Saturday, 19 September 2015

Coping in University/College with an IBD

Going to university or college can be exciting and daunting for everyone.  However, people who have an IBD are more likely to face additional challenges and possibly more concerns than anyone else.  Most people are scared to ask for help from anyone once they go to university as they want to be independent as much as possible.  It is better to have the support network in place just to be on the safe side just in case you ever need to use them.  Most of the support available is able to be found from the university’s or college’s disability services.

What support is on offer?

Some students say they do not see themselves as having a disability.  However, you may have needs that other students do not and you might benefit from the support which is on offer.  You may have extreme fatigue which could result in falling asleep during a lecture so, you may be entitled to a personal note-taker or a recorder to record the lecture.  Or if you are not feeling well and you wish to go to your lecture and it starts at 9am but you are stuck in the bathroom and running late, the lecturer will allow you to walk in late and not get marked absent.

Voice recorder

Depending on the university or college some offers flexible studying options including modular or distance learning.  With such a tight course structure it might be possible to take a break from studying if you have a flare up or you could work from home for all or part of your course.  All you need to do is speak to your Course Director or Admissions Team for more information on the course you wish to choose and what they can offer.

Disability support can help you apply for support during university or college or when you apply for student finance you can do it yourself.  It is up to yourself on what you decide to choose.

Do I have to tell anyone that I have an IBD?

It is completely up to yourself if you decide to tell anyone about your illness.  However, if you decide not to tell anyone in your university or college about it you could miss out on the support available.  Quite a few universities and colleges encourage students to talk with them so they can arrange extra support where needed.  You might decide to wait until you have your induction day at your chosen university or college before you talk to someone in disability support about your IBD.  The first initial talk you can request to have an informal talk so you can discuss your options without making any commitments.

When do you find out what support you are entitled to?

You might be asked to attend an assessment interview unless the disability support officer starts the process during the initial meeting with your agreement.  You will need to take a supporting letter from your GP or your Gastroenterologist covering the symptoms of your condition and how the flare ups might affect you.  The advisor may then work with you to come to an agreement (which is called a Study Needs Agreement or a Personal Learning Plan) which will outline the support you have requested.


This will be passed on to your student finance company who will have to agree on it before it gets put into place for financial reasons.  After your student finance company agrees to it all the disability support advisor will pass it on to the staff within your department depending on the support needs you have requested. 

Am I able to get financial help?

When you apply for disability support you can ask the advisor about help you may need with financial.  For example, additional costs for an en suite accommodation in Student Halls; help with travel costs if you are staying at home or help with buying good quality computing equipment.  It all depends on what support needs you can be entitled to.

How do I get suitable accommodation?

The majority of students choose to stay at home with parents, others decide to live independently as they think it is an important part of the university experience.  During the first year you might be offered a place in student hall of residence (if you apply for it) for the first year and this is a good way of meeting new people.  Alternatively you might decide to look for a private rental accommodation, which is usually a shared flat or house with other students.


You might ask the university or college disability advisor to help find you a suitable place for you needs.  If you do not have a Study Needs Agreement in place it might be best to have the supporting letter from your GP or Gastroenterologist when discussing your accommodation requirements as you might be able to get an en suite bedroom.  If you decide to look for your accommodation yourself it might be best to think about the following points when looking for accommodation:

  • Has the accommodation an en suite bathroom?
  • Do they have its own laundry facilities or a launderette nearby?
  • How far is the accommodation from the campus?
  • How easy will it be to travel to lectures and other student facilities?
  • Is it catered or self-catered accommodation?
  • Is there access to a fridge? (Just in case you have medication which needs to be stored at a certain temperature).

What about getting medical help?

If you are studying away from home it is best to register with the University Health Service or a local GP.  This means you will have to change your doctor.  You can register as a temporary patient during vacations at your old GP when you go back home.  When your register with your new doctor all of your existing medical records so they will be aware of your condition.  Before your move speak with your IBD team at the hospital as they might be able to point you in the right direction to a good specialist service.  Also make sure you have a good supply of your medications with you when you leave home and changing your doctors and register as soon as you can with a new one so you can get a new prescription before you run out.

Should I speak personally with my academic staff?

If you have a Study Needs Agreement or something similar, this will cover who may be given information about your needs including the academic staff you will be working with.  However, it may be helpful to talk to the Course Director or the Head of the Department or your Personal Tutor (if you are assigned one) about your IBD and how it affects you.  It may feel embarrassing about talking to them about your IBD but once they have established and understanding you will feel less stressed about the idea when asking for support.  The best thing you can do is be as honest as possible when speaking to any member of staff.  The more information the more likely they will understand what you are going through and might be more flexible around your studies.

What should I say or do?

Students with IBD have found the following extremely useful:

  • Toilet needs during lecturers or seminars – you might wish to sit closer to the exit or at the end of a row so you can leave extremely quickly if necessary.
  • Lateness – you may arrive late because of urgent toilet needs or because of extreme fatigue or painful joints have made it difficult to walk quickly.
  • Medication and/or nutritional needs – you might need to take medication or a high energy snack during lecturers or seminars.
  • Feeling unwell – there may be times when you are more exhausted than normal or in more pain and need to take a quick nap or return home.
  • Missing classes – due to hospital appointments or being unwell at home or in hospital.
  • Field trips – you may be concerned about toilet facilities on the journey and at the field trip designation.
  • Privacy – you might wish to keep your illness kept private or you may wish to tell your fellow classmates.

