Severe Tortuous & Redundant Colon

Posted by julsnealey @julsnealey, Apr 10 11:41am

I had a colonoscopy for symptoms of unexpected weight loss, severe pain, bloating, early satiety and chronic vomiting with bowel movements. I have had these symptoms for years (15), but they have increased in frequency and severity. The doctor discovered severe tortuosity and redundant colon. He said he had to get help in moving the scope through manually the very tight turns and twists. My question is: What medications have proven successful to management? Best diet? Doctor said it was so bad that surgery may be the best course of action, but they try and avoid that for obvious reasons. Anyone have a success story?

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@shelleyw

OMG!!! Have you sued your doctors yet?!! I am so sorry about your cancer and the treatment. You mentioned your muscle changes. I have been learning how they affect our BM's. I have smooth muscle weakness, almost no intestinal muscle movement. Mine is @ least somewhat caused from my HPTH and elevated calcium levels, for 5-7 yrs. My parathyroid glands are whacko, pushing calcium into my body when I don't need it. So, I have to have 3 1/2 of my parathyroid glands removed. No doctor ever mentioned anything about this to me and I should have been monitored for this since my celiac diagnosis. I have had CIC for 17 years. Small bowel partial blockages, 3 blockages in anus that required "digital removal ", with my finger. Been on every drug. My GI was terrific for my endoscopy that shocked me with a Celiac Disease diagnosis, I was and am asymptomatic. But when his narcissistic arrogant way of treatment was not working, he literally quit taking my calls/emails. For me, I eat a very very bland diet with little solid foods, drink meal replacement shakes (my daughter has issues too, she did all the research, so I trust the shakes). I use 3-6 capfuls of miralax to keep my 💩 runny mush-diarrhea. I was using Metamucil fiber daily, but it just makes me stopped up. I use it now, only 1-3x week, with extra miralax. I understand the pressure pain, it's terrible. It ranks up there with childbirth. Mine is usually air pressure, different than gas. I run to the toilet thinking it's 💩💩‼️, but there's a horrendous explosion of air, maybe some poop specks. I have had X-rays standing and laying of my colon every few months for 10+ yrs, my colon always (except 1x) has a moderate to heavy fecal load. I hope my story might be of some help to you. For the burning part I immediately sit on a heating pad or get in a hot bath with little water. I have also gotten over my anxiety about putting LOTS of Vaseline or hemorrhoid cream , with glove on, up my bum.

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Thank you. It is comforting to know that I am not alone in my suffering.

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@emstorm

I'm reading a lot of good info on this site. I had a failed colooscopy, 2 failed barium enema procedures, severe rectal bleeding, failed rectal endoscopy, repeated endoscopy with mini-equipment and was then found to have tortuous colon (duh!). A prescribed high fiber diet resulted in more misery, 15 or more BM's a day. Carried a bedpan in the car which I used frequently. Had emergency surgery for intestinal volulous and blockage. Prescribed liquid diet gave me burning acidic diarrhea. I previously had aggressive radiation for a vaginal cancer and my rectum was burned and the muscles are impaired, some overly strong, some very weak. Low fiber diet seems helps to minimaze BM's but get a lot of pressure/discomfort. Doctors say there is nothing they can do because of massive internal scar tissue/adhesions. Online diets are conflicted. I need help!!!!!

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Hmmm. I have a difficult gut and eat a lot of vegetable soups and hot cereals. I like lots of liquids (hot drinks, water), as I think they help move things through my extra long colon. Dense foods in smaller amounts or none, as they constipate. And a host of other limitations food-wise must be followed too as I ruined a "born with" sensitive gut with junk food for too many years due to youth and ignorance.

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I have basically the same issue—a colon that is twice as long as it should be and it’s severely twisted. I alternate between constipation and diarrhea. My GI doctor has not been able to guide me as to whether or not I should be eating low or high fiber food, which makes my condition even more stressful. Any relevant comments would be appreciated. I’m trying to avoid a Colectomy.
Thank you.

