Anyone else have a Redundant / Tortuous Colon?

Posted by onaquest @onaquest, Nov 7, 2018

Hello. Anyone else out there that has a redundant/ tortured colon? I was diagnosed with this a few years ago. I’m usually ok, but if I get constipated, I get sick for a week or two. Last year my gastroenterologist referred me to a surgeon for urgent surgery to remove some of my colon. The surgeon I ended up seeing (not on the recommended list by my gastro doc due to others not available for a long time) said he believed I could live with the redundant colon if I followed a low FODMAP diet. I tried the diet religiously, scientifically (I’m a scientist), and I found it’s not the food I eat that causes these bouts of constipation. The only item I’ve found that might cause the bouts is coffee every day. An occasional coffee seems fine. What has helped me stay regular in a big way is Benefiber (or any pure wheat dextrose generic) three times per day. Lots of fluid.

My gastro doc was upset with the surgeon and said I’d regret not having the surgery. He fears I will end up in an emergency situation. I have searched the Mayo site and don’t find anything about redundant/ tortured colon. Are any Mayo docs doing research or treat this condition? Anyone else suffer from this too?
Thank you! -Jayne

Interested in more discussions like this? Go to the Digestive Health Support Group.

This year in May, as an older woman with non-cardiac chest pain and constipation problems, I started a new journey to rule out acute liver problems and to treat constipation. With a gastroenterology referral, after EGD and colon scopes, the group decided that the non-cardiac chest pain was probably a bile duct blockage and that the constipation and fecal incontinence would improve with pelvic floor physical therapy. Adding Psyillium in capsules, and re-starting yogurt has improved my health as well as exercises and new ways of managing incontinence of the urinary tract system as well as fecal incontinence. Keeping up the exercise routine is difficult for me, especially with our 2020 pandemic limiting my usual recreational exercises.I do recommend pelvic floor therapy for us older folks with less exercise than ever before. Hoping for a safe effective anti-Covid-19 vaccine soon.

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@ceclark41

This year in May, as an older woman with non-cardiac chest pain and constipation problems, I started a new journey to rule out acute liver problems and to treat constipation. With a gastroenterology referral, after EGD and colon scopes, the group decided that the non-cardiac chest pain was probably a bile duct blockage and that the constipation and fecal incontinence would improve with pelvic floor physical therapy. Adding Psyillium in capsules, and re-starting yogurt has improved my health as well as exercises and new ways of managing incontinence of the urinary tract system as well as fecal incontinence. Keeping up the exercise routine is difficult for me, especially with our 2020 pandemic limiting my usual recreational exercises.I do recommend pelvic floor therapy for us older folks with less exercise than ever before. Hoping for a safe effective anti-Covid-19 vaccine soon.

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Hello @ceclark41,

I appreciate your posting about the different products and methods that you have used to help you with constipation and incontinence. I was especially interested in your discussion on the value of pelvic floor therapy.

I would appreciate a little more information about pelvic floor therapy. Would you be able to share a little about the exercises that helped you? Were they breathing exercises or perhaps stretching exercises?

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@hopeful33250

Hello @ceclark41,

I appreciate your posting about the different products and methods that you have used to help you with constipation and incontinence. I was especially interested in your discussion on the value of pelvic floor therapy.

I would appreciate a little more information about pelvic floor therapy. Would you be able to share a little about the exercises that helped you? Were they breathing exercises or perhaps stretching exercises?

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My gastroenterology clinic referred me to a specialized physical therapy by Fyzical, a nationwide clinic chain, for pelvic floor therapy for fecal incontinence. Therapy for urinary incontinence was added. With introductory education about bladder and bowel function, I recorded a 3 day log of voiding and bowel function. Learning to manage urinary urgency and bowel control, the therapist provided five basic pelvic floor contraction exercises to strengthen the muscles and reflexes, and then three lower trunk strengthening exercises with bridging, clam shell, and inner thigh muscle contraction. My challenge is doing 2-3 sets of exercises. With some cardiac surgery, I had a setback, and have an extra month of strengthening.

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@nancy2020

@lesliedenny I have experienced similar symptoms like yours for years with no diagnoses. After days of constipations, I pass out and when I regain consciousness I am drenched in cold sweats and the worse part is that I know that I am about to pass out! I dread these attacks. I have been on high fibre diet, drink a more of water, more than 8x8oz water every day and follow vegetarian diet. I wish there was some treatment to end this suffering!

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@nancy2020, passing out and knowing you're about to pass out sounds dreadful. Have the measures you've been taking - high fiber diet, drinking more water and a vegetarian diet - helped?

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@jethomas82

Oops, I meant to post this reply to the explanation of the torturous vs redundant colon above. I don’t know how to move it, please forgive me for any confusion this caused.

Hello,

Most of what you said is right but I have one little correction to clarify things (based on what my GI doctor told me).

I have a torturous colon and was told that it means that my colon has many more bends/turns in it than a “normal” colon. A redundant colon has many more loops. Both of these are the result of the body packing a longer tube than normal into the space a “normal” colon would fit.

Twisting of the colon in either condition is a medical emergency, whereas I can live with a torturous colon everyday (although I wish I didn’t have to because mine is symptomatic).

Also in reply to the op, I have not had surgery yet, although I eagerly would if my finances were better. I have tried so many things to relieve pain, discomfort, and distention; including starting from an extremely simple diet recommended by my GI and slowly adding different foods to find my triggers. We’ve added fiber, removed fiber. Greatly increased my water intake, when it started off better than normal. Plus a laundry list of medicines. The only progress we’ve made is to give me horrible diarrhea when the pressure in my abdomen becomes too great (I’ve suffered from chronic constipation my whole life). My GI worries I may have a rupture too but until my circumstance change, we do what we can. I don’t know if that helps but if I were you, I would get a second opinion from another surgeon (although if you’ve never had abdominal surgery, just be aware that hernias may become another problem you may have to deal with after).

