Bloated, Crampy & Dismissed by Your Doctor? IBS vs. IBD - So Frickin' Mini
Got 10 Minutes? IBS vs IBD — Your Gut Is Trying to Tell You Something
You've heard of IBS. You've probably said "I have IBS" at some point — maybe even without a formal diagnosis. But do you know what it actually means? And do you know the difference between IBS and IBD? Because they are not the same thing, and mixing them up could mean missing something your body really needs you to catch. Danna breaks it down — what each one is, how to tell them apart, what the warning signs are, and why your gut symptoms might be a lot more connected to your food choices than you think.
Spoiler: IBS is basically medicine's way of saying "we see you're suffering and we have absolutely no idea why." Welcome to being a woman with a gut.
What You'll Learn:
- The actual difference between IBS (functional disorder, invisible on tests) and IBD (real inflammation, shows up in scans)
- The symptoms that should send you straight to a gastroenterologist — not just bloating, but blood, fever, and things that wake you up at night
- How untreated IBS could potentially set the stage for something more serious down the line
- The five foods functional medicine most commonly links to autoimmune gut conditions (gluten and dairy are just the beginning)
- Why you might react to a "healthy" food like carrots — and why that doesn't mean you're broken, it means you need to dig deeper
- Why an elimination diet paired with a food diary is still one of the most powerful tools available
That's your 10 minutes. And yes, Megan's husband would very much like her to have fewer gut issues too. She mentioned it herself.
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Chapters:
00:00 IBS vs IBD Intro
00:58 What IBS Really Means
02:14 IBD Explained and Red Flags
05:54 Can IBS Become IBD
07:57 Elimination Diets and Wrap Up
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00:00 - Untitled
00:24 - IBS vs IBD Intro
01:22 - What IBS Really Means
02:38 - IBD Explained and Red Flags
06:18 - Can IBS Become IBD
08:21 - Elimination Diets and Wrap Up
Megan, how's it going?
Speaker BDonna?
Speaker BI'm a more awake than I was 20 minutes ago.
Speaker AThat is a plus.
Speaker AThat is a plus.
Speaker AListen, I wanted to talk to you about something today because I feel like a lot of people aren't aware and don't know the difference between ibs, which a lot of people know of or have, and ibd, which a lot of people don't really know what that means.
Speaker BIn my brain, IBD means I've been doing that.
Speaker AI love it.
Speaker AUnfortunately, that's not what it stands for.
Speaker AOkay, so I wanted to break down.
Speaker AI wanted to break down what each one means, because I think that a lot of people are walking around saying, I have ibs, and they don't necessarily understand what it means or haven't been diagnosis.
Speaker BWhat is IBD then?
Speaker BWhat.
Speaker AWhat are they?
Speaker AWell, let's start.
Speaker ALet's start.
Speaker AYeah, let's start with ibs.
Speaker AIBS stands for irritable bowel syndrome.
Speaker AIt's basically a functional disorder.
Speaker AAnd it doesn't show on any test that a doctor will do.
Speaker ASo they'll try to do stethoscopy or like, endoscopy, like going into the intestines to look and see if there's any damage or anything that they can see.
Speaker AAnd often there's nothing.
Speaker ASo I'm going to bring it back to, like, you know how for some babies, a doctor would say, like, oh, they're crying a lot because they have.
Speaker BThey're colicky colic.
Speaker AIBS and colic are almost the same thing.
Speaker AIt means we see you're in distress.
Speaker AWe have no clue what it is.
Speaker AYeah, that's literally what it is.
Speaker AThey had to give it a name to sound smarter, I guess.
Speaker ABut there's literally no, like, valid black on white.
Speaker AI see that this is the specific problem.
Speaker AIt's.
Speaker BThere's no way to test for it, essentially, in that in the medical field, you have to be able to test for something to have a diagnosis.
Speaker AExactly.
Speaker AThere's no diagnosis.
Speaker AYou can test all you want, but there's no actual diagnosis.
Speaker AAnd so what they do is they test certain different things, and when none of those show anything, they're like, well, it must be ibs, because we haven't found anything, but you're obviously in distress.
Speaker ARight, Right.
Speaker ASo that's.
Speaker AThat's ibs.
Speaker BOkay, we'll talk a little bit about the symptoms later.
Speaker ABut IBD is inflammatory bowel disease, and that is actually a real, actual inflammation.
Speaker AThere's visual, like, tissue damage.
Speaker AIt can be tested.
Speaker AIt's Usually linked to other things.
Speaker ARight.
Speaker ASo IBD will show up in scans and biopsies where IBS does not.
Speaker ASo, you know, just going into the.
Speaker AThe numbers, and I know you love statistics and numbers and everything like that, so I have collected that information for you.
