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.

@seasalted

Hello all .... I just joined Mayo Clinic Connect. It is my latest grasp at getting information and help with my tortuous colon condition, which has plagued me for 40 of my 54 years. I was diagnosed with tortuous colon in 2012, and had a bunch of tests performed on me which ruled out celiac, Crohn's, gluten allergy, and other stuff. I have some food sensitivities, but essentially all my GI problems are due to my tortuous colon. Basically I am constipated 24/7/365 because my colon is a long and winding road from which nothing emerges at the end without some sort of intervention. In the very best of scenarios, usually with the help of coffee after strenuous exercise, I go once a week, two at most. I start out each day feeling OK, but as the day goes on and as I ingest food, I feel worse and worse with the bloating, gas, and general feeling that I am carrying around a cantaloupe in my abdomen. I am a relatively small person, but my stomach area feels disproportionately big because of my tortuous colon and the stuff in it that I carry around from not being able to ditch it like a normal person. My gut feels best when I don't eat (except for that hunger thing). I relate to @sher71 and probably a lot of others in this. I drink lots of water, exercise every day, and eat as much fiber as I can. So my condition would be even worse if I didn't do these things.

From reading the many posts in this thread, I see that a tortuous colon is not as rare as I thought it is. I feel better at the thought of being able to talk to people about this, people who know what it is like to have to live with this. People who have been told (e.g. @scottisfull), as I have been told, that a tortuous colon is not a big deal and can be totally managed by more fiber, water and exercise. People who know this is not true.

In the last couple of days of reading this thread, I have gotten some ideas that I will try, and just for that I am already very happy and grateful. I learned that there are many like me who have to take 3 or 4 doses of Miralax per day in order for it to do anything. Or, take other stuff, natural and otherwise, to coax the colon to wake up and do something. I relate to those like @lasirvent and @dianecostella who have one thing (or nothing) that works for them.

I started thinking the only solution for me is to take out the extra loops and twists and lengths of my colon in order to get better. Looks like some folks like @thellman and @emma83916 are also thinking about this, and some, like @ellemorgan and @kathyoung, have had it done. I would love to discuss further.

Happy New Year to everyone and I wish all a 2022 with a better stomach.

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You described this (our) condition VERY well! And yes, I have suffered with this all my 70 years of living. Then I came down with C-diff from an antibiotic, Clyndamycin, prescribed by my dentist for an oral infection. I almost died, my husband tells me. I felt like I was going to. That will be one year ago this coming February. In the course of recovery from that AND dealing with my tortuous intestine, someone recommended Prunelax to me on this site. It took some adjustment time but it is working well, or a heck of a lot better, than anything else I've tried! i'm very sensitive to routine and times like the holidays, running around, different schedule than normal, can throw me back into the constipation and misery of it all. That just happened. So I had to take some Bisacodyl to clean out the system and start over again. If this regimen continues to work for me, which I pray it will, I can live with that and would prefer that over surgery. I hope that you can find a regimen also and use surgery as a very last resort. But I do know people that have had portions of their colon removed and they are just fine. So I hope you find what works best for you. Happy New Year! Jacque

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I also tried Prunelax after seeing it mentioned here and it helps.

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@aethos

I also tried Prunelax after seeing it mentioned here and it helps.

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I'm glad to hear this. I still find that I'm "tempermental" and some days it works better than others. Oh,... to just find something that works ALL the time and everytime!

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@thellman

Talk to your doctor about Motegrity. It has been a lifesaver for me. I finally fired my GI doctor and went to a new on 3 hours away that was highly recommended from a friend. He prescribed thus fairly new drug that my previous Dr. or 3 surgeons that I talked to weren't aware of. After 2 days on this medicine I have been going everyday. It. Has been a life changed. Good luck and don't be afraid to get a second opinion.

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My doctor had me try Motegrity.
I could not function while taking it.
I cramped all day and night for about a week. I had to go back to Linzess.

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@ellemorgan

A subtotal colectomy is a big decision but, I’ve never regretted it. While there are adjustments-as one would expect, they don’t compare to many decades of hospitalisations & surgeries needed to resolve bowel obstructions. I’ll be glad to answer any questions you may have!

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Thank you for responding to me! I was going to ask you what finally convinced you to have surgery, but I think you have partially answered that question already -- I am sorry to hear that you went through hospitalizations for bowel obstructions for such a long time, actually had to go through that at all. I guess that means you had already tried the usual pharmaceuticals, herbal supplements, and various treatments to no avail. I would totally have made the same decision. May I ask how much of your colon was removed, and how difficult the recovery/adjustment was? Did a partial colectomy require significant changes in your diet or lifestyle for the long term? Are you "cured" or do you still battle colon issues of a different sort? Sorry for all the questions!

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@thellman

Talk to your doctor about Motegrity. It has been a lifesaver for me. I finally fired my GI doctor and went to a new on 3 hours away that was highly recommended from a friend. He prescribed thus fairly new drug that my previous Dr. or 3 surgeons that I talked to weren't aware of. After 2 days on this medicine I have been going everyday. It. Has been a life changed. Good luck and don't be afraid to get a second opinion.

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Thank you so much for this tip. I will keep it in my mental list of additional things to try when the others before it have not worked! It's very encouraging that it works for you when nothing else didl 🙂

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@lasirvent

I’ve had chronic constipation most my life but then add in a rare vascular compression that also affects my digestive system. It’s been a constant battle. I haven’t helped my tortuous colon by having to strain when going. I finally found something that works. It’s called Lactulose. It’s a prescription syrup and it hasn’t failed me yet. I have tried everything else but so far this hasn’t failed even after using it for 8 months. I only take it if I don’t go for 2 days. I have found that if I keep a handle on it and not let it go for more than three days it works better. I had a G.I. doctor tell me what you have a tortuous colon, you’ll never not have chronic constipation. I’ll show her!!

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It's encouraging to hear there is something out there that works for tortuous colon peeps like us. Good for you that you keep up the good fight! This along with Motegrity is in my back pocket of options. Thank you for sharing your experience with Lactulouse.

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@euqcaj

You described this (our) condition VERY well! And yes, I have suffered with this all my 70 years of living. Then I came down with C-diff from an antibiotic, Clyndamycin, prescribed by my dentist for an oral infection. I almost died, my husband tells me. I felt like I was going to. That will be one year ago this coming February. In the course of recovery from that AND dealing with my tortuous intestine, someone recommended Prunelax to me on this site. It took some adjustment time but it is working well, or a heck of a lot better, than anything else I've tried! i'm very sensitive to routine and times like the holidays, running around, different schedule than normal, can throw me back into the constipation and misery of it all. That just happened. So I had to take some Bisacodyl to clean out the system and start over again. If this regimen continues to work for me, which I pray it will, I can live with that and would prefer that over surgery. I hope that you can find a regimen also and use surgery as a very last resort. But I do know people that have had portions of their colon removed and they are just fine. So I hope you find what works best for you. Happy New Year! Jacque

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Thank you for your response to my post and for sharing your experiences in the past year. I am so sorry to hear about your C-diff and the near-death aspect of it. That and getting thrown off routine and dietary habits are certainly more than enough to get even a normal colon completely discombobulated. I'm happy to hear Prunelax works so well for you, in fact, I ordered some based on your descriptions of how well it works for you. Like you, I am aiming for improved quality of life without surgery if at all possible. Good gut health to all of us in 2022!

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I had about a foot of my colon removed close to two years ago. The mass was not malignant so chemo/radiation were not required. I expected to have digestion issues for a while but am still having excessive, sometimes painful, gas (and sometimes diarrhea and very occasionally constipation) after eating many healthy foods, particularly fruits, vegetables, seeds (pumpkin, sunflower, sesame), legumes (beans, hummus, peanut butter), cheese, eggs, and spicy foods of all kinds. This eliminates the majority of what I have always eaten and prefer to eat. I've tried moving more toward cooked fruits and vegetables rather than raw which seems to help a bit, depending on which fruits or vegetables. I've experimented with probiotic supplements which made things worse. I've tried adding small amounts of probiotic foods such as kefir, kombucha, or probiotic sauerkraut daily while following an ayurvedic diet. The kefir seems to do fine, but the sauerkraut and kombucha sometimes irritate. The problem is especially uncomfortable at night when I am lying down (this is also after my main meal of the day usually). The only foods that seem to be consistently benign are oats, rice, salmon, roasted chicken, potatoes, cooked carrots, blueberries, mango, and homemade granola (made with oats, ground nuts, coconut oil, and a small amount of maple syrup). I'd like to know what other foods would be particularly easy to digest and how/when to reintroduce my favorite foods (fruits/vegetables of all varieties, nuts/seeds, possibly beans...) Thank you!

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@chenry44

I had about a foot of my colon removed close to two years ago. The mass was not malignant so chemo/radiation were not required. I expected to have digestion issues for a while but am still having excessive, sometimes painful, gas (and sometimes diarrhea and very occasionally constipation) after eating many healthy foods, particularly fruits, vegetables, seeds (pumpkin, sunflower, sesame), legumes (beans, hummus, peanut butter), cheese, eggs, and spicy foods of all kinds. This eliminates the majority of what I have always eaten and prefer to eat. I've tried moving more toward cooked fruits and vegetables rather than raw which seems to help a bit, depending on which fruits or vegetables. I've experimented with probiotic supplements which made things worse. I've tried adding small amounts of probiotic foods such as kefir, kombucha, or probiotic sauerkraut daily while following an ayurvedic diet. The kefir seems to do fine, but the sauerkraut and kombucha sometimes irritate. The problem is especially uncomfortable at night when I am lying down (this is also after my main meal of the day usually). The only foods that seem to be consistently benign are oats, rice, salmon, roasted chicken, potatoes, cooked carrots, blueberries, mango, and homemade granola (made with oats, ground nuts, coconut oil, and a small amount of maple syrup). I'd like to know what other foods would be particularly easy to digest and how/when to reintroduce my favorite foods (fruits/vegetables of all varieties, nuts/seeds, possibly beans...) Thank you!

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Hi @chenry44 and welcome to Mayo Clinic Connect. Sounds like you are having a difficult time after your colon removal. You will see that I moved your post to a discussion that talks about the struggles and symptoms you are having. I did this so that you can connect with other members like @seasalted, @brendaharvey, and @euqcaj

Have you had a chance to talk with your medical team about the possibility of introducing new foods and what is normal?

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