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Treatment options for redundant colon?

Treatment options for redundant colon?

I am a 56-year old woman and have had problems with constipation since I was a child. I have been addicted to laxatives on-and-off.  Several years ago I developed intermittent lower abdominal pain, but now it's every day in varying degrees. At one doctor's recommendation, I drastically changed my diet, eliminating gluten, dairy and coffee, with no improvement. I seem to do better without starches/sugars. I've also had to change my wardrobe - I can't wear anything that is remotely tight on my stomach and often have to leave my low-cut pants unfastened. I take Miralax every day and supplement with MOM as needed. I've also found a wonderful herbal product to help with the gas that gets trapped in the "curves."
My first colonoscopy could not be completed and was followed by a barium xray; there were no polyps or masses. After a second colonoscopy under anesthesia I was told I had IBS and sent home with pills that didn't work! It wasn't until I asked for a copy of the procedure report that I saw the term "redundant colon."
I have been able to find little information about this diagnosis.  What treatment options are there? Is surgery an option and, if so, what is the longterm outcome? Is there someone who specialized in this problem - most gastroenterologists get that "deer-in-the-spotlight look" when I ask!?!
I hate that my life has to revolve around this problem - and no one understands what I'm going through!! I am otherwise healthy, I exercise regularly, eat well - I just want to know what I can do to "fix" this problem! Thanks!
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Lizzie, ask for a referral to a good GI person and then discuss having a marker study done to follow 'transit time' through your large intestine. This will help the doc to determine what's going on. Some people do have surgery on the large intestine if there's a serious problem, but it would have to be documented. And the problem with the surgery is the large intestine has a variable blood supply so more than just the portion that's redundant might have to be removed. There are also consequences to removal of a portion of the colon. One of the largest can be on-going diarrhea, which many people find to be as bothersome as having unremitting constipation. You can make dietary changes to try to control the diarrhea, but?

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Welcome to the gastroenterology community!  If your only physical abnormality is a redundant colon then you should not get surgery.  This a very common thing that a lot of people have.  It can add to your constipation problems, so it is best to deal with the constipation problem (which is probably IBS) with a gastroenterologist and don't worry about the diagnosis of a redundant colon as it is not a big deal.
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Respectfully, redundant colon can be problematic depending on the length and configuration of the redundancy. If of excessive length and if that redundant section is 'twistable' on it's mesocolon, the redundancy can 'twist or torque' presenting significant problems. When redundancy is found, it should be fully investigated and if the section presents problems, appropriate steps should be taken.
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Very true, if lizzie416 starts developing twisting and torquing and developing obstructions from that, then surgery should be considered.  However, many many people have a redundant colon and for almost all of them, surgery should not be performed.
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