How my workplace helped me to live well with my Colitis - Roxanna's Story

Roxanna was diagnosed with Ulcerative Colitis in 2007 at the age of 21. Her symptoms began with a small amount of blood in her stool, quickly escalating to severe stomach cramps, significant bleeding, and constant vomiting that made it impossible for her to keep food down. Initially misdiagnosed with IBS, Roxanna was rushed to A&E when the pain became unbearable and paralysing. Despite Roxanna and her IBD team trying every medication available to reduce her symptoms, nothing helped, as too much of her bowel was affected. Roxanna's symptoms had a huge impact on her every day life.

Today, Roxanna lives with a stoma, which she says has greatly improved her quality of life after years of unpredictability caused by her condition. Read her blog to learn about the incredible support she has received from her employer and her advice for creating a more supportive work environment for those living with IBD.


I was diagnosed with Ulcerative Colitis at the age 21 after experiencing severe abdominal pains. I was in hospital for 3 months in total trying all the meds and steroids possible to maintain the ulcers in my large bowel. However too much of my bowel was affected, so I ended up having major open surgery to remove my large bowel and give me a stoma.

I had never heard of this illness nor did I ever see or know anyone with a stoma bag. In 2009, it was not something many people lived with openly, and I found it was not very common in young people. I really struggled to come to terms with having a stoma, so I decided to go for j pouch surgery, reversing my stoma to an internal pouch. This consisted of 3 major operations in total which all had their own small complications and long recovery time.

Just over a year after having the stoma, I had the j pouch surgery, which then meant my pouch and small intestine connected to my rectum, allowing me to go to the toilet from my bottom again. Only this time it wasn’t like the stool I had before all the surgery, it was loose and pretty much like having diarrhoea all the time. I was having to go to the toilet 8-10 times a day. I felt too embarrassed to use public toilets and became a bit of a recluse because I felt too ashamed of someone hearing me on the toilet or the smell it would leave behind through no fault of my own.

I remember most days I would be in agony with cramping pains because I needed to go to toilet but felt too embarrassed to go at work, at a friends house or out for the day/evening. I had to wait until I was at home to be comfortable enough to go. It was an awful way to live for just over 10 years, but I thought that would be better than having a stoma because I just wanted to look ‘normal’ as they say.


Roxanna

Living with Ulcerative Colitis


In 2021, after going for a standard check up endoscopy, my specialist accidentally perforated my bowel without knowing. It wasn’t until I went to A&E in agony 3 days after my endoscopy that checks were done and they saw there was a hole in my bowel and stool was leaking into my stomach which is why I was feeling so unwell and in so much pain. They had to operate there and then as they were very worried about sepsis and other complications. I didn’t have time to prepare myself to go through the agony of open surgery again or time to prepare for a stoma again after so many years without one.

It was just as bad as I remembered it to be all those years ago. I woke up in the intensive care unit and had to start the recovery process all over again. I couldn’t believe how much had changed since I last had my stoma. So much more support from stoma nurses, online forums, people on social media talking about the same things I’d been through and even more people on the hospital ward suffering with Colitis & Crohn's. Even the stoma supplies were better and so many options with stoma bags.

I think my specialist assumed I'd go for the option to have my stoma reversed again, but I've decided to keep my stoma this time and I feel much happier in myself now. There’s definitely still those bad days with having a stoma, but in comparison to having the internal pouch, life is much easier than it was for all those years, and I feel proud of all I’ve gone through and proud that my stoma saved my life more than once.


Going through all of this in my twenties, I had a lot going on – starting a career, maintaining my social life, and more. I’ve been very fortunate that my workplace has been incredibly supportive throughout my illness. I’ve worked for the same company for 17 years, so they’ve seen me through every stage of this journey. They have provided counselling sessions, paid time off to focus on my recovery, flexible working hours for hospital or doctor appointments, and have always asked if I need any assistance at the workplace.

Their support has been invaluable, relieving the stress of financial worries due to sick leave and accommodating my needs on days when I might be late or need to work from home due to medical issues. I couldn’t have asked for better support from my employer.


If I were to give advice to others living with chronic conditions in employment, I’d suggest finding an employer who offers flexible working arrangements and the option to work from home. Look for a workplace with good health benefits and a supportive HR sickness policy, as well as comfortable and accessible toilet facilities, including disabled toilets if needed.

Many employers now have supportive and inclusive policies, along with flexible working options. I advise those with Crohn's or Colitis to inform their colleagues about their condition and be upfront about the support and facilities they might need to ensure a comfortable working environment.

You are not obligated to discuss your condition with colleagues unless you feel comfortable doing so. However, some colleagues may not understand your condition or how it affects you. A brief conversation to explain your condition and its impact can help create a more understanding and supportive workplace, especially with close colleagues. It’s also important to clarify to employers that Crohn's and Colitis are recognised disabilities and discuss how they can make your work life as pleasant as possible.


I know I'm very fortunate to have a supportive working environment, however for those who aren't as lucky, Crohn's & Colitis UK and their 'Are You IN?' programme can be a huge help! The charity creates a supportive community who you can reach out to for advice and to see similar stories to what you may be going through. It can be a very lonely condition so it’s really reassuring and a great comfort to speak to others going through a similar illness to you. 

Are You IN? is designed to help employers better support people living with invisible conditions and disabilities like Crohn’s and Colitis at work. If your organisation decides to be 'IN', you can make a life-changing difference to your members of staff and your team.


Looking for support with your Crohn's or Colitis at work?

We can help you develop better approaches to managing long-term conditions in the workplace. Employers can sign-up to pledge their support to implement three key actions to bring positive change. Some things may already be in place and others may take some time to implement. We are here to support you.

 


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We know it can be difficult to live with, or support someone living with these conditions. But you’re not alone. We provide up-to-date, evidence-based information and can support you to live well with Crohn’s or Colitis.

Our helpline team can help by:

  • Providing information about Crohn’s and Colitis.

  • Listening and talking through your situation.

  • Helping you to find support from others in the Crohn’s and Colitis community.

  • Providing details of other specialist organisations.

Please be aware we’re not medically or legally trained. We cannot provide detailed financial or benefits advice or specialist emotional support.

Please contact us via telephone, email or LiveChat - 9am to 5pm, Monday to Friday (except English bank holidays).

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If you need specific medical advice about your condition, your GP or IBD team will be best placed to help.

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