Inflammatory Bowel Disease vs Irritable Bowel Syndrome, Animation

(USMLE topics) IBS versus IBD: differences in symptoms, pathophysiology, epidemiology.
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Voice by: Ashley Fleming
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Despite sharing some similar symptoms, inflammatory bowel disease, IBD, and irritable bowel syndrome, IBS, are two very different disorders of the digestive system.
IBD, which includes ulcerative colitis and Crohn’s disease, results from an inappropriate response of the immune system. The bowel in IBD is inflamed, causing damage that can readily be seen with imaging techniques such as colonoscopy. IBD may have serious complications and may increase risks for colon cancers.
IBS, on the other hand, is a functional disorder, meaning the bowel does not function properly, but there is no visible structural damage. It rarely requires hospitalization and does not increase risks for colon cancer.
IBS is thought to associate with problems in the gut-brain axis, a system by which the nervous system regulates gut activities, such as intestinal muscle contraction and digestive enzyme secretion. The system ensures that the colon moves food at an optimal pace, allowing the body to reabsorb the right amount of water and nutrients before stools can form. IBS patients often have irregular colon motility patterns. When food moves too fast through the colon, less water is reabsorbed and stools become more watery. When food moves too slowly, more water is reabsorbed and constipation results. Sensory nerve endings in the bowel of IBS patients are also more sensitive, or “irritated”, producing the sensation of pain.
Typical IBS symptoms include abdominal pain or discomfort that is often relieved upon defecation, mucus in stools, bloating, gassiness, and diarrhea or constipation, sometimes alternating bouts of diarrhea and constipation. Symptoms of IBS do not include anemia, intestinal bleeding, weight loss, or fever. People with IBS are more likely to have other functional disorders such as fibromyalgia or chronic fatigue syndrome; while IBD patients often experience inflammation of joints, skin and eyes. IBS symptoms can be triggered by stress, certain foods, and often get worse around menstrual periods in women. IBD is not known to associate with any obvious triggers.
IBS is much more common than IBD. The 2 disorders affect similar age groups, but IBS affects more women than men.
Treatments for IBD include a number of medications, and often surgeries, while most cases of IBS can be managed with diet, and stress reduction.

[@Alilamedicalmedia]

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[@GINGERJOI]

Excellent presentation, the best and most clearly informative on this subject I've seen! Thank you.

[@brainstormingsharing1309]

Absolutely well done and definitely keep it up!!! 👍👍👍👍👍

[@aevvie]

Im quite relieved that my symptoms match ibs more, its not like i want any health problems but atleast with ibs it cant lead to anything bad and so on. Ever since i found out about ibs i’ve always suspected its responsible for the symptoms i experience and although it increases my anxiety when researching about it, im glad i watched this video.

[@momsjourney740]

Fatigue?

[@orzyorn]

thanks for the explanation :)

[@kassimkhankhan3875]

Thanks a billion for the step to step explanation in such a simple way

[@DrEvil-hu1fi]

I was diagnosed with IBS about 5 years ago and have lived in horror since. It's been a mostly guessing game as to when symptoms will activate and what food causes major issues. I've cut out so much food from my diet and yet it's like I can digest less and less. I'm literally feeling the food shoot through my insides, and for so long I thought I was imagining it. This explains I'm not wrong, it IS moving way too fast. However, if it doesn't shoot thru me quick, I throw everything up within about 30 mins after eating. Totally "involuntary bulimia" is what I've started calling it. It's a nightmare to live. Especially when you love food like I do.

[@erinnorwood6124]

Does the vomiting/nausea happen a lot? I have stomach problems managed a lot with meds but I never was told ibs could include the vomiting and nausea I was experiencing. Do the symptoms only happen after eating or can the vomiting/ bowel problems happen sometimes without eating? Thanks.

[@shabaz241]

Ibs can be cured ..the problem is with you naval displacement ...medical science dont believe in it..I was suffering from 3 years ..I came to know about naval displacementand I did some yoga to relocate it you want beleive just in 5 days my symptoms disappeared I was able to eat food which I havent eaten from 3 years...guys just check you naval...it can be cured

[@belleotbrawl]

I experience the nausea and vomiting when my stomach is in pain and I have to go to the bathroom! I'll be sitting on the toilet while throwing up but the throwing up makes me feel better most of the time!

[@legacyfarmmarket]

Very helpful 👍

[@Medicwordoftheday]

Thank you

[@ferdyalih5067]

Thank you very much for these health infos. 🙏

[@niazwali8169]

Thank u so much

[@swarna1065]

Thank yoooou so muchhhhhh

[@iamanonymous4066]

Many doctors have told me I have IBS, but the pain is just incredible I felt like it must have been something else. I pushed for testing to see if anything else came back and thankfully nothing showed up. IBS is horrible and no one really understands, they think it's just when you eat something you need to go to the toilet.. haha I wish! For me it's crippling pain but I'm glad it's not inflammatory Bowel disease or anything else.

