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In the world of football, Jack Fitzwater, the 26-year-old defender, has showcased his prowess on the pitch, making over 100 appearances for Scottish Premiership side Livingston and joining Exeter City last summer. Yet, behind the scenes, Fitzwater grappled with a silent adversary that threatened to disrupt not only his career but his daily life.


"I was going to the toilet between 20-30 times a day. It was embarrassing and difficult from a mental and physical side. I was thinking to myself deep down, am I going to have to quit football?" Fitzwater candidly shared his struggles with BBC Sport.


As someone intimately acquainted with the challenges of ulcerative colitis, I resonate deeply with Fitzwater's journey. Diagnosed in December 2000, I am all too familiar with the debilitating nature of this illness. Fitzwater's openness about his experiences sheds light on the often-overlooked battles individuals face, even those seemingly at the peak of physical fitness.


The journey began with an urgency to visit the toilet, a seemingly innocuous issue that snowballed into something more ominous. "Every time I went to the toilet, there was blood in it. After matches, I was finding that my recovery was taking longer; I was tired all the time, no matter how much sleep I got," he revealed.


Hiding behind a facade of wellness, Fitzwater masked his symptoms until a breaking point during a family holiday in Ibiza. The relentless urgency to use the toilet became an overwhelming struggle, prompting him to seek medical help upon his return.


It was then that Fitzwater received a severe diagnosis - ulcerative colitis. A condition, unfamiliar to him, where the colon and rectum become inflamed, causing recurring diarrhoea, stomach pain, and a need for regular bowel movements. Despite being a robust athlete, Fitzwater discovered that health battles don't discriminate.


"I was waking up at 03:00 in the morning, going downstairs to reception and going to local toilets outside of the hotel, just to try and disguise it. I didn't want my family to know about it at the time," he shared, shedding light on the emotional toll of the condition.


Breaking the silence around his health, Fitzwater opened up about his struggles during Crohn's and Colitis Awareness Week, aiming to destigmatise seeking help. "I think as a man, we think there's a stigma around not going to see your doctor - that it's a weakness and it's embarrassing. But it doesn't really pass unless you've got the right medication to deal with it."


The prevalence of ulcerative colitis is highlighted by Fitzwater's inclusion among the 296,000 individuals in the UK diagnosed with the condition. Despite the challenges, Fitzwater emphasises the importance of awareness, understanding, and access to proper medication.


"Because it's a hidden disability and people see a young, fit, healthy man using disabled toilets, they might give me a strange look. But little things like the card and the key are massive for the community that I'm now a part of," Fitzwater expressed.


Embracing his role as a member of Crohn's and Colitis UK, Fitzwater encourages dialogue and support for those facing similar challenges. His journey underscores the resilience required not just on the football field but in overcoming personal adversities with grace and strength.


"I knew of the word Crohn's but not colitis, so then I went on Instagram and Twitter to check out what it was. You think it's the end of the world at the time. But then when you know there's medication that can help you, you feel better about it," he concludes, emphasising the power of awareness and the crucial role medication plays in managing the condition.


As someone who has navigated the complexities of ulcerative colitis, I stand in solidarity with Fitzwater and echo his call for open conversations, understanding, and support for those battling this often-invisible illness.


Best wishes,












The specter of sudden cardiac deaths casts a chilling shadow. This is not merely a statistical concern; it's a pressing issue that demands our unwavering attention. The gravity of this matter hit home during a poignant conversation with my good friend Antonis Tipper, a Cardiac Physiologist at North Middlesex Hospital, prompting a deep dive into the crucial work of CRY (Cardiac Risk in the Young).


Awareness: Shaping a Future


The first pillar in CRY's mission is awareness, a beacon guiding us towards early identification of those at risk. Heightening awareness isn't just about recognising the problem; it's about fostering a clinical environment that responds adeptly to the intricacies of inherited cardiac conditions in young individuals.