Speaker AOkay, so IBS affects like 20 of the population in America.
Speaker AIn America, I mean.
Speaker ABut I would probably say probably worldwide.
Speaker ABut it's something that is.
Speaker BI think we should look that up because that, to me, that's interesting because you hear a lot of people who say they have problems when they're eating in the US and then they come overseas and they eat over here and they don't have the same problems.
Speaker AYeah, that's true.
Speaker AThat is okay.
Speaker BAnyway, so fair.
Speaker ASo 20% of the US population has it.
Speaker AWhat I'm trying to say is, like, I think it's probably more just because.
Speaker AAnd it's.
Speaker AIt is definitely worldwide.
Speaker AJust because a lot of people will just have ideas and not actually even.
Speaker ARight.
Speaker AGo and test it or try to figure out what it is, because they're like.
Speaker AWell, I've always had gut issues.
Speaker AIt just is what it is.
Speaker ARight.
Speaker AI have sensitive gut, so.
Speaker ARight, that's what I meant.
Speaker AIt is unfortunately more common, of course, course, in women.
Speaker AI think it's probably stress related also, but whatever.
Speaker AWe're going to leave that outside.
Speaker ABut in terms of symptoms, so if you're suffering from bloating, gas, cramping, diarrhea, constipation, or alternating diarrhea and constipation, which is a big kind of sign as well.
Speaker AYeah.
Speaker AAnd it's often relieved after a bowel movement.
Speaker ASo we're clearing out our bowels, then we're feeling a bit better.
Speaker ASo the bowel is not struggling with food and stuff.
Speaker AThen that is most likely ibs.
Speaker AOkay.
Speaker AAnd the diagnosis is again, colonoscopy, which basically looks normal.
Speaker AAnd then the doctor's like, yeah, we don't see anything.
Speaker AYou have IBS, right.
Speaker AThe IBD, which apparently only affects like 3 million Americans.
Speaker ASo about.
Speaker AOh, my God, there's math here.
Speaker AA lot less.
Speaker AYeah, there you go.
Speaker ASo it is actually an autoimmune.
Speaker AIt's an autoimmune disease.
Speaker AIt is connected with Crohn's, which is an autoimmune disease.
Speaker AOr how do you pronounce that?
Speaker AUlcerative colitis.
Speaker ASo basically, the Crohn's will show anywhere from the mouth to the.
Speaker ATo the butthole, and the second will actually just show in the colon, and it can hire the risk of colon cancer.
Speaker ARight.
Speaker ASo it is something that you definitely want to look into and actually treat.
Speaker ASo if you're not sure.
Speaker ARight.
Speaker AIf you're like, well, what's the difference?
Speaker AHow do I know when I need to go and check for ibd?
Speaker ABecause it sounds more important.
Speaker AIf you have blood in the stool, if you have unexplained weight loss.
Speaker ALucky bitch.
Speaker AIf you have, if you have fever, fatigue, anemia, you know, waking up from symptoms in the middle of the night.
Speaker BYeah.
Speaker AAnd of course, as I always say, look for things outside the box.
Speaker ASo not only gut related, if you have joint pain, like a lot of inflammation, like eye inflammation, skin issues, stuff like that.
Speaker ASo just your body kind of trying to show extra, like eczema, all those things.
Speaker BYeah.
Speaker AThen, so you might want to test it out.
Speaker BIf someone starts off with IBS and they're like, this is not great, would it lead to IBD over time?
Speaker BIf it's.
Speaker BIf they can't figure out what's causing.
Speaker AThe ibs, I believe that it can.
Speaker BJust.
Speaker ABecause if you're still keeping to certain foods and lifestyle choices that will support an autoimmune disease, help it develop into an autoimmune disease, then yes.
Speaker ARight.
Speaker ASo if you have IBS symptoms and you're having, you know, in, in functional medicine, we believe that there are five, two main ones, but five kind of very big foods that might support an autoimmune disease if you're consuming them a lot.
Speaker AAnd some of them are.
Speaker BSupport an autoimmune.
Speaker BYou mean encourage an autoimmune disease to develop because you say support autoimmune disease.
Speaker AYeah, exactly.
Speaker ANo, so.
Speaker ASo cause it actually.
Speaker AOr help help develop it into the autoimmune disease that it actually is.
Speaker AAutoimmune disease is just a body attacking itself.
Speaker ARight.
Speaker AIt's the body's immune system going like, there's something foreign in here that we need to attack and it's attacking its own immune system.
Speaker AThat's what autoimmune means.
Speaker AAnd there are certain foods like gluten and dairy that are known to be big factors in that.
Speaker ABut we're also talking about corn and eggs and soy, things like that that are also.
