Depending on your predominant IBS subtype (IBS-D, IBS-C, or IBS-M), what you pack will be unique to you, however, some good ideas for an emergency kit include:
Spare underwear/clothing
Tissues
Wipes
Perfume or spray
Some 'IBS safe' snacks
Peppermint tea bags
Bottled water
IBS medicines
When to call in sick with IBS
Many people with IBS feel guilty about calling in sick. However, it's important to remember that IBS is real and that it has a significant impact on people's lives. If you're feeling very unwell, then staying home may be the right decision.
Don’t judge yourself for taking the day, after all, would you judge someone who couldn't come to work due to a migraine? Probably not. Sick days are not just for people with contagious illnesses, they're there so employees can look after their health.
If you're in pain or are experiencing mild symptoms, you can try taking IBS medications or even a hot water bottle with you to work (if you happen to have a desk job) to soothe your symptoms. However, if you've been up all night and still can't pull yourself away from the bathroom, then it might be a good idea to stay put.
Calling in sick to work with diarrhea might sound embarrassing, but if you're experiencing a bad flare-up, then you're within your rights to decide to stay home.
If you're thinking of calling in sick due to fear of a flare-up, then you may want to consider new ways to manage your symptoms, so that they don't interfere with your work schedule.
How to relieve work IBS anxiety
Since anxiety and IBS are closely linked, your work situation can present a vicious circle. For example, when the bathroom is all you can think about, you might feel too anxious to go to work. However, calling in sick can increase your anxiety, making your symptoms worse.
Research shows that hypnotherapy, psychotherapy, and different relaxation techniques may help you manage anxiety and negative thoughts. Some IBS hypnotherapy apps, like Nerva, are designed to soothe the mind and the gut, so you can learn to manage your IBS anxiety and IBS symptoms at the same time.
If your anxiety about having a flare-up at work is overwhelming you, taking time to address and deconstruct negative thoughts, like "everyone's judging me for leaving early" or "I won't get a promotion because my IBS is holding me back", can help get you and your mindset back on track.
What can employers do?
The employer should look for ways to support workers who have IBS. They might find it uncomfortable to talk about the condition; however, a good conversation is often the best start.
The employer can:
Offer flexible working hours
Discuss work from home options, if possible
Provide easy access to toilets
Allow regular work and toilet breaks
Provide employees with IBS access to a quiet place to relax
The wrap-up
Working with IBS can be difficult, embarrassing, or even guilt-ridden for some people, but it doesn't have to be. With the right treatments, proper planning, and open conversations, you can maintain a positive work-life balance and pursue your career. Often, it's a good idea to speak to your employer first, as this can lessen IBS work anxiety and make space for strategies that support you and your workplace. If your symptoms are regularly getting in the way of your work, then you may want to speak to your doctor about IBS treatment options.
References
Ballou S, McMahon C, Lee HN, et al. Effects of Irritable Bowel Syndrome on Daily Activities Vary Among Subtypes Based on Results From the IBS in America Survey. Clin Gastroenterol Hepatol. 2019;17(12):2471-2478.e3. doi:10.1016/j.cgh.2019.08.016
Phillips-Moore JS, Talley NJ, Jones MP. The mind-body connection in irritable bowel syndrome: A randomised controlled trial of hypnotherapy as a treatment. Health Psychol Open. 2015;2(1):2055102914564583. Published 2015 Jan 28. doi:10.1177/2055102914564583
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