Raqqa (Syria) - As Shawakh al-Omar huddled with 16 relatives in a single room in house in Islamic State's Syrian stronghold Raqqa, a mortar round slammed into the home next door, killing four people and shaking the building. The 57-year-old decided they should make a run for it. "We didn't even have time to bury the neighbors' bodies, we just left," he said, sitting with daughters and grandchildren on dusty ground at a displaced people's camp near the town of Tabqa, nearly 50 km (30 miles) west, a day later. Omar said the family was joined by almost the entire neighborhood, who decided to flee at the same time during the night as fighting between the militants and U.S.-backed forces intensified. "When we got to the main road, bullets from Islamic State militants started flying by -- they were trying to stop us leaving. The Syrian Democratic Forces started firing back, so we managed to run to SDF territory," he said. The family is one of hundreds who have made daring escapes from ISIS militants inside Raqqa as the U.S.-backed SDF closes in on the group in the city center. Thousands of people have had to move many times even after fleeing to Raqqa's outskirts as the jihadists counter-attack and raid nearby, and the U.S.-led coalition's bombardments continue. Many try to camp out near Raqqa before heading reluctantly for camps where the Red Cross describes "inhumane living conditions", including lack of clean water and insufficient medical services. The United Nations says at least 200,000 people have fled Raqqa in recent months, and that up to 20,000 civilians remain trapped inside. Another family, squatting in a home in the city's western outskirts, described their escape by boat across the Euphrates River that runs south of the city several weeks ago, after the final assault in a months-old offensive to seize Raqqa from IS began. "The whole neighborhood decided to flee together, I'm talking hundreds of people," Abdul Hassan Ibrahim said in Sbahiya neighborhood. "Many got into boats or swam across the river -- we were 10 in a small boat, and had to cling onto the sides and duck underwater to avoid the bullets" being fired by militants, he said. His 10-year-old son imitated the whizzing sound the rounds had made as they shot over the boat.