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Q. Am I vulnerable for a Crohn's disease flare-up due to work-related stress?

Answered by
Dr. Rajesh Bansari
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Aug 11, 2020 and last reviewed on: Sep 03, 2020
Hi There,
I have a had Crohn’s Disease since I was 12yrs and I am 35yrs now. I have been off medication for over ten years and I have not had a flare up in about 5 yrs. I do still have bowel inflammation from time to time and I do have pain spasms occasionally in my lower right quadron of my abdomen that is starting to be come a concern. I haven’t had any testing done or a scope in about 5 yrs. I’d like to get check. But my more pressing issue is in my job I have been reployed to frontline work and would like know if I am at all vulnerable or at risk. And if so I need a note. I don’t want to have any further complications to my disease as it has been quite a journey to get where I am.
#

Dear, Welcome to icliniq

I can sense your concern and I know you had seen bad days during the illness. The good news is you are off treatment and still managing everything for a good 5 years.

I can understand that working on the front line makes things difficult but you are at equal risk as others are. Due to active medication, risk increases and you are off medication so nothing to worry about. But my concern is if your disease flares up due to stress or any minor infection, then your risk increases of course.

My advice to you will be:

  1. Get some baseline workup that shows up about the activity of disease? Workup includes blood and stool test and possibly endoscopy.
  2. Stay calm and composed.
  3. Maybe your treating physician can write a note for you, it is always good to keep on back when you are already suffering from a chronic disease.

Thank you. Take care of yourself. Regards

The Probable causes:

Idiopathic

Investigations to be done:

CBC/ Creatinine/ LFTs/ Albumin/Fecal calprotectin/ Stool DR

Probable diagnosis:

IBD

Treatment plan:

Stay calm

Preventive measures:

Avoid stress

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