Complications involving the lungs as a sequela of a systemic disease process are not uncommon, and in fact, pulmonary involvement could be the first or even the only manifestation of systemic disease in a handful of clinical cases. Inflammatory bowel diseases are characterized by mucosal inflammation involving the GI tract that can follow a relapsing-remitting course. Respiratory tract diseases in the setting of IBD can be quite variable and warrants clinical recognition and proper treatment as it could have a significant impact on the patients' health. Here I summarize the potential pathological involvements of the respiratory system in the cohort of IBD patients and summarize the clinical assessment steps necessary to achieve the proper diagnosis.