What about coursework deadlines?

The most important concern for many IBD students is coursework deadlines and getting them handed in on time especially if you are having a flare up or if you have been admitted to hospital.  Some universities and colleges will cover an extension request in your Study Needs Agreement.


Others may ask that you apply for mitigating or extenuating circumstances form when you can if you know you will not meet the deadline.  This might mean that the penalty for late submission is waived and/or you are given the opportunity to do the piece of coursework again.

Every university and college has different rules so it is best to check in advance what the policy is just in case you have any problems with meeting deadlines.

Is there any help with coping with exam stress?

With the intense pressure of exams and revising in a very short period of time can affect most people.  The effects can be worse if you find that extreme stress can trigger a flare up.  The best thing to do is pace your studying out and find ways to help you to relax such as, taking regular exercise, deep breathing techniques or yoga.


If you have a Study Needs Agreement or you have to talk to your tutor about your IBD and able to provide a medical certificate from your doctor you may be able to ask for special arrangements in exams.  This might include sitting close to the exit nearest the toilets, taking the exam in a separate room or extra time.  If you are completely unable to sit an exam due to being extremely unwell you might be able to defer sitting the exam until you are better without a cap on your grade.

What about telling my fellow classmates?

Meeting new people is daunting as you do not know how they will deal with the information you tell them.  It depends on yourself if you prefer to tell people from the start or after a short period of time.  If they cannot deal with it then they are not likely to become good friends.  If you become unwell during the semester then you can choose to limit the information you give them or tell them you had a stomach bug.

As you make new friends you will know which approach to take with them and who is the most likely to be understanding and trustworthy to talk to about your IBD.  Most people choose to only tell their close friends and use them as the main support and try to keep the environment as close to it as it was like at home.

Most people are cautious of what they eat and drink especially when they go to university or college.  Quite a few people avoid alcohol during ‘freshers’ week when there tends to be a lot of different activities to help you settle in and get to know what the university or college has to offer you.  If alcohol triggers a flare up you can always think of a reason for not drinking before so you are prepared to respond to any comments.

While it can be extremely tempting to throw yourself into your new life at university or college and enjoy all the new experiences on offer, but it might be beneficial not to go beyond your limits to fit in.  Pushing yourself can make you feel ill for a longer period of time.  This will mean you would miss out more in the long run.  It can also be hard living without your parents to remind you to take your medications at the right times.  It might be worthwhile downloading an app to remind you on your phone or putting a big note on the back of the door so you get reminded before going out the door.

When you have good days it is best to stay on top of your coursework and readings and being sociable as well.  This will help you on your bad days which can leave you restricted on what you can do.

What other support is available?

The majority of students experience anxiety at some point when starting university or college.  Sometimes the pressure of exams, coursework, being away from home for longer periods of time and feeling isolated when ill.  Some or all of there may become too much to deal with on your own and this is where the support of friends and family come in.  If you find that you are anxious, stressed or even depressed you can use the counselling services available at the university or college in complete confidence.

Some universities and colleges offer both face to face counselling services and phone based helplines which you can use.  The counselling services can help with a large number of issues including health related or dealing with dilemmas or decision making or identity issues.  There are also other methods available such as, online forums and social media sites such as Facebook.

My experience

I was diagnosed with severe Crohn’s disease in the middle of my placement year (3rd year) of university.  I had a few things already in place from the middle of my first year through disability support for my asthma and low mood.  As soon as I got home from my placement with my hospital discharge form I had sat down with my disability support advisor and put in place everything I needed.  I was able to get a laptop, printer, voice recorder and printer credits from the financial side.  Due to me living at home so my family could support me as I was still learning about my condition and symptoms I was given extra time to come in if I had lectures or seminars at 9am.

With my extreme fatigue and falling asleep in clases, I was eventually assigned a personal note taker who sat at the back of the room and took notes and typed them up after class and emailed them to me.  I also had a support worker who helped me manage my time and other weaknesses which made me panic and then caused a mini flare up.  For exams and class tests I was given an extra ten minutes for each hour for the exam or test.  Also for exams I was in a separate room from everyone else and there were no more than eight students in the exam room at any time.

My graduation photo

On most of my good days I had stayed on top of all my assignments and revision which made it a lot easier for my bad days as I was able to recover quicker.  Most of my fellow classmates had been told about my condition and some of them were ignorant and said I could do everything I wanted and my condition did not prevent me from doing anything but I never listened to them.  The people who listened to me give me the best support possible and even researched it and made it easier for me to finish my final year even when I kept saying I was going to give up.  This support helped me through the last year and I had graduated with a 2:1.  The support from my family also helped as well the most support I got was from my dad as he took me to all my hospital appointments and even rearranged most of his to have his on the same day as mine.  This was to do with company while we had to wait even though we were in two different clinics.

If anyone has any further questions please feel free to leave a comment or email me privately using smurfasaurus92@gmail.com

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