Hi Eunice!
Depends on the leave.
If you're talking just PTO - If you believe there's a benefit to disclosing why you wish to take leave, then you can. By law, however, you don't have to reveal the reasons you wish to be away from work.
The same would apply to sick leave. You can just say "I'm sick and can't work." If you're contagious and you've been around coworkers, you may want to note that should they want to get checked out.
If you're talking FMLA, you'll need to say why. Because your employer will need to verify that FMLA will cover your time off.
I have a very good relationship with my boss as I've worked with him the entire 20+ years I've been here. We talk openly about our physical issues (we both deal with several things). It's been beneficial as he knows my history and therefore understands any new treatments, etc I'm pursuing.
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