
April 20, 2026 Puzzle Piece
7 Warning Signs of Pancreatic Cancer
What
is a Chiropractor-Nutritionist-Acupuncturist doing talking about
CANCER? The answer is many people through the years have ask me if I
treat cancer. My answer is, was and always will be I treat people who
have cancer but not cancer who has people. Break that rule and someone
will likely come after your license and maybe more!
I have a special interest to talk about pancreatic cancer since we lost a
great practitioner and friend that past year. His case is like most of
its type. Pancreatic cancer is very dangerous because it starts
quietly, can move rapidly, and is often detected too late.
As natural doctors and therapists, we must know how to recognize
conditions that need to be possibly be referred out. The most dangerous
thing about pancreatic cancer isn’t how fast it spreads; it’s how
quietly it starts. By the time it’s detected, it’s often already
advanced, making it one of the deadliest cancers.
Early detection is critical in pancreatic cancer. Patients diagnosed at
the earliest stage can have a five-year survival rate of more than 80
percent. However, survival drops to 44 percent when the tumor has spread
but remains confined to the pancreas, and to just 3 percent once the
cancer has spread distantly.

Some Key Signs are Often Overlooked
Before looking at the signs, it helps to understand the pancreas
itself. The pancreas is a long, flat organ located deep in the abdomen,
behind the stomach and near the small intestine. It helps digest food
by producing enzymes and regulates blood sugar by releasing hormones
such as insulin.
Because the pancreas supports both digestion and blood sugar control and
sits close to many other organs, pancreatic cancer can cause symptoms
that seem unrelated but occur at the same time.
1. Unexplained Weight Loss
Weight loss of ten pounds or more that happens quickly or without a
specific effort, can be an early warning sign, according to Dr. Shanel
Bhagwandin, program director of the National Pancreas Foundation
Pancreatic Cancer Center of Excellence at Jupiter Medical Center. This
is driven by early metabolic changes triggered by the tumor.
As the disease progresses to advanced stages, cachexia, a severe wasting
of fat and muscle that affects about 70 percent to 80 percent of
pancreatic cancer patients and can reduce the effectiveness of
treatments, can develop. However, in its early stages, patients often
attribute the weight loss to stress, diet changes, or increased
activity.
2. New-Onset Diabetes
Pancreatic cancer can damage the pancreas’s insulin-producing cells,
reducing insulin secretion and impairing the body’s ability to remove
glucose from the bloodstream, which leads to high blood sugar.
In some patients, diabetes is not a risk factor but an early manifestation of the tumor itself.
3. Stool Changes
“Pancreas dysfunction leads to fat malabsorption and thus causes greasy,
floating, and foul-smelling stool,” Dr. Pablo Prichard, co-founder, and
surgical director of Vincere Cancer Center stated. This is a
private and often embarrassing symptom to patients that do not want to mention it.
4. Loss of Appetite
Feeling full after only a small amount of food or losing interest in
eating altogether is another easily overlooked sign of pancreatic
cancer. It can occur when a pancreatic tumor presses against the stomach
or the first part of the small intestine.
5. Persistent Mid-Back or Upper Abdominal Pain
Often described as dull or gnawing, this pain may come and go at first,
beginning in the upper abdomen before radiating to the sides or back.
Because it closely mimics musculoskeletal strain or degenerative spine
disease, it is routinely dismissed, especially in active or aging
adults.
6. Jaundice
When a tumor develops in the head of the pancreas, it can block bile
flow, causing the yellow substance bilirubin to build up in the body.
This can lead to jaundice, which often appears as yellowing of the skin
and eyes, as well as dark urine and pale stools. Mild jaundice is
painless, which means it can go unnoticed or be dismissed as
insignificant.
7. Blood Clots
Blood clots, such as unprovoked deep vein thrombosis or pulmonary
embolism, especially when combined with weight loss or abdominal
discomfort, should raise concern for pancreatic cancer, which is highly
“pro-thrombotic,” meaning it significantly increases the risk of blood
clots (thrombosis), Prichard said.
Pancreatic cancer can make the blood more prone to clotting by releasing
substances that promote clot formation and by increasing clotting
factors, making it easier for clots to develop in the veins. Blood
clots, such as deep vein thrombosis, can cause leg pain, swelling, and
redness—and if they travel to the lungs, they can lead to serious
breathing problems.
Why Signs Get Missed
“Pancreatic cancer can have symptomatic progression that evolves over
many months, even years,” states Dr. Vincent Picozzi, Jr. He is an
oncologist specializing in pancreatic cancer at Virginia Mason Medical
Center. Because back pain, appetite loss, and weight loss can all come
on gradually, there is rarely alarm triggered. Mild symptoms may
temporarily ease with over-the-counter pain relievers or antacids,
further delaying diagnosis.
The pancreas has a large functional reserve, meaning it can lose up to
90 percent to 95 percent of its digestive enzyme function before obvious
symptoms appear. By the time signs such as new-onset diabetes become
noticeable, significant damage may have already occurred.
Dr. Vincent Picozzi, Jr. elaborates in addition, “the absolute
incidence in the population is quite low, making diagnosis much more
unlikely and thus more difficult,” Picozzi noted. For instance, many
people experience abdominal pain, but only a few actually have
pancreatic cancer. This base-rate reality makes it statistically
reasonable for both doctors and patients to attribute these signs to
more common conditions.
Dr Picozzi says, “The advice I give to primary care physicians is that
in any patient with abdominal pain and any combination of the
following—weight loss, jaundice, unexplained pancreatitis, and/or
new-onset diabetes—pancreatic cancer should be considered”.
Proper Nutrition and whole food nutritionals are a good way to create health and wellness!
We have set the next Certification Seminar for November 5-7 2026.
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Yours in Health and Wellness,
John W Brimhall, DC, BA, BS, FIAMA, DIBAK, Formulator, Patent Holder
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