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@jsr04

I have basically the same issue—a colon that is twice as long as it should be and it’s severely twisted. I alternate between constipation and diarrhea. My GI doctor has not been able to guide me as to whether or not I should be eating low or high fiber food, which makes my condition even more stressful. Any relevant comments would be appreciated. I’m trying to avoid a Colectomy.
Thank you.

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I was told to go to a colorectal dr. , mostly cancer patients go to this type of dr.but I was told that they specialize in just the intestines.
Don't know if this is true or not cuz I have not checked it out yet.

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Are they different from GI doctors?

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@jsr04

Are they different from GI doctors?

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Apparently they are different. I was told by a doctor that the GI treats the entire GI TRACT, from esophagus to anus.
Where as the colorectal drs specifically treat the small and large intestines. The larger portion of their patients have intestinal/colon cancer. I have not followed up on it, for myself yet.

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@jsr04

I have basically the same issue—a colon that is twice as long as it should be and it’s severely twisted. I alternate between constipation and diarrhea. My GI doctor has not been able to guide me as to whether or not I should be eating low or high fiber food, which makes my condition even more stressful. Any relevant comments would be appreciated. I’m trying to avoid a Colectomy.
Thank you.

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I am so sorry. I know this conundrum well. I think I have tried everything. High fiber creates a very very painful and uncomfortable build up of gas as the twists and turns essentially stop all motility at that point and nothing gets through until days later it finally "unkinks" and I have a two-three day purge of diarrhea and vomiting. Then it starts all over again. Miralax does the same thing for me. I hope you find relief.

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@julsnealey

I am so sorry. I know this conundrum well. I think I have tried everything. High fiber creates a very very painful and uncomfortable build up of gas as the twists and turns essentially stop all motility at that point and nothing gets through until days later it finally "unkinks" and I have a two-three day purge of diarrhea and vomiting. Then it starts all over again. Miralax does the same thing for me. I hope you find relief.

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Does stress, even every day stress, matter at all? I am wondering why your gut "unkinks." I know with whatever is going on with my gut, I can feel kinked up and gassy and then I do a relaxing imagery routine and I can "feel" my gut unwinding.

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I don't know. I do have a lot of stress in my life on a day to day basis. Maybe I can try that. Thank you.

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@mrd

One surgeon indicated that my hemoglobin level is WNL with a GI bleed and I’m asymptomatic… but the wretched vomiting that I experienced was dismissed. The hiatal hernia is VERY uncomfortable now. And the belching I’ve experienced is difficult at times even with omeprozole bid. I’m being monitored also by a hematologist and I’d have to continue with iron infusions if needed. The many years of dealing with constipation contributed to the hernia. It’s pressing on my lungs and I’m asthmatic and wheezing and SOB occurs. The whole mess has robbed me of my quality of life. The 2nd surgeon didn’t see that ulcers were noted on the endoscopy and dismissed that the procedure was technically complex and difficult due to the abnormal anatomy of my upper GI. Hershey Medical Center is a 1/2 hour away and I’m in the Penn State Health System. Even went with a new PCP because the undiagnosed anemia began in early Fall of 2023. The pulmonologist I saw on 2/28/24 saved my life

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mrd, when you have the time and energy would you please clarify the following from your post:
1. What is SOB
2.your hiatal hernia, is pushing on your lungs. What does it feel like? What imaging showed the hernia pressing on your lungs?
3. Too difficult procedure: what procedure? What procedure and if you ignored the dr. , would you have this procedure? Second surgeon, what was your first surgery ?
4. How did your pulmonologist save your life?
5. Where are the ulcers? What do they feel like? Should they be removed?
6. Years of constipation...what caused this? Is it ok now?
7. How was your GI bleed caused and diagnosed? How can it be ignored?
I have many of the same issues: iron deficiency anemia and must use infusions, due to celiac disease severe damage in small intestines so malabsorption will be a problem forever, 17 years of CIC💩‼️, all GI treatments useless. I use miralax at high doses for many years (okay w/GI), to keep 💩 quite un-thick, thin mush to diarrhea. I know I asked a ton of questions.... I am getting nowhere. 17+ years of fighting, I have literally almost zero energy to keep up fighting. Thanx ShelleyW

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