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What is the difference between IBS and IBD?

by Kirsten Jackson Specialist Dietitian 2 Comments

What is the difference between IBS and IBD? Do you know?

You should do! Whilst these two conditions sound similar in name, they are very different. It is good to have an understanding of the difference to make sure your condition is managed safely.

In this post I will outline the difference between IBS and IBD. I will also explain how IBD is diagnosed and managed.

The difference between IBS and IBD

What Is IBS?

Irritable bowel syndrome (IBS) is a functional bowel disorder (1). This means that the gut does not function correctly.

You may be surprised to know that IBS is quite a common condition with 1 in 10 people thought to be affected (2).

The symptoms of IBS include stomach pain or discomfort with a change in bowel habit. If you have IBS, then you may suffer with constipation, loose stools or a mixture of both.

Researchers are not entire sure what causes IBS but it is thought that genetics, infection and stress are linked (2, 3).

There is sadly no known cure for IBS. However, treatments such as the low FODMAP diet, probiotics and fibre manipulations have been shown to help manage symptoms (4, 5).

What Is IBD?

Inflammatory bowel disease is an umbrella term used to describe two conditions: Chron’s disease and Ulcerative Colitis.

Chron’s disease: this condition is caused when your body wrongly see’s harmless bacteria as a threat. This results in an immune response and inflammation anywhere in your GI tract (6).

Ulcerative colitis: if you have ulcerative colitis then this is similar to Chron’s. The difference being that only your colon is affected and ulcers are formed (7).

If you have IBD, you will go through phases of remission and active disease. During a remission your bowel will not be inflamed.

There is sadly no cure for IBD. However, the correct medications and a healthier lifestyle can help to keep in you in remission.

What Are the Symptoms of IBD?

The symptoms of IBD vary from person to person. Many of the symptoms are similar to IBS and this is why you can not rely on symptom history alone to diagnose these conditions.

Typical IBD symptoms you may find include (8);

  • Stomach pain
  • Blood in stools
  • Mucous in stools
  • Diarrhoea
  • Weight loss
  • Anaemia

IBS vs IBD

FactIBSIBD
Affects the gastrointestinal tractYesYes
Functional bowel disorderYesNo
Inflammatory bowel disorderNoYes
Life-long conditionYesYes
Blood in stoolsNoYes
Causes of nutritional deficienciesNoYes
Causes of weight lossNoYes

Why Do I have IBD?

Researchers do not yet know for certain why some people get inflammatory bowel disease. There are have been many studies trying to look for links.

The following areas have be found to be linked (9, 10);

  • Low vitamin D levels
  • Impaired sleep
  • Dietary fibre
  • Saturated fats
  • Depression
  • Air pollution
  • Breast feeding
  • Antibiotic exposure
  • Alteration in gut bacteria levels
  • Genetics

How Do you Get Diagnosed with IBS vs IBD?

As you know, it is really important to get a formal diagnosis if you are having any digestive symptoms.

Diagnosing IBD and IBS actually start off in the same way.

Firstly, you need to visit your family medicine doctor (GP) who will run some routine checks and take a history. You can read about this here. 

If any of your tests come back positive at this stage your doctor will refer you to a GI specialist.

To get an IBD diagnosis you will require a colonoscopy.

Which Diets Are Best For IBD?

Which diet you need to follow will depend on what stage you are at.

If you are in remission then you will just need to follow a general healthy diet. There is no need for a ‘special diet’ at this stage.

If you are having an IBD flare up, then you have a couple of dietary options;

  1. A fortified diet to ensure you are meeting your nutritional requirements. When you are having an IBD flare up, both you calorie and protein requirements increase.
  2. An elemental diet (for Chron’s Disease). This diet is a liquid diet which is broken down into small particles that are easy for your gut to digest.

The evidence isn’t clear as to how affective elemental diets actually are so I would suggest you allow your dietitian to assess you and weigh out the risks vs benefits (11, 12).

Also note that during a flare up your protein requirements will increase. You should aim for around 1.2-1.5g / kg / day of protein (12).

You may need additional calcium supplements. There is an increased risk of osteoporosis in those who have IBD. Speak to your dietitian for specific guidance on this (12).

