Living with oesophageal cancer

A diagnosis of oesophageal cancer can affect many parts of your life, not just your body. It can change how you eat, how much energy you have, how you feel emotionally, and how you manage day-to-day tasks.

Living well means learning to manage symptoms and treatment side effects, adjusting to changes in eating and swallowing, taking care of your mental health, and getting the right support when you need it.

This section offers practical tips and guidance to help you handle everyday life with oesophageal cancer – from caring for your body to looking after your mind.


Managing symptoms and side effects

Because oesophageal cancer affects your digestive system, eating and drinking can become challenging. The side effects of treatment can make things even harder.

Some days will feel more difficult than others. Understanding what's happening and learning how to manage your symptoms and side effects can make a big difference in how you feel.

Most of these symptoms can be managed with the right care and support. Your healthcare team is there to help with these issues. They're all a normal part of living with oesophageal cancer and its treatment.

 


Common symptoms and side effects

Treatment for oesophageal cancer can cause a range of side effects. You might experience all, some, or none of these. Everyone's experience is different.

Common side effects include:

If you're experiencing any of these symptoms, talk to your healthcare team. There are ways to manage most of them.

 

Difficulty swallowing (dysphagia)

Difficulty swallowing is one of the most common challenges after oesophageal surgery or radiotherapy. This happens because of changes to your oesophagus, which can be caused by the tumour location or as a side effect from treatment.

You may also cough while eating or feel as though food is 'going down the wrong way'. If you're coughing or spluttering when eating or drinking, you should see your doctor right away, as these problems can be serious.

Tips to make swallowing easier:

Your dietitian and speech pathologist can work with you to find the best approach for your swallowing difficulties.

 

Reflux and heartburn

Reflux and heartburn are common after oesophageal surgery or radiotherapy. They occur when stomach acid flows back up into your oesophagus.

Tips to manage reflux:

 

Nausea and vomiting

Nausea and vomiting can be caused by the cancer itself, or by treatments like chemotherapy and radiotherapy.

Tips to manage nausea:

Your doctor can prescribe anti-nausea medications that can help. Don't wait until symptoms become severe - talk to your healthcare team as soon as you feel unwell.

 

Fatigue

Fatigue is one of the most common side effects of cancer and its treatment. It's more than just feeling tired - it's an overwhelming exhaustion that doesn't get better with rest.

Tips to manage fatigue:

 

Loss of appetite and feeling full quickly

It's common to lose your appetite or feel full after eating only small amounts. This can be due to the cancer, treatment, or changes to your digestive system.

Tips to manage poor appetite:

A dietitian can help you plan meals and suggest ways to boost your nutrition, even when you don't feel like eating.

 

Changes in taste or smell

Chemotherapy and radiotherapy can affect how food tastes and smells. Some people find that foods taste metallic, bland, or just different from usual.

Tips to manage taste changes:

Most taste changes improve after treatment ends, though it may take several weeks or months.

 

Mouth dryness and throat soreness

Radiotherapy to the chest area can cause mouth dryness and throat soreness.

Tips to manage mouth and throat problems:

 

Changes in bowel habits

Treatment can affect your bowel movements, causing diarrhoea or constipation.

For diarrhoea:

For constipation:

 

Pain

If pain is your main issue, you may be referred to a pain specialist to help manage it.

Your GP should be sent a letter explaining your condition, and you should be given the name of a person at the hospital to contact if you have any concerns or need additional support.

Types of pain management include:

You should never have to live with unmanaged pain. Your healthcare team can work with you to find the right combination of treatments to keep you comfortable.

 

When to see help

Contact your healthcare team immediately if you experience:

These symptoms might indicate complications requiring prompt medical attention.


Your emotional and mental health

A diagnosis of oesophageal cancer can affect you emotionally as well as physically. It's normal to experience a wide range of feelings, and these feelings may change from day to day.

Looking after your emotional and mental health is just as important as managing physical symptoms. Taking time to understand your feelings and finding ways to cope can make a real difference to your quality of life.

 

Your emotions

Everyone reacts differently to a cancer diagnosis, but some common feelings include:

You might experience all of these feelings, some of them, or different emotions entirely. There's no right or wrong way to feel.

Over time, you may go through a range of emotions, from feeling positive and determined to beat the cancer to feeling low or despairing about the future. This is normal.


Ways to support your emotional wellbeing

There are many strategies than can help you manage the emotional impact of living with oesophageal cancer. What works for someone else may not always work for you. It is important to keep this in mind during your treatment.


When feelings become overwhelming

While it's normal to feel anxious, sad, or worried, sometimes these feelings can become overwhelming. You might need extra support if you're feeling very anxious or worried most of the time.