[@josuecalancha6568]

Same here 😭

[@iamanonymous4066]

@@josuecalancha6568 how long have you had it for?

[@MAH-tu1xz]

IBS is a blanket diagnosis where doctors too lazy to investigate your gut any further when they find that there is no structural damage/issues in the gut. Have you considered celiac disease or non-celiac disease gluten sensitivity? Try looking these up as they may be contributing to your gut pains. Also speak to doctor about the medication you can try for the pain such as Amitryptiline or SSRI. It may be beneficial as the gut/brain axis, where the gut and brain work hand in hand.

[@RohitKumar-dz3qe]

Same here tell me treatment

[@jillbrown1411]

Same, but what has helped me is a heating pad and a cold shower over my back. Look up the pain theory for distracting yourself

[@icyflame2564]

I’ve had IBS since 1987 the pain has never gotten any better I’ve never been able to control it. My family members had colon cancer so I’ll keep up with my health. Inflammation is definitely part of it! Some days I want to die

[@nevinkuser9892]

Enema bags should be your best friend. They help clear out stubborn poo.

[@icyflame2564]

@@nevinkuser9892 I have IBS-C I need to stop it lol. It leaves me dehydrated

[@Stephen_Jabs]

Just eat camote tops leaves

[@icyflame2564]

@@Stephen_Jabs never heard of that

[@icyflame2564]

@@Stephen_Jabs dont think thats in the US or its a cure

[@FemcelSims]

Thank you so much I know for sure that what I’ve been experiencing for the past couple of months now has got to be IBS. From the major stress episode that may have started it to long-term depression and chronic fatigue matching up. Relief upon defecation and varying bowel movements as well as a horrific horrific last menstrual period. Think I can finally go to a doctor

[@merilinekernyuy419]

Please did you get to the doctor?

[@FemcelSims]

@@merilinekernyuy419 hi yes and she said IBS ! She gave me peppermint pills lol

[@merilinekernyuy419]

@@FemcelSims i really need help

[@pavankumar2720]

a

[@itsm3dud39]

@@FemcelSims is this permenant?

[@benadrylgelllzzz5724]

IBD gang ✨✨✨ Also the amount of times I’ve been like “I have IBD (crohns)” and someone was like “Oh IBS :)” no they are VERY different Also if you have IBS or IBD and you see this, I hope you’re doing the best you can and it’s okay to be down. Just take care of yourself and rest

[@XSlimSxadyX]

Ibs gang here to say you are epic keep on doing your thing!!

[@user-ni3uf9yv3m]

Do you feel itching inside your stomach?

[@savedbythepreciousbloodofj7822]

And some people have both IBS and IBD.

[@sneakyjinx]

I know so much more about this now! I got diagnosed with IBS in 2017 , so I've had it since I was 11.

[@litzburger]

Do you do anything to help relieve the symptoms?

[@lav856]

@@litzburger stress management helps alot with Changes in lifestyle 💫🌸

[@litzburger]

@@lav856 Good to know :) thanks

[@RamandeepSingh-ui5sx]

same with me 2017 its 5 6 years and still continue

[@geisha_live]

The video was great! I cook low FODMAP menu every single day. I have good recipes!

[@Stephen_Jabs]

Thanks this is what Im experiencing right now, I try to fight it eating high fiber foods

[@me16047]

A blood relative of mine has ibd (colitis) and I have been only diagnosed with ibs and ulcer in intestine could there be connection I'm confused have so much pain and very similar life to relative also similar food sensitivitys and symptoms.

[@me16047]

Some doctors also make me take iron supplements as they say I'm iron deficient is it ibs or ibd.

[@shashank5322]

How are you now ??

[@gauravbhatt5541]

@@me16047 plz tell how are you now ?? Because I am also suffering from gas , bloating chest pain , vomiting. Doctor say it is ibs but after taking medicines I am not feeling good . And I am also anemia patient

[@emilycantu13]

I’m 17 and I have irregular periods, I only had one this year. And early this month my stomach has been hurting when eating. This has stoped thank god. But I still get lower stomach pains and aches. It feels like I have gas in my stomach and sometimes I feel like I need to poop, but nothing comes out. I poop everyday still just in the morning, but it varies everyday. Sometimes it a normal poop other times it has more of a diarrhea consistency. But the pains I get feel like menestral cramps. But I’m not on my period. I only got my period on time this year in July. Does my weird gut pain have anything to with my irregular periods? I also got this last year, but it went way. I took probiotics. But it came back this year. I don’t know what to do because this is effecting how I’m doing in school.