When you have IBD your bowel is not able to absorb all nutrients affectively. Therefore, it is advertised that you have your micronutrient levels such as vitamin D and iron checked regularly (12).

If you are struggling with your appetite or have noticed unplanned weight loss, please tell your doctor or dietitian ASAP.

Will The low FODMAP Diet Help My IBD?

The low FODMAP diet is a diet which is low in fermentable carbohydrates. This diet is normally used for people with IBS.

Interestingly, this diet also works for those with IBD!

Research has shown that in those in remission or mild to moderate disease, the low FODMAP diet reduces symptoms (13).

Just be careful that you only stay on the diet for a maximum of 6 weeks before introducing. You should also note that is not useful if you are in an acute flare up phase.

Can You Have IBS and IBD?

Sadly, having one of these conditions does not exclude you from being able to have the other.

You may even be at a higher risk of having IBS if you gut has become disrupted as a result of IBD.

Often my clients find that even when they are in remission with IBD, they still have symptoms. The symptoms are caused by IBS and this is what we go on to manage.

Summary

Whilst some of the symptoms of IBS and IBD and similar, the conditions are entirely different.

It is important to get an accurate diagnosis so your condition can be treated affectively.

Diet plays a huge role in both IBD and IBD. Sometimes dietary changes are complicated and you will need the help of a registered dietitian to aid you.

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Filed Under: Medical advice for IBS Tagged With: alternative diagnosis, IBD

About Kirsten Jackson Specialist Dietitian

Kirsten Jackson is a UK registered Consultant Gastroenterology Dietitian and founder of The Food Treatment Clinic. She has undergone many qualifications to get where she is today, including a UK BSc Honours Degree in Dietetics and Post-Graduate Certificate in Advanced Dietetics. In addition to this, she has FODMAP Training from Kings College London University. Kirsten set up The Food Treatment Clinic in 2015 after first experiencing digestive problems herself. She felt that the NHS was unable to provide the support individuals needed and went on to specialise in this area before opening a bespoke IBS service. Kirsten also participates in charity work as an Expert Advisor for the IBS Network. In addition, she can be seen in publications such as Cosmopolitan and The Telegraph discussing IBS as an Official Media Spokesperson to the IBS Network.

Previous Post: « Do Bananas Cause Constipation?
Next Post: How Does Stress Affect IBS? »

Reader Interactions

Comments

  1. Kiki says

    at

    I have IBS and drastically delayed digestion. Also, I had H Pilorie for a while.

    Reply
    • Kirsten Jackson Specialist Dietitian says

      at

      I a m sorry to hear this! Have a look at the posts on this site and membership program. We can get you help 🙂

