World IBD day

Today is world Irritable Bowel Disease awareness day.

I was diagnosed aged 7/8 and aged 38 it’s still a struggle.

Aged 12 my symptoms were so bad and unctrollable I had a partial collectomy with an ileo rectal anastomosis 18 months later. I also developed a hiatus hernia about 10 years ago.

Each day i take several medications to manage everything, I have an infusion every 6 weeks at the hospital but after many years it’s less effective so I may soon be changing to another drug.

I think the most important thing to remember is how interconnected everything can be. One of my drugs caused psoriasis which led to arthritis. Everything is linked!

A drug that helps my Crohns didn’t help my arthritis so was taken of my potential list of drugs.

The infusion I have every 6 weeks makes me like a zombie so I have to have hydrocortisone before it.

Some drugs suppress the immune system so I have to be ultra careful about which I’m on as there is no point in my Crohns being totally under control if I’m getting ill all the time with infections.

I’ve blogged so many times about fatigue everyone must be bored of hearing about it but it is a side effect of IBD and is not one everyone thinks of.

So the takeaway is that the symptoms of a condition are often more than you realise.

Bournemouth continued

As I’ve said before new places make me nervous as I don’t know about access, toilets, ease of use.

The night we were down there was so warm we ate outside which is good as we got to the restaurant and there were steps to eat in.

The seafront at Bournemouth is long and flat allowing for a great roll along. Unfortunately they were doing works on one section so walkers and runners could use the temporary path but not wheelchair users which was annoying but there was an ice cream stand which was brilliant.

For lunch we went to The Noisy Lobster on Mudedord sea front. When booking at a restaurant I always put that one of the guests is in a wheelchair so the table isn’t shoved in a corner hard to access.

I have been to this restaurant before and do like it for the following reasons

The food

The entrance is a permanent ramp at the front

There is a proper disabled loo

The staff are so friendly and amenable

Cons

The tables are quite close together

The disabled loo is quite small

So it shows so many places have pros and cons but for this trip the pros outweighed the cons

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New places make me nervous

At the end of December I booked a wheelchair and carer seat at Bournemouth International Centre for the Blue 25th anniversary tour.

I knew I wanted my friend Siobhan to come with but had yet to ask her.

I set about ringing hotels that were listed as wheelchair accessible but I’m always suspicious until I’m there.

One hotel I rang I checked 3 times it was an accessible room and 3 times they said yes but I still didn’t believe them so checked again. They then admitted they didn’t have any accessible rooms but said they could put me on a ground floor room to help (it doesn’t help and I don’t like people pretending they have what I need when they don’t)

I rang another hotel and unfortunately their accessible room was taken on that date but they were so helpful and upfront I asked if the bathroom had room for a loo frame I would take.  As they didn’t know what it was they asked to ring me back. 2 minutes later they rang me back having googled it to say yes so I booked it.

I then had to ring them again in March to check the room was big enough to wheelchair around it due to my broken ankle. It was and again they were so helpful even reserving a blue badge parking space in their car park for us.

The hotel had a ramped entrance at the front (not a temporary ramp or at the back which I hate) and the room was on the ground floor with a lift to all floors. It was also directly opposite the BIC and only a minute from the sea front.

So for me the Seastone Hotel was perfect and accommodating to my needs.

However just a reminder Bournemouth is hilly so maybe not great for a manual chair which I had as even my friend found it hard work.

Blue were amazing although the drunk people next to us were annoying and Siobhan had to stop them walking into me a few times making us both worried about my ankle.

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Birthday in a Boot

Two and a half weeks ago I broke my ankle. For 24hours after I thought it was a bad sprain but I woke up the following day and knew I needed it x-rayed.

Two weeks later I had a visit to the fracture clinic with an x ray and was told I have to wear the boot cast for another 6 weeks. The x ray wasn’t very clear but the fact that the ankle is less painful is a good sign it’s healing.

A visit to my parents before lunch out gave me a chance to breathe but we had a wonderful meal out where I ate far too much along with my parents and sister.

