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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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In a huge step for first aid in the UK, more than 20,000 defibrillators – which are devices that give an electric shock to the heart of a person who is in cardiac arrest – have been delivered to state schools across the country since January. Cardiac arrest can affect anyone, of any age, but according to St John Ambulance research, when a defibrillator is used within the first three minutes of a cardiac arrest, the chances of survival increase by up to 70%. Knowing how a defibrillator works could save someone’s life, but what should you know before using one? What is a defibrillator? “A defibrillator is an electrical device that provides a shot across the heart to help bring people out of cardiac arrest,” explains James McNulty-Ackroyd, head of clinical projects and paramedic at St John Ambulance. They are often labelled as an AED which is “an automated external defibrillator, and it recognises when using one would be beneficial for the patient. When we talk about cardiac arrests, we talk about shockable and non-shockable, and an AED is useful when the heart is in particular shockable rhythms”, he says. When used, the electrical shock stuns the heart to send it back to its normal function “from the right shoulder down to the left armpit”. The AED knows when it should work after the pads have been applied, because it “recognises the rhythm like an ECG automatically, and it will not shock if the heart is not in one of the relevant rhythms”. When should you use one? You only need a defibrillator in an incident of cardiac arrest. “They should only be used when the patient is not breathing normally, or the heart has stopped,” explains McNulty-Ackroyd. “Their breathing may be like a fish out of water, there is no rhythm to it, there is no real air entry, or non-purposeful gasping. “The heart is not pumping in that situation – it is not working, but there is some movement. They need a defibrillator and high-quality CPR (cardiopulmonary resuscitation).” What should you be wary of? The good news is, there’s not much to worry about when using one. “Ideally, you should not have anyone touching the patient when you press the big red button, but there are lots of different devices on the market and most have written and audible instructions, and tell you what to do, so it will say to stand clear and tell you what to press and when,” he explains. You need to take or cut the person’s shirt off, though. “There is quite a lot of disinformation about taking someone’s bra off. If you do not take their bra off, you cannot get the pads in the right place. Cut down the middle of the bra, and let it fall open.” What do you actually do? So, you have seen someone go into cardiac arrest or found someone who has collapsed. What do you do? “If you find someone who you think is in cardiac arrest, start CPR, shout for someone to bring you a defibrillator, and ask them to call for help,” advises McNulty-Ackroyd. “The first thing the ambulance service will ask is, ‘Are they breathing?’ They will ask if they’re awake and you will say ‘no’, as they are in cardiac arrest. “An ambulance will be sent as the highest priority in that area. In the meantime, you should be using an AED and performing CPR. “When you ring 999, they will tell you how to do CPR. Do not worry about hurting someone you are doing CPR on. That person is dead, they cannot feel pain, if they sit up and go ouch, they are not in cardiac arrest.” When using the defibrillator, “the first pad goes on the upper right, touching the clavicle [bone of the pectoral arch], and the other into the left armpit, nice and high”, he explains. Every minute you don’t shock that abnormal rhythm, the person loses a chance of life, so use a defibrillator and perform CPR if you are in any way worried about someone who has collapsed. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live What you need to know about the massive LVMH deal with the Paris Olympics Bisexual people ‘experience worse health than other adults’ What’s the coolest bedding to survive summer heat and night sweats?

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