1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Colonic Volvulus

Colonic volvulus occurs when the large intestine twists, causing painful cramps, blocked stool and tissue damage. At GastroDoxs in Houston, Dr. Scott offers expert diagnosis, from X-rays and CT scans to contrast studies, plus tailored treatments and supportive lifestyle guidance.

Call Us 832-632-4070 Schedule Now Click Here Text Us 832-632-4070 Learn More Click Here
Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

What Is Colonic Volvulus?

Colonic volvulus happens when a segment of the large intestine (colon) twists on itself, blocking the passage of stool and cutting off its blood supply. If not treated promptly, this can lead to tissue damage or perforation.

Common Causes and Risk Factors

  • Chronic constipation leading to frequent straining
  • Age over 60, as the colon loses flexibility
  • Neuromuscular disorders (e.g., Parkinson's disease, multiple sclerosis)
  • History of abdominal surgery or adhesions
  • High-fiber diet without adequate fluid intake
  • Long-term bed rest or residency in nursing/care facilities

Signs and Symptoms

  • Sudden, crampy abdominal pain that comes and goes
  • Bloating or noticeable abdominal distension
  • Inability to pass stool or gas
  • Nausea and/or vomiting
  • Rapid heart rate or fever (a sign of compromised blood flow)

How Dr. Scott Diagnoses This Condition

Dr. Scott follows a clear process:

Symptom & History Review

He carefully reviews your symptoms and personal medical history to understand possible underlying causes.

Physical Exam

Dr. Scott performs a gentle rectal examination to identify pain, swelling, or discharge around the area.

Imaging (if needed)

He may order imaging such as an ultrasound or MRI to examine deeper tissue involvement and confirm the diagnosis.

Medical Coding

For accurate documentation and treatment tracking, Dr. Scott uses the ICD-10 code K61.0 for this condition.

Dr. Scott
Treatment

Our Team offers a full range of care for colonic volvulus.

1. Lifestyle and Diet Modifications

  • Drink more water to keep stool soft
  • Slowly increase fiber intake with fruits, vegetables, and whole grains
  • Stay active to promote regular bowel movements

2. Medications

  • Stool softeners or laxatives for mild cases
  • Pain relief and anti-nausea medications as needed

3. Minimally Invasive or Advanced Procedures

  • Endoscopic detorsion: a flexible scope is used to safely untwist the colon
  • Laparoscopic surgery: small incisions to remove or fix the twisted segment
  • Resection: removal of the affected colon segment with reconnection of healthy ends in severe cases
Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

Frequently Asked Questions

What is colonic volvulus?

It's a twist in the colon that blocks stool and blood flow. Prompt diagnosis and treatment are essential to prevent tissue damage.

What causes colonic volvulus?

Common causes include chronic constipation, past abdominal surgeries, neuromuscular disorders, age-related changes, and high-fiber diets without adequate fluid intake.

What is the ICD-10 code for colonic volvulus?

The ICD-10 code for colonic volvulus is K56.2.

Who is at risk for colonic volvulus?

Those over age 60, individuals with neuromuscular conditions, people with long-term constipation or bed rest, and patients with prior abdominal surgery are at higher risk.

How is colonic volvulus diagnosed?

Dr. Scott uses a combination of physical exam, abdominal X-ray, CT scan, and sometimes a contrast enema to confirm the twist and assess for complications.

Can diet help prevent colonic volvulus?

Yes. Drinking plenty of water, slowly increasing dietary fiber, and staying active can promote regular bowel function and reduce risk.

When should I seek help for possible volvulus?

Seek immediate care if you experience sudden abdominal pain, bloating, or an inability to pass stool or gas, as these can signal a volvulus.

Related Blogs
Abdominal Pain

The Importance of Screening for Prevention

Read More
Abdominal Pain

Try These Home Remedies for Acid Reflux

Read More
Abdominal Pain

The Role of Stress in Acid Reflux

Read More