rich emollient used in the management of eczema, psoriasis and other dry skin conditions.


Not all is what it seems.

From the outside, you’d say I’m a healthy, happy young woman who looks fine. Look beyond what your eyes tell you and you’ll find chronic illness.

Invisible illness is a condition or disability that’s not easily discernible or visible from the outside. You don’t have to look sick. Chronic illness mean it’s long lasting. It can come in a myriad of forms, both mental and physical. Each condition will have a sliding scale from mild to moderate to extreme, accompanied by a potentially endless list of symptoms.

I didn’t choose this.

My health problems started almost overnight when I was 19. Things were finally starting to go well in my life and I was busy with work, a relationship and a social life. I had hopes for the future. Then I got ill. It took years of going from one doctor to the next trying to find someone to listen and take me seriously. I was fobbed off so many times and given the most ridiculous reasons and suggestions. I was made to believe it was in my head, that it was my fault, that I was too young to have anything wrong with me. Fast forward 10 years and here I am, learning to live with the consequences.

I’ve had four surgeries and I’m waiting for a 5th. I had an initial surgery that didn’t go well and for which I’m still suffering. I’ve had a colectomy and end ileostomy, so I have a stoma bag and no large bowel. I have pernicious anaemia, chronic Vitamin D deficiency, Raynaud’s, fibromyalgia, undifferentiated connective tissue disease and osteopenia. Even with these things, I know I’m still lucky, I know others have it worse than I do. But I also know that comparison doesn’t help you or the next person; after you get a little perspective, comparing your situation can often just make you feel weak or guilty. Your experiences are uniquely your own. There’s no comparison and you owe no apology for what you’re going through.

It can be a lonely place.

With no one else able to see your health problems, invisible illness can become a lonely experience. Your body can become a prison and when others can’t understand what you’re going through, let alone appreciate the emotional impact, it can become very isolating.

I’ve found the internet to be a wonderful place and a fantastic resource. Not only did it help me to educate myself and finally get the help I needed when I saw a doctor willing to listen, but it opened up my world. Support forums, Facebook groups, information sites and blogs mean people can share knowledge and experience. It means you’re not alone, that you are still a vital part of the world around you.

The reality of stigma.

Both mental and physical illnesses can be vastly misunderstood and under-appreciated. The result is ignorance, prejudice, stereotypes and stigma. Even when it’s not directly aimed at you, there are feelings of worry and anxiety about what others think. For instance, when it comes to the likes of chronic fatigue and fibromyalgia, the preconceived notion that sufferers are probably housebound, if not bed-bound, can make you feel like a fraud for even leaving the house, let alone doing something enjoyable. If you put effort into your appearance for an afternoon out or are caught smiling, well, obviously there’s nothing wrong with you. Wrong. It’s actually incredibly important to prioritise self-care and to try to be a part of the world, to live your life as best and as fully as you can. Every day can be different, every hour even. Some times will be good, some tolerable, some painfully challenging, and some downright awful. Judgement and ignorance only make a heartbreaking experience all the more difficult.

It’s just not that simple.

The very nature of invisible chronic illnesses often makes them incredible hard to diagnose. Sometimes there’s a firm diagnosis with a suggested treatment pathway. Sometimes there’s not. Conditions don’t always come neatly packaged with labels and causations. Sometimes they simply are the way they are, seemingly without rhyme or reason.

What works for one person when it comes to treatment doesn’t necessarily work for the next. Similarly, just as there’s no one way of treating a condition, there’s no one way of managing it either, which is often all that can be done for many illnesses. There’s no rulebook or timeline for how to react or cope.

The perils of advice.

It may come from a well-meaning place, but common sense suggestions can be difficult to swallow sometimes. Drink more water, join a gym, try Vitamin D supplements, increase your fibre, get more sleep and you’ll be right as rain tomorrow. Such suggestions often serve to reinforce the feeling that others just don’t understand. Please don’t be offended if we’re offended, frustrated or simply don’t take something on board. General tips have usually been implemented, we’ll have tried countless things, and we know what doesn’t work.

