Stomach cancer is a type of cancer that develops in the lining of the stomach. Also, known as Gastric cancer, it affects the elderly more than the adult. According to the American Cancer Society, about 6 of every 10 people diagnosed with stomach cancer each year are 65 or older. Also, the lifetime risk of developing stomach cancer is higher in men (about 1 in 101) than in women (about 1 in 155).

A health expert, speaking to a leading media house, emphasized five common symptoms of stomach cancer that should not be ignored:

1. Unexplained weight loss: Losing weight without trying or experiencing an unexplained drop in appetite, which may signal cancer progression.

2. Pain in the upper part of the abdomen: Persistent or occasional pain in the stomach area, often after eating, can become more severe as the condition progresses.

3. Frequent vomiting after meals: Nausea, sometimes accompanied by vomiting, may occur especially after meals and is linked to cancer blocking or irritating the stomach.

4. Vomiting blood, which may appear coffee-colored: This can indicate bleeding in the stomach, often caused by ulcers or tumors, and requires immediate medical attention.

5. Black, tarry stools: This occurs when blood from the stomach is digested and passed through the intestines, signaling potential internal bleeding

There are also other concerning signs that should not be overlooked such as jaundice, unexplained weight loss, early onset of diabetes, dark stools, and loss of appetite. Health experts strongly advise seeking immediate medical attention if you notice any of these symptoms. If you or a loved one experience these signs, it's crucial to visit a physician for a thorough evaluation to rule out serious underlying health conditions.

How Does Stomach Cancer Spread?

Oncologist Dr Pankaj Kumar Pande, Director–Surgical Oncology, Max Super Specialty Hospital, Shalimar Bagh, Delhi explained that this form of cancer spreads through three main pathways: Direct spread, lymphatic spread, and bloodstream.

1. Direct Spread: In its early stages, stomach cancer can invade nearby tissues and grow into the deeper layers of the stomach or spread to surrounding organs such as the oesophagus, liver, pancreas, or intestines.

2. Lymphatic Spread: Cancer cells can travel through the lymphatic system. The most common areas affected are the regional lymph nodes near the stomach, particularly those around the liver and diaphragm.

3. Bloodstream: "Cancer cells can enter the bloodstream and travel to distant parts of the body," which is a common route for stomach cancer to metastasize to distant organs.

He further explained that cancerous cells spread from the original tumour to other parts of the body through a process called Metastasis. The most common sites for the spread are the liver, lymph nodes, peritoneum, lungs, bones, and ovaries.

Ultra-processed food (UPF) is linked to harm in every major organ system of the human body and poses a seismic threat to global health, according to the world’s largest review, as per The Lancet Study. The scientists, including the Brazilian professor who coined the term with colleagues around 15 years ago, argue that UPFs are now increasingly common worldwide and linked to a decline in diet quality and a number of diseases, from obesity to cancer.

What Are Ultra Processed Foods?

Ultra processed foods are factory-made products built from refined ingredients rather than whole foods. They usually contain additives such as preservatives, flavor enhancers, stabilizers or artificial colors that you would not use in an ordinary kitchen. Items like soft drinks, chips, packaged sweets and heat-and-eat meals fall into this group. They are created for convenience and taste, last a long time on shelves and often provide little real nourishment. In many cases, the final product no longer resembles the raw ingredients it came from.

Ultra Processed Food Are Now A Global Health Threat

The growing presence of ultra-processed foods in daily diets is now tied to serious health risks. A group of three papers published in The Lancet examined existing evidence and found clear links between UPFs and many non-communicable diseases. A report by The Guardian noted that UPFs are associated with harm across major organ systems. The review described these foods as a significant public health danger. It also stressed that worsening diets have become an urgent concern. The Lancet team called for stronger policies and wider public action to reduce the reach of UPFs and to make fresh and minimally processed foods easier to access.

The review, which combined findings from three papers, comes at a time when millions rely on UPF products such as ready meals, packaged cereals, protein bars, fizzy drinks and fast food. In both the UK and the US, more than half of a typical person’s daily intake now comes from UPFs. Among younger people and those from economically strained or underserved communities, a diet made up of nearly 80 percent UPF is common, according to the study.

How Are Ultra-Processed Food Harming Your Health?

UPFs are replacing fresh foods for children and adults across all regions. These products are linked with higher chances of obesity, type 2 diabetes, heart disease and depression, according to the Lancet study as per the Guardian report.

Professor Carlos Monteiro, a public health nutrition expert at the University of Sao Paulo and a contributor to The Lancet series, said the findings underline the need for immediate measures to address UPF consumption. He told The Guardian that rising intake of ultra-processed foods is changing diets everywhere, pushing aside fresh and minimally processed meals. The evidence from the first paper in the series pointed out that this shift from traditional food habits toward UPFs is playing a major role in the rise of many long-term diet-related illnesses around the world.

Ultra Processed Food: Proposal Of Policies

The second paper in the series outlined possible steps to reduce UPF production, marketing and intake. The third paper explained that large global corporations are steering the spread of UPFs, rather than individual choices, according to The Guardian coverage. Experts who were not part of the research welcomed the findings while also noting that more studies are needed. They cautioned that links do not always prove direct cause.

Ultra Processed Food: UPF Labelling On Products Should Be Mandatory

The researchers suggested that UPF ingredients should be clearly listed on the front of food packages. They also recommended warnings for high sugar, salt and saturated fat. They said this clarity is important because UPFs have become part of ordinary eating habits. From common breakfast cereals to packaged juices sold as organic, these products are everywhere.