Screening: A Path to Securing Futures


Screening emerges as a cost-effective linchpin in this battle. Identifying young people at risk through comprehensive screening isn't merely an option; it's an imperative. The conditions, when detected early, can be treated, paving the way for a secure future for those identified. Every young person deserves the choice to undergo testing, a choice that could be life-changing.


Research: Illuminating the Path Forward


CRY's research program provides a unique vantage point, delving into general population-based data that allows insightful comparisons across athletes, ethnicities, and genders. This research not only contributes to a better understanding of what is normal for young people but also serves as a cornerstone for identifying and treating those at risk.


Support: Nurturing Hearts Beyond Diagnosis


The emotional aftermath of a sudden cardiac death is profound, affecting families in ways that are hard to quantify. CRY steps in, offering both emotional and clinical support to families navigating this challenging journey. Beyond the clinical realm, CRY becomes a beacon of solace for those affected.


NexxtGen Football's Full Support


NexxtGen Football wholeheartedly aligns with and supports the vital initiative undertaken by CRY. As we delve into the intricacies of cardiac screening, we acknowledge its pivotal role in unveiling potential risks and creating a roadmap for intervention. The collaboration with CRY is not merely a sponsorship; it's a shared commitment to the well-being of our young athletes.


Cardiac Screening: A Beacon of Hope


CRY's subsidised ECG and Echocardiogram screenings stand as beacons of hope for young people aged 14 to 35. A simple ECG test, when analysed by a cardiologist, can diagnose most cardiac abnormalities. For extra clarity, an Echocardiogram, a painless ultrasound scan, can provide further insights. Notably, if there has been a sudden death in the family of an individual under 35, the family is entitled to be screened on the NHS.


NexxtGen Football's Call to Action


NexxtGen Football urges every young person, every family, to consider the importance of cardiac screening. We stand united with CRY in emphasising the need for awareness, screening, research, and support. Together, we can transform this awareness into action, securing the futures of our young athletes and preventing the devastating impact of sudden cardiac deaths. Let's champion the cause, not merely as football enthusiasts, but as guardians of young hearts.


Best wishes,







Football's governing body, Ifab, is set to embark on a trial introducing sin-binning players and the issuance of blue cards, a move poised to reshape the dynamics of the game. The announcement, expected later today, marks a significant step in exploring the potential expansion of sin-bins, traditionally used for dissent at grassroots levels, to now include cynical fouls.


The essence of the trial revolves around a player receiving a blue card from the referee and subsequently spending 10 minutes in the technical area. However, crucial details, such as the commencement date and the specific competitions involved, remain undisclosed.


The Premier League has opted out of the initial trial rollout, stating its reluctance to participate. Similarly, Fifa, football's world governing body, refuted claims of implementing the so-called 'blue card' at elite levels, deeming them premature. Fifa emphasised the need for any trials to be conducted responsibly at lower levels, intending to reinforce this stance during the Ifab AGM scheduled for March 1.


Ifab, the International Football Association Board, will convene its annual meeting at Loch Lomond in Scotland in March. The agenda includes discussions about sin-bin trials at higher levels of the game, signifying a potential paradigm shift in football regulations.


The concept of sin-bins was initially piloted in the 2018-19 season, demonstrating a commendable 38% reduction in dissent across 31 leagues, according to the Football Association. Subsequently, these measures were introduced across all levels of grassroots football starting from the 2019-20 season, with the aim of fostering respect and fair play.


The rule change extended to step five of the National League system and tier three and below in women's football. "I believe there is frustration for fans watching games when they see a promising counter-attack that's ruined by that [a tactical foul]," expressed Mark Bullingham, the FA chief executive. He added, "The question of whether a yellow card is sufficient for that has led to us looking at whether that should be involved in the protocol as well."


As football evolves, so do its rules, and the Ifab sin-bin trial signifies a proactive approach to addressing nuances in player behavior, dissent, and tactical fouls. The outcome of this trial could potentially reshape the future landscape of football regulations and the way the beautiful game is played and officiated.


Best wishes.




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