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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After so many years of chronic constipation and severe gas and bloat and making lifestyle changes and begging for diagnostics, I had my first colonoscopy and found out I have a tortuous colon. It feels good to have an answer and I’m hopeful to connect with a specialist who appreciates how bad symptoms can be and wants to support a treatment plan for me. If anyone on here has specialists to recommend, whether they be for GI, dietetics, sleep therapy, pelvic floor therapy, mental health, or any others I’m not thinking of, I’d love to hear your recommendations. I also would love recommendations on resources. Hugs to all 💜

REPLY
@jack222

Hello Jayne,

I was diagnosed with a tortuous colon, earlier this year,
after many tests (to rule other things out), and *finally* a colonoscopy.
My doctor did not use the phrase "redundant".

My GI doctor recommended a low FODMAP diet,
five months before the procedure, and strongly reminded me after the colonoscopy,
that it was important to continue the diet.
So I might have been on the low FODMAP diet for a bit longer than you.

The worst part of the tortuous colon for me
was the pain part, as food travels through the gut.
That would keep me up at night, affecting sleep
so the next day's focus and productivity were affected.
I've lost weeks to this issue, too.
Also, with pain, if doctors suspect a mystery GI issue,
you have to be *very* careful with pain relievers.
(Ex. aspirin can worsen ulcers, etc. The Mayo clinic already has an article on this)
This is really important, until they can figure out the issue.

I *believe* the condition caused both sharp pains and dull aches,
for several years, which made diagnosis by my general practioner difficult.
Ultrasounds came up negative, but I think all doctors should do this,
to rule out other things. The pain wasn't that bad, at first, so I just tried
my best to ignore it.
As the pain got worse, and was making me miss a lot of work, in late 2018,
this was when I started really trying to get an answer why the pain was there.
I also had mild constipation, most days, in those months, but it doesn't sound like it was at the OP's level.

***The single most important thing my GI doctor has done,
was encourage me to see a psychiatrist.***
This was more important than even the diagnosis!

Because the psychiatrist prescribed an earlier type of drug,
called Amitriptyline. It's an antidepressant,
but it also attacks the enteric nervous system (the ENS, it's in your gut).
The first night I took it, I was knocked out for about 12 hours, (on a 25mg dose).
Later, my psychiatrist told me this was a *strong* reaction, to such a low dosage.
but the next morning, the pain level was halved (4-6/10 => 0-3/10), and more importantly,
the *areas* of pain shrunk down to ~70-90% of the original pain area.
Basically, I could function again, for most days of the week.
Enteric nervous system and amitriptyline, seriously, look them up.

I believe the best treatments could be related to
what caused the tortuous colon in the first place.
I have suffered from depression, anxiety, sleep issues, for many years,
but at this point, it's like the chicken and the egg.
Was the chronic pain the stressor to help cause the mental health and sleep issues
or was it the other way around?
I don't know, but I know Amitriptyline helped me get my life back.

Again, my constipation doesn't sound as bad as what you are going through, Jayne,
but I think with constipation, if the muscles in the gut
randomly tighten the wrong way around one (of our too many) bends in the colon,
this could cause hard-to-predict constipation or uneven absorption of water.
In theory, helping the nerves *around* the gut, from overfiring,
may help avoid as many muscles over-tightening, which could help reduce the chance
of constipation around the bends of a tortuous colon.
BUT I AM NOT A DOCTOR.

For the low FODMAP diet, or diet in general,
(or what happens after I put stuff in my mouth),
here are my thoughts:

---It is more important to eat *something* than to religiously follow such a
restrictive diet.
(Ex. Garlic and onions are not allowed in the diet,
but they are used in small concentrations in many seasonings in many foods).

So I'll eat food with *tiny* concentrations of unallowed ingredients,
not on the low FODMAP diet, in at least one meal of the day, as a cheat.
When I first started following this diet, I found I wasn't eating *enough*,
because I was so afraid of what I could *not* eat...
New food (with fiber) and water can help push the old food through,
so make sure you are eating enough to begin with. But still remember moderation.
My grandma was kinda right...

It's much better to think positively, about what you *can* eat, than what you can't.
So you can proactively find *more* meals to eat, for a more diverse diet.
To show you, I will first list what I regularly eat/drink, before the nono's:

------Fresh baby spinach leaves daily (*small* amount of leaves as a stabilizer, if necessary)
===>>> regulates amount of fiber (remember, not too little, not too much).
Keeping a paper towel inside the plastic box helps them last longer.
Also, the "fresh" part makes it easier to inspect the food, for bad leaves.
I bet some folks use kale, the same way. The dark leafy greens are healthy,
but some of the most difficult vegetables to clean effectively (i.e. remove pesticides or excess fertilizer (fertilizer which could still be poop)).