Speaker AThey just.
Speaker AA lot of people with autoimmune disease will be sensitive to these things or even allergic to these things.
Speaker ASo that's why we believe that that's.
Speaker AThose are huge supporters.
Speaker ASo I would say if you are dealing with IBS and it's still.
Speaker AAnd it's not IBD and you don't have autoimmune Try to do some elimination diets.
Speaker AThat's actually, you know, to see if the symptoms are better, be that the body is just signaling to you, look, we're sensitive to this and you don't want this to develop into a leaky gut, which then will lead into autoimmune disease, which sucks.
Speaker BI know some people with some digestive issues, not just you, which you, you were going through your own digestive issues for a while.
Speaker BBut I have some other friends that, you know, it took them a while to get a diagnosis to see a gastrointestinal, A gastroenterologist, blah, blah, blah, a gastro doctor.
Speaker BAnd I think it's the most important thing is that it's frustrating.
Speaker BIt's like it's one of those things that you, you know, it affects you every time you eat and, or even when you're not eating right.
Speaker BAnd then to try to find someone who will help you with that.
Speaker BAnd I think I don't have those problems.
Speaker BI mean, I have some gastro distress every now and then.
Speaker BI'm not saying I don't have any gastro problems.
Speaker BI mean, my husband would really like it if I didn't fart as much as I usually do.
Speaker BBut, but I'm talking about, you know, pain all the time, or like you said, something where you can't leave the house because you have diarrhea and you don't know when something's gonna blow out or whatever.
Speaker BBut from what I got from the people that I know that are going through it, it's just very frustrating that you can't get a diagnosis or even if you do have a diagnosis.
Speaker BSo one of my friends was diagnosed with IBD finally.
Speaker BAnd, you know, then she's going through, she's doing elimination diets.
Speaker AAnd this was also a struggle for her.
Speaker BSo she actually sought out a nutritionist and said because she doesn't particularly like to cook, and she's like, okay, I've got to follow all these guidelines now.
Speaker BAnd I did tell her about your upcoming app, about your elimination diet app, but I, you know, at the moment she just goes to a nutritionist and like, just tell me what I should eat, because I can't think about this.
Speaker BYou know, I just need to tell me what I should eat and when.
Speaker AI should eat it, and I will.
Speaker BFollow that to the T. And it's helping.
Speaker BShe said, you know, her stomach is less bloated, she feels better.
Speaker BBut it's, it's that long term commitment after you've done your elimination diet, after you figured out which foods are causing that for you to change your behavior.
Speaker BBecause even still, even when you know there's something that you, your body does not agree with, people will still eat it.
Speaker BBecause it's hard to break the habit of eating certain things.
Speaker AIt's hard to break the habit.
Speaker AAnd it's also like there's a lot of hidden foods in the foods that we're buying.
Speaker AA lot of hidden foods, a lot.
Speaker AI mean, in, in Switzer alone, avoiding dairy.
Speaker ALike you're buying crackers.
Speaker AAnd there's dairy, there's dairy everywhere.
Speaker ASo there's a lot of things.
Speaker AAnd, and I have to say that also I feel bad for nutritionists and dietitians and stuff also because there's also foods that you are going to be sensitive to.
Speaker ALook, if you have leaky gut and you've been eating a lot of carrots in your life, you might actually be sensitive to carrots.
Speaker AAnd carrots are okay on your list of, you know, if you have ibd, you can eat carrots.
Speaker ABut because you're specifically sensitive to it, it's very hard to pick up on it because it's a healthy food and you need to eat it and da da, da.
Speaker ASo it's a lot of.
Speaker AYou're your own science experiment and you need to really kind of notice.
Speaker AAnd it's very hard to notice these things when you're still eating certain foods.
Speaker ASo I think the elimination diet is very important, but it's also very important for you to kind of keep a, a diary or something to notice what things are maybe causing distress.
Speaker AStill when you've avoided other foods, that should be a problem.
Speaker ASo it is not easy, but it is worth it because when you feel better and you're helping your body heal, I mean, it's definitely worth it.
Speaker BSo.
Speaker BWell, that's.
Speaker BOur 10 minutes are up.
Speaker BI think there's obviously a lot more to talk about here.
Speaker BYou're very passionate about this topic, I know you are.
Speaker BAnd so if this 10 minute little mini spoke to you and you're just like, I want to know more, let us know.
Speaker BAnd I'm sure we can.
Speaker BWe've done a lot of episodes on this topic, but I think that there's a lot, there's a lot of specific questions we could answer by getting some experts on to talk about things if you have any questions.
Speaker BSo I think we'll have to leave it there.
Speaker BDonna.
Speaker AYeah, okay, bye.