As we get older, many changes in the body are easy to dismiss as “just aging.” A little more tiredness, an unexplained change in appetite, a new lump, or a persistent cough may seem harmless at first. But some symptoms deserve attention, especially when they are new, unexplained, persistent, or becoming progressively worse.
Having one of these symptoms does not mean you have cancer. Many of the same symptoms are caused by infections, medications, digestive problems, hormonal changes, benign growths, and many other conditions. The important message is not to panic, but not to ignore persistent changes either.
1. Unexplained weight loss
Losing weight without deliberately changing your diet or exercise routine is one of the symptoms worth discussing with a healthcare professional.
A small fluctuation in weight is normal, but noticeable or continuing weight loss without an obvious explanation deserves evaluation. Cancer is one possible cause, but thyroid problems, digestive disorders, infections, medication effects, depression, and other conditions can also cause unexpected weight loss.
A significant loss of appetite occurring alongside unexplained weight loss is another reason to make an appointment.
2. A new lump or unusual swelling
A new lump, thickening, or swelling anywhere on the body should not automatically be assumed to be cancer. Many lumps are harmless, including cysts, fatty growths, swollen lymph nodes, and other benign conditions.
However, a lump that persists, grows, becomes hard, changes, or is associated with other symptoms should be examined by a healthcare professional.
Pay particular attention to new lumps in the breast, neck, armpit, abdomen, or groin.
3. Unexplained bleeding
Blood where it shouldn’t be can have many causes, but unexplained bleeding deserves attention.
This may include blood in the urine, blood in the stool, coughing up blood, unusual vaginal bleeding, or repeated unexplained bruising.
For example, blood in the urine can be caused by urinary tract infections or kidney stones, but it can also be associated with bladder or kidney problems. Similarly, blood in the stool may result from hemorrhoids or other digestive conditions, but persistent bleeding should not simply be assumed to be harmless.
4. A persistent cough or hoarse voice
A cough that doesn’t go away, particularly when there is no obvious infection, deserves medical evaluation.
The same applies to persistent hoarseness or a significant change in the voice.
Smoking, allergies, asthma, acid reflux, infections, and other conditions can cause these symptoms, but persistent respiratory or voice changes should be investigated rather than ignored.
Seek urgent medical attention if breathing becomes severely difficult or if you cough up a significant amount of blood.
5. Persistent changes in bowel or bladder habits
Changes in how frequently you urinate or have bowel movements can occur for many reasons.
Persistent constipation, diarrhea, unusually narrow stools, a feeling that the bowel isn’t completely empty, frequent urination, pain when urinating, or blood in the urine or stool can all warrant medical evaluation.
The key is a persistent or unexplained change from your normal pattern, especially when it occurs together with weight loss, abdominal pain, fatigue, or bleeding.
6. Persistent indigestion, difficulty swallowing, or abdominal discomfort
Occasional indigestion is extremely common. But persistent heartburn, unexplained abdominal discomfort, difficulty swallowing, repeated nausea or vomiting, feeling unusually full after eating small amounts, or ongoing appetite changes should not simply be attributed to getting older.
These symptoms can have many causes, including reflux disease, ulcers, medication effects, gallbladder problems, infections, and other digestive conditions.
If symptoms continue for several weeks or become progressively worse, arrange an evaluation.
7. Severe or persistent fatigue
Everyone gets tired, but persistent fatigue that doesn’t improve with adequate sleep and rest is different from ordinary tiredness.
Unexplained fatigue can result from anemia, thyroid disorders, sleep problems, infections, medication effects, nutritional deficiencies, depression, and numerous other conditions. It can also occur with cancer.
The important distinction is a significant change in your usual energy level that persists without an obvious explanation.
8. Changes in the skin or a sore that doesn’t heal
Your skin can provide important clues about changes happening in the body.
Watch for a new or changing mole, a growth that changes in appearance, a sore that repeatedly bleeds or crusts, or a wound that does not heal normally.
When looking at a mole, changes in asymmetry, border, color, size, or evolution over time are particularly important. A new or changing skin lesion should be evaluated rather than diagnosed at home.
Older adults should consider regularly checking areas that are easy to overlook, including the back, scalp, ears, and the bottoms of the feet.
9. Persistent pain or unexplained night sweats or fever
Pain that continues without an obvious cause, especially if it progressively worsens or is accompanied by other symptoms, deserves attention.
Unexplained fever or drenching night sweats that repeatedly occur can also be a reason to speak with a healthcare professional.
These symptoms are much more commonly caused by conditions other than cancer, including infections and inflammatory disorders, but persistent unexplained symptoms should still be investigated.
One important misconception is that cancer always causes severe pain. It does not. Some cancers can cause few or no symptoms during their early stages, which is one reason routine health checks and age-appropriate cancer screening are important.
At the same time, seeing one warning sign does not mean you should assume the worst. A cough doesn’t automatically mean lung cancer. Blood in the stool doesn’t automatically mean colon cancer. A lump doesn’t automatically mean breast cancer or another tumor.
The purpose of recognizing warning signs is to give you a reason to get the symptom checked, not to diagnose yourself.
If you notice a new symptom that persists for a couple of weeks, becomes worse, or has no clear explanation, make an appointment with your healthcare professional. Depending on your symptoms and medical history, they may recommend a physical examination, blood tests, imaging, or another type of evaluation.
And don’t wait for pain before seeking medical advice. Some important conditions may produce little or no pain in their earlier stages.
For adults over 60, preventive healthcare is especially important. Keeping up with recommended cancer screening, maintaining a healthy weight, avoiding tobacco, protecting your skin from excessive ultraviolet exposure, staying physically active, and eating a balanced diet can all contribute to long-term health.
The most important takeaway is simple: know what is normal for your body and pay attention when something changes.
A persistent lump, unexplained weight loss, unusual bleeding, ongoing cough, bowel or bladder changes, difficulty swallowing, persistent fatigue, changing skin lesions, or unexplained pain and fever shouldn’t be automatically dismissed as part of aging.
Most of these symptoms have causes other than cancer—but finding the real cause early can make an important difference in treatment and peace of mind.
See more on the next page