Professor Marion Nestle of New York University said that improving diets across countries will require plans suited to each region’s needs and the level to which UPFs have become part of routine meals. She added that priorities may vary but action is necessary in all places to regulate ultra-processed foods, along with existing efforts to limit high fat, salt and sugar levels.

The two legendary German twins, Alice and Ellen Kessler, the greatest of entertainers, who rose to fame in the post war era died at the age of 89. They truly were inseparable, as they chose to leave the world in the same way they came, together. The sisters chose medically assisted dying on November 17, as reported by the German newspaper Bild.

The twin had shared that they "no longer wanted to live" and the decision to die together was made together with clarity and intention.

How Does Assisted Dying Work?

In terms of the Kessler Sisters, the police confirmed that there were no signs of foul play. The German Society for Humane Dying also stated that the sisters had chosen assisted suicide. This practice is legal in the country since 2019.

Read: Uruguay Becomes The First Catholic Latin American Country To Legalize Euthanasia

How Is Assisted Dying Different Than Euthanasia?

In assisting dying, the law allows and enables the individuals to self-administer the medication, so the choice and the agency to die remains with the individuals.

What Is Assisted Dying?

This refers to the practice of ending a person's life through medication. However, when the term 'dying' is replaced by 'suicide', the medication is then administered by self, whereas in other procedures, it may be done by a medical professional. Thus the term 'assisted dying' refers to both assisted suicide and euthanasia.

In assisted suicide, the person's will to die matters, and it may not require a terminal diagnosis. However, this definition to varies from country to country.

Also Read: Can Right To Die Be Practiced By Non-Terminally Ill Patients?

In many ways can assisted suicide be practiced including providing lethal medication, or helping the individual travel to another jurisdiction to die.

What Does The Law In Germany Say About Assisted Suicide?

In 2020, Germany's Federal Constitutional Court determined that individual autonomy should include the choice to die. This means that every person could decide for themselves. The law has a wider scope, which also includes any person helping an individual who has chosen to end their life, and they cannot be penalized for doing so. However, this condition only comes from the person who wants to end their life, and the decision must be taken freely.

The debate was introduced in 2015 due to the section 271 of the criminal code, which made assisted suicide almost impossible in Germany. The law stated that anyone who aided someone to take their own life could be jailed for up to three years.

Palliative sedation is administered to prevent suffering and ensure a dignified death. However, medication aims to relieve patients of unbearable pain, this is why its use as an alternative medically assisted suicide raises concerns. Currently, there is no approved medication for medically assisted suicide in Germany. though several medications are could be used, for instance in the United States, severely ill patients receive high doses of sodium pentobarbital and thiopental. However, pentobarbital is only approved for veterinary use in Germany.

In Germany, the intravenous route is often chosen, where the medication is administered through IV, and the patient must be the one opening the infusion. Doctors can assist but should not be directly involved in the act.

Every year on November 19, World COPD Day is organized to raise awareness, share knowledge and discuss ways to reduce the burden of COPD worldwide. COPD stands for Chronic Obstructive Pulmonary Disease, and as per the World Health Organization (WHO), it is the fourth leading cause of death worldwide and has caused 3.5 million deaths in 2021 alone, of the 213 million people who were diagnosed with it. Projections indicate that the number of cases will increase to nearly 600 million by 2050, with a disproportionate rise expected among women and in low-and middle-income countries.

World COPD Day 2025 Theme

The theme for World COPD Day 2025 is 'Short of Breath, Think COPD'.

This year’s theme highlights a crucial issue: despite being the third leading cause of death globally, COPD is still widely overlooked and often misdiagnosed. Although it is a common, preventable, and treatable condition, many patients either remain undiagnosed or receive the wrong treatment. Early and accurate diagnosis can make a major public health difference, leading to better symptom control, improved lung function, and a higher quality of life.

Doctors stress that COPD should be suspected in anyone with persistent breathlessness, chronic cough, sputum production, recurrent lower respiratory infections, or a history of exposure to risk factors such as tobacco smoke, indoor cooking fuels, or occupational pollutants.

World COPD Day Origin

World COPD Day was launched in 2002 by the Global Initiative for Chronic Obstructive Lung Disease (GOLD) in partnership with the WHO. The first event marked a turning point in global respiratory health awareness, encouraging collaboration across continents.

Importance Of World COPD Day

The importance lies in its ability to draw attention to one of the top causes of deaths worldwide. Furthermore, this day promotes awareness by educating the public about COPD symptoms, persistent cough, breathlessness, and chest tightness, which may be mistaken as symptoms of normal aging.

It also encourages prevention of COPD, especially by emphasizing on quitting smoking, improving air quality, and reducing workplace exposures that contribute to COPD.

It also helps in the improvement of healthcare access, supports research and innovation by encouraging collaborations, and reduces stigma by helping patients overcome psychological barrier and seek timely help.

What Is COPD?

As per NHS UK, it is the name for a group of lung conditions that cause breathing difficulties. It includes:

• emphysema – damage to the air sacs in the lungs
• chronic bronchitis – long-term inflammation of the airways

COPD is a common condition that mainly affects middle-aged or older adults who smoke. Many people do not realize they have it.

The breathing problems tend to get gradually worse over time and can limit your normal activities, although treatment can help keep the condition under control.

Common Symptoms of COPD

• shortness of breath, particularly when you're active
• a persistent chesty cough with phlegm – some people may dismiss this as just a "smoker's cough"
• frequent chest infections
• persistent wheezing