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IBS vs Indigestion: How to Tell and Treat Appropriately

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Introduction

If you have felt confused by cramping, bloating, or “bad digestion,” you are not alone. Irritable bowel syndrome (IBS) and indigestion (often called dyspepsia) might seem to be the same, but they are not.

Understanding the difference between IBS and indigestion helps you choose the right treatment, track triggers, and know when to see a doctor.

This blog will help you understand what Irritable Bowel Syndrome (IBS) and Indigestion (Dyspepsia) really is, their symptoms, common differences, viable treatment options for IBS and Indigestion, and key differences between them.

woman suffering from a stomach pain
Photo by Sora Shimazaki on Pexels.com

Understanding IBS (Irritable Bowel Syndrome)

IBS is a chronic functional gastrointestinal disorder affecting the large intestine. It triggers cycles of abdominal pain, altered bowel habits, and bloating, often without visible structural damage making it harder to detect.

Common IBS Symptoms

  • Abdominal cramping relieved by bowel movements
  • Diarrhea, constipation
  • Excessive gas and persistent bloating
  • Feeling of incomplete emptying
  • Mucus in stool

Understanding Indigestion

Indigestion, also known as dyspepsia, is a common digestive issue that causes discomfort in the upper belly.

Common Symptoms

  • Epigastric Pain: pain in the upper stomach
  • Heartburn: A burning feeling in the upper belly or chest
  • Feeling too full after eating, even if you ate a small meal
  • Bloating or a swollen stomach
  • Nausea or feeling like you might vomit
  • Frequent burping or belching

Key Differences Between IBS and Indigestion

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Irritable Bowel Syndrome (IBS)

  • Typical location: Lower abdomen
  • Bowel habit changes: diarrhea, constipation, or both
  • Symptom pattern: Cramping improves after a bowel movement
  • Triggers: Stress, high-FODMAP foods, irregular meals
  • Related issues: Gut-brain interaction, visceral sensitivity
  • Red flags: Unexplained weight loss, bleeding, fever, severe night pain

Indigestion

  • Typical location: Upper abdomen (above the navel)
  • Bowel habits: Usually normal; not a defining feature
  • Symptoms: Fullness, upper bloating, nausea
  • Triggers: Large/fatty/spicy meals, alcohol, caffeine, painkillers
  • Related issues: Acid irritation, H. pylori, medications, functional dyspepsia
  • Red flags: Same red flags; plus persistent vomiting or trouble swallowing

Common Triggers

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Triggers for IBS

Stress, poor sleep, high-FODMAP foods such as onion, garlic, and certain legumes, along with carbonated drinks, sugar alcohols, and ultra-processed foods.

Triggers for Indigestion

Large meal portions, greasy or very spicy foods, alcohol, caffeine, chocolate, mint, and citrus fruits.

When to See a Doctor

  • Unexplained weight loss
  • Severe, unrelenting pain
  • Blood in stool
  • Nighttime symptoms disrupting sleep
  • Family history of gastrointestinal disease

Treatment Options for Indigestion and IBS

IBS Treatment Options

Diet Tips

  • Eat regular, balanced meals.
  • Avoid large meals that can exacerbate symptoms.
  • Try a short, low-FODMAP diet (4 to 6 weeks), then slowly reintroduce foods to identify your triggers.

Mind-Gut Therapies

  • Gut-directed hypnotherapy: helps calm gut sensitivity.
  • Cognitive behavioral strategies (CBT): manage stress and gut symptoms.
  • Relaxation practices: breathwork, yoga, or meditation can reduce stress and ease discomfort.

Fiber Choices

  • Go for soluble fiber like psyllium (ispaghula husk).
  • Avoid too much insoluble fiber (like wheat bran), which can increase bloating.

Indigestion Treatment Options

Trigger Management

  • Cut down on very spicy, fried, or high-fat foods.
  • Limit alcohol and caffeine.
  • If you have reflux, try avoiding chocolate and mint to see if symptoms improve.

For Functional Dyspepsia

  • Prokinetic therapy (if prescribed by your doctor).
  • Ginger tea
  • Gentle activity after meals like short walks instead of lying down.

Key Takeaways

  • Different Triggers: IBS often flares with stress and high-FODMAP foods, whereas indigestion worsens with large meals, spicy or fatty foods, and sometimes reflux.
  • When to visit a doctor: Ongoing or severe symptoms, weight loss, blood in stool/vomit, or difficulty swallowing require medical evaluation.
  • Get a Relief Plan for Free: Skip the guesswork with people who claim they have a “solution”. Get a personalized relief plan that stops the cause of your digestive issues.

Frequently Asked Questions

What exactly causes IBS and indigestion?

IBS is a chronic disorder affecting the large intestine with altered bowel movements and cramping. Indigestion is discomfort in the upper belly caused by acid irritation, medications, or how your stomach processes food.

Can I have both IBS and indigestion at the same time?

Yes, some people experience both conditions simultaneously. They have different causes and locations but can occur together.

How do I know which one I have?

IBS typically causes lower abdominal cramping relieved by bowel movements and changes in bowel habits. Indigestion causes upper belly discomfort, heartburn, and fullness after eating. A doctor can help confirm which condition you have.

Are there any foods I should avoid with both conditions?

Yes, some foods like processed foods, carbonated drinks, and alcohol can trigger both. However, specific triggers vary. Keeping a food diary helps identify your personal triggers.

Can stress make both conditions worse?

Yes, stress significantly impacts both IBS and indigestion. Managing stress through relaxation techniques can help reduce symptoms of both conditions.

I’m Rishab

Welcome to the Claisen blog. After my brother, Aditya, faced GI problems like GERD and IBS, I decided to build a company and blog dedicated to helping out patients with gut health problems.

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