During an IBD flare-up, managing stress, taking time off work, and other self-care practices can help. But severe flare-ups may need medical attention.
Crohn’s disease and ulcerative colitis are the two main types of inflammatory bowel disease (IBD).
These are lifelong conditions that cause inflammation in the digestive system. Ulcerative colitis affects the large intestine, while Crohn’s can impact any part of the digestive tract, from the mouth to the anus.
While there’s no cure, IBD can often be managed with medication. In more serious cases, surgery may be necessary.
Many people with IBD first get diagnosed after a flare-up of symptoms. Even after diagnosis, flare-ups can still happen, bringing more noticeable issues like frequent bathroom trips, rectal bleeding, and stomach pain.
If you’re dealing with a flare-up, self-care and support from others are key. Remember—your health comes first.
1. Talk to people you trust
If you feel a flare-up coming on or you’re already in one, open up to loved ones about what’s happening. Explain how it’s affecting you—physically and emotionally.
Sharing your experience not only helps you feel better but also lets others understand what you’re going through. That way, they can offer the right kind of support.
Be honest about your symptoms and what you need. Don’t hold back—your goal is to get through this flare, and support makes a big difference.
Tell them:
- If you’d appreciate check-in calls
- If you just need them to listen, not give advice
- If you’d rather rest at home without feeling guilty about canceling plans
2. See your doctor
If your flare-up is severe, don’t hesitate to get medical help. While flares are common, some symptoms need urgent attention, like:
- Rectal bleeding
- Severe stomach cramps
- Chronic diarrhea (which can cause dehydration)
- Fever
A doctor can assess whether your flare is serious and recommend next steps—whether that’s adjusting medication, running tests, or referring you to a specialist.
Trust your instincts. You’ll likely know if it’s a mild flare that rest can fix or if it’s serious enough for emergency care.
When to go to the ER:
If you’re in extreme pain, vomiting, or have heavy rectal bleeding, seek emergency help immediately.
3. Take time off work
Right now, your body needs rest—not stress. Ask your doctor for a sick note so you can take time off without added pressure.
Yes, work matters, but your health is more important. If your boss understands IBD, they should be supportive.
Talking to your employer in person (rather than emailing) can help them better grasp your situation. Explain how the flare is affecting you and what adjustments you might need.
4. Reduce stress
Stress can make gut issues worse, so keeping calm during a flare is crucial.
Cut back on stress triggers—whether it’s social media, intense TV shows, or draining conversations. This isn’t forever, just until you feel better.
Ways to relax:
- Try mindfulness apps like Calm
- Meditate at home
- Take short walks to clear your head
- Consider therapy if stress feels overwhelming
5. Create a cozy recovery space
Treat your flare like a sick day from childhood—pajamas, comfort, and zero guilt.
Grab your softest clothes, a hot water bottle for stomach pain, peppermint tea for bloating, and whatever pain relief helps. Take a bath, watch your favorite show, and just rest.
Make a self-care kit with:
- A hot water bottle
- Comfy pajamas
- A face mask or candle
- Headphones & a good book
- Pain meds & tea
- Anything else that helps you unwind
6. Stay nourished & hydrated
Everyone with IBD handles food differently, but during a flare, it’s extra important to eat and drink enough—even if it’s small portions.
If drinking water is hard, ask your doctor about hydration options or nutritional shakes to keep your strength up.
7. Connect with others who understand
Sometimes, only someone with IBD truly gets it. Well-meaning friends might offer unhelpful advice, but online support groups (like those on Facebook) can be a safe space to share experiences.
You’re not alone—many people are going through the same thing. Blogs, advocates on social media, and IBD-related books can also help you feel more understood.