Well wish & good luck.

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I use smooth move tea, 5.00 at walmart. Works every time. I use it weekly. Its the only thing that has ever worked. I literally do not go number 2 for probably 10-12 days. Ibs c is no joke, its not fun, it's painful. Try the tea, tastes great. Follow the directions n do it the night before u have a day off.

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@tracy430

I recently had colon resection for diverticulitis. Since then, I have no urge to have a bowel movement unless I take Linzess and Milk of Magnesia. My surgeon disregards my concerns and I'm terrified that if these things stop working, I'm going to end up in the ER. I've lost a lot of weight and I didn't have a lot to lose. I drink a lot of water. I try adding more fruits and vegetables. Nothing works. I have zero motility. At times I'll get bloated to the point that I don't want to eat and need to take Gas-X, but honestly, this is no way to live. This surgery was supposed to "give me my life back". It hasn't.

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I also had diverticulitis and a perforated colon, and ended up with a poop bag for six months, then had the surgery reversed, removing the remaining sigmoid colon. I’ve had chronic constipation since then, with three partial blockages. The last blockage they did a barium enema which showed a twisted and flipped portion of colon, which the enema actually helped clear. Still constipated, but even 1/2 dose gives me awful diarrhea, I cannot make it to the bathroom in time, even if the bathroom is just a few steps away. I cannot find a happy medium. I want so badly to understand why my body doesn’t work quite right anymore and how to best treat it, but I can’t find any answers. I do know that a nerve was cut during the first surgery that the surgeon at Mayo repaired as best he could. I also know a muscle atrophied (is that the right word?) while it wasn’t being used, and I’m wondering if that is part of the problem?

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@lesliedenny

I was just diagnosed after a painful colonoscopy. Unfortunately, the doctor didn’t stop to talk aboutit so I am doing my own research. For the last several years, since my last coloscopy, I have had episodes where I cannot relieve myself then it feels like I am going to pass out, followed by a drop in blood pressure with cold sweats. These episodes take up to 30 minutes to finish and I have to lie down afterward. I am wondering if they are related. I certainly appreciate everyone’s experience and input.

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Helli @lesliedenny. Your experience sounds very similar to mine. For months, I have had 5 to 7 times of diarrhea every morning, with bouts of constipation in between. Every 5 or 6 weeks, I would start to blackout, always while on the toilet. Since I live in a seniors' residence, staff always attended once I pressed my neck alert, and an ambulance was called for. The medics always made the decision to take me to E.R. due to my vitals readings. In the last 2 E.R. visits I had both a CT scan with contrast and an MRI, which my new GI showed me images of on my 1st appointment with him. I clearly saw 2 large obstructions in one image and 3 in the other. He advised me to drink 2 litres of water, 1 tsp. Metamucil daily, and Lax-a-Day daily. Also ordered lab work. I followed his advice for 6 weeks and found I began to feel better, less diarrhea, no blackout incidents, etc. I was advised to continue that regime, cutting Metamucil to 1/2 tsp. daily and Lax-a-Day every other day. It's been tricky to manage the ups and downs of the bowel, but an improvement. A second Fecal Protectin test this week showed an Alert Symbol beside the reading of 9.4, indicating inflammation. The GI is scheduled to phone me January 21. He told me earlier that I might need a colonoscopy but that it's risky for me due to my various health issues. I have a history of mouth sores and this past 2 weeks have a painful outbreak of sores. I've read this could be a symptom of Crohns, which the G.I. is investigating me for. Good news is that I've had no more blackouts since starting my GI's regime. I really believe in drinking the 2 litres of water daily. I'm waiting anxiously to hear from my GI on the 21st.

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@lesliedenny

I was just diagnosed after a painful colonoscopy. Unfortunately, the doctor didn’t stop to talk aboutit so I am doing my own research. For the last several years, since my last coloscopy, I have had episodes where I cannot relieve myself then it feels like I am going to pass out, followed by a drop in blood pressure with cold sweats. These episodes take up to 30 minutes to finish and I have to lie down afterward. I am wondering if they are related. I certainly appreciate everyone’s experience and input.

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You are not alone! I’ve had several terrible bouts of almost fainting while needing/trying to go to the bathroom. When I feel it coming on, I lie down on the bathroom floor and put my legs up on the toilet/wall. This is to raise my blood pressure. If there is time, I will put down a towel, but germs are nothing when you feel like you are going to die. After reading about twisted/obstructed colon, I’ve scheduled an appointment with my specialist. I was diagnosed with redundant/tortuous colon two years ago. The doctor used a pediatric scope and still could not complete the procedure. I’m ready to give up food. I want my life back!

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@tracy430

Miralax does not work for me or maybe I'm not patient enough to wait 4 days for it to work. I take Linzess and Milk of Magnesia when that doesn't work as well.

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My colon specialist advised me to take 2 caps of MiraLax twice each day. I think my mistake has been to wait until I am constipated to take meds. If you have motility issues, you really need it as a preventative.

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@tlisaberry

My colon specialist advised me to take 2 caps of MiraLax twice each day. I think my mistake has been to wait until I am constipated to take meds. If you have motility issues, you really need it as a preventative.

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Welcome, @tlisaberry. I read either in this discussion or in another discussion that some members are concerned about long term usage of MiraLAX. My understanding is that it is an over-the-counter product that's typically used to treat short-term constipation. Do you use it for short periods of time?

I'm glad you have an appointment coming up soon with a specialist about your fainting bouts and low blood pressure when you have the need/urge to empty your bowels. Do you normally have low blood pressure?

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