      Reply

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CONSTIPATION vs LOW FODMAP DIET - share this post. CONSTIPATION vs LOW FODMAP DIET - share this post.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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💩The low FODMAP diet is not a 1 size fits all approach and can worsen constipation.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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🙋‍♀️The low FODMAP diet works by reducing gas production in your large bowel (the bit at the end) and reducing the amount of fluid drawn into your large bowel. But, this gas and fluid may actually help you open your bowels so if you simply remove it then your constipation will likely get worse.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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🤓Instead, you need to use a balance of fiber, fluid and movement to allow your bowels to open regularly. THEN you can use the low FODMAP diet to reduce gas (and the flatulence and pain that comes with this).⠀⠀⠀⠀⠀⠀⠀⠀⠀
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‼️If you have IBS, please do check out my free gut healthy morning routine. Starting the day off the right way can really help (link in bio).⠀⠀⠀⠀⠀⠀⠀⠀⠀
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DID YOU GET DIAGNOSED PROPERLY? - share this post. DID YOU GET DIAGNOSED PROPERLY? - share this post.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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💩Sadly, there is no 1 test for IBS diagnosis. Instead, it is diagnosed by eliminating other conditions. Conditions such as coeliac disease, IBD, infections and even bowel cancer have similar symptoms. So, your doctor will do routine 'first line' testing for these.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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🙋‍♀️I often hear from clients that they are not sure if they have had the correct tests or not. The tests above come from UK medical guidelines called NICE (IBS 2008 Guidelines) and are considered 'gold standard' for IBS diagnosis. ⠀⠀⠀⠀⠀⠀⠀⠀⠀
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👩🏽‍⚕️There are times that your doctor may wish to do additional testing if they feel that your symptom history indicates it or one of these initial tests come back positive. For example, if you have issues with your periods then your doctor may consider a gynae issue and want to do an ultrasound scan.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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✅BUT the main point is, you should be getting the above tests done and anything else should have a strong reasoning behind it.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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‼️If you have IBS, please do check out my free gut healthy morning routine. Starting the day off the right way can really help (link in bio).⠀⠀⠀⠀⠀⠀⠀⠀⠀
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THE REALITY OF IBS - share this post. ⠀⠀⠀⠀ THE REALITY OF IBS - share this post.
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💩IBS is a condition that others do not see. The things that others may see is an individual who is low in mood, perhaps often cancels last minute and seems to avoid many foods.
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🙋‍♀️So to all those people who have a friend / colleague / partner / relative in their life who has IBS. Please know that they are not trying to be this way, it is the uncontrolled IBS that has this impact. Please know that people with IBS need your support.
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‼️If you have IBS, please do check out my free gut healthy morning routine. Starting the day off the right way can really help (link in bio).
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SHARE THIS POST 🙏 - raise awareness of fads ⠀ SHARE THIS POST 🙏 - raise awareness of fads
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💩Colonic hydrotherapy / irrigation.
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🧐This is an alternative therapy offering whereby the therapist inserts a tube up your rectum. Warm water is then flushed through your colon. It is claimed to 'detox' or 'cleanse' your bowel. Sometimes this water contains herbs or even coffee.
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🤓There is no research backing up these claims at all. In fact, the research shows there is a risk of bowel perforation. There has even been cases of serious digestive infections and death.
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🙋‍♀️There is 1 small study looking at IBS. Symptoms appear to improve.  BUT when we look at the study closer, it is small, doesn't show what would happen long term and participants had to have 2 colonics a day for 6 days a week! (you can find more information and references on this in my latest blog post www.thefoodtreatmentclinic.com).
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👩🏽‍⚕️The NHS also warn against this intervention for people with several health conditions such as kidney disease, IBD and haemorrhoids.
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🙋‍♀️My conclusion is this..please do not go down this route. If you are severely impacted then speak to your doctor.
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🎉If you want to start the day off right, download my FREE morning guide (link in bio).
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#ibsdiet #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #bloating #irritablebowelsyndrome #fodmapfree  #healthygut #goodguthealth #gutfood #trustyourgut #chronichealth #microbiome #fermentedfoods #dubaidietitian #londondietitian #constipation #colonics #colonichydrotherapy #colonicirrigation #bowelcleanse
CAN YOU RELATE?. Comment below ⬇️⠀⠀⠀⠀⠀⠀⠀⠀⠀
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🙋‍♀️Confession time,  I actually thought like this until I got it myself - urgh what a difference that insight makes hey!.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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🙋‍♀️What I find is that my clients (like I did) try to down play the issue.  They don't allow themselves to feel like its ok to feel like crap because IBS 'isn't that serious.' BUT realistically it impacts every area of your life from the moment you wake up each day. SO allow yourself to feel crap about this condition.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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🙃THEN..take a breath. What can you do next? I would always advise seeking a dietitian out to guide you because quite frankly, this situation can not continue.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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🎉If you would like to start each day the right way for your IBS, please download my FREE Morning routine guide - link in bio.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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🙏Pic credit: @youvegutthis⠀⠀⠀⠀⠀⠀⠀⠀⠀
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#ibsdiet #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #bloating #irritablebowelsyndrome #fodmapfree  #healthygut #goodguthealth #gutfood #trustyourgut #chronichealth #microbiome #fermentedfoods #dubaidietitian #londondietitian #dubailife #chronicallyunwell #chronic #womenshealth
CLIENT TESTIMONIAL.⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀ CLIENT TESTIMONIAL.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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🙏Thank you for your kind words.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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😀This lady really deserves this outcome. She took onboard advice and always respected the process, never looking for overnight success.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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🙋‍♀️Please DM me if you would like further information about my 1:1 programme.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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#ibsdiet #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #bloating #irritablebowelsyndrome #fodmapfree  #healthygut #goodguthealth #gutfood #trustyourgut #chronichealth #microbiome #fermentedfoods #dubaidietitian #londondietitian #dubailife #glutenfree #dairyfree #prebiotics #yoga
WHAT WOULD YOU MAKE? COMMENT BELOW ⬇️⠀⠀⠀ WHAT WOULD YOU MAKE? COMMENT BELOW ⬇️⠀⠀⠀⠀⠀⠀⠀⠀⠀
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🙋‍♀️Personally I love a good winter salad with warm root vegetables and feta cheese OR a soup - both of these options will give you a good range and quantity of fiber and by using low FODMAP options you can avoid the bloat to go along with this.⠀⠀⠀⠀⠀⠀⠀⠀⠀

