Bullying. Think of it however you want. What do you envision? Has it happened to you?

This morning while feeding my son I was casually looking at Twitter. I was absolutely flabbergasted and appalled by tweets made by a “journalist” with 46,500 followers about a woman with an ostomy bag. I personally do not have a bag, but I know many people who do. And the hateful, hurtful and shocking words made me feel sick. In my twelve years battling Crohn’s I personally haven’t been targeted by hateful banter, but it’s so sad to think others with chronic illness are targeted. Here are some of the tweets (that have now been taken down – please excuse the language)…

“She can’t help but talk shit. She has such a problem w/ shit in her body she has to wear an ostomy. Being full of shit is her actual illness.”

“I could care less about her or her illness. She doesn’t deserve my sympathy or respect. Sucks for her.”

“I’m not the one w/ a shitty hole in my stomach virtue signaling about how my stomach hole is cute. Why lie to her & tell her it looks good?”

“I’m not making fun of her. I am making a factual statement. She is actually full of shit. Ppl who are walking toilets shouldn’t throw shit.”

“Your friends are lying to you. It isn’t attractive. When you post pics like that you’re just asking for a confidence boost.”

I think you get the idea. I’m not one to instigate or enjoy confrontation. As a journalist… and a just a decent person, I’ve always done my best to steer clear of putting anything out on social media or my blog that could create anger, seem biased or one-sided. But, as a member of the inflammatory bowel disease community, as a voice for the millions who suffer in silence, and as a new mom… I just can’t let this go.

I commend each and every IBD patient who proudly shows their ostomy bag like a badge of honor. You know what, you deserve to. What you have endured to get to that point and what you experience physically, mentally and emotionally each day is difficult for someone like me to comprehend.

When I scroll through social media and see men, women, and kids in bathing suits or workout clothes and not hiding their bag in shame, it’s empowering! It makes me smile to know these people aren’t letting their disease or their personal situations hold them back from living a full life. Rather than hiding their bag or being embarrassed, they are showing people all over the world that your quality of life doesn’t have to be destroyed or hindered because you go to the bathroom differently than everyone else.

Is having a bag ideal? No. Is choosing to rise above your struggle and not let it hold you down incredibly inspiring. Yes. So when you see tweets like the ones above, brush your shoulder off… drown out that noise and know there are millions of others who look to you as a hero. Shame on anybody who thinks otherwise and shame on the keyboard warriors who can spew such hate.



Posted originally on July 20, 2017 on Lights Camera Crohns.


I was diagnosed with Crohns in 2002 after just over a year of stomach pains, rushing to the loo and blood in my stool. Although I had many procedures over the years, these were mostly exploratory to check up on my Crohns and I managed flare ups with courses of various medications, like oral or IV steroids helping to get me through sixth form and university.

I considered myself fairly lucky as I knew that cases of Crohns and Ulcerative Colitis can require surgery and I had years of fairly good health, being able to complete my studies and start working full time. I became very poorly at the start of 2015 and knew that something was different with this flare up – symptoms were far worse than anything before and medication I had previously taken wasn’t ‘kicking it into touch.’ After a couple of short hospital stays to go on IV steroids, I went to an emergency clinic and was admitted to hospital for what I was adamant needed to be a longer stay to really get to the bottom of things (no pun intended). My employer was very accommodating and I had told them I would probably be in for up to a week. Fast forward seven weeks and I was still in hospital on a low residue diet and trying biological drugs via IV for the first time. With no improvement from these drugs and results from tests showing lots of ulcers, inflammation and swelling in my large bowel (colon) which was in my consultant’s words ‘on fire’ it was time to consider surgery. Well, I say consider, I was informed that surgery would need to happen and at 9 pm one evening a surgical consultant I had never met before came to tell me I would need a pan-proctocolectomy.


When it comes to health and my Crohns, I feel to an extent that ignorance is bliss. I knew that people with my condition could need surgery at some time in their life and had a vague idea that ‘a bag’ may need to be worn but I didn’t want to know any more than that to worry myself. I was in my own room in the hospital when the consultant told me about this operation which involves removing all of the large bowel, rectum, and anus and forming a stoma. I remember feeling very upset, terrified of surgery and frantically googling the procedure and what a stoma even was. I found lots of videos on YouTube which were really helpful, showing how to clean a stoma, put a bag on securely and how to wear support garments to prevent a hernia forming. At that time, I went on to have a loop-ileostomy formed and none of my bowel removed. This type of stoma was formed so that if all went well, biological drugs would ‘heal’ my inflamed large bowel over time while ‘traffic’ as I like to think of it was diverted to pass through the stoma rather than the large bowel, resting it. I remained positive that I could have what people term a ‘reversal’ and the stoma could be popped back inside my body and reconnected once my large bowel was better again. Unfortunately, this didn’t happen and fast forward to March 2017 where I was once again in the theater for a major operation, this time for a pan-proctocolectomy and a permanent or end stoma was formed.

