M E A N I N G O F C O N C E P T U A L S T R E S S D R
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This document discusses conceptual stress, which is a type of stress caused by intellectual chaos arising from physical, emotional, or other causes. In modern life, the rapid pace of change can shatter our conceptual frameworks as new issues emerge that we cannot understand, leaving us helpless and miserable - this constitutes conceptual stress. Morality, ethics, and traditions from the past are often proving inadequate or irrelevant. Conceptual stress involves defective perceptions, thoughts, emotions, and physical needs associated with abnormal brain activity. It is minimized in those with a self-centered lifestyle but maximized in those with global perspectives and concerns who seek solutions but find their views ineffective. Remembering one's true self through namasmaran is suggested as a way to gain
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![To give a simple example, cancer phobia
[excessive and unfounded fear of cancer] is
nothing but a case of conceptual stress. Cancer
phobia many times results from inappropriate
views, feelings and actions [conceptual
deficiency] about the phenomenon of cancer, its
nature, its symptoms such as pain and its
outcome.
What are the symptoms of cancer phobia?
A patient of cancer phobia may suspect that
he/she has cancer, whenever he/she gets pain. If
he/she gets repeated pain, in a particular organ
then he/she starts suspecting cancer of that
particular part! This leads to morbid fear,
anxiety, worry, and sense of helplessness.
Conceptual stress involves defective or
deficient perception, deficient ideas,
inaccurate thoughts, disproportionate](https://image.slidesharecdn.com/meaningofconceptualstressdr-shriniwaskashalikar-091021202105-phpapp01/85/M-E-A-N-I-N-G-O-F-C-O-N-C-E-P-T-U-A-L-S-T-R-E-S-S-D-R-3-320.jpg)
![At this point the very foundation of your
existence begins to shake and your existence
almost gets uprooted!
Then gradually if and when you begin to see
increasing matching, agreement, or harmony
between your life and the universe [which in
most cases would constitute changes in the
direction of global welfare] your conceptual
stress begins to get relieved simultaneously
as that of the others!
It is true that we manage to ignore some
questions, and rightly so e.g. mathematical
problems need not as a routine, bother a
biologist. Similarly, problems in ones
educational career are best dealt with in the
text-books and guides of those subjects and
or solved by the expert teachers in that
particular field!](https://image.slidesharecdn.com/meaningofconceptualstressdr-shriniwaskashalikar-091021202105-phpapp01/85/M-E-A-N-I-N-G-O-F-C-O-N-C-E-P-T-U-A-L-S-T-R-E-S-S-D-R-6-320.jpg)
![But there are issues which are a]
unavoidable, b] are faced by most of us, c]
affect our personal and family lives
immensely and d] affect the well being of the
society immensely.
These issues produce CONCEPTUAL OR
INTELLECTUAL STRESS in almost every
one!
One of the most practical and super-solutions
provided by the seers and sages; is
NAMASMARAN i.e. remembering your true
self. One can give it a trial if one wishes and get
the empowerment to get intellectual clarity and
clues to act appropriately and satisfactorily and
overcome conceptual stress.
SHRINIWAS KASHALIKAR](https://image.slidesharecdn.com/meaningofconceptualstressdr-shriniwaskashalikar-091021202105-phpapp01/85/M-E-A-N-I-N-G-O-F-C-O-N-C-E-P-T-U-A-L-S-T-R-E-S-S-D-R-7-320.jpg)
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Open PPT for detail description: Peptic Ulcer Disease (PUD)
Peptic ulcer disease refers to mucosal erosions equal to or greater than 5 mm in the stomach or proximal duodenum, caused primarily by an imbalance between gastric acid/pepsin secretion and mucosal defense mechanisms. The most common etiologies include Helicobacter pylori infection, chronic use of NSAIDs, and physiological stress.
Classification of Peptic Ulcers
Based on Location
Gastric Ulcers Occur in the stomach lining.
Duodenal Ulcers Occur in the first part of the small intestine (duodenum).
