Stomach cancer (credit: canva)
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.
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.
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A new study by the US Centers for Disease Control and Prevention (CDC) has found that nearly one in three patients who were hospitalised were diagnosed with invasive mould disease (IMD) died during their hospital stay.
The findings highlighted the urgent need for better surveillance, hygiene, early diagnosis, and greater awareness among healthcare professionals.
The findings come from the surveillance study of invasive mould infections conducted by the CDC across four hospitals in Atlanta and Georgia, between 2020 and 2024.
Researchers identified 499 confirmed cases of invasive mould disease during the five-year study period. Around 33% of these patients died while hospitalised, while the overall 90-day mortality rate reached 45%.
Nearly half of the patients needed intensive care, and about 50% needed ventilation, highlighting just how severe these infections can turn.
Patients who had a recent or current COVID-19 infection were found to be even worse. Their 90-day mortality rate was 66%, compared with 41% among patients without COVID-19.
"Our findings demonstrate that invasive mold disease is associated with substantial illness and death," the CDC researchers wrote, adding that active surveillance can help improve understanding of how common these infections are and guide prevention efforts.
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Unlike the mould that grows on damp walls or spoiled food, invasive mould disease occurs when fungal spores enter the body through the lungs, wounds, or contaminated medical equipment and spread into deep tissues, blood vessels, or organs.
The infections are most commonly caused by fungi such as Aspergillus, Mucorales, Fusarium, and Scedosporium. Once inside the body, they can rapidly become life-threatening if not diagnosed and treated early.
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The disease rarely affects healthy individuals. Instead, it primarily targets people whose immune systems are already weakened, including:
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One of the biggest challenges is that invasive mould disease is not a nationally reportable disease in the United States, meaning health authorities do not routinely collect nationwide data on cases. Researchers believe the actual burden may therefore be underestimated.
The CDC authors noted that active surveillance is essential to estimate disease incidence, identify outbreaks, and improve patient outcomes. They also highlighted that patients with COVID-19 experienced significantly more severe disease, suggesting clinicians should remain vigilant for fungal complications in critically ill patients.
Outside experts have also warned that factors such as climate change, extreme weather events, an ageing population, and rising antifungal drug resistance could contribute to an increase in serious fungal infections in the coming years.
Although invasive mould infections remain relatively uncommon, the study shows they carry an alarmingly high risk of severe illness and death among vulnerable patients. Researchers say increasing awareness, recognising symptoms early, improving hospital surveillance, and developing faster diagnostic tools could help identify infections sooner and improve survival.
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India's food safety regulator has banned the sale of select whisky and rum products produced by some of the country's biggest liquor companies, including Diageo India's United Spirits.
FSSAI's move comes after they found artificial or "nature-identical" flavouring that allegedly violates Indian food standards.
Among the affected products are United Spirits' Antiquity Blue Whisky and Royal Challenge Whisky manufactured in Madhya Pradesh, Inbrew's Bagpiper Deluxe Whisky and Old Cask Deluxe XXX Rum, as well as three variants of Old Monk produced by Mohan Rocky Springwater in Maharashtra.
It is still unclear whether the restrictions apply only to products manufactured at these specific facilities or to the brands nationwide.
The Food Safety and Standards Authority of India (FSSAI) said laboratory tests found that certain products manufactured by United Spirits, Inbrew Beverages and Mohan Rocky Springwater contained external artificial or nature-identical flavouring substances intended to recreate the taste and aroma of whisky or rum, instead of relying on traditional production methods.
According to the regulator, the use of natural flavouring substances in alcoholic beverages is permitted but manufacturers cannot add whisky flavour to whisky or rum flavour to rum.
"There is no internationally recognized manufacturing practice whereby rum flavour is added to rum or whisky flavour is added to whisky," FSSAI said in its statement.
The regulator added that these practices could bypass proper maturation and reduce reliance on ingredients traditionally used to develop flavour, including molasses, malt and grapes.
FSSAI classified the tested products as "sub-standard due to the presence of external artificial or nature-identical flavours in the product."
While Diageo India, Inbrew Beverages and Mohan Rocky Springwater did not immediately issue public responses to media queries, Reuters reported that some industry executives believe the use of flavouring does not violate existing Indian regulations.
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Nature-identical flavouring substances are chemically synthesised compounds created to replicate the flavours naturally found in foods or beverages.
Although they may be seem same like the naturally occurring compounds, regulators determine whether they can be used in specific products based on food standards.
In this case, FSSAI's objection is not to all flavourings, but specifically to the addition of whisky or rum flavouring to beverages marketed as whisky or rum.
They argue that the flavour should develop naturally through the approved manufacturing and ageing process.
India is among the world's largest alcohol markets, with annual sales estimated at around $40 billion, and United Spirits, owned by global drinks giant Diageo, is the country's largest liquor company by market share.
The affected products are widely consumed because they are significantly more affordable than the imported spirits.
The latest action also signals FSSAI's bigger effort to tighten regulations of the food and beverage industry. In recent weeks, the regulator has also intensified scrutiny of products marketed as energy drinks and other packaged foods over labelling and compliance issues.
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Former England rugby captain and 2003 Rugby World Cup winner Phil Vickery has announced that he will donate his brain to science after his death. He said that he hopes it will help researchers understand the long-term effects of repeated head injuries in sport in a better way.
The decision comes after Vickery was diagnosed with chronic traumatic encephalopathy (CTE), a progressive brain disease caused due to repeated blows to the head.
Vickery's announcement has reignited conversations about the lasting neurological impact athletes face, particularly as hundreds of former rugby players continue to seek better support for concussion-related illnesses.
Speaking about his decision, Vickery questioned, "Is that gonna make someone stand up? I don't know. What a horrible thing to say. But what does it have to take?"
Describing what life with suspected brain injury feels like, he said, "Brain injuries are with you all the time, 24/7, 365 days a year... it weighs heavy, and it grinds at you all the time. It won't beat me. I keep going."
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Vickery revealed that he received a diagnosis of probable CTE around two years ago. He is among more than 1,000 former rugby union and rugby league players involved in a legal case against governing bodies, including World Rugby, England's Rugby Football Union (RFU), the Welsh Rugby Union, and the Rugby Football League.
Several former players involved in the case have reported serious neurological conditions, including dementia, memory loss, depression, and suspected CTE.
The lawsuit alleges that the organisations failed to adequately protect players from repeated head injuries and concussion during their careers.
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CTE is a progressive neurodegenerative disease believed to result from repeated head impacts over many years. It has been identified in athletes from contact sports such as rugby, American football, boxing, ice hockey, and soccer, as well as military veterans.
Researchers believe repeated trauma leads to abnormal accumulation of a protein called tau inside the brain. Over time, this damages brain cells and affects normal brain function.
One of the biggest challenges is that CTE cannot currently be diagnosed with certainty in living people. Doctors can only suspect the condition based on symptoms and clinical history. A definitive diagnosis requires examination of brain tissue after death.
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Symptoms usually appear years after repeated head injuries and may worsen over time. They can include:
Despite everything, Vickery says he still loves rugby. He said, "The sport's amazing... I would do it all again... I also sit here knowing there are lots of people out there... suffering because of the sport... Let's just help people."
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