Implications of Living with Ulcerative colitis
Although invisible, ulcerative colitis tends to commonly cause periods of mental and physical debilitation. “Globally, the majority of patients with moderate to severe disease (84%) reported UC to be mentally exhausting; even patients with milder UC (75%)… agreed” (Dubinsky et al). Whether in remission or in an active flare, ulcerative colitis has the potential to negatively impact nearly every sector of a patient’s life.
One of the less recognized aspects of life that ulcerative colitis impacts is work, more prevalent in adult cases. According to the UC Narrative Survey, about 80% of ulcerative colitis patients reported that living with ulcerative colitis impacts their work, missing about 8 days in the last year due to their symptoms. While most workplaces are accommodating, “39% of patients had not told their employer about their UC diagnosis because of a fear of repercussions” (Dubinsky et al). The stresses of ulcerative colitis can create a lack of confidence in the workplace, leading to underperformance.
A frequent source of stress for those living with ulcerative colitis is bathroom urgency and frequency. During periods of remission, “patients reported visiting the bathroom a mean of 3.5 times” per day, and during their worst flares, up to about 10 times per day (Dubinsky et al). This aspect of ulcerative colitis has a tendency to hinder social experiences and, in my experience, activities where the nearest bathroom is unknown, like road trips or hikes. These hinderances produce a higher level of internal stress and conflict, as it is difficult and oftentimes shameful to admit that lack of participation in fun social ventures stems from the need to be near a restroom at all times.
Due to the emotional isolation that ulcerative colitis can create, many patients experience some form of anxiety, depression, or both. It is important to seek resources and support from a physician when symptoms are present and debilitating. However the mental pain can be, in some ways, even more complex. Discussing the physical and emotional strains of living with ulcerative colitis can provoke feelings of embarrassment, uncertainty, or loneliness. Each individual has a unique experience with the disease; there is nothing wrong with waiting until you are ready to talk about it.