Symptoms in advanced ovarian cancer

Cancer in the abdomen can irritate tissue, affect the bowel or bladder, and cause fluid to collect around the abdomen. Reduced appetite, nausea and fatigue may follow the illness or its treatment. Breathlessness can relate to abdominal pressure, fluid around the lungs, infection, anaemia or another problem, so a new symptom needs assessment rather than an assumption about its cause.

Symptoms do not measure a stage on their own. Scans, examination and tissue information establish the extent of ovarian cancer. A pelvic ultrasound may help assess abdominal or pelvic findings, while genomic tumour profiling can contribute to treatment planning.

Tell the oncology or palliative care team what has changed, when it began and what makes it better or worse. They may review pain relief, nausea treatment, bowel medicines, nutrition, sleep and emotional support. Smaller meals, a comfortable position and help with daily tasks may conserve energy, but follow advice about fluids and activity if swelling or vomiting is present.

Seek urgent medical advice for severe or rapidly worsening pain, repeated vomiting, a swollen abdomen with inability to pass stool or gas, new severe breathlessness, chest pain, fainting, confusion, fever or very little urine. These warning signs can reflect complications that need prompt treatment.

Ask which symptoms may be treated at home, which medicines should be available for sudden problems, and whom to call overnight. Ask whether palliative care can help now, how treatment goals may change, and how family members can support your preferences.