After lunch in mum and dad’s garden we watched a biplane enjoy the day performing loops and honestly it felt like a display just for me.

Of course my fatigue caught up to me and by 5 I’d fed Rupert and got into bed unable to do anything.

A break and Ataxia don’t mix

A week ago I broke the bottom of my fibula. For a week I’ve navigated in an air boot cast and I can tell you Ataxia and a broken fibula do NOT mix.

The hospital offered me crutches but considering I can barely balance normally I declined and so have been navigating the house in a wheelchair.

The dog walker comes most days to walk my dog, mum has come by most days and has helped me immensely, my neighbours are on standby and so I’m comping but holy crap it’s hard.

The dog (Rupert) has really struggled with this all and has turned into a needy mess. He does however love my wheelchair

Next week I see the staff at the fracture clinic to see how it’s healing. I also have a referral for a bone density scan because of how easily it broke but with Ataxia I’ve learnt anything can happen including trying to open a window and breaking your tibula.

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Fatigue again

I know I’ve blogged about fatigue before but it’s apparent there is still misunderstanding about it

There’s a scale: regular people tiredness, fatigue, chronic illness fatigue, chronic illness exhaustion.

So when I say “I’m tired” it generally means I have chronic illness fatigue.

The problem is fatigue affects my balance, coordination and gives me night sweats which mean I don’t sleep as well and walking about becomes harder taking more effort to do things.

I generally only can manage to do one thing a day due to lack of energy and if something big is coming up I’ll have a “do nothing day” before it.

It has become apparent over the last 5 months that some people don’t understand this with the response on a “do nothing” day of saying several times “so you really don’t want to do anything today?” Along with not believing or accepting I can only do one thing a day and pressuring me to do more.

This week my parents moved house so I had their dogs for three nights and four days. It has utterly exhausted me even if I did love having them. I can’t risk walking about because I’m so tired my balance has gone and my physio had the joy of seeing the effect on me from Wednesday to Friday.

Today she kept telling me to lower my shoulders but understood they were high from being tense and tired so I may not have been able to lower them.

When the dogs were collected I admitted how exhausted I was by them and the response “were tired too”.

There’s a difference between your tired and my exhaustion. Mine leaves me emotionally drained and ready to cry at anything

Infliximab Time

For my Crohn’s Disease and Arthritis I have Infliximab every six weeks. Most people are on it 18 months, I’ve been on it over ten years.

It’s desired effect has reduced so in the last few years so the amount has been doubled and the time between infusions shortened.

Clinical guidelines say a level of 8 is okay but above 12 has shown to have the best results and unfortunately as expected my levels have dropped from 13 over time so we’ve put a plan in place for when Infliximab stops working.

I have previously tried a drug called Ustekinemab but unfortunately it didn’t help my arthritis pain so that’s a no go so we have a plan in place for a different drug (can never remember it’s name) for when Infliximab stops working and I see my consultant in 6 weeks so we’ll discuss it further.

Immunology January 2026

Today I had a three month medicine delivery; 36 bottles of immunoglobulin, 36 syringes, 24 butterfly needles plus a sharpsbin. The immunoglobulin goes in my fridge and the rest into a neat chest in my living room. Weekends are generally infusion time, setting up the tray downstairs but infusing upstairs in bed.

Last week I saw my Immunology consultant and despite them running late and three attempts to get blood from me it was a pretty good run of the mill appointment.

If you’ve ever tried to park in a hospital car park you’ll know it’s not easy so we leave an hour just to park. If we’re lucky and get a spot quickly we go to the M&S cafe and last week I had a hot chocolate and pain au chocolat before heading to the clinic which was really good because of the whole running late issue.

My consultant likes me to meet her registrars as a test for them because I’m so complicated. The one I saw last week I had spoken to a lot in the summer when a bad leg infection hospitalised me for two weeks. She was brilliant and my tricky question this year was

“if tests showed i made no antibodies or t cells to the Covid jab will I be to the flu jab”

Unfortunately the answer was “we don’t know” but as I’ve not had flu that i’ve known about for years it’s worth me continuing the flu jab.