------Small daily amount of almonds or peanuts
===>>> I think *chewing* tough foods more thoroughly can help avoid pain, later on. Mechanical digesion, right?
But to be fair, I think some folks on the low FODMAP diet avoid nuts entirely, just to be careful. For me,
they are just too damn healthy to quit.

------Meat. A lot of meat is allowed on the low FODMAP diet.
I like baking fish or grilling chicken. No breading, of course, with this diet.

------Eggs

------Pedialyte or some electrolyte solution. Frequently.
===>>> I can't stress this one enough. Drinking water seemed to be the only
easy way to avoid pain, for me, for months. A colon with extra bends means
that water can get absorbed *too quickly* by the colon, causing portions of the stool
to harden earlier on in the tract. This is bad. Try to drink plenty of water
*with* the meal, not all at once, before or after the meal.
Sometimes, I sip a watered-down broth, just to be safe.
Beef broth has enough protein, for it to be worth it.

It is important to note, in most cases, as long as you don't have high blood pressure (hypertension),
it is safer to consume *too* much salt, than too little,
within reason (less than 7g / day). Healthcare Triage (on youtube) has at least two videos about salt. This doctor and his researchers are thorough.
The above opinion of salt, specifically sodium, is still contended.

But "Today I Found Out" (who does excellent research, especially if Daven
Hiskey is involved) agrees with the Healthcare Triage doctor, Dr. Aaron Carroll,
about salt in their youtube video, as well.
***Reading research studies is the best way to be sure though.

Suffice it too say, I listened to everyone saying:
"Drink more water" and
"Eat less salt"
But I think following these two pieces of common advice,
lowered the salt concentrations in my body, to dangerously low levels.

Find a brand you like, (for me, it was Pedialyte) then try to get the
powdered form of it, to hopefully save money.
I think the correct understanding of salt/water intake
in the GI tract is a critical point for people who have a tortuous colon,
but I don't want to get too far off topic.
Just make sure the brand has some *potassium* in it, not just sodium,
and that the solution is not *too* sugary.

Here's what I had to limit:
------Although many cheeses are allowed on the low FODMAP diet,
I had to reduce cheese consumption in order to help prevent
constipation.
------Although potatoes are allowed, I shouldn't eat too many potato *chips*.
It's convenient, but the grease, the lack of nutrition or fiber doesn't help.
------Greasy foods, in general. I use some olive oil in baking,
but honestly, that yellow/orange grease is the stuff I'm limiting.
It helps avoid the most common issue (acid reflux) in the *upper* GI tract,
but I think it also helps me in the intestines, too.
------Sugary foods / Acidic foods. (Ex. Soda, orange juice, etc.)
High fructose corn syrup is in a lot of things, but you gotta avoid it
in the low FODMAP diet.
------Apple juice is in a lot of other juices! I drink a *small* amount of
cranberry juice, just to get some vitamin C naturally, but to get it, without apple juice
and low sugar, in the US, I have to go for a diet Oceanspray cranberry juice
------Absolutely no Belvita breakfast bars. For some reason,
I consistently had discomfort, no matter how well I chew them...
Once I ate at least 3 or 4 of the packets (12-16 bars), and I was on the floor
in pain, unable to walk. Lots of sugar from syrups, and hard grains...

*Walking* and light physcial activity helps!
It really does.

This post was probably too late to help with your decision, Jayne,
but I hope it helps someone else later.

The low FODMAP diet is so complex, with the diversity of foods on/off the list and the *amount* of a certain type of food allowed,
that I am probably going to have to develop a meal plan soon, to reduce stress and for my safety.

Thanks,
Jack

Jump to this post

Thank you for the detailed post. I’m sorry to hear of your struggles. Many are very similar to my own 🙁 After so many years of chronic constipation and severe gas and bloat and making lifestyle changes and begging for diagnostics, I had my first colonoscopy and found out I have a tortuous colon. It feels good to have an answer and I’m hopeful to connect with a specialist who appreciates how bad symptoms can be and wants to support a treatment plan for me. If anyone on here has specialists to recommend, whether they be for GI, dietetics, sleep therapy, pelvic floor therapy, mental health, or any others I’m not thinking of, I’d love to hear your recommendations. I also would love recommendations on resources. Hugs to all 💜

REPLY

I have a redundant colon; it likely slows transit time so I carry around more stool than the average person.

I eat cooked food (not raw) and always a drink in hand. I think cooking it "predigests" it.

Consider Betaine Hydrochloride for a digestive aid. Read up on it. I take mine to digest fish. Meat is still not a good choice for me. If I don't take it, I can feel the fish sitting in my gut.

I also drink slippery elm tea (inner bark) in the a.m., before I eat anything. It supports the mucous surface of my gut, which helps move things along.

