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

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Profile picture for lesliedenny @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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I have noticed...not so recently, most Dr.s, after they’ve done they’re “procedure”, given your findings, they are out of the picture. There is NO CONTINUITY in care anymore. I have done more research than I care to think about. Too many problems, too many solutions, too many topics! I thought that’s what Drs were for.

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Profile picture for sue225 @sue225

I have had irritable bowel-C for over 40 years. In the last three years and a half years the constipation has become severe. Up until then, I rarely used laxatives (could count on one hand, the # of times) One gastroenterologist recommended the fodmap diet, (so restrictive and I am already restricted as a celiac) metamucil and miralax twice a day. That seemed to alleviate the constipation but all that miralax and metamucil aggravated my irritable bowel. That same gastroenterologist said in his report "her bowel will just have to get used to it": it didn't) In the last three years, I have also gone from being on no medications to three: metoprolol, prolia and repatha (evoculomab injection). One or more of these drugs has made the constipation worse.
Recently, I stopped using Miralax. It no longer seems as effective and was giving me daily lower abdominal cramping to the point where some days it was uncomfortable to walk. So much gas and terrible bloating. (Interesting how all of its advertising says no bloating, no cramping) Then, I tried milk of magnesia and it works but the cramping for me was beyond tolerable. So, a few nights ago, I tried two senokot and that worked without cramping but I'm sure if I use it daily it will be the same issue. Lizness gave me abdominal pain and bloating.
Over the years, I have taken probiotics but didnt see a difference.
My last colonscopy was 9 years ago (CT colonography and sigmoidoscopy about 3 years ago--one nonserious polyp)and it showed a "long and twisty colon".
I am waiting for my gastroenterologist appt next month. Actually beginning to wonder if there is a solution. Prucalopride called Resotran was suggested, (believe that helps with motility). However, I have an arrythmia that is now well-controlled and Health Canada has a warning saying proceed with caution re resotran if you have those problems and the drug safety clinic could not assure me it would be safe. I really do believe it is the medications that have made the IBS-C worse. That's the thing with modern medicine. The drugs fix one problem and often create some new condition (from side effects) that then needs to be treated.

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I’ve been having colonoscopies at least as far back as 2010, (family history). I NOW since ‘18 have long, torturous colon. Had ERCP & MRCP for dilated bile duct. Just had 1st anorectal manometry...so not only do I have “IBS-C, diverticulitis, restricted mobility of colon, I have type 1 dyssynergia?!!! I’m so sick of all this. I have had diarrhea my whole life, now I can’t go at all. Just a hip revision surgery 11-20. Had original hip in 2004. When I went to Orthopedic surgeon, the 1st thing they did was test blood for metal ions. Of course it was positive. I thought maybe all my issues stemmed from that. At this point, I guess I may never know. I drink dinner (protein drinks), would rather not eat anything solid BC the pain is absolutely unbearable & I can take a lot. But this is ridiculous. I’ve thought quite seriously about killing myself, especially when my blood must’ve been thick w/ metal ions. I really think I was being poisoned...mostly mentally. After rev. All the suicidal thoughts have diminished. But my stomach is....shot, for loss of a better term

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Thanks for this! I have added brussels sprouts, broccoli, green beans, but not yet celery or asparagus. Will do. I drink plenty of water, eat veggies and fruits AND I exercise, so I think I have a combo of motility and length/redundancy of the racetrack.

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@pacificnw The way I can eat Celery, Asparagus, and Kale is to chop into chunks no longer that 1/2"... Kale I chop well and even resort to the food processor.. to get the vitamins and all ... Kale with poached pears are great.. ...I like Aparagus and Celery crunchy so steamed very little..

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LONG FIBER VEGES IS THE KEY!

I haven't seen this suggestion in this thread. I've had problems with constipation since I was a kid, but heard the phrase "tortuous colon" for the first time when I turned 50 yrs. old and had my first colonoscopy. What works for me is vegetables with long fibers - especially celery (raw) and asparagus (lightly cooked). The asparagus is the best. I've made it a mainstay of my diet. I cook it different ways to keep it interesting, although lightly roasting it in a 375 degree oven for about 10-13 minutes (depending on thickness of the vegetable) works best for me. I season it with garlic and herbs. I also think kale has long fibers, but I haven't found a decent way to prepare that vege. Asparagus is a great vege and it provides lots of health benefits beyond the fiber - so it's a great addition to any diet. Also, like many have said here - lots of water all day long.

In my opinion, eating celery (great with lunch - add some carrots!) and asparagus is a natural way to help your colon move things along without completely changing your diet. I love food as much as the next person, but don't want to have a special diet that interferes with my life. I stay active (walking, hiking, strength training), drink a good amount of water and use "outside help" (i.e., laxatives) only when absolutely needed.

