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 Kanaaz Pereira, Connect Moderator @kanaazpereira

Hi @onaquest @flguy @carcar,

A redundant colon is an abnormally long colon, especially in the final section (called descending colon). A redundant colon also has additional loops or twists. Other names for a redundant colon include tortuous colon or elongated colon. https://www.healthline.com/health/redundant-colon
I’m tagging @darlia and @rsinger22 who've written about redundant colon, and they may be able to share their experiences.

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Hi Kanaaz, I'm new to this website and would like to introduce myself to everyone. Thought replying to you, the moderator, would be the best way. I was just told I have a redundant/fixed colon. Didn't surprise me much as I've suffered with IBS-C, dairy and gluten allergies all of my life. I've been through so many doctors and so many different opinions on what to eat, what not to eat and what drugs or supplements to take that it makes my head spin. This seems like such a great forum to discuss what works for you with others. The one solution I see most often commented on here is to take MiraLax everyday. That alone did not work for me. In combination with 2 stool softners every evening (taking the MiraLax in the am) worked to have a BM, but left me gassy and very bloated. Sadly, not good enough. I am currently working with a Nutritionist who is taking things very slowly, step by step to find a solution other than expensive drugs that cause massive side effects. Anyone out there try Linsess or Amitiza yet? If your thinking about it read the reviews!!! Stopped me dead in my tracks! I've been told this is my only solution short of surgery ever since they put this on the market. I refused to believe that. I'm tired of having to be home because my gut is so bad. I'm either bloated and can't wear my pants or I'm in pain and can't enjoy going out to dinner.
Currently, I'm trying keeping a food and liquid intake diary. Trying to increase liquid intake to at least 60 oz. a day. Helps to keep track. I've been told the Fodmap diet would not work for me. I'm currently trying low fiber because fiber makes me bloat. But here is the biggest experiment. 2 Stool softeners every night with 1-500mg Magnesium citrate tab. It's only been a week, but it's been a GOOD week! Some bloating, a bit gassy once in awhile but for the most part I can go every day and I'm not talking "nuggets" here!

If anyone out there would like to discuss issues and what's worked for them I'd love to hear it. I've struggled with constipation since I was 13 (that I remember being bad) I'm so tired of not being able to wear my clothes, the "HELP" I need sweat pants days. Of not being able to enjoy "relationship" time with my husband because I have a gut ache and feel "FAT".... I weigh 100lbs. :o(
I can't gain weight because I feel so full (bloated) I can't eat much. Trying to enjoy a vacation and worrying about how will I eat, what reaction will I have. Will I be stuck in a hotel room all bloated and gassy and can't go.

Ok...so I've vented. Anyone else ? Thanks and hope to hear from you all!!! Lets find solutions together!

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Profile picture for Kanaaz Pereira, Connect Moderator @kanaazpereira

Hi @onaquest @flguy @carcar,

A redundant colon is an abnormally long colon, especially in the final section (called descending colon). A redundant colon also has additional loops or twists. Other names for a redundant colon include tortuous colon or elongated colon. https://www.healthline.com/health/redundant-colon
I’m tagging @darlia and @rsinger22 who've written about redundant colon, and they may be able to share their experiences.

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Greetings Kanaaz-
I was scanning info on the Mayo connect and saw that you had tagged me two yrs ago! I've not been keeping up with this for that long either. So I was diagnosed with TORTUROUS colon in 2016, but didn't start to know I needed to ADDRESS it until like today
In researching..I see that I need to research this more
Any help is welcome!
Darlia

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Profile picture for Colleen Young, Connect Director @colleenyoung

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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A gastroenterologist recommended long term daily use of Miralax along with psyllium (Metamucil) once a day to manage my IBS-C. I do not think this is uncommon.

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Profile picture for tlisaberry @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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Profile picture for tracy430 @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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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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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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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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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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Profile picture for tracy430 @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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Profile picture for jethomas82 @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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Profile picture for nancy2020 @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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