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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@sallyw133

My dr has suggested an X-ray defography. I believe I read somewhere in one of these posts, I could be mistaken as I read much everywhere!, but I thought it was advised not to use barium with a severely redundant/tortuous colon as to the possibility of the residual barium “hardening-up in all those bends and kinks and causing much difficulty after testing is completed. Anyone recall this or had this test done and had good or bad experience. My previous dr would have done MRI defography which does not use barium. My new dr feels xray gives much better results.

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I just wanted to share my experience as what may or may not be related to the MRI defography . In 2012 I had a defography using barium which showed a modest size rectocele. Two weeks later I ended up with a bowel obstruction or better known as a sigmoid voluvulus. They had to perform emergency surgery and remove 2 inches of my sigmoid colon. Please discuss your concerns with your doctor.

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My dr has suggested an X-ray defography. I believe I read somewhere in one of these posts, I could be mistaken as I read much everywhere!, but I thought it was advised not to use barium with a severely redundant/tortuous colon as to the possibility of the residual barium “hardening-up in all those bends and kinks and causing much difficulty after testing is completed. Anyone recall this or had this test done and had good or bad experience. My previous dr would have done MRI defography which does not use barium. My new dr feels xray gives much better results.

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@deedeedavidson

Yes, I am 70 and JUST found out I have a redundant/tortuous colon from a colonoscopy! So crazy- it explains the lifelong constipation, TERRIBLE colonoscopy preps ( longer colon= up all night on the toilet instead of a few hours- and even then it’s not a clean colonoscopy).
I have always just managed this on my own with fiber capsules, a handful of almonds every day. No one has ever diagnosed it before now or helped me with it. It’s a very delicate balance eating-wise for me. Can’t eat too much fiber, must get enough.
Because of this, surgeries can really mess you up because anesthesia stops your colon. So in my life I’ve had rectal surgery (in my 30s) , and after a spinal fusion I developed a rectocele. A very kind Physician’s Assistant (Michele at Dr. Penenberg’s at Cedar’s Sinai- thank you!) gave me a prescription for Movantik to take the day of my first total knee replacement surgery a couple years ago and then a few days after. Miracle! Was able to go the next day. Usually it has taken as long as 12 days after a surgery!
Moral of the story is to be very careful not to let yourself get constipated, even if you need a glycerin suppository. I make sure I go every day and don’t really leave my house until I do. So inconvenient! But it keeps me out of trouble. Easier to schedule stuff later now that I’m older, harder when I had little kids. Hang in there! You can manage it without surgery- just be very diligent.

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I am 71 years old. I was told my colon was "redundant" on my last colonoscopy report 5/21. In October of 22 I started experiencing severe diarrhea once a week, finally went to my PCP and all bloodwork and stool samples came back fine, but I had a "moderate bowel burden". So I was to start MiraLAX and see a gastroenterologist, but not till 1/9/23. She had me add fiber and scheduled a colonoscopy, which ended up not being until 3/30/23 along with an upper GI endoscopy. I experienced a lot of diarrhea and pain in the middle of my belly right under my sternum. If I felt like I was stopping up I used Smooth Move tea. It was almost to the point where the Smooth Move Tea and MiraLAX did not seem to be helping much. I now have dx of a "severely tortuous and redundant colon", Dr's words, not mine. And some other things also, but seem to me to be minor in comparison. I see the gastroenterologist on 4/12. She has me on MiraLAX once a day now. Increase my fiber, drink more, exercise and I am also trying to increase my Omega 3 and 6. I can barely eat much for the evening meal, because I almost immediately have a lot of discomfort and pressure right under my ribcage, in the center. I choose to take the MiraLAX before bed because I work evenings, not mornings. I have tried heat to my abdomen, some yoga stretches, massage, with very little relief. I have noticed that the increase in water and natural food fiber has seemed to help. I just don't know what else to do except wait for my appointment and hope she has some suggestions, prefer natural things, not prescriptions. I did have chronic constipation as a child, and can only a couple experiences as an adult where I felt like I could not have a bm. It has turned my life upside down, so just trying to upright myself again so I can successfully live with this.

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@chenry44

I talked with my doctor about it during the follow-up visits within a few months after the surgery, and everything was typical and on schedule for healing at that time. I have not had any interactions since then, but have just been trying to address the situation via diet and nutrition to restore my microbiome that was completely destroyed by the intense laxatives and antibiotics necessary for the surgical procedure. It has just been a struggle since the foods that are most problematic still are also the foods that are most nutritious. I don't like taking supplements, preferring to get everything from nutrient-dense foods.

