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7319
§ 4.114 Schedule of ratings—digestive system.

Irritable bowel syndrome (IBS)

Chronic functional gastrointestinal disorder causing abdominal pain, bloating, bowel habit changes

What the rating means

VA rates irritable bowel syndrome (IBS) under diagnostic code 7319 at 10%, 20%, or 30%, depending on how often your abdominal pain related to defecation occurs and whether you also have at least two other qualifying symptoms. Those other symptoms are: change in stool frequency, change in stool form, altered stool passage such as straining or urgency, mucorrhea, abdominal bloating, or subjective distension. At 10%, the pain must occur at least once in the previous three months. At 20%, it must occur at least three days per month in the previous three months. At 30%, it must occur at least one day per week in the previous three months. All three levels require at least two of those additional symptoms alongside the pain. This diagnostic code may also cover functional digestive disorders such as dyspepsia, functional bloating, constipation, and diarrhea. VA will not combine a rating under this code with ratings for other digestive conditions listed in the same group; instead, VA assigns one rating under the code that best reflects the overall disability picture.

Evidence that helps

Medical records documenting the frequency of your abdominal pain and its relationship to defecation are central to establishing the rating level. Records from the previous three months carrying specific dates and episode counts help show whether your pain occurs at least once total, at least three days per month, or at least one day per week. Exam findings, treatment notes, or diagnostic reports that record any of the qualifying additional symptoms — such as changes in stool frequency or form, straining, urgency, mucorrhea, bloating, or distension — support showing that at least two of those symptoms are present. If your symptoms include functional digestive conditions such as dyspepsia or diarrhea, records documenting those separately may also be relevant. Personal statements from you or people who live with you describing how often symptoms occur and how they affect your daily activities and work can help fill gaps between medical appointments and give VA a fuller picture of symptom frequency and severity.

Secondary conditions

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.