Possible physical and psychological manifestations of esophageal cancer patients

Esophageal cancer is a very common malignant tumor of the digestive tract. The incidence and mortality rates of esophageal cancer are very high in my country. As cancer continues to develop, the patient will undergo a series of physical and psychological changes.

Malnutrition, energy shortage

Related factors: Tumor compression leading to progressive dysphagia, insufficient nutrient intake; pharyngeal pain and fear of swallowing; chemotherapy and radiotherapy can lead to decreased appetite and even vomiting

Main symptoms: progressive emaciation and weight loss; dry skin and mucous membranes, decreased elasticity; fatigue and preference for bed rest.

pain

Related factors: As the tumor grows larger, it may cause erosion and ulcers, which may lead to pain; complications such as esophagitis and other digestive system discomfort; and the mediastinum may be invaded by cancer cells.

Main manifestations: patients may experience burning pain and dull pain behind the sternum when eating, which is more obvious after ingesting overheated or acidic food; the pain is aggravated when the tumor invades adjacent organs and causes perforation, and may even cause heavy bleeding; the pain may involve the suprasternal concave, scapula, neck, etc.; in the late stage, there is persistent dull pain in the chest, back and scapula.

Restricted activity

Related factors: pain; malnutrition; cachexia

Main symptoms: dizziness, headache, blurred vision, weakness in the limbs, mental depression; difficulty breathing during activity, chest tightness, chest pain, sweating, etc.; difficulty in taking care of oneself in daily life, such as dressing, getting out of bed, eating, personal hygiene, going to the toilet, etc., which are difficult or impossible to take care of oneself.

Pessimistic and depressed

Related factors: loss of confidence in treatment; loss of interest in life and despair.

Main symptoms: crying or keeping silent, refusing to eat; having suicidal thoughts or engaging in self-harming behaviors; refusing to cooperate with treatment and care, quarreling with family members; refusing to interact or talk with others.