A nurse who needed the toilet 30 times a day was diagnosed with an incurable disease after doctors suspected she had an eating disorder when her weight plummeted. Katie Harpur, 25, a nurse from Belfast, dropped to just five stone while battling the painful symptoms of Crohn’s disease, which left her unable to walk, and she could not eat without throwing up. Diagnosed with Crohn’s in 2014 at the age of 16, she was told it was inevitable that she would eventually need a stoma bag. Fitted with a temporary bag in 2019, Katie had the operation to make her stoma permanent in June 2022 and says it has changed her life. She said: “I used to need to go to the toilet up to 30 times a day and I couldn’t go out and socialise for fear of there not being facilities nearby. “It was incredibly limiting, and I was in a lot of pain to the point where I didn’t even want to go anywhere. “I’d always wanted to travel but it was impossible for me to do so until I got my stoma bag fitted. “Now I’ve booked my first long-haul flight to Tokyo, something I never would have been able to do before the op.” Katie first started experiencing pain and nausea at the age of 14 but said doctors found it difficult to diagnose her. I was in a lot of pain to the point where I didn’t even want to go anywhere Katie Harpur She said: “At first, they suspected that I was bulimic because my weight dropped. “I lost a dangerous amount of weight and weighed just five stone, but I didn’t have an eating disorder, it was just too painful for me to eat and if I did eat, I would vomit. “I remember one doctor told me I was a hypochondriac, but I knew something wasn’t right.” Persevering with medical appointments, Katie said her health deteriorated until she was admitted to hospital. Unable to walk, the then 16-year-old spent two weeks in hospital where she had a colonoscopy. Katie said: “I couldn’t physically walk anywhere, I was so weak, and I ended up in hospital. “The biopsies from the colonoscopy came back and confirmed that I had Crohn’s disease.” Crohn’s disease is a lifelong condition where parts of the digestive system become inflamed. Symptoms include diarrhoea, stomach aches and cramps, blood in your poo, fatigue and weight loss. Growing up, I was so excited to travel but Crohn’s made it impossible. Katie Harpur Katie was put on medication but was told she would eventually need a stoma bag. In June 2019, Katie, then aged 21, underwent a procedure to have a temporary stoma bag fitted. She said: “Going into it, I obviously had body image concerns because I’m still quite young and people tend to have a false idea that stoma bags are dirty. “I knew I would end up with a giant scar too and that made me nervous.” Despite the stoma bag being the solution to Katie’s painful symptoms, she suffered complications which led to her having the procedure reversed. Battling infections and prolapse, her stoma was removed in January 2020. With her symptoms returning, Katie made the decision to have a permanent stoma bag fitted in June 2022. She said: “Because there were so many issues with the first one, I was really nervous, especially as this stoma couldn’t be reversed. “But my condition had gotten so bad and I was in so much pain, that this was really the only option for me at this point.” I hope people can see my experience and know that stoma bags aren’t scary Katie Harpur As Katie approaches 12 months since her stoma operation, she said the procedure has “changed her life”. With no complications or symptoms, she is now able to travel and socialise with friends. “I’ve had no issues at all with it and it’s honestly the best thing I’ve ever done,” she said. “Growing up, I was so excited to travel but Crohn’s made it impossible. I always said I wouldn’t travel far until I had my stoma fitted.” Since her operation, Katie has booked a three-week trip to Tokyo for September this year, something she says she never would have been able to do before. She said: “Not being able to speak Japanese, I would have found it very hard to find a public toilet so wouldn’t have been able to do the trip before. “But now I’m planning to go to Mount Fuji and Super Nintendo World, which I’m really excited for.” Now she is raising awareness for Crohn’s disease on World IBD Day and hopes to break the stigma around stoma bags. “A lot of people think having a stoma bag is the end of the world,” she said. Now I’ve booked my first long-haul flight to Tokyo, something I never would have been able to do before the op. Katie Harpur “I was so young getting mine done and I was nervous about how my body would change but it’s the best thing I’ve ever done, I wish I’d done it sooner. “I hope people can see my experience and know that stoma bags aren’t scary, mine has greatly improved my life and enabled me to start enjoying life again.” Sarah Sleet, chief executive of Crohn’s & Colitis UK, said: “There are more than 500,000 people living with Crohn’s and colitis in the UK. Every day we hear about more who are experiencing symptoms and waiting for a diagnosis. “Since the pandemic, the already lengthy waiting times for tests like