Long-term inflammation or dysfunction of the bile ducts or gallbladder affecting bile flow from the liver.
To support a 30% rating, medical records should document three or more distinct attacks of right upper quadrant pain accompanied by nausea and vomiting within a 12-month period, with each attack noted in a clinical setting. Alternatively, records showing that biliary tract strictures required dilatation at least once in the past 12 months would also support this level. Operative reports, procedure notes, or hospital records confirming the dilatation procedure are directly relevant.
To support a 10% rating, records documenting one or two clinically noted attacks of right upper quadrant pain with nausea and vomiting in the past 12 months are needed.
At any level, treatment records, gastroenterology or surgical notes, imaging studies, and lab results that capture the timing and nature of each episode are helpful. Your own statements describing when attacks occurred, how long they lasted, and how they affected your ability to work or carry out daily activities can help establish frequency and connect the clinical record to your lived experience.
Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.
