Is Surgery Necessary for Long, Twisted Sigmoid Colon Causing Constipation? - Surgery

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When dealing with a long and twisted sigmoid colon that is causing constipation, the necessity for surgery is a complex decision that should be made in consultation with a healthcare professional. In your case, it seems that you have been experiencing significant difficulties with bowel movements, requiring high doses of laxatives and glycerin suppositories, and you are also experiencing pain and bleeding during bowel movements. These symptoms can be indicative of a serious underlying issue that may warrant surgical intervention.

The sigmoid colon is the last part of the large intestine before it connects to the rectum. A long or twisted sigmoid colon can lead to a condition known as "sigmoid volvulus," where the colon twists on itself, potentially leading to obstruction. This can cause severe constipation, abdominal pain, and other gastrointestinal symptoms. In your situation, the twisting and elongation of the colon may be contributing to your chronic constipation and discomfort.

Surgery may be considered if conservative treatments, such as dietary changes, increased fluid intake, and medications, fail to provide relief. Surgical options can include resection of the affected segment of the colon or procedures to correct the twisting. However, surgery carries its own risks, including complications from anesthesia, infection, and the potential for bowel obstruction post-operatively.

It is also important to consider the potential for adhesions, which can occur after abdominal surgeries, such as your previous hysterectomy. Adhesions can lead to abnormal connections between the intestines and other abdominal organs, potentially causing further complications and contributing to your symptoms.

Before making a decision about surgery, it is crucial to have a thorough discussion with your healthcare provider. They can provide insights into the risks and benefits of surgery versus continued conservative management. Additionally, they may recommend further diagnostic tests, such as a colonoscopy or imaging studies, to assess the condition of your colon more accurately.

In the meantime, you might want to explore dietary modifications that can help alleviate constipation. Increasing fiber intake through fruits, vegetables, and whole grains can promote regular bowel movements. Staying hydrated is also essential, as adequate fluid intake can help soften stool and facilitate easier passage.

If surgery is deemed necessary, it is important to understand the procedure, recovery process, and any lifestyle changes that may be required post-operatively. Engaging in a supportive dialogue with your healthcare team will help ensure that you make an informed decision that aligns with your health goals and quality of life.

In summary, while surgery may be necessary for a long and twisted sigmoid colon causing constipation, it is essential to weigh the risks and benefits carefully. Consulting with a gastroenterologist or a colorectal surgeon can provide you with the best course of action tailored to your specific situation.