Signs that you might need extra help from your healthcare team include:

If you're experiencing any of these, please talk to your healthcare team, GP, or a counsellor. Help is available, and you don't have to cope alone.

 


Fear of cancer returning

After finishing initial treatment for oesophageal cancer, many people worry about the cancer coming back. This is a normal fear.

It’s important to focus on follow-up care and the things you can control rather than what you can't.

Talking about your worries can help and connecting with others who understand these fears can be reassuring.

If this fear is affecting your daily life, talk with your healthcare team.


Diet and nutrition

Good nutrition is one of the most important things you can do to support your body through oesophageal cancer and its treatment.

Because oesophageal cancer affects your digestive system, eating and drinking can become challenging. Managing these changes is important for your recovery, and will make you feel better in general.

Working with a dietitian who understands oesophageal cancer can make a big difference. They can help you plan meals that work for your body's new needs and manage symptoms.

 


Why nutrition matters

Oesophageal cancer and its treatment can place extra demands on your body, greatly increasing your nutrient and energy needs, which can lead to weight loss.

Weight loss can contribute to fatigue, delay and lengthen recovery, and negatively affect your quality of life. Because the cancer affects the digestive system, you might find it even more difficult to get enough nutrition to meet your needs and maintain weight.

Good nutrition can help you:

 

Eating after oesophageal surgery

After your surgery, what and how you can eat will depend on the type of operation you’ve had and what your hospital team recommends.

Sometimes it’s hard to get enough food and energy by eating normally. Your doctor or dietitian might suggest using a feeding tube to help your body get the nutrition it needs to heal.

These tubes help your body get the right nutrients while your oesophagus and stomach are healing. A special liquid food (called a feeding formula) is given through the tube until you’re ready to eat and drink again.

When you start eating, you’ll begin with liquid or smooth foods like soups or pureed meals. Then you can slowly move to soft foods for a few weeks. Your surgeon or dietitian will tell you when it’s safe to eat solid foods again.

They may also suggest eating small meals or snacks often instead of a few big meals. The hospital dietitian can help make a meal plan and recommend any supplements to help you get enough energy and nutrients.

 

Common eating challenges

Treatment can cause tiredness, changes in taste or smell, mouth or throat soreness, reflux, nausea, or problems swallowing. These symptoms can make eating difficult, but there are ways to help:

 

Managing weight and energy

Some people lose weight during treatment, while others gain weight. Both can be normal.
 If you’re losing weight or feel weak, focus on high-energy, high-protein foods such as:

If you gain weight, a dietitian can help you make small, healthy changes to balance your meals.

 

Building a healthy diet

A healthy diet gives your body energy to recover and helps wounds heal.

 

Working with a dietitian

A dietitian who understands oesophageal cancer can make a big difference. They can help you:

Ask your healthcare team for a referral to a dietitian. This is one of the most important things you can do to help yourself feel better.


Living well with oesophageal cancer

Oesophageal cancer doesn't have to stop you from living a meaningful and full life.

While acknowledging the challenges, finding ways to stay active, maintain relationships, and engage in activities that bring satisfaction helps you feel more like yourself and improves both physical and emotional wellbeing.

Living well doesn't mean pretending everything is fine or maintaining your pre-cancer pace. It means identifying what matters most to you now and finding adapted ways to pursue those things.

 

Physical activity and exercise

When you’re dealing with oesophageal cancer and its treatments, exercise might feel impossible or unimportant. But gentle movement can actually help you feel better.

Research shows that the right kind of activity can:

This isn’t about hard workouts or gym goals. It’s about moving in ways that feel right for you.

After surgery, start small and take your time. Walking is one of the best choices. Even short walks of a few minutes at a time can help your body heal and regain strength.

During chemotherapy, your energy may change from day to day. On good days, you might walk a little further or do light exercise. On tired days, even gentle stretching or a slow lap around the house counts. The goal is to move your body most days, not to push yourself too hard.

 

Ideas for gentle activities


Working with professionals

An exercise physiologist or physiotherapist who understands cancer care can help you build a safe and effective plan. They can adjust your program as your condition changes to make sure you’re exercising safely and getting the most benefit.

You can ask your healthcare team for a referral to an exercise professional.

 

Relationships

Oesophageal cancer can affect your relationships in many ways. Physical changes, tiredness, stress, treatment, and changes in eating can all affect how you connect with your partner, family, and friends.


Talking to loved ones

Share how you’re feeling and let people know how they can help. You don’t need to protect others by hiding your emotions. It’s okay to talk about everyday things. Not every conversation has to be about cancer.


When relationships feel strained

People who care about you often want to help but may not know how. Some might hover too closely, while others stay away because they feel unsure. The best way to help them support you is to talk openly and clearly about what you need.

You might say things like:

 

Intimacy and sexuality

Cancer and its treatments can affect your interest in sex and physical closeness. You might feel too tired, sore, or anxious. Changes in your body, such as scars or weight loss, can also make you feel self-conscious. These are very common feelings, and they do not mean something is wrong with you.

Tips that may help

Intimacy needs change over time. Be kind to yourself and keep communication open.


Staying social when eating is hard

Because food is a big part of most social events, eating differently can make gatherings feel awkward. But staying connected is important for your wellbeing.

Try these ideas:

Remember: your friends and family care about you, not what or how much you eat. Staying connected helps you feel supported and less alone.

 

Finding meaning and purpose

Many people find comfort in spending time on things that matter most – whether that’s hobbies, family, faith, creativity, or being in nature.

You might enjoy gentle yoga, meditation, music or art therapy, reading, gardening, or spiritual activities.

Small moments of joy can make a big difference.


Practical support during oesophageal cancer

An oesophageal cancer diagnosis brings practical challenges alongside medical ones. Managing work, finances, and daily tasks can feel overwhelming when you're also dealing with treatment and recovery.

Getting the right practical support can reduce stress and allow you to focus on your health. You don't have to manage everything alone.

 

Work and employment

Your diagnosis will affect your ability to work, even if it is only temporarily such as when having treatment.

It's important to talk to your employer about your diagnosis and likely time off work, any adjustments you might need, and your rights and entitlements.

Your options may include taking sick leave, reducing your hours, working from home, making changes to your role or duties, taking extended leave, or leaving work temporarily or permanently.

If you can't continue working, consider what income support you're entitled to, whether you can access your superannuation early, whether you have income protection insurance, and what other financial support is available.

 

Financial support

Cancer treatment can be expensive. Even with public healthcare, out-of-pocket costs for medications, appointments, parking, travel, and time away from work add up quickly. Financial worry adds significantly to overall stress.

There are government programs and community supports that can help reduce the financial burden.


Government assistance

You may be eligible for payments through Services Australia, such as:

Contact Services Australia (132 300) to discuss eligibility and application processes.

 

Other supports

A qualified financial planner can help you review your income, super, and insurance. You can find an accredited adviser through the Financial Planning Association of Australia.

Pancare also provides limited financial assistance for eligible patients and carers. Call 1300 881 698 or email support@pancare.org.au.

 

Legal considerations

It can feel confronting, but getting your legal documents in order gives peace of mind and helps your loved ones understand your wishes.

 
Where to get help

Managing the practical side of cancer can feel overwhelming, but you don’t have to do it alone.

You can:


Support and resources

You don't have to face oesophageal cancer alone. Many services and resources are available to support you and your family.


Pancare Support

Pancare Support is Pancare Foundation's dedicated support service for people affected by upper gastrointestinal (GI) cancers, like oesophageal cancer.


Cancer Council support groups

Cancer Council provides Australia-wide cancer information and support services, accessible regardless of cancer type.

The 13 11 20 Information and Support Line operates Monday to Friday, 9am-5pm, with trained consultants answering questions about cancer, treatment, services, and providing emotional support. Translation services are available for non-English speakers.

Telephone Support Groups run by Cancer Council NSW are free, professionally facilitated groups you can join from home. Contact Cancer Council on 1300 755 632 or email tsg@nswcc.org.au for information about joining these groups.

Face to face support groups are also available. Some groups are open to people with any type of cancer, while others are for people with a specific cancer type.   Many support groups welcome family and carers.

Cancer Connect matches you one-on-one with someone who has experienced similar cancer. Speaking with someone who's been through oesophageal cancer treatment provides unique understanding and practical insights.

Legal and financial information through Cancer Council includes guidance on entitlements, managing costs, workplace rights, and legal issues. Their website offers downloadable resources and contact details for further assistance.

 

Your healthcare team

Your healthcare team is a key source of support. Don't hesitate to contact them with questions or concerns.

 

Online resources and information

Stick to reputable sources when looking for information online. Be wary of miracle cures or treatments that sound too good to be true.

Check when information was published as medical knowledge changes over time.

Discuss anything you read online with your healthcare team before making decisions.

Some reliable online sources include:

 

How to find support services

The best place to start is with your healthcare team. They can refer you to appropriate services based on your needs.

You can also contact Pancare’s Support Helpline to speak with a specialist Upper GI Cancer Nurse.



Want to talk?

Speak to an upper GI cancer nurse or counsellor, we're here to provide you with the support you need. Support available to anyone impacted by upper gastrointestinal (GI) cancer. Monday to Friday, 9am-5pm.