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7310
§ 4.114 Schedule of ratings—digestive system.

Stomach injury residuals

Lasting effects or complications following an injury to the stomach.

What the rating means

Stomach injury residuals (DC 7310) are not rated directly. If you have not had surgery, VA rates your condition under the rules for peritoneal adhesions (DC 7301). If you have had surgery, VA rates your condition under the rules for chronic complications of upper gastrointestinal surgery (DC 7303).

Under DC 7301, possible ratings are 0%, 10%, 30%, 50%, and 80%. The 0% level covers adhesions that are currently causing no symptoms. The 10% level requires symptomatic adhesions and at least one of these symptoms: abdominal pain, nausea, vomiting, colic, constipation, or diarrhea. The 30% level adds the requirement of medically-directed dietary changes. The 50% level further requires hospitalization for recurrent obstruction at least once a year. The 80% level applies to a persistent partial bowel obstruction that is either inoperable and resistant to treatment or requires total parenteral nutrition.

Under DC 7303, possible ratings are also 0%, 10%, 30%, 50%, and 80%, based on the severity of post-surgical symptoms such as vomiting, bowel changes, and post-meal lightheadedness. VA also rules that ratings under the digestive system codes listed in § 4.114 may not be combined with one another; instead, one code reflecting the predominant disability is assigned, with a possible step-up for overall severity.

Evidence that helps

For pre-operative ratings under DC 7301, medical records should document that a healthcare provider has identified symptomatic peritoneal adhesions and connected them to surgery, trauma, disease, or infection. Records showing any prescribed dietary restrictions help support the 30% and 50% levels. Hospital admission records for bowel obstruction are key to the 50% level. Documentation of an inoperable or treatment-resistant partial bowel obstruction, or records showing total parenteral nutrition was prescribed, supports the 80% level. Your own statements describing recurring abdominal pain, nausea, vomiting, colic, constipation, or diarrhea are relevant at every symptomatic level.

For post-operative ratings under DC 7303, treatment records showing ongoing prescriptions or dietary plans for dumping syndrome or delayed gastric emptying help at the 10% and higher levels. Records of how often vomiting or diarrhea occurs, and whether symptoms happen daily, support the distinction between the 30% and 50% levels. Notes from providers documenting post-meal lightheadedness with sweating, or the need for specific medications, are relevant to the 50% level. Records confirming continuous tube feeding or total parenteral nutrition lasting more than 30 consecutive days in the last six months support the 80% level. Statements from you or people who know you describing how symptoms affect eating, work, and daily activities can help show the full picture at any level.

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.