QUALITY OF LIFE OF THE PEPTIC ULCER PATIENT

New generation, which has been brought up in a world where geographical boundaries are no constraintis ready to try new recipes from across the world. The trend is catching up with the older generation also. But all such foods are not safe and can cause PUD. Various studies have shown detrimental effects of such so called junk foods on health of young adult males. Nowadays junk food has become the main attraction for the young generation as it also comes to western culture. The boys specially, who spend most of their time outside of their home, mainly eats unhygienic junk foods. For that reason, the attraction towards junk food increases and causes abnormalities to their digestion system, which ends in severe stages like ulcer. Most of the young people like to consume spicy and fatty foods, as spicy foods always look more colorful and more tasty than healthy foods which also causes extra attention to these foods. But they ignore the facts that spicy foods cause gas and acid formation and is very dangerous for health. Most of the young people are either engaged with study or engaged with jobs, and in both cases, they need to stay out of the house for maximum time which brings irregularity to their meal timing. The young adulthood is also sensitive because, at this age most people suffer from emotional stress which brings irregularity in sleeping, eating etc. These things affect their mental and physical health very badly as they can start smoking, drinking alcohol and can this lead to severe disorders like Gastrointestinal disorders, or ulcers. etc. Sometimes people take drugs as pain killers which can cause other severe disorders(ulcer). Therefore, this study is a reflection of the life style related issues which becomes the major factors of causing ulcer like severities.

Peptic Ulcer in the Royal Navy

Peptic ulcer disease has been a major problem in the Royal Navy for more than 50 years. During the past decade specialist gastroenterology services have been established in an attempt to conserve and retain manpower skills. Fibreoptic endoscopy now provides rapid and accurate diagnosis while treatment with the new H2 receptor antagonists permits safe and effective therapy for the sailor both outside hospital and often now while still at sea. Changes in surgical techniques and a combined medical/surgical policy towards the peptic ulcer patient have also contributed to a coordinated programme.The result of these changes has been a reduction in hospital admissions for duodenal ulcer, in the number of days of work lost from peptic ulcer disease, and a decline in the number of surgical operations for peptic ulcer at RNH Haslar. Invaliding of patients from the Royal Navy and Royal Marines for peptic ulcer disease has been almost abolished, emphasising the success of our policy of manpower conservation. Further work is required, however, to maintain patients in remission from their ulcer for longer periods and to identify better and earlier those patients who will ultimately require surgery.

Loss of vision in a bleeding peptic ulcer patient following resuscitation - an unusual cause of non-arteritic anterior ischaemic optic neuropathy

A 55-year old male, known to have peptic ulcer disease for 4 years, started haematamesis and melaena in a rural area of Bangladesh and was admitted into hospital with circulatory collapse. He was resuscitated with 8 units of whole blood transfusion and became stable. But he developed sudden loss of vision and fundoscopy revealed bilateral papilloedema but CT scan appeared normal. Clinical and ophthalmological evaluation was consistent with non-arteritic anterior ischaemic optic neuropathy. Key words: optic neuropathy; peptic ulcer DOI: 10.3329/jbcps.v26i1.4234 J Bangladesh Coll Phys Surg 2008; 26: 50-54