Based on Etiology
H. pyloriAssociated Ulcers
NSAID-Induced Ulcers
Stress-Related Mucosal Disease (SRMD)
ZollingerEllison Syndrome (gastrinoma-related)
Cushings Ulcer (due to intracranial injury)
Curlings Ulcer (seen in burn patients)
Pharmacological Management
1. Acid Suppression Therapy
Class Examples Mechanism
Proton Pump Inhibitors (PPIs) Omeprazole, Pantoprazole Irreversibly inhibit H+/K+ ATPase pump
H2-Receptor Antagonists Ranitidine, Famotidine Block histamine-mediated gastric acid secretion
2. Mucosal Protective Agents
Class Examples Mechanism
Prostaglandin Analogues Misoprostol Increases mucus & bicarbonate; decreases acid; protects mucosa
Mucosal Coating Agents Sucralfate Forms protective barrier over ulcer site
Bismuth Compounds Bismuth subsalicylate Antimicrobial, mucosal protective, and anti-inflammatory
3. Eradication Therapy (for H. pylori)
Combination of:
PPI + Two Antibiotics (e.g., amoxicillin + clarithromycin OR metronidazole + tetracycline)
Duration: 714 days depending on local guidelines
See BNF regimens above for detailed protocols
4. Cytoprotective/Adjunctive Agents
Class Examples Role in PUD
Somatostatin Analogues Octreotide Used in bleeding ulcers; reduces splanchnic blood flow and gastric secretions
Antacids Magnesium hydroxide, Aluminium hydroxide Neutralize gastric acid; provide symptomatic relief
Non-Pharmacologic Measures
Avoid NSAIDs, smoking, alcohol, and spicy foods
Small, frequent meals in symptomatic patients
Stress reduction
Endoscopic therapy in case of bleeding or perforation
Surgical Indications (rarely needed)
Perforated ulcer
Gastric outlet obstruction
Refractory ulcers not responding to medical therapy
Severe bleeding unresponsive to endoscopic management
Summary
Peptic ulcer disease is primarily driven by H. pylori infection and NSAID use, with duodenal ulcers more common than gastric. Treatment is tailored based on etiology and includes acid suppression, H. pylori eradication, and mucosal protection. Advanced cases may require somatostatin analogues for hemorrhage control or surgery for complications. Prostaglandin analogues like misoprostol are especially valuable in preventing NSAID-induced ulcers.How to be and stay healthy: Live Wire Not a Couch Potato
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M E A N I N G O F C O N C E P T U A L S T R E S S D R
- 2. Conceptual stress is not a separate entity. It is a part of over all process of stress. We can also call it intellectual chaos or stress, born out of various other causes, which may be physical, instinctual, emotional etc. In modern life where the pace of change of life has become very fast, we are unable to understand the rapidly emerging new issues in life. Our conceptual framework gets shattered and we become helpless and miserable. This state of helplessness and misery and consequent deleterious effects on individual and social life, constitute conceptual stress and it has acquired menacing dimensions! Morality, ethics, customs, traditions, conventions etc. i.e. guidelines of past in every sphere of life are being proved to a large extent; inadequate and also irrelevant.
- 3. To give a simple example, cancer phobia [excessive and unfounded fear of cancer] is nothing but a case of conceptual stress. Cancer phobia many times results from inappropriate views, feelings and actions [conceptual deficiency] about the phenomenon of cancer, its nature, its symptoms such as pain and its outcome. What are the symptoms of cancer phobia? A patient of cancer phobia may suspect that he/she has cancer, whenever he/she gets pain. If he/she gets repeated pain, in a particular organ then he/she starts suspecting cancer of that particular part! This leads to morbid fear, anxiety, worry, and sense of helplessness. Conceptual stress involves defective or deficient perception, deficient ideas, inaccurate thoughts, disproportionate
- 4. emotions, unreasonable instincts and unnatural physical needs, which are associated with abnormal electrophysiological interactions between various neurons in the brain. The secretion of different neurotransmitters, secretion of hormones and metabolic activities are abnormal and involve deleterious effects on personal and social health. Conceptual stress is minimal or absent if you are totally ignorant and adjusted to a self centered, petty, indifferent, reflexive, passive, and stereotyped life style like a lower animal. Conceptual stress is maximum; when your perspective assumes global dimension, your feelings reach out to the miseries of the millions and your thinking reaches out to the mysteries of millennia! Your conceptual stress magnifies when your heart starts bleeding for suffering in
- 5. even the remotest part of the world and even to the suffering of animals! Your conceptual stress worsens when you actually start searching for solutions as you come across conflicting opinions. This stress gets further multiplied when you start coming close to the solutions and begin to encounter difficulty in expressing them. This becomes more disturbing when you see every one turning away from you and your solutions being proved ineffective, though not inaccurate! Since you are not proved wrong, you do not find valid reason also; to abandon your views and mission! You land in an agonizing question, Why you are ineffective if you are accurate?
- 6. At this point the very foundation of your existence begins to shake and your existence almost gets uprooted! Then gradually if and when you begin to see increasing matching, agreement, or harmony between your life and the universe [which in most cases would constitute changes in the direction of global welfare] your conceptual stress begins to get relieved simultaneously as that of the others! It is true that we manage to ignore some questions, and rightly so e.g. mathematical problems need not as a routine, bother a biologist. Similarly, problems in ones educational career are best dealt with in the text-books and guides of those subjects and or solved by the expert teachers in that particular field!
- 7. But there are issues which are a] unavoidable, b] are faced by most of us, c] affect our personal and family lives immensely and d] affect the well being of the society immensely. These issues produce CONCEPTUAL OR INTELLECTUAL STRESS in almost every one! One of the most practical and super-solutions provided by the seers and sages; is NAMASMARAN i.e. remembering your true self. One can give it a trial if one wishes and get the empowerment to get intellectual clarity and clues to act appropriately and satisfactorily and overcome conceptual stress. SHRINIWAS KASHALIKAR