endoscopies and colonoscopies have soared. “Such delays can be devastating for people, affecting their ability to work, study, socialise and live the lives they want to. “We really need to do more to help young people stay in control of their health, and that means providing them with the tools to get the right diagnosis from their GP as early as possible. My stoma bag has greatly improved my life and enabled me to start enjoying life again Katie Harpur “If you’re experiencing blood in your poo, tummy pain or frequent, urgent diarrhoea, then the symptom checker on our website is a good place to start. “It’s designed to give people the confidence to go to their GP with a letter detailing their symptoms, to help them get the right diagnosis and get back on the road to recovery.” For more information, visit: www.crohnsandcolitis.org.uk. Read More How to check if you have skin cancer: Symptoms and signs to look out for Janey Godley shares heartbreaking cancer update New obesity jab that sparked diabetes row in US could get NHS green light Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live

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If your social life has ramped up now that it’s spring, it can be easy to let the little things you do for your health slip a bit. But it’s just as important to ensure you get all the right vitamins and minerals as the seasons change. So what should we be prioritising right now? Vitamin D You may be getting more sunlight now but it is still important to maintain good levels of vitamin D. “Levels of vitamin D will be low at the end of the winter and moving into spring”, Public Health Nutritionist Dr Emma Derbyshire from the Health & Food Supplements Information Service (HSIS) says. “Vitamin D is important for the absorption of calcium and healthy bones and teeth as well as for immune function. “The UK government recommends that we all take a 10 microgram daily supplement throughout the year but especially in winter through to spring. If you haven’t taken vitamin D throughout the winter your levels will likely be low, so top up now with a supplement.” Vitamin C “Vitamin C is a powerful antioxidant,” says Derbyshire. “With warmer weather you will be spending more time outside with more exposure to the outside air. “Vitamin C protects cells from the oxidative damage caused by pollutants. [It] also helps with the absorption of iron. Many women are short of iron particularly during their reproductive years so boosting vitamin C intake helps to reduce the risk of iron deficiency and the tiredness and fatigues that can cause.” You can find it in citrus fruits, tomatoes and peppers. “For those finding it hard to eat their five fruit and vegetables a day, then I would recommend taking a multivitamin and multimineral supplement to ensure your body is fuelled with an a-z of vitamins and minerals including vitamin C and iron,” Derbyshire adds. B vitaminshttps://twitter.com/johnnyxbrown/status/1650549580080066565 B vitamins include thiamin (vitamin B1), riboflavin (vitamin B2) and vitamin B6, niacin (vitamin B3), pantothenic acid, vitamin B6 (also known as pyridoxine) and biotin (vitamin B7). “Vitamins B one, two and niacin help release energy from food and are essential for the health of the nervous system,” says Derbyshire. “[This season] we want to feel energetic and for our nerves to be healthy so that we can best enjoy all the activities we have missed over the winter. These B vitamins help to reduce tiredness and fatigue.” Look for thiamin in peas and nuts, riboflavin in eggs and mushrooms, niacin in meat and wheat flour, and pantothenic acid in avocado and liver. Vitamin B6 can be found in pork, peanuts and bananas, but we only need very small amounts of biotin and the NHS say it’s not clear if we need additional biotin from our diets or supplements. Vitamin B12 Though it is a B vitamin, it is important to look at vitamin B12 independently, says Derbyshire, as it impacts so many different aspects of our health. “Vitamin B12 is essential for several issues we need help with in the spring – from immune function to tiredness and fatigue. “Spring is also a time when you might decide to cut back on the stodgier foods of winter. You might opt for a plant-rich diet which is healthy but if you cut out meat and other animal-source foods you are at risk of vitamin B12 deficiency. “If you decide to make a change to your diet this spring take a multivitamin supplement to make sure you are topped up with the nutrients that could be missing from your diet,” adds Derbyshire. Folate “Folate is vital for immune function which may have taken a battering by springtime. It’s also important for reducing tiredness and fatigue,” says Derbyshire. “Top up your levels by eating kale, broccoli, spinach, chickpeas and a supplement containing folic acid.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live 5 top tips to increase the chances of selling your property faster Drag queen Ella Vaday plans on ‘bringing camp to the campsite’ in 100km trek A beginner’s guide to topiary

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