Being positive doesn’t come naturally (to me).

I don’t think I’ve ever been one of those people for whom a positive disposition comes naturally. I have, and still do, struggle with anxiety and depression, which are common alongside invisible physical conditions. I’m still learning to adapt to life with a stoma and my diagnoses; I’m still learning the ropes of dealing with this life that’s so different to what I’d ever anticipated it would be. I’m working towards acceptance so I can focus on management, but it’s not easy. Some days I manage my health fairly well and I’m quite positive, other days I don’t and I’m not. It’s all a learning curve. And I struggle with taking my own advice, big time. I’ve lost a lot through invisible illness and the more recent surgeries; any sense of a social life, friends, my job, self-confidence. The best support for someone with a chronic illness is often to simply be there, and not give up on us.



I’m Caz - Blogger, writer, campaigner, tea drinker & over-thinker. I live with a stoma and invisible illnesses, including connective tissue disease, pernicious anaemia, osteopenia and fibromyalgia, making me passionate about raising awareness and understanding of physical and mental conditions. Nice to meet you! I run the blog InvisiblyMe :

16 Responses to What I want you to know about invisible illness

  1. Dr. Amanda

    Nice piece about invisible illness… Exactly the info I’ve been searching for.

  2. Zaineey

    Amazing post, this will motivate sick people to stay strong and live happily. Keep up the good work.

  3. Pakupdate

    Bernie is a member of the Southern Trust’s Stoma/Coloproctology Nursing team which works across Craigavon and Daisy Hill hospitals, supporting colorectal patients and their families from diagnosis, throughout their treatment and on to recovery. Congratulating Bernie on the award, Esther Gishkori, Director of Acute Services for the Southern Trust said, “Receiving a diagnosis of bowel disease and learning that you need a stoma is an extremely stressful experience for patients.

  4. Caz, thank you for your really honest and frank blog post.

  5. Bree

    excellent blog post Caz.

  6. gaillovesgod

    Thank you so much for writing this, though it meant sharing so much of yourself.

    ” For instance, when it comes to the likes of chronic fatigue and fibromyalgia, the preconceived notion that sufferers are probably housebound, if not bed-bound, can make you feel like a fraud for even leaving the house, let alone doing something enjoyable. If you put effort into your appearance for an afternoon out or are caught smiling, well, obviously there’s nothing wrong with you.”

    This is such a truth. It’s sad that we gauge each other’s health and honesty by such measures, instead of taking each other at our word.
    GREAT article!

  7. Kelly

    Fantastic article – heartfelt and honest which is really helpful as my relative has to have an op that may result in a stoma.

    • Thanks for the lovely comment, I’m glad you liked the post!

      I hope your relative’s op goes as well as possible – if it does result in a stoma, there’s a lot of help out there online, through stoma nurses, and Facebook groups (Stomawise Ostomy Support on FB is fantastic). You can always drop me a message through my blog and I’ll be happy to chat about anything any time 🙂

  8. Diana

    I had a cystectomy to remove my bladder, ovaries, womb and some of my cervix (bladder cancer) In 2010. So thus have a urinary stoma. No problems until 2017 with lots of abdominal pain which was diagnosed as abdominal adhesions but no treatment known or offered. Had a colonoscopy (2 polyps removed) and enteroclysis to check no blockages but since then have had 5 bouts of UTI with e coli and anti-biotics and constant intermittent pain. I can understand your problems and will follow you blog with great interest. Wishing you well and pain free.

    • Heck, you’ve been through a lot Diana. I’m so sorry things have been so tough, and that you’re getting recurrent infections and pain. Adhesions can often occur with any surgery, and sometimes a laparoscopic procedure can remove them (though there’s a risk that in removing them, new adhesions are formed); I think it depends how severe they are. I wonder whether your immune system is also low given the infections?
      Thank you for sharing and also for following my blog – please feel free to get in touch with me any time if you want to chat. Take care of yourself 🙂

  9. chad

    Caz, your sharing this is so inspirational to so many. It means a lot to people. Thank you.

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