It matters what I put in my mouth is key.

Fiber also needs to be taken into account. Not only is there the right fiber for your gut, but the right amount and the right time to take it (I avoid it when plugged up and rely on a laxative). There is a study stating that for folks that get no relief for their constipation, a surprising number benefit from a low fiber diet. Something to consider.

Getting adequate sleep is also essential for me. Avoiding stress is really important too. The body needs to be in its "natural state," rather than fight or flight, to work well.

REPLY
@kamommy

I find if I can keep it somewhat solid- not liquid, but not considered “well formed”- it also helps. Just a fine line and hard to maintain.
All the best!!

Jump to this post

Thank you!

REPLY
@bluegiraffe

Thank you kamommy,
In past couple years I’ve noticed a sharp, deep pain under my right lower breast that is relieved when repositioning. I’m now wondering if it’s my long sigmoid, as it’s happening more often. I’ll take your suggestions! Thank you! I want to avoid surgery!

Jump to this post

I find if I can keep it somewhat solid- not liquid, but not considered “well formed”- it also helps. Just a fine line and hard to maintain.
All the best!!

REPLY
@kamommy

I really feel everyone’s experiences are so different. I’ve not received a whole of information from my dr.
Mine “seems” to be affected by stress and consistency of material in the colon and body position There are times I can actually feel it externally just at my hipbone. Thought I had a hernia. Nope. Internally it will either press against my hipbone or something in my female parts, or….both. Often when standing between 10-30 minutes. It will get progressively worse if I don’t lay down or majorly scoot down in a chair to the point I cannot walk or even get onto my bed w/o very major pain. Of course, the sooner I take steps to minimize, the less time I need to mitigate it. If it goes too long, I need to be in position for a half hour.
Have missed a couple of significant occasions….
The only suggestion I can give is be sure to never be constipated. Lots of produce and water all throughout each day. I believe constipation is what got me here.

Jump to this post

Thank you kamommy,
In past couple years I’ve noticed a sharp, deep pain under my right lower breast that is relieved when repositioning. I’m now wondering if it’s my long sigmoid, as it’s happening more often. I’ll take your suggestions! Thank you! I want to avoid surgery!

REPLY
@christine5

Hi, the surgery went very well, helped a lot, mine was caused by chronic constipation which I still have. I had it in 2010. I'm sure technology has come a long way since then. I know it's scary but it really helped, no more trips to er for having that much pain because of it. Hope this helps

Jump to this post

Thank you!

REPLY
@bluegiraffe

Hello, I have redundant colon. I am trying to figure out how to eat also. I’ve never had a problem with constipation before. I had 4 months of liquid stools with 5 pound weight loss. Adding Miralax finally turned it around and I was back to normal.
Last week I suddenly became very bloated with abdominal tenderness. Plus I fill up fast with a small meal. I think this may be my colon rather than anything I’ve eaten?
I’m very concerned, almost scared that my colon will twist causing an emergent situation.
I will be talking to a GI Nurse Practitioner in 10 days.
I want to avoid surgery.
Any advise/hints on preventing this? I’m all ears!

Jump to this post

I really feel everyone’s experiences are so different. I’ve not received a whole of information from my dr.
Mine “seems” to be affected by stress and consistency of material in the colon and body position There are times I can actually feel it externally just at my hipbone. Thought I had a hernia. Nope. Internally it will either press against my hipbone or something in my female parts, or….both. Often when standing between 10-30 minutes. It will get progressively worse if I don’t lay down or majorly scoot down in a chair to the point I cannot walk or even get onto my bed w/o very major pain. Of course, the sooner I take steps to minimize, the less time I need to mitigate it. If it goes too long, I need to be in position for a half hour.
Have missed a couple of significant occasions….
The only suggestion I can give is be sure to never be constipated. Lots of produce and water all throughout each day. I believe constipation is what got me here.

REPLY

I did have a redundant colon, had a sigmoid colonectomy last March. Surgeon said I was close to having peritonitis. Ever since, multiple BMs/day - up to 15. Wake me every night.
However, tests showed inflamed intestines, am on anti-inflammatories, down to 7BMs/day.

REPLY

Hello, I have redundant colon. I am trying to figure out how to eat also. I’ve never had a problem with constipation before. I had 4 months of liquid stools with 5 pound weight loss. Adding Miralax finally turned it around and I was back to normal.
Last week I suddenly became very bloated with abdominal tenderness. Plus I fill up fast with a small meal. I think this may be my colon rather than anything I’ve eaten?
I’m very concerned, almost scared that my colon will twist causing an emergent situation.
I will be talking to a GI Nurse Practitioner in 10 days.
I want to avoid surgery.
Any advise/hints on preventing this? I’m all ears!

REPLY
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