Top 5 Strategies to Thrive in Your Career While Managing Ulcerative Colitis

At age 25, I received a diagnosis of ulcerative colitis (UC), a chronic inflammatory bowel disease that causes inflammation and ulcers in the large intestine, leading to abdominal pain and frequent bloody or mucus-laden bowel movements.

This diagnosis profoundly influenced both my health and career trajectory. Initially working in the nonprofit sector, I transitioned to becoming a functional nutritionist and health coach, a role that allows me to empower others on their health journeys.

Despite finding fulfillment in my work, juggling a career with a chronic illness like UC can be overwhelming. Here are five practical tips I use to maintain balance and productivity while managing UC.

1. Communicate with Your Employer Thoughtfully

Deciding when and how to disclose your UC diagnosis to your employer can feel daunting. Disclosure is a personal choice, but sharing your condition when you feel ready can facilitate understanding and support, especially when requesting accommodations or time off for medical care.

If your symptoms impact your work performance, it’s important to explore your rights. In the U.S., the Americans with Disabilities Act may entitle you to reasonable accommodations. Initiating a conversation with your human resources department can help clarify your options and ensure your needs are met.

2. Make Self-Care a Priority

Prioritizing self-care, especially rest, is crucial for managing chronic illnesses. Fatigue is common, and recognizing when your body needs downtime can prevent flare-ups and improve productivity.

Incorporate regular breaks into your workday to recharge. I find that short guided meditations during work hours help me stay grounded and attentive to my body's signals.

3. Embrace Flexible Work Opportunities

The rise of remote work, accelerated by the COVID-19 pandemic, has opened new doors for individuals with chronic conditions. Working from home offers access to personal comforts like immediate bathroom access, preferred foods, and therapeutic tools, which can ease daily challenges.

Unfortunately, unemployment rates remain higher for disabled individuals. Resources like Chronically Capable connect professionals with chronic illnesses to inclusive employers through job fairs and listings, reducing stigma and expanding career opportunities.

4. Cultivate Flexibility and Self-Compassion

I used to insist on completing every task perfectly, but living with UC taught me the value of flexibility and forgiveness. Understand your peak energy periods and schedule demanding work accordingly to maximize efficiency.

Allow yourself grace on days when productivity dips, focusing on progress rather than perfection.

5. Prepare for Flare-Ups Proactively

Managing UC alongside a career requires strategic planning. Balancing medical appointments, treatments, and daily work demands can be complex.

To stay ahead, I schedule appointments during off-peak hours, utilize virtual visits, and prepare meals in advance. Anticipating flare-ups allows me to minimize disruptions and maintain career momentum.

Final Thoughts

Ulcerative colitis is unpredictable and can be emotionally challenging, often impacting career aspirations and daily life. Feelings of isolation are common, especially during hospital stays or periods of limited mobility.

Finding a supportive community that understands and advocates for you can provide essential encouragement and strength to continue thriving professionally despite UC.

Sarina Irizarry is a certified functional nutritionist and health coach dedicated to supporting individuals with inflammatory bowel disease. As an advocate and ambassador for Color of Crohn’s and Chronic Illness, she emphasizes nutrition and mindset in her coaching. Learn more about her work on her website.

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