This topic is about a UK ileostomy patient who is concerned about whether they should be considered part of the "extremely vulnerable" group during the COVID-19 outbreak. They are trying to decide if they should work from home to protect their health. Here are some insights and advice shared by others:

1. General vulnerability: For a healthy 40-year-old without any immunosuppression, having an ileostomy alone does not automatically place someone in the "extremely vulnerable" category according to official guidance. The personal risk is generally considered low.

2. Immunosuppressed comparison: People who are immunosuppressed due to medication are advised to self-isolate for 12 weeks. This highlights that the key factor is the immune system status rather than having a stoma.

3. Respiratory vs gastrointestinal impact: COVID-19 mainly affects the respiratory system and should not directly impact ileostomy function. However, there is a concern about the risk of developing a parastomal hernia from severe coughing.

4. Hydration: It is crucial for ileostomy patients to maintain good hydration. If illness leads to high output, there is an increased risk of dehydration, so managing fluids and electrolytes is important.

5. Work environment: It is recommended to accept the option to work from home. Reducing public contact is a responsible precaution and not seen as taking advantage of the employer's offer.

6. Universal distancing: Even those not classified as extremely vulnerable are encouraged to follow social-distancing measures. Many people, including older individuals or those who have undergone cancer treatment, are choosing to stay home as a precaution.