[@s0urpxtch942]

I completely get how you feel! I have the exact same “period” pains when I use the restroom even when I’m not on my period. My Gynocologist thinks I have endometriosis, but she would need to do surgery to definitively diagnose it as that 😓

[@ms.p5183]

Hello,ask your parents to take you to the doctor and describe to them all your symptoms,they should be able to help you

[@davidjeon911]

Indeed everytime i am stress its i causes me to suffer from IBS and its been months

[@omoakadoctor3407]

±2349150343807⏯️⏯️⏯️⏯️

[@zacharykassab5446]

I have both and in a lot of pain can someone help me

[@liralaxmi]

thanks, now i got that i am suffering from ibs. can it ever be cured ???

[@alex99fever]

What if I have symptoms on both ends. Can people have ibs and on Ibd

[@ishowspeedaf9986]

are you serious

[@Covertcompanymilitia]

My IBD is extremely painful and I don't want to keep living like this.

[@niazwali8169]

Medicine lectures

[@ismailjasmine12]

Good day my grandson of 12 years old is diagnosed with chrones ,he is on medication,but often get this servere pains is there any home remedies i can use for pain

[@strnglhld]

Heating pad is extremely helpful for IBD

[@nikolaospeterson2495]

For a while I had been seeing a gastroenterologist and had been diagnosed with Crohns. Now I am beginning to see that I might have been misdiagnosed. The symptoms of IBS-D have recently appeared to match my own overall symptoms. The explanation of IBS (especially diarrhoea predominante seem to explain my own situation. I shll seek a different GI specialist to see if I would be correct. I have at present no signs of cancer, and no evidence of calprotectin which only shows up in Crohns. I am not a doctor, however from what I have been reading from many websites, the symptoms seem to match more with IBS-D. I also have CFS as well.

[@vekex7531]

How are you doing now

[@andrei3873]

Yep i feel like this is ibs

[@gilnahnu]

Seeing this I actually wish I have ibs now. I hope I don’t have inflammatory bowel disease out of the 2.

[@trashmancesar9891]

What was it

[@trashmancesar9891]

@gilnagun what was it

[@juliopadua641]

so what's the DAMN CURE!!! give me the cure, i need the cure.

[@sb9697]

The cure is plant based diet ! NO MEAT NO ANY MILK PRODUCTS NO OILS.

[@niazwali8169]

Nice make vedio on medicine

[@MoustacheAlexander]

Hookworms put both my celiac disease and ulcerative colitis into full remission.

[@lucyb.2782]

What can you take to get rid of them ? How did they find them ? Regular stool test ?

[@litzburger]

Oh yeah. Definitely IBS.

[@mousumijhili8855]

Har Har Mahadev 🙏🙏🙏rakhya karo prabhu😰😰😰

[@piperforever8320]

Sorry but as someone who had IBD for over 30 years this video does not have correct information and is too over simplified.

[@GenerationShorts794]

👍 agree

[@bastardwhoreson]

I never have constipation or pain does that mean I can't have these?

[@nevinkuser9892]

You probably don't because those, fatigue, and headaches are the main symptoms.

[@arbernuka3679]

You can have ibs-d(diarrea prodominant) and have no pain...I have bloating, diarrea, gasses but no pain and im 99.99% sure i have ibs-D

[@Gubther]

EPIC RAP BATTLE!!!

[@FrostyBud777]

I love naturopathic medicine. Drugs only profit drug companies, not patients. Digestive enzymes are saving my life!

[@strnglhld]

That literally does nothing to IBD

[@davelouiea.chavez9115]

7 years ago MrBeast/Jimmy Donaldson Had Inflammatory bowel disease And has Crohn's disease We still don't know if his experiencing pain for the last 7 years

[@mcj44]

Yes he is lol. It’s crohns, of course he goes through pain. It’s unbearable.

[@JavedIqbal-xw4tz]

Everyone please get it treated from herblist they call sangrehni سنگرہنی،۔. They have very good medicine for it.

[@icyflame2564]

But why didn’t the IBS mention the inflammation!? Definitely comes with inflammation

[@icyflame2564]

@@MAH-tu1xz FIRE Like somebody is taking the torch and slowly moving it through my colon to my anus

[@shabaz241]

you have ibs I can help you ...

[@momsjourney740]

​@@shabaz241your symptoms treatment diet please

[@thesteve9825]

​@@shabaz241how

[@strnglhld]

No, not always. IBS = IRRITABLE bowel syndrome IBD = INFLAMMATORY bowel disease