Gallbladder Removal Residuals (Post-Cholecystectomy Syndrome)

DC 7318Digestive38 CFR 4.114, DC 7318

Ongoing digestive symptoms after gallbladder removal (cholecystectomy), including diarrhea, bloating, and abdominal pain from bile flowing directly into the intestines. Common in-service surgical procedure.

Rating Levels

You have severe symptoