Doctor and patient having a discussion in the doctor's surgery

Signs and symptoms of pancreatic cancer

The signs and symptoms of pancreatic cancer include indigestion, pain in your tummy or back, changes to your poo, losing weight without meaning to, and jaundice.

What are the signs and symptoms of pancreatic cancer?

  • Indigestion, which is a painful, burning feeling in your chest, upper tummy or throat.
  • Tummy pain or back pain are common symptoms. The pain may start as discomfort in the upper tummy and spread to the back.
  • Changes to poo, including diarrhoea (runny poo), constipation (when you find it harder to poo) and pale, oily, smelly poo that’s hard to flush (steatorrhoea).
  • Unexplained weight loss – losing a lot of weight without meaning to.
  • Jaundice, which causes yellow skin and eyes, dark pee, pale poo and itchy skin.
  • Losing your appetite.
  • Recently diagnosed diabetes, which is a condition where the amount of sugar in the blood (blood sugar level) is too high.
  • Problems digesting your food, which causes bloating, lots of wind, burping, and feeling full up quickly.
  • Feeling or being sick (nausea and vomiting).
  • Blood clots in a vein (deep vein thrombosis or DVT).
  • Fatigue, which is feeling very tired all the time, even if you rest.
  • Less common symptoms of pancreatic cancer include fever, shivering, generally feeling unwell, and depression or anxiety without any obvious cause.

If you have jaundice, go to your GP or A&E straight away. If you have any of the other symptoms and you don’t know why you have them, go to your GP or contact NHS 111.

Read more about what to do if you have symptoms. Someone with pancreatic cancer may not have all the symptoms listed here, and symptoms can vary for each person.

Graphical depiction of the most common symptoms of pancreatic cancer. These are indigestion, tummy pain or back pain, changes to your poo, unexplained weight loss, loss of appetite, and jaundice, which is yellow eyes and skin and itching.

What are the early symptoms of pancreatic cancer?

Pancreatic cancer often doesn’t cause symptoms in the early stages. As the cancer grows, it may start to cause symptoms. The symptoms may not be specific to pancreatic cancer, and they may come and go to begin with. This can make pancreatic cancer hard to diagnose.

What are the symptoms in men and women?

Pancreatic cancer affects men and women in the same way, and they may have the same symptoms.

What are the common signs and symptoms of pancreatic cancer?

Is indigestion a symptom of pancreatic cancer?

Indigestion causes a painful, burning feeling in your chest, upper tummy or throat. It can also leave a bitter, unpleasant taste in your mouth.

Indigestion can be a symptom of pancreatic cancer, but it can also be a symptom of more common problems. Speak to your GP if you get indigestion a lot, especially if you have any of the other symptoms here.

Are tummy pain or back pain symptoms of pancreatic cancer?

Tummy pain or back pain, or sometimes both, are common symptoms of pancreatic cancer. The pain may start as general discomfort or tenderness in the upper tummy area and spread to the back.

Some people have no pain at all, and pain can vary from person to person. For example, it may come and go at first but become more constant over time. It can be worse when lying down or after eating. Sitting forward can sometimes make it feel better.

Speak to your GP if you have pain. If you have lost weight without meaning to and have tummy or back pain, your GP should refer you for an urgent scan.

Are changes to your poo a symptom of pancreatic cancer?

Pancreatic cancer can cause diarrhoea (runny poo) and constipation (when you find it harder to poo). If you have diarrhoea for more than seven days and you don’t know why, contact your GP or call NHS 111. Your GP may do blood and poo tests. If you have lost weight and have diarrhoea or constipation, your GP should refer you for an urgent scan.

Pancreatic cancer can also cause pale, oily poo. This is called steatorrhoea. Poo may be pale, oily, smell worse than normal, and be difficult to flush down the toilet. This is caused by fat in the poo. It happens if pancreatic cancer has affected your digestion, so that fat in your food isn’t digested properly.

Can weight loss be a symptom of pancreatic cancer?

Losing a lot of weight without meaning to can be a symptom of pancreatic cancer. The pancreas plays an important role in digesting food and controlling your blood sugar levels. Pancreatic cancer can affect this and cause weight loss.

If you have lost weight and don’t know why, you should see your GP to find out what is causing this.

Your GP should refer you to have an urgent scan if you have lost weight and have any of the following symptoms:

Is jaundice a symptom of pancreatic cancer

Signs of jaundice include yellow skin and eyes. Yellow skin may be less obvious if you have brown or black skin, but you may notice the white part of your eyes looks yellow. You can see photographs of jaundice on the NHS website.

Jaundice can also cause dark pee, pale poo and itchy skin. Some people also feel sick, lose weight, lose their appetite or feel tired.

Pancreatic cancer can cause jaundice by blocking the bile duct. The bile duct is the tube that takes bile from the liver to the duodenum (the first part of the small intestine). Bile is a fluid made by the liver to help digest food.

Jaundice can be caused by other non-cancerous conditions such as gallstones and hepatitis (inflammation of the liver), or other cancers.

If you think you have jaundice, go to your GP or A&E straight away.

Are there any other signs and symptoms of pancreatic cancer?

Can losing your appetite be a symptom of pancreatic cancer?


Losing your appetite and not feeling like eating can be a symptom of pancreatic cancer, but it can also be caused by other things. Speak to your GP if you have lost your appetite and you don’t know why.

Is recently diagnosed diabetes a symptom of pancreatic cancer?


Diabetes is a condition where the amount of sugar in the blood (blood sugar level) is too high. The pancreas produces a hormone called insulin, which helps to control the blood sugar level. Pancreatic cancer can stop the pancreas producing enough insulin, which can cause diabetes.

Speak to your GP if you have been diagnosed with diabetes in the last 6-12 months and have any other symptoms listed on this page. You should also speak to your GP if you have diabetes that has become more difficult to control recently.

Your GP should refer you for an urgent scan if you have lost weight and have been diagnosed with diabetes recently.

Symptoms of diabetes may include:

• losing weight quickly
• feeling very thirsty
• peeing more often than normal, especially at night
• feeling tired

 

Can problems digesting food be a symptom of pancreatic cancer?


The pancreas plays an important role in breaking down food (digestion). It’s common for pancreatic cancer to cause problems with eating and digesting food.

Symptoms of digestion problems include feeling full up quickly when you eat, a bloated tummy, lots of wind, and burping. But these symptoms can be common problems and aren’t usually due to pancreatic cancer.

Is feeling or being sick a symptom of pancreatic cancer?


Pancreatic cancer can make you feel sick or be sick (nausea and vomiting). If you are being sick for more than two days and you don’t know why, contact your GP or call NHS 111.

If you have lost weight without meaning to and have nausea or vomiting, your GP should refer you for an urgent scan.

Are blood clots a symptom of pancreatic cancer?


Pancreatic cancer can cause blood clots to form in a vein. This is known as deep vein thrombosis (DVT). Blood clots often happen in your lower leg, but they can happen anywhere in the body.

Some people don’t get any symptoms of blood clots. Other people may have some pain, swelling or redness in the area of the clot, and the affected area might feel warm to touch. If you have any of these symptoms it’s important to speak to your GP straight away. These symptoms can be caused by other things, but it’s worth having them checked.

Sometimes, part of a blood clot can break off and travel to the lungs, where it can cause a blockage. This is called a pulmonary embolism (PE). This is serious and may cause sudden shortness of breath or chest pain. It’s important to see a GP urgently if you have these symptoms. Or go to A&E if you can’t get in touch with your GP.

 

Is feeling very tired (fatigue) a symptom of pancreatic cancer?


Fatigue is when you feel very tired all the time, even if you rest. It can be exhausting and draining.

If you have fatigue and you don’t know why, speak to your GP about what may be causing it and if there is anything that can help.

 

What are the less common signs and symptoms of pancreatic cancer?

There are also some less common symptoms of pancreatic cancer. These include a fever, shivering, and generally feeling unwell or not quite right. Some people also feel like they can’t swallow their food properly. This may be because the cancer can make you feel full quickly when you eat. Depression and anxiety without any obvious cause may also be a symptom.

Can other things cause these symptoms?

It’s important to remember that the signs and symptoms listed here can be caused by more common things or health conditions. These include pancreatitis (inflammation of the pancreas), stomach ulcer, gallstones, irritable bowel syndrome (IBS), and hepatitis (inflammation of the liver). They can also sometimes be signs of other cancers, so you should always get them checked out.

If you feel unwell and you have any of these symptoms, speak to your GP to check if there is anything wrong.

What should I do if I have symptoms?

If you have jaundice, go to your GP or A&E straight away.

If you have any of the other symptoms and you don’t know why you have them, go to your GP or contact NHS 111. NHS 111 will give you advice and arrange for you to talk to a doctor if you need to.

Give the GP or NHS 111 a good description of your symptoms. Mention anything unusual, even if you are not sure if it’s relevant. Read more about visiting your GP. You might find our tips for talking to your GP helpful.

It’s important to remember that having these symptoms doesn’t always mean you have pancreatic cancer, but you should get them checked out.

If your symptoms get worse or you develop any new symptoms, you should always see your GP. If your symptoms don’t improve, ask your GP for tests to find out if there is any condition causing them. You could keep a diary of your symptoms to show the GP.

Questions to ask your GP


  • What could be causing these symptoms?
  • Are there any tests I should have?
  • How long will I have to wait for tests?
  • If these symptoms don’t get better, how soon should I come back and see you?
  • Is there anything I can do to help with the symptoms?
  • Where can I get more information or support?

Personal experiences of symptoms

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Quotemarks Created with Sketch.

''My stools were pale and refused to flush. I didn't think much of it as I didn't feel unwell at all, but I decided to go and see the doctor just to be sure.’’

Quotemarks Created with Sketch.
Quotemarks Created with Sketch.

''I realised I was losing weight a lot quicker than I had expected, and I began to be concerned. I had also noticed my urine was getting very dark and I had a pain in my back, and my stools really weren’t normal – I just knew something wasn’t right.’’

References and acknowledgements


References

We have listed some of the references to the sources used to write this information. If you would like the full list of references, email us at: publications@pancreaticcancer.org.uk

  • National Institute for Health and Care Excellence. Suspected cancer: recognition and referral. 2015. Available from: https://www.nice.org.uk/guidance/ng12/resources/suspected-cancer-recognition-and-referral-1837268071621
  • NHS Scotland. Scottish referral guidelines for suspected cancer. Healthcare Improvement Scotland, 2019. Available at: http://www.cancerreferral.scot.nhs.uk/oesophago-gastric-hepatobiliary-and-pancreatic-cancers/?alttemplate=Guideline
  • Evans J, Chapple A, Salisbury H, Corrie P, Ziebland S. ‘It can’t be very important because it comes and goes’ – patients’ accounts of intermittent symptoms preceding a pancreatic cancer diagnosis: a qualitative study. BMJ Open 2014;4:e004215. doi:10.1136/bmjopen-2013-004215.
  • Liao W, Clift A, Patone M, Coupland C, González-Izquierdo A, Pereira SP and Hippisley-Cox J. Identifying symptoms associated with diagnosis of pancreatic exocrine and neuroendocrine neoplasms: a nested case-control study of the UK primary care population. Br J Gen Pract 2021; doi: https://doi.org/10.3399/BJGP.2021.0153
  • Schmidt-Hansen M, Berendse S, Hamilton W. Symptoms of Pancreatic Cancer in Primary Care: A Systematic Review. Pancreas 2016;45(6):814-818.
  • Walter F, Mills K, Mendonça S, Abel G, Basu B, Carroll N, Ballard S, Lancaster J, Hamilton W, Rubin G, Emery J. Symptoms and patient factors associated with diagnostic intervals for pancreatic cancer (SYMPTOM pancreatic study) a prospective cohort study. Lancet Gastroenterology Hepatology. 2016;1:298-306. doi: https://doi.org/10.1016/S2468-1253(16)30079-6
  • Tseng DSJ, Molenaar IQ, Besselink MG, van Eijck CH, Borel Rinkes IH, van Santvoort HC. Pancreatic Exocrine Insufficiency in Patients With Pancreatic or Periampullary Cancer. A Systematic Review. Pancreas 2016;45(3).
  • Olson S, Xu Y, Herzog K, Saldia A, DeFilippis E, Li P, et al. Weight Loss, Diabetes, Fatigue, and Depression Preceding Pancreatic Cancer. Pancreas 2016;47(5):986-991.

Acknowledgements

We would like to thank the following people who reviewed our information on symptoms.

  • Willie Hamilton, Professor, University of Exeter
  • Laura Millar, HPB Clinical Nurse Specialist, Belfast Health and Social Care Trust
  • Pancreatic Cancer UK Specialist Nurses

Updated June 2026
Review date June 2029