I never thought at 33 I would have a bag for life other than my weekly shopper but I feel lucky as surgery wasn’t a decision I had to make like some people who are managing their symptoms but life could be better with an operation, it was really the only option and decided for me as I was so ill.

I tried various biological drugs before my second operation to make my stoma permanent and am grateful that I had the chance to try these. My gastro and surgical consultants were less optimistic and had suggested the second operation long before I went ahead with it but as it was such a final operation, I wanted to give modern medicine a chance, until it became clear it was unsafe to keep doing so.

A device like this would work well for me as the type of stoma I have is an ileostomy and is permanently working/producing output. During the night when I am sleeping and not emptying my bag, it obviously gets fuller and stays fuller, particularly if I have had a large evening meal or eaten late at night. This runs the risk of leaks as well as the bag filling with air or ‘ballooning’. Having something in place that raised an alert if the bag was filling would ease my mind about potential leaks.

The only real changes I have had to make in my new life with a stoma are that I’m very careful when exercising as a hernia was formed from the first operation and I had it repaired in the second. I wear a heavy duty support belt when walking my powerful dog or doing something like circuits. Swimming is a great form of exercise as you are naturally supported in the water. I am also conscious of what I eat at times, not all the time, just before something major like a long flight or a full day out when I don’t want to constantly be emptying my bag. There are things to help with this like Imodium tablets to slow down output and sachets to put in the bag to help soak it up.

I’m loving my life, grateful to be off steroids and their many horrible side effects and want to spread awareness that stomas are not something to be ashamed of or embarrassed about and that a full life can still be lived.




For 11 Health, our community members are very important.  Today we are sharing Joshua’s experience being an ostomy patient and how he has been dealing with the important relationship between food and sleep.  We encourage you to read his story and identify how he has been working very hard on his own habits and understanding the way his body works and how this has an impact in his lifestyle.

Sleeping as a Patient with an Ostomy

Being a patient with an Ostomy for the last 5 years has been rewarding and at times difficult.  When I first got my Ostomy, there was no education on how to best sleep while having a bag attached to your body.

The surgeon, or nurse while in the hospital provided no education about how best to sleep at night.  At first when the Dr. gave me the green light to eat, portion amounts didn’t really exist, because I was so happy to be pain free and to be able to eat whatever I wanted again things like salads, and popcorn.

However as one would assume if you eat a lot of food in a short period of time, that all must come out via the bag.   A lot of learning on my own took place to sleep well at night.  I have learned over time that I can eat three well balanced meals a day and include snacks. What has worked for me is not so much what I eat but the timing or spacing out of my meals during a day.  For example, I usually try to eat dinner by 6 pm., that way if I go to bed by 10 or 11 pm, most of what I ate for dinner would be ready to empty out of the bag.  This would allow me to have a good night’s sleep without having to get up to use the bathroom.   I basically learned overtime that anything I eat is usually out of my body within 4-5 hours.

Through my experience, it was very important not to have a big meal right before going to sleep, otherwise I would risk not waking up possibly causing what ostomies call a blowout.  As the time has gone on I become more aware of how my body digests food, thus allowing me to plan to sleep at night. After too many mornings of waking up in a mess because of a bag leak, I quickly said this has got to come to an end.

As the time has gone on I become more aware of how my body digests food, thus allowing me to plan to sleep at night.

Eating a large meal right before bed and being tired is a bad combination. One of two things would happen to me.  Either I would have a bag leak in the middle of the night or I would have to stay up longer than I wanted so my food would digest.

Through my experience planning my meals is key not so much what I eat.  I hope through sharing my experience I can help others as well overcoming the fear of getting a good night’s sleep.

  • – Josh.


Sleeping habits really matters, the way you sleep affects your complete system and that’s the reason why the experts do a lot of research and had identified beneficial habits.

Technology companies as 11 Health and Organizations as the National Sleep Foundation are working on helping patients to improve their sleep, we know the huge impact on the daily life and when you are talking about Ostomy patients we know how important is to have the chance going to sleep and have a good night.

At 11 Health we know the challenges of being an Ostomy patients, let us help you with our technology and support.  We are hand by hand with you! Look for our solutions, we’ll be always working on developing the right ones for you!