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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Welcome, seasalted!
You described my daily life so well that I printed your post and took it to my GI doctor appointment! I brought up the subject of resection surgery to remove some of the extra loops and twists, and she said that surgeons will not do that unless it is an emergency situation and there is a total obstruction or strangulation of colon (volvulus). I had emergency surgery for that condition when I was 30 years old, but they did not remove any of my colon. Just "flipped it back". So I've been struggling with this for 38 years now. I keep a food diary and am trying to get myself into a "regular" routine but I am either constipated or have diarrhea from laxatives. Some days are worse than others. I had no idea there were so many others like me until I joined Mayo Clinic Connect, which I found by accident just a few months ago. It is very helpful to me when I start feeling sorry for myself. Good luck, and I look forward to your future posts.

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@euqcaj

Hello I've had a tortuous intestine, and dealt with it's consequences, for all my 70 years here on this earth. I'm surprised that the Dr. didn't inform you of diet! But I'm also not surprised. And, I believe, it's different for all of us. It's a continual learning experience. For me, there has not been a "cut and dry" formula. Unfortunately, because it would have been ALOT easier! Originally, I was told, lots of water (min. of 6-12 oz. glasses) per day, lots of fiber, Miralax (which didn't work for me), stool softener, magnesium citrate, etc. I use Metamucil crackers occasionally when I'm needing the extra. I use psyllium (8 mg) sprinkled on oatmeal and cereal) daily. But currently, I found Prunelax to work very well, most of the time, depending on other factors, such as diet, sleep, etc. I am taking the mini tabs, (3 to 4) nightly. I have found that I need to use Bisacodyl once a week or every other week. I also plan on trying the extra strength Prunlax when I finish my supply of mini tabs. Prunelax has worked so much better for me than Miralax. I have been on this site for a year and what I see is different things work for different people. Doctors seem to have forgotten that, at least in my area. You, as an individual, have to keep trying different dosages, brands, etc. to find what works best for your body. Remember, with a tortuous intestine, we have a much slower transit time than "regular" folks and things can get backed up and much more difficult to pass. So exercise, water, trying different aids, such as Prunlax, not eating too much cheese, or certain types of food,..............all help in you finding what works best for you. It's a process and a frustrating one sometimes. Sometimes we don't feel good at all until we change what we're doing and try something else. It's been a journey. But thank God above, I'm still here and still learning. I wish the same for you. Jacque

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Thank you so very much, Jacque, for your thoughtful, detailed response. My GI doctor's office has been 'unavailable' to provide any guidance, so I am appreciative for this advice. I'm 68 years old and have had microscopic colitis up until a few years ago. That has now resolved, but apparently a tortuous colon is now the main issue, quite the opposite. I am going to implement your suggestion of Prunelax tabs -- I also am not responding to Miralax, and work to increase water and exercise. The internet advice I've googled seems to swing from no fiber to more fiber, so I am a bit confused there. Thank you again!

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@pbt

Just diagnosed with tortuous colon, and not clear on what diet to follow. FODMAP? High fiber? Would appreciate any suggestions.

Jump to this post

Hello I've had a tortuous intestine, and dealt with it's consequences, for all my 70 years here on this earth. I'm surprised that the Dr. didn't inform you of diet! But I'm also not surprised. And, I believe, it's different for all of us. It's a continual learning experience. For me, there has not been a "cut and dry" formula. Unfortunately, because it would have been ALOT easier! Originally, I was told, lots of water (min. of 6-12 oz. glasses) per day, lots of fiber, Miralax (which didn't work for me), stool softener, magnesium citrate, etc. I use Metamucil crackers occasionally when I'm needing the extra. I use psyllium (8 mg) sprinkled on oatmeal and cereal) daily. But currently, I found Prunelax to work very well, most of the time, depending on other factors, such as diet, sleep, etc. I am taking the mini tabs, (3 to 4) nightly. I have found that I need to use Bisacodyl once a week or every other week. I also plan on trying the extra strength Prunlax when I finish my supply of mini tabs. Prunelax has worked so much better for me than Miralax. I have been on this site for a year and what I see is different things work for different people. Doctors seem to have forgotten that, at least in my area. You, as an individual, have to keep trying different dosages, brands, etc. to find what works best for your body. Remember, with a tortuous intestine, we have a much slower transit time than "regular" folks and things can get backed up and much more difficult to pass. So exercise, water, trying different aids, such as Prunlax, not eating too much cheese, or certain types of food,..............all help in you finding what works best for you. It's a process and a frustrating one sometimes. Sometimes we don't feel good at all until we change what we're doing and try something else. It's been a journey. But thank God above, I'm still here and still learning. I wish the same for you. Jacque

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@cristinaespejo

Could you shared what kind of diet helped you with your tortuous colon symthoms?

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Just diagnosed with tortuous colon, and not clear on what diet to follow. FODMAP? High fiber? Would appreciate any suggestions.

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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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I have not yet heard from the surgeon I saw to see if partial colon removal would help me.
However, two of my sisters had this surgery and both did really well for many years and both passed away in their 80’s from non related health issues.

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@amandaa

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?

Jump to this post

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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@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!

Jump to this post

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?

REPLY

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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@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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@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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