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It seems like tight clothing is likely to put mechanical pressure against your gut and depending on the sensitivity of your enteric nervous at any given time (based on current inflammation and functional status for instance), it could activate different enteric nervous system neurons...

Depending on the criteria used, IBS diagnoses usually have specific inclusion criteria of symptoms but most importantly it has an exclusion that other diseases have been ruled out. So in general, patients don't get dx'd with IBS if they have an IBD dx, b/c the IBD excludes the diagnosis of IBS...