Secondary Condition Claim · VASRD 7319

Irritable Bowel Syndrome (IBS) Secondary to Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional

A condition caused or aggravated by an already service-connected disability can be granted its own service connection as a secondary condition under 38 CFR § 3.310. Here's how that works for Irritable Bowel Syndrome (IBS) when it develops after Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional.

Why Irritable Bowel Syndrome (IBS) Is Linked to Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional

Stretching tissues and nerves

Primary condition · VASRD 7338

Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional

A hernia is a bulge that forms where the abdominal wall gives way and tissue pushes through. DC 7338 is a single code for hernias "including femoral, inguinal, umbilical, ventral, incisional, and other (but not including hiatal)" — hiatal and paraesophageal hernia is DC 7346. Every compensable evaluation here starts from the same footing: an irreparable hernia, new or recurrent, present for 12 months or more. From there the percentage is set by the hernia's size in one dimension and by how many named activities — bending over, activities of daily living, walking, climbing stairs — bring on pain.

Secondary condition · VASRD 7319

Irritable Bowel Syndrome (IBS)

A chronic condition causing abdominal discomfort, bloating, and frequent diarrhea and/or constipation.

Irritable Bowel Syndrome (IBS) VA Rating Tiers

The VA rates Irritable Bowel Syndrome (IBS) the same way whether it's claimed directly or as secondary to Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional — severity of Irritable Bowel Syndrome (IBS) itself determines the percentage.

RatingCriteria
30%Pain tied to bowel movements at least weekly for 3 months, plus 2+ other IBS symptoms.
20%Pain tied to bowel movements 3+ days a month for 3 months, plus 2+ other IBS symptoms.
10%Pain tied to bowel movements at least once in 3 months, plus 2+ other IBS symptoms.

Example combined rating

10% Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional + 10% Irritable Bowel Syndrome (IBS) = 19%

The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 10% and 10% combine to 19%, not 20%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.

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Evidence for a Irritable Bowel Syndrome (IBS) Secondary Claim

  • Treatment records covering a continuous three-month period, since every tier is measured over "the previous three months."
  • Clinical notes that tie the abdominal pain to defecation and that record which of the six named features are present.
  • A gastroenterology evaluation documenting the diagnosis and the workup behind it.

Common questions about Irritable Bowel Syndrome (IBS) secondary to Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional

Can Irritable Bowel Syndrome (IBS) be service-connected as secondary to Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional?
Yes. Under 38 CFR § 3.310, a condition that is caused or aggravated by an already service-connected disability can be granted secondary service connection. Stretching tissues and nerves You'll need a current Irritable Bowel Syndrome (IBS) diagnosis and a medical nexus opinion linking it to your service-connected Herni…
What VA rating can I get for Irritable Bowel Syndrome (IBS) as a secondary condition?
Irritable Bowel Syndrome (IBS) is rated under VASRD diagnostic code 7319 using the same criteria whether it's a direct or secondary claim: possible ratings are 30%, 20%, 10%. The rating depends on the severity of Irritable Bowel Syndrome (IBS) itself, not on the severity of Hernia, Including Inguinal, Femoral, Umbilic…
How does a secondary Irritable Bowel Syndrome (IBS) claim affect my combined VA rating?
The VA doesn't add ratings together. Using the official combined-ratings formula (38 CFR 4.25): a 10% rating for Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional combined with a 10% rating for Irritable Bowel Syndrome (IBS) (example figures) produces a combined rating of 19%, not 20%. Approving…
What evidence do I need to service-connect Irritable Bowel Syndrome (IBS) as secondary to Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional?
Strong evidence for the underlying Irritable Bowel Syndrome (IBS) diagnosis includes: Treatment records covering a continuous three-month period, since every tier is measured over "the previous three months."; Clinical notes that tie the abdominal pain to defecation and that record which of the six named features are…

Primary condition

Full Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional guide

Secondary condition

Full Irritable Bowel Syndrome (IBS) guide

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See how Hernia, Including Inguinal, Femoral, Umbilical, Ventral, and Incisional and Irritable Bowel Syndrome (IBS) combine with the rest of your service-connected conditions using the official VA combined-ratings formula.

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