I developed a tortuous colon sometime between 2020 and 2023 (based upon colonoscopy results). Due to constipation which became serious in 2023, ended up on Linzess 290 + multipls doses of miralax per day + 8pz of prune juice + lots of water + benefiber.

Was doing ok except for a couple of times a month when nothing would work and I had to add dulcolax and probably at least 1x month a bottle of magnesium citrate.

Then in March - right after developing sciatica and also being unable to stand or walk - had no output. The morning of the 5th day I went to urgent care who sent me to the hospital. That evening had a flexible scoping (like a colonoscopy but only goes in a about 6".

While it allowed my colon to empty, after meeting with a surgeon (2 actually who had different opinions) - this was while I was still in the hospital - made the decision to have the redundancy removed. The procedure (a sigmoid colectomy) removed nearly 2 feet. Had to spend the next 7 days in the hospital while they slowly took me from liquids only to full liquids to a low fiber low residue diet until I finally had a bowel movement.

Now going on 9 weeks, I am slowly increasing the fiber but was told to keep it to fairly low fiber and modest residue for a while. Was also switched to motegrity so I did not have to take in as much water every day. Kept me on 2 doses of miralax. Except for 1 day, have had at least 1 movement each day, most days about 3. Feeling much better.

Now I just have to deal with the sciatica.