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Stomach cancer

Risks and causes of stomach cancer

We don’t know what causes most stomach cancers. But there are some risks factors that can increase your risk of developing it. These include being older, infection and smoking.

What are risk factors?

Anything that can increase your risk of cancer is called a risk factor. Those that lower the risk are called protective factors.

Having one or more risk factor doesn’t mean that you will definitely get stomach cancer.

Helicobacter pylori infection

Infection with Helicobacter pylori (H. pylori) causes around 40 out of 100 (around 40%) stomach cancers in the UK.

H. pylori is a bacteria that lives in the mucous which lines the stomach. It spreads through contaminated food and water. For most people, having an H. pylori infection will not cause any problems. But in some, H. pylori can cause inflammation and stomach ulcers. This can lead to cancer.

Other factors, such as smoking and what we eat may increase the risk of H. pylori leading to cancer. 

H. pylori can be detected with a blood test, breath test or by testing a sample of your poo. The treatment is a course of antibiotics with a medicine to reduce the amount of acid in your stomach.

Find out more about H. pylori and cancer

Age and gender

Stomach cancer is more common in older people. Around half of stomach cancers develop in people aged 75 or over.

Men are more likely to have stomach cancer than women.

Smoking tobacco

Smoking tobacco increases your risk of getting stomach cancer. Around 15 out of 100 (around 15%) of stomach cancers in the UK are linked to smoking. Your risk increases with the number of cigarettes smoked a day

It is never too late to stop smoking and you don't have to go it alone. There is help and support available to help you quit. 

Find out about smoking and cancer

Alcohol

Stomach cancer risk is higher in people who drink 3 or more units of alcohol each day, compared with people who don't drink or only drink occasionally.

The government recommends that people drink less than 14 units a week.

Find out more about alcohol and cancer

Work chemicals

Some occupations and working with particular chemicals can increase your risk of stomach cancer. For example working in the rubber production industry.

There is also some research linking exposure to asbestos and inorganic lead compounds to stomach cancer, however this evidence is limited.

Exposure to these kinds of chemicals at work is rare and there are regulations to protect people at work.

Are there other causes?

Stories about possible cancer causes are often in the media and it can be hard to know what’s true and what’s not. You may have heard of something that isn’t included here. This is because we only include a risk factor in this information if it is supported by good quality evidence.

Find out about common cancer myths and questions on the causes of cancer

Reducing your risk

There are ways you can reduce your risk of cancer.

Find out more about reducing your risk

Last reviewed: 28 Feb 2025

Next review due: 28 Feb 2028

What is stomach cancer?

Stomach cancer is when abnormal cells in the stomach start to grow and divide in an uncontrolled way. The stomach is part of the digestive system.

Symptoms of stomach cancer

Symptoms of stomach cancer include difficulty swallowing, weight loss and indigestion (dyspepsia).

Getting diagnosed with stomach cancer

You should see your GP if you notice a change that isn't normal for you. They will do some tests and may refer you to a specialist if they think your symptoms could be due to stomach cancer.

Stages of stomach cancer

The stage of a cancer tells you how big it is and how far it’s spread. It helps your doctor decide which treatment you need.

Types and grades of stomach cancer

The type of stomach cancer you have depends on what type of cell it started in. The grade tells you how abnormal the cells look under a microscope. Adenocarcinoma is the most common type of stomach cancer.

Screening for stomach cancer

There is no national screening programme for stomach cancer in the UK. But you may have tests or treatment if you are at an increased risk of developing it.

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