Gerd and IBS in Veterans Disability Q&A

Picture of Leah Bucholz
Leah Bucholz
Leah Bucholz, PA-C, is an NCCPA board-certified physician assistant and the founder and CEO of Prestige Veteran Medical Consulting. She served 20 years in the U.S. Army as a medic and physician assistant, deployed to Iraq, and retired as a Major. From 2018 to 2019 she was a VA Compensation & Pension examiner in Boerne, Texas. She is lead author of the independent medical opinion chapter in the U.S. Army Physician Assistant Handbook (2nd ed., 2021) and hosts The Veterans Disability Nexus podcast. Her articles cite primary sources, including 38 CFR, VA.gov and the Federal Register.
gerd va disability rating

At Prestige Veteran Medical Consulting, our blogs are written or reviewed by licensed medical professionals or military veterans with direct experience in the VA claims process. Our founder has served as a healthcare provider, combat veteran, and former VA examiner — giving us unique insight into both the medical and regulatory side of benefits. Every article is designed to provide accurate, trustworthy, and practical guidance so that veterans and their families can make informed decisions with confidence.

Leah replies to questions surrounding GERD and IBS in veterans disability. Let’s explore the insightful questions raised by veterans and Leah’s expert responses.


Medication Impact on GERD and IBS

Q: I take meds for pain for hip and back that are service-connected. Can meds cause GERD and IBS?

Leah acknowledges that while NSAIDs and anti-inflammatories often cause gastritis, literature supports a link between medication use and GERD. Interestingly, many veterans are connected for GERD due to orthopedic ailments and medication use. Leah emphasizes the need to consider various risk factors, such as smoking and family history, when assessing these connections.

Seeking Recourse After a Denied Claim

Q: I had a CMP exam for GERD secondary to NSAID use, but it was denied. What should I do?

Leah sympathizes with the veteran’s unfortunate situation and recommends looking at the rating decision letter for crucial information. She advises exploring various avenues for recourse, such as filing an HLR or adding evidence on a supplemental claim. She emphasizes the significance of understanding the documents and seeking expert accredited legal assistance if needed.

IBS and GERD Secondary to PTSD

Q: Have you seen IBS and GERD secondary to PTSD due to medication used for treating PTSD?

Leah finds this to be a great question and explains that IBS and GERD are frequently service-connected and rated secondary to PTSD. She emphasizes that these conditions are often combined due to something called pyramiding, affecting the same body system. Stress from PTSD, anxiety, and depression can contribute to both IBS and GERD.

Multifactorial Nature of Disability Claims

Leah underscores the multifactorial nature of medical conditions that veterans seek compensation for in the disability claims process. She notes that these conditions, especially IBS and chronic diarrhea or constipation, can be related to stress, which is a significant component of PTSD. Veterans are encouraged to provide all relevant information, considering various theories of connection when filing claims with their legal professionals. Leah highlights the importance of not picking one factor over another but including all relevant information for a comprehensive assessment.

Conclusion

Leah’s expertise in addressing veterans’ questions regarding GERD, IBS, and other service-connected conditions provides valuable insights for individuals navigating the complexities of medical conditions related to the VA disability claims. As veterans seek understanding and recourse, Leah emphasizes thorough examination of rating decision letters, exploring different avenues for appeal, and recognizing the multifaceted nature of these interconnected health issues. Through her responses, Leah not only offers guidance but also underscores the importance of a comprehensive approach to disability claims for the benefit of veterans.

Also read: What to Expect in a Chronic Fatigue Syndrome C&P Exam

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Picture of Leah Bucholz
Leah Bucholz
Leah Bucholz, PA-C, is an NCCPA board-certified physician assistant and the founder and CEO of Prestige Veteran Medical Consulting. She served 20 years in the U.S. Army as a medic and physician assistant, deployed to Iraq, and retired as a Major. From 2018 to 2019 she was a VA Compensation & Pension examiner in Boerne, Texas. She is lead author of the independent medical opinion chapter in the U.S. Army Physician Assistant Handbook (2nd ed., 2021) and hosts The Veterans Disability Nexus podcast. Her articles cite primary sources, including 38 CFR, VA.gov and the Federal Register.

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