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Pancreatic Cancer Symptoms: Early Signs, Red Flags, and What to Do Next

When it comes to pancreatic cancer, a deadly form of cancer that starts in the pancreas and often spreads before it’s found. Also known as pancreatic adenocarcinoma, it’s one of the hardest cancers to catch early because symptoms usually don’t show up until the disease is advanced. That’s why knowing the subtle warning signs can make all the difference.

One of the most common red flags is jaundice, a yellowing of the skin and eyes caused by a blocked bile duct. This happens when a tumor in the head of the pancreas presses on the bile duct, stopping bile from flowing into the intestine. You might also notice dark urine or pale stools—these aren’t normal changes and shouldn’t be ignored. Another major sign is unexplained weight loss, losing 10 pounds or more without trying, often paired with a sudden loss of appetite. Unlike weight loss from dieting, this doesn’t come with any clear reason, and it keeps happening even if you’re eating normally. Then there’s abdominal pain, a deep, dull ache that starts in the upper belly and often spreads to the back. It’s not sharp like a stomach bug—it’s persistent, gets worse after eating, and doesn’t go away with over-the-counter meds. These three signs—jaundice, weight loss, and belly pain—show up together in most cases, but sometimes one shows up alone, and that’s when people miss it.

Other less obvious symptoms include new-onset diabetes in adults over 50, especially if they’ve never had blood sugar issues before. The pancreas makes insulin, and when cancer damages it, blood sugar levels go haywire. Nausea, vomiting, and changes in stool—like greasy, floating, or foul-smelling stools—are also common. Fatigue is often dismissed as stress or aging, but when it’s constant and paired with other symptoms, it’s a signal.

There’s no single test for pancreatic cancer, and no routine screening for people without risk factors. But if you’re seeing any of these symptoms together—or even one that won’t go away—you need to talk to a doctor. Blood tests, ultrasounds, CT scans, and sometimes biopsies are how it’s confirmed. The earlier you catch it, the better your chances. This page collects real, practical insights from people who’ve been through it, doctors who treat it, and studies that track what actually happens in the early stages. You’ll find clear breakdowns of symptoms, what they mean, and what steps to take next—no fluff, no scare tactics, just what you need to know.