Gastric Cancer Stage IV: Common Symptoms Before Death

In the final stages of gastric cancer, patients often experience a range of severe symptoms. These may include intense pain, abdominal discomfort, bloating, nausea, vomiting, ascites (fluid buildup in the abdomen), constipation, and diarrhea. As the disease progresses, it can lead to significant weight loss, fatigue, and a general decline in physical condition.

In advanced cases, cancer may spread to other organs such as the liver, lungs, or even the brain, which can result in additional symptoms like jaundice, persistent cough, shortness of breath, chest pain, and neurological issues. Some patients may also experience hemoptysis (coughing up blood), confusion, or even fall into a state of coma or prolonged drowsiness.

Despite the severity of Stage IV gastric cancer, various treatment options are available to help manage the disease and improve quality of life. These include chemotherapy, radiation therapy, targeted drug therapy, immunotherapy, and in some cases, stem cell transplantation or PD-1 inhibitor treatments.

Timely and aggressive intervention can help control tumor growth and potentially extend survival by approximately 1–2 years for many patients. While a cure may not be possible at this stage, symptom management and palliative care play a crucial role in maintaining comfort and dignity.

It's important for patients and caregivers to work closely with healthcare providers to tailor a treatment plan that best suits individual needs and goals. Early symptom recognition and medical support can significantly influence the overall care experience and outcomes.