It can be impossible to tell when another person is suffering from inflammatory bowel disease (IBD), due to the fact that symptoms are largely internal. But that doesn’t mean IBD conditions, such as Crohn’s disease and ulcerative colitis, are easy to deal with.

To raise awareness about the hidden difficulties of living with IBD, Tiffany Jane Anderson, who suffers with Crohn’s disease, posted a “before and after” picture on Facebook showing how she feels on a “good day” compared to a “bad day”.