Initial questions may include:
Practical questions may include:
What is Crohn’s disease or ulcerative colitis?
Where is the nearest bathroom and will I have access to it?
Is it contagious?
How do I tell my boss (or teacher or loved one) about my disease?
Is there a cure?
What will they think about me after they know I have a “bathroom” problem?
Did I do something to make me get sick?
Will I be able to keep my job? Stay in school? How can I get accommodations?
Was it something I ate (or didn’t eat)?
What can I eat that won’t make me feel worse?
What diet should I follow?
How do I avoid embarrassing “accidents” that soil my clothes?
I’m under a lot of stress—did that cause me to get sick?
Why am I having problems with anger and depression?
What are the medicines used to treat this disease and which will I need? How long will I need to take the medicine? Are there side effects to the medicine?
Will my health insurance cover my medical costs? Can I get financial assistance to cover the costs of the copays of my medication?
Will I ever need surgery?
Can I qualify for Social Security Disability?
Will I get cancer?
I think I need another opinion. Who is the best doctor or hospital to treat IBD?
Why am I always tired?
Does IBD affect a woman’s menstrual cycle?
Will I ever feel good again—in this lifetime?
Can I be sexually intimate with the symptoms of the disease? Can I be sexually intimate if I have an ostomy?
What research and advocacy is being done in IBD? Are we close to having a cure in my lifetime?
When should I tell someone I am dating that I have IBD?
Are there diagnostic/monitoring tests that I will need every time I see my gastroenterologist?
Can I get the necessary vaccines, such as the flu shot, if I have IBD?
How can I manage the symptoms of pain, diarrhea, and rectal pain?
Can I continue to smoke or have alcoholic beverages now that I have IBD?
Will I be able to have children?
Are there any complementary or alternative therapies that I can try?
Will my children get this disease?
Where can I find support to cope with how I am feeling?
In 2003, CCFA conducted an Internet-based survey which was completed by more than 4000 members. The study revealed a number of interesting facts about persons newly diagnosed with IBD, including their experiences in being diagnosed, anxieties about their diseases, attitudes about treatment, and other aspects of living with IBD. These interesting facts have also been expressed in a 2012 study based on the Internet cohort of 7141 adults with IBD utilizing the Crohn’s & Colitis Foundation of America (CCFA) Partners program . The study found, compared to the general population, IBD patients in this cohort reported more anxiety, depression, fatigue, and sleep disturbance and less social satisfaction [3]. These concerns have remained constant over the past 8 years as shared by over 100,000 patients who have contacted CCFA ’s Irwin M. and Suzanne R. Rosenthal IBD Resource Center (IBD Help Center) by phone, e-mail, or live chat. The IBD Help Center is a free service for all members of the IBD community. Each year, the IBD Help Center is equipped to answer questions in 170 different languages and responds to nearly 13,000 requests from patients, their families, health care professionals, and the general public. A few of the common trends are discussed below.
The average patient is fairly knowledgeable about their disease because the unpredictability and severity of IBD drives them to educate themselves about their disease. This is particularly true of parents whose young child has just been diagnosed. However, they tend to not be as knowledgeable about treatments or side effects.