This however does lead back to my issues with anti-vaxxers. Despite having many Covid jabs at the beginning I responded to none of them so relied on others having the jab to keep me protected.

Other than my flu question it was a run of the mill appointment with no issues other then my ataxia progressing but the taking of blood was another matter to be discussed another time!!

New Year 2026

Happy New Year everyone!! My new years resolution is to go to theatre and shows more. So far I have the Blue 25th anniversary tour in Bournemouth and Beyond the Barricade in Basingstoke. I’m hoping to also book Tease in Basingstoke as well.

The biggest problem is that venues have a very limited number of wheelchair spaces (I couldn’t get tickets to Westlife 25th anniversary tour because of this) and some have even less cheap companion seats available leading me to have to pay for a wheelchair space and a companion/carer seat as most places won’t let a wheelchair attendee be on their own (my legs don’t work properly but that doesn’t mean I cant get out of a building in an emergency).

The other issue is that the limited number of wheelchair seats are often at the back of the theatre which I understand as a lot of them are older buildings but it means a worse view feeling less involved.

The third issue is that most wheelchair spaces only allow one companion/carer space so if you want to go as part of a big group chances are you’ll be sitting separately. This is especially true if you want them to be sitting in good seats. (I once attended a touring production of The Lion King and I sat in my wheelchair at the back whilst my family sat near the front with their kids because I didn’t want them to be stuck at the back).

It’s for these reasons I love The Anvil in Basingstoke; the wheelchair seats are near the front, you get a cheaper companion/carer ticket and you’re in the stalls so if you have a big party they can be near you. They do still have a limited number of wheelchair seats but a call early in ticket release generally secures them.

Which leads me to my final question; why do so many venues require you to phone for accessible tickets whilst non disabled can book theirs online?

Over 25 years ago

25 years ago I had a stoma after a subtotal colectomy. I had a stoma 18 months or so before insisting on an ileo rectal anastomosis because pooing into a bag age 12/13 whilst at boarding school with bitchy girls was horrendous.

My journey to my first big op was interesting. Symptoms of diarrhea and weight loss started age 7. I distinctly remember going for a colonoscopy and the nurse telling me “you’re very young to be here”.

And so began 5/6 years of medication, hospital appointments with a Gastroenterologist, phone calls with the gastro nurse and several blood transfusions to replace the blood I lost through diarrhea.

None of it worked and in the summer of 2000 the consultant recommended that the best next step was a colectomy which after years of feeling like crap I was vaguely all for but adamant the stoma would be temporary.

I was sent for a second opinion at GOSH and I have to say my experience and memories are not great.

They placed a nasal gastric tube for several days and no one believed when I said I felt sick. I wretched and the tube that started down my nose looped out of my mouth before continuing down my gullet. They just fed it back down and didn’t even give me anti nausea meds.

They did a colonoscopy and took biopsies which then made me bleed non stop and didn’t heal.

I was too tall for the bed they gave me.

I was desperate to be out of there so lied to them that I was fine so I could go home (that was not a fun journey).

A short while later I was admitted to Oxford John Radcliffe hospital and had an emergency collectomy.

Due to being so ill when I was admitted it took 3 weeks to be well enough for discharge with my new stoma bag and head home.

18 months later I headed back to hospital for an ileorectal anastomosis. Due to being well when I went in for surgery I was sitting up in a chair 24 hours after surgery.

Subtotal Colectomy

A subtotal colectomy is surgery to remove most of the large bowel (colon) while leaving the rectum intact, typically for inflammatory bowel diseases (Crohn’s, ulcerative colitis).

Ileorectal anastomosis

Ileorectal anastomosis (IRA) is a major surgery where surgeons remove the colon (colectomy) and then connect the end of the small intestine (ileum) directly to the rectum