I'm 22 as well, and as i have mentioned in other posts, I have had ibs-d as far back as i can remember.. It got really bad when I was about 6 years old, but anyways, I work mon-fri, 8am-5pm in an office in a busy car dealership, and my boss couldn't be more understanding. I told him durring my interview before I even got the job that I did have times where I would be fine but there were others that would get really really bad. I have never needed a Dr. note unless I was gone for more than a few days at a time, but so far, if i'm having really bad attacks, then i call in for the day(s) and normally once whatever trigered it is out of my system, I go back into work for a couple hours get what *needs* to be done, and then go home. It also helps having a bathroom right outside my office. It does get better, and if you are having d, then immodium can be your best friend...
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