stuck. There may be a tight feeling in the chest behind the breastbone or in the throat. Over time, it becomes progressively harder to swallow. Solid foods will be difficult at first, then semi-solid foods, then even liquids will be difficult.

As eating becomes more difficult, the body does not get all the nutrients it needs. Noticeable weight loss occurs in almost all people who have esophageal cancer in a period of months.

Other Symptoms

Since esophageal cancer is generally found in advanced stages, there may be other symptoms in addition to the ones listed above. These may include:

  • Hoarseness —A nerve in the chest that controls your vocal cords may stop working as the cancer grows, resulting in a hoarse voice. This is called laryngeal nerve palsy.
  • Chronic cough —From lung irritation or irritation from acid reflux.
  • Hiccups —As the cancer spreads into the chest, it may press on a nerve that causes hiccups.
  • Aspiration —Food, fluids, and stomach acids can be inhaled into the lungs. Aspiration causes violent coughing. A complication of aspiration is pneumonia.
  • Pain —Swallowing may become painful over time. Tumors that press on a nerves may cause pain in the abdomen, chest, or lower back. Metastatic cancer can cause bone pain.
  • Bleeding —Bleeding from the gastrointestinal tract may make stool appear black and tarry. It is also possible to vomit blood.
  • Anemia —Blood loss reduces the number of red blood cells causing intense fatigue and abnormally low energy.
REFERENCES:

Esophageal and esophagogastric junction cancer. EBSCO DynaMed Plus website. Available at:http://www.dynamed.com/topics/dmp~AN~T114816/Esophageal-and-esophagogastric-junction-cancer. Updated January 18, 2016. Accessed January 3, 2017.

Esophageal cancer. Merck Manual Professional Version website. Available at: http://www.merckmanuals.com/professional/gastrointestinal-disorders/tumors-of-the-gi-tract/esophageal-cancer. Updated July 2014. Accessed January 3, 2017.

Esophagus cancer. American Cancer Society website. Available at http://www.cancer.org/acs/groups/cid/documents/webcontent/003098-pdf.pdf. Accessed January 3, 2017.

General information about esophageal cancer. National Cancer Institute website. Available at: https://www.cancer.gov/types/esophageal/patient/esophageal-treatment-pdq#section/all. Updated July 19, 2016. Accessed January 3, 2017.

Last reviewed February 2021 by EBSCO Medical Review Board Mohei Abouzied, MD  Last Updated: 3/10/2021

EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

To send comments or feedback to our Editorial Team regarding the content please email us at healthlibrarysupport@ebsco.com. Our Health Library Support team will respond to your email request within 2 business days.

Copyright ©  EBSCO Information Services
All rights reserved.
Privacy Policy | Editorial Policy
Physicians and care providers of
UT Health San Antonio

8300 Floyd Curl Dr.

San Antonio, TX 78229

210-450-9000

Connect with us
  • Patient Rights and Responsibilities
  • Language Assistance
We make lives better ©

We're a part of UT Health San Antonio, provider of comprehensive health,  dental, &  cancer care,  advanced academics  and  life-saving research.

Web Privacy | Links from websites affiliated with The University of Texas Health Science Center at San Antonio's website (uthscsa.edu) to other websites do not constitute or imply university endorsement of those sites, their content, or products and services associated with those sites. The content on this website is intended to be used for informational purposes only. Health information on this site is not meant to be used to diagnose or treat conditions. Consult a health care provider if you are in need of treatment.