Patient presents with symptoms suggestive of tortuous colon, including chronic constipation, abdominal pain, bloating, and distension.  The patient reports infrequent bowel movements, often requiring straining and a sensation of incomplete evacuation.  Physical examination reveals a palpable, redundant sigmoid colon.  Differential diagnoses considered include irritable bowel syndrome (IBS), diverticulosis, and colon cancer.  Diagnostic workup may include abdominal X-ray, CT colonography (virtual colonoscopy), or colonoscopy to evaluate for redundancy, elongation, and rule out other pathologies.  Review of systems is notable for intermittent nausea and abdominal discomfort.  Past medical history is significant for chronic constipation.  Family history is unremarkable for gastrointestinal disorders.  Assessment: Tortuous colon (redundant colon, elongated colon).  Plan:  Conservative management will be initiated, focusing on increasing dietary fiber intake, promoting hydration, and encouraging regular exercise.  Bulk-forming laxatives and stool softeners may be considered.  Patient education regarding bowel habits and lifestyle modifications will be provided.  Follow-up scheduled to assess response to treatment and consider further investigations if symptoms persist or worsen.  ICD-10 code K56.4 (redundant colon) may be applicable.  CPT codes for diagnostic procedures, such as 74270 (colonoscopy), 74190 (CT colonography), or 74000 (abdominal radiography), will be used if performed, depending on the chosen imaging modality.  Medical necessity for any procedures will be documented.