Inflammatory bowel disease vs irritable bowel disease
Let meintroduce you to Frank. Now, for most of the last year, Frank's digestive system, it's just not been feeling quite right. He's been having intermittent, although fairly frequent abdominal pain as well as irregular bowel movements. And at times he's not ableto have a bowel movement.
Then at other times he's beenhaving them very frequently. And he was telling a closefriend about these symptoms. And his friend said, you know, Frank, I was watching something on TV, and I heard about this condition. I'm not exactly sure,but I think it was called something like irritable bowel disease. And it sounds somewhat similarto what you're experiencing.
Perhaps you should go see a . So Frank goes to see his . And he says, you know,doc, I think I have IBD. And Frank's says, youknow, I'm sorry to hear that. Please tell me why youthink you may have IBD. And as he's relatingthese symptoms to her, she thinks to herself, youknow, I wonder if he means IBS instead of IBD.
And so his responds, Frank, you know, I'm concerned you may have a condition known as irritable bowel syndrome, which is commonly referred to as IBS. And Frank says, isn't that IBDé And his replies,that's a common mistake. Unfortunately, there aretwo different conditions with very similar acronyms.
They are irritable bowel syndrome or IBS and inflammatory bowel disease or IBD. Let's learn about the differences between IBS and IBD. So let's start on the left here with irritable bowel syndrome or as it's more commonly referred to, IBS. But what exactly is a syndromeé
To help get a better idea,let's think about a car. Now, imagine that something is just not quite right with your car. So you take it into the auto shop. And you tell the mechanic, you know, there's this rattlingsound under the hood. And the car has poor acceleration, and the check engine light is on.
The FODMAP Grand Tour Down Under IBS relief
Medically diagnosed Irritable BowelSyndrome, known as IBS is difficult to treat and overcome. In part, because westill don't understand its precise cause. However, researchers at Monash University have been studying the dietary factors in food that can trigger IBS symptoms.This research has shown that the pain discomfort and daily disruption causedby IBS is triggered by certain types of carbohydrates in food called FODMAPs.Here we can see some examples of high FODMAP foods. To understand how some foods contribute to IBS symptoms, we need to look inside the intestines where foodis broken down and absorbed. Zooming into
the molecular surface of the intestinalcells we see they are covered in molecular machines that accelerate thebreakdown of carbohydrates. Most carbohydrates, once broken down, can be absorbed through pumps on the surface of your cells. However, some carbohydrates are not digested or absorbed by people. The rapidly fermentable shortchaincarbohydrates that can't be absorbed are called FODMAPs. The presence of FODMAPs causes water to be dragged into the small intestine. Also, because they aren'tabsorbed, FODMAPs travel through your gut to the large intestine. Whenbacteria in your large intestine get
access to FODMAPs, they use themfor energy to survive. The bacteria rapidly ferment FODMAPs and producegas as a result. Excess gas production and water retention causes the intestines toexpand. When the intestinal wall stretches fromdistension, the highly connected nerves around the intestines send signals tothe brain. People with IBS have very sensitiveintestines, so these signals contribute to the pain they experience. To reduceFODMAP intake and to alleviate the distension, bloating and other symptomsof IBS, Monash University have developed
the low FODMAP diet. People with medically diagnosed IBS should consult a dietitian about trialling the diet. The MonashUniversity Low FODMAP Diet app has been developed as a tool to help people withIBS manage their diet and alleviate symptoms. Contact Monash University orvisit the website to find out more about the low FODMAP diet.