In this episode, Dr. Fred Gandolfo delves into the perplexing condition known as a tortuous colon, a common yet challenging issue that often leads to chronic constipation. Dr. Gandolfo explains the anatomy and terminology behind this condition, including its synonyms like redundant colon and dolichocolon, and addresses the frustration faced by both patients and gastroenterologists due to the limited understanding of this ailment. Dr. Gandolfo answers a listener question from Elizabeth, a 60-year-old woman dealing with a tortuous colon and chronic constipation. He discusses the potential causes, symptoms, and the distinction between a redundant colon as a cause or effect of constipation. The episode explores the average colon length, its variation among individuals, and why women are often more affected by redundant colons than men. Throughout the discussion, Dr. Gandolfo highlights various treatment options, ranging from dietary changes and laxatives to the potential role of surgery in severe cases. He also touches on the concept of autointoxication and how fecal stasis might stimulate an immune response, leading to non-specific symptoms like brain fog. Listeners will gain insights into the complexities of managing this condition, the importance of personalized care, and the potential benefits of testing for bacterial overgrowth. Dr. Gandolfo emphasizes the need for patience and collaboration with healthcare professionals to find effective solutions. Referenced in this episode: Segmental colon length and mobility study (2015) Dolichocolon review article (2018) Watch this episode on YouTube! Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.