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Im glad to hear that you are healing @chenry44 and totally relate to wanting to eat healthy foods and stop needing to consume more supplements than anything else to make any tiny anything else pass / managable. It makes me question getting the operation more for me and for you I so so so hope that changes for you and you can tolerate the healthy foods you miss and get what you need from them.
Thanks for sharing

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@seasalted

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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Ultimate fibre helped me for a long time better than Lactulose and prunalex and coloxil senna and all the other fibres and homeopathics and what not. Its quite powerful. I used dulcolax occasionally and colonic hydrotherapy. Then my surgeon told me to use dulcolax daily - I was afraid my body would get dependant and it did. It responds to nothing else now; its painful and Im looking at surgery. I tried Motegrity too and capsuled magnesium....didnt work. They might have earlier though. who knows
I want to ask my surgeon not to recommend using dulcolax daily to other people because it made things heaps worse for me and I would advise anyone who uses it to try minimize it and alternate with other things. We re all different of course as to how we respond to things.
If I seem short in my responses - apologies. I really appreciate this space and everyone's sharing. I find I have very little energy to talk about this and to research it and so on, as it already takes up more energy than I have 🙂 x

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@seasalted

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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I am also very curious about the same questions that you @seasalted asked @ellemorgan and wondered what kind of life adjustments you referred to?
And thanks for sharing what you both have shared! xx

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@tiss

I had the same diagnosis re long, redundant , twisty colon and had awful constipation for my entire life. Colonoscopies were a nightmare back in the day when you were lucky to get a Valium. I am 62. 2 1/2 years ago I had a bowel obstruction from a cecal volulous and had to undergo emergency surgery (right hemicolectomy) to remove all of the ascending colon and then some. About 2 feet. It's been a long, hard recovery but with a good doctor, I've done pretty well with the bowel problems. Have been constipated twice since surgery. My colon had a rotated cecum-- rare, congenital bowel malformation that no test can detect unless you obstruct. The surgery itself is an awful recovery but, I'm grateful to be alive since the mortality rate for a cecal volvulus is high. I don't know if the rotated cecum has anything to do with the colon being extra long and twisty.

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I had the exact same surgery in November, and the same thing: a mobile cecum.

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@sag1313

Yes, and according to my doctors, I have a grossly redundant colon and a doctor suggested removing part of it and said it would help me have a normal life but I did not do that. We moved out of state and the new gastroenterologist said he would never remove part of a colon unless it was a medical reason to because of a problem, but not the case with me, and he told me to take MiraLAX every morning and drink plenty of water each day for the rest of my life. After a week, the MiraLAX did its job and continues to, and if I ever eat badly with not enough water and get stopped up then I do it (take miralax) in the morning and night for a day or two. I also just recently realized I eat faster than everyone and do not chew my food so I now take the time to do that before wolfing it down. Laxatives and fiber supplements never worked for me because they create more stool and MiraLAX just brings water in to the colon. Also, once a month or so I heat up in 8 ounce glass in the morning for five days of prune juice with pulp and drink it . I don’t know if that will help but I’m thinking your doctor can advise you. (I did not want part of my colon removed because my father had that done and it created scar tissue, which created its own problem when he had a blockage that needed emergency surgery, so the thought of doing that scares me unless of course, there is a Medical need.

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I have a redundant colon and do everything you are doing. My main difference is I had my gallbladder removed 30+ years ago (I am 60 years old). My body does not digest food well or quickly. I take the Zen Wise Digestive Enzymes and have found them to be extremely helpful and affordable. If I am eating anything high in fat I take 2 Cholacol. Intermittent fasting has helped me as well. I normally only eat between noon and seven but that is easy for me. I do not do it to diet, but to assist with my digestion. It did help me lose 10 lbs I had wanted to lose for a decade though. I do order Clear Lax from Sams as it is much cheaper than the Mira Lax and works equally as well for me. I eat an apple or an orange every day and drink an electrolyte drink throughout the day. I usually get around 16 + hours of exercise a week I do not trust doctors as I have never had a good experience with one and rely on groups like this to navigate my way through. So far so good and the very best of luck to you

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@farleydove

Thank you for the input. I have this condition. For some reason I tried Metamucil years ago and I didn't like it- I didn't think it helped, so I stopped trying. After reading your comments, I think I'll try it again, as this is really messing with my health. Thanks.

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Me too. But I'm reading that a lot of water along with it is necessary.

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Just diagnosed after rectal prolapse surgery and finding this site very helpful.
Before the surgery I took Metamucil daily which kept me regular but now I suffer from constipation and wondering if I should stop the Metamucil which seems to make it worse. Maybe it’s plugging me up since it thickens in the colon?
Thanks for the tips.

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