Secondary Condition Claim · VASRD 7336

Hemorrhoids Secondary to Rectum and Anus, Stricture

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 Hemorrhoids when it develops after Rectum and Anus, Stricture.

Why Hemorrhoids Is Linked to Rectum and Anus, Stricture

Straining due to blockage

Primary condition · VASRD 7333

Rectum and Anus, Stricture

Narrowing of the rectal canal, often from surgery, radiation, or chronic inflammation.

Secondary condition · VASRD 7336

Hemorrhoids

Swollen veins in the rectum or anus that may bleed or cause discomfort.

Hemorrhoids VA Rating Tiers

The VA rates Hemorrhoids the same way whether it's claimed directly or as secondary to Rectum and Anus, Stricture — severity of Hemorrhoids itself determines the percentage.

RatingCriteria
20%Ongoing bleeding with anemia, or always-prolapsed piles clotting 3+ times a year.
10%Prolapsed piles clotting up to twice a year, or external piles clotting 3+ times.

Example combined rating

10% Rectum and Anus, Stricture + 10% Hemorrhoids = 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 Hemorrhoids Secondary Claim

  • Examination or colonoscopy findings stating whether the hemorrhoids are internal or external, and whether internal hemorrhoids are prolapsed or continuously prolapsed.
  • Dated clinical records for each episode of thrombosis, since episodes counted over a year set the 10 percent level and one of the two routes to 20 percent.
  • Blood work showing anemia alongside documented persistent bleeding, which is the pairing the 20 percent row requires.

Common questions about Hemorrhoids secondary to Rectum and Anus, Stricture

Can Hemorrhoids be service-connected as secondary to Rectum and Anus, Stricture?
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. Straining due to blockage You'll need a current Hemorrhoids diagnosis and a medical nexus opinion linking it to your service-connected Rectum and Anus, Stricture —…
What VA rating can I get for Hemorrhoids as a secondary condition?
Hemorrhoids is rated under VASRD diagnostic code 7336 using the same criteria whether it's a direct or secondary claim: possible ratings are 20%, 10%. The rating depends on the severity of Hemorrhoids itself, not on the severity of Rectum and Anus, Stricture.
How does a secondary Hemorrhoids 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 Rectum and Anus, Stricture combined with a 10% rating for Hemorrhoids (example figures) produces a combined rating of 19%, not 20%. Approving Hemorrhoids as secondary still typically raises your overall com…
What evidence do I need to service-connect Hemorrhoids as secondary to Rectum and Anus, Stricture?
Strong evidence for the underlying Hemorrhoids diagnosis includes: Examination or colonoscopy findings stating whether the hemorrhoids are internal or external, and whether internal hemorrhoids are prolapsed or continuously prolapsed.; Dated clinical records for each episode of thrombosis, since episodes counted over…

Primary condition

Full Rectum and Anus, Stricture guide

Secondary condition

Full Hemorrhoids guide

Estimate your combined rating

See how Rectum and Anus, Stricture and Hemorrhoids combine with the rest of your service-connected conditions using the official VA combined-ratings formula.

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