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Profile picture for lesliedenny @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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Almost exact same experience, doctor did not talk to me after colonoscopy, but I read the summary of the colonoscopy and it said the sigmoid colon significantly tortuous,did research and now I know why I have the occasional issues like you stated , severe cramping diarrhea, cold sweats, and it lasts for close to an hour, then I am somewhat exhausted after, but then the rest of the day is normal. My doctor does want to have a follow up appointment. I see your post is from three years ago. How are you doing now?

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Profile picture for C Elizabeth Clark @ceclark41

Thanks for the nifty image of your colon! I have had esophagrams which seem to show a tortuous esophagus. Many in my family as well as myself, have tortuous blood vessels. My femoral arteries, the usual route for cardiac catherization tools to get to the heart, are described as tortuous. Being old at 79, I have more fecal incontinence as well as urinary frequency. Pelvic Floor Therapy with wise counselling by a specialty therapist was very helpful. I now use three Kirkland fiber capsules at night, at least one Medjool date (what a treat) a day, and hope to increase my fresh vegetables and fruits as we welcome Pacific Northwest Springtime garden foods. The National Institutes of Health has a rare condition website with more information about Tortuosity syndromes. Each condition webpage has a reference to an information specialist who can provide more recent information: https://rarediseases.info.nih.gov/diseases/774/arterial-tortuosity-syndrome

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Thank you for this!

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Thanks for the nifty image of your colon! I have had esophagrams which seem to show a tortuous esophagus. Many in my family as well as myself, have tortuous blood vessels. My femoral arteries, the usual route for cardiac catherization tools to get to the heart, are described as tortuous. Being old at 79, I have more fecal incontinence as well as urinary frequency. Pelvic Floor Therapy with wise counselling by a specialty therapist was very helpful. I now use three Kirkland fiber capsules at night, at least one Medjool date (what a treat) a day, and hope to increase my fresh vegetables and fruits as we welcome Pacific Northwest Springtime garden foods. The National Institutes of Health has a rare condition website with more information about Tortuosity syndromes. Each condition webpage has a reference to an information specialist who can provide more recent information: https://rarediseases.info.nih.gov/diseases/774/arterial-tortuosity-syndrome

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Profile picture for nixbroome @nixbroome

What a great response. I'm going to try all your suggestions!

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Hi @nixbroome, and welcome to Mayo Clinic Connect. You came to a great place to get answers. I am sorry you have been dealing with this for so long. How have you handled treatment in the past before you were diagnosed? Are you referring to the FODMAP diet? Here is a great video on Connect about that specific diet and how to navigate it.
https://connect.mayoclinic.org/page/gastroenterology-and-gi-surgery/newsfeed-post/a-map-for-the-fodmap-diet/

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Profile picture for sher71 @sher71

Hi Judy, I too have just recently been diagnosed with Redundant, Fixed, Ridged colon. I requested a consult with a nutritionist and that has given me even more questions! I've been searching the web for different solutions to constipation and found a lot of different approaches. I don't have diverticulitis so your probably much different from me. I have horrible constipation and never get "the runs". I recently got a book called "what the heck should I eat" and am reading it now. It's not directly addressing my issues but it is VERY informative. I recommend it. I too had lost a lot of weight, was down to 98 lbs. (5'2") :o( But of course, my gut was bloated and "angry" so I looked about 3 months pregnant. YUK. The bloating, not being able to get rid of gas, and not pooping were driving me crazy. I just want to feel normal. It certainly makes it hard to do anything in a social setting and 'romance' has been out of the question. I'd love my life back! I feel best when I don't eat. You too? Ok, so things I'm doing to try to help myself. First, water. LOTS of water. I fill a jug with the ounces marked on it every morning and that makes it easy to track how much I've had for the day. My goal is 60 oz. (more than 1/2 my weight in oz.) I started a food journal, keeping track of everything I eat and drink. I make side notes if I feel gassy or bloaty after I eat that food. I write if I had a BM that day or not and the consistency. I am trying 2 stool softeners and 1 500mg Magnesium every night and eating a low fiber diet. I need to get back to walking everyday, which I've skipped because I felt so bad. But even if you feel bad the walk makes you feel better. It's winter here and icy and cold! So I just purchased a treadmill. Hoping that makes a difference as well. Don't ever feel like your Dr.'s office is getting tired of you. You are your own advocate! You need to keep asking and get referrals if they can't help. I'm finding that most Dr.'s don't deal with this well. Let me know if you want to chat or have questions. We're all in this together. Hope this was helpful. Sometimes its just nice to know your not alone. :o) Sherrie (Pete is my nick name)

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What a great response. I'm going to try all your suggestions!

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