🤓Remember to always check safe portions with @monashfodmap ⠀⠀⠀
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‼️ If you are confused about your IBS and wish to gain more clarity, sign up for my FREE IBS webinar - link in bio.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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#ibsdiet #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #bloating #irritablebowelsyndrome #fodmapfree  #healthygut #goodguthealth #gutfood #trustyourgut #chronichealth #microbiome #fermentedfoods #dubaidietitian #londondietitian #dubailife #glutenfree #dairyfree #prebiotics #yoga
‼️GLUTEN IS NOT AN IBS TRIGGER - SHARE THIS PO ‼️GLUTEN IS NOT AN IBS TRIGGER - SHARE THIS POST 🙏.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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👇Comment below if 1/ You have been told to avoid gluten for your IBS or 2/ You thought gluten triggers your IBS.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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🤷‍♀️Firstly, what is gluten? Gluten is a protein found in wheat, barely and rye.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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🤓Gluten only causes digestive problems for those with either coeliac disease or a gluten allergy (the later of which I have never seen in my career to date).⠀⠀⠀⠀⠀⠀⠀⠀⠀
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🤯You may think gluten causes you issues BECAUSE many foods which contain gluten also contain fructans. These are a type of FODMAP which cause cause bloating, loose stools and stomach pain in those with IBS.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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🤯You may eat many 'gluten free' foods on the low FODMAP diet because you are avoiding wheat in order to avoid the fructans, not the gluten.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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🙋‍♀️So why do I care? Being gluten free is very restrictive, especially if you do not need to be. If you are intolerant to fructans you will be able to manage small amounts which means your diet will be more varied, contain more prebiotic foods and probably cheaper also!⠀⠀⠀⠀⠀⠀⠀⠀⠀
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‼️If you are confused about your IBS and wish to gain more clarity, sign up for my FREE IBS webinar - link in bio.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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#ibsdiet #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #bloating #irritablebowelsyndrome #fodmapfree  #healthygut #goodguthealth #gutfood #trustyourgut #chronichealth #microbiome #chronicallyunwell #glutenfree #glutenintolerant #gluten #dubailife #glutenphobia
ANYONE? - Please share to raise awarness that no o ANYONE? - Please share to raise awarness that no one should feel guilty for eating.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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🤷‍♀️Anyone knowingly do this? Comment below ⬇️⠀⠀⠀⠀⠀⠀⠀⠀⠀
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🙋‍♀️Yep me also! Because, it is a normal human thing to do.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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🙋‍♀️So my client the other day was telling me how guilty they felt for eating a pizza despite being on the restriction phase of the low FODMAP diet. They felt ashamed and useless. But, we talked through this feeling. Sometimes our thoughts are not really based on any viable facts. The facts being that she had 1 pizza, was bloated and had looser stools the next day. THE END. No one died and she didn't 'mess up' the whole process.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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🙃So next time this happens (because you are human and there will be a next time). Just think of the facts before you let your emotions run away. Then move on .⠀⠀⠀⠀⠀⠀⠀⠀⠀
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‼️If you are confused about your IBS and wish to gain more clarity, sign up for my FREE IBS webinar - link in bio.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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#ibsdiet #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #bloating #irritablebowelsyndrome #fodmapfree  #healthygut #goodguthealth #gutfood #trustyourgut #chronichealth #microbiome #fermentedfoods #dubaidietitian #londondietitian #dubailife #glutenfree #dairyfree #prebiotics #yoga
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Always Enabled

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Non-necessary

Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. It is mandatory to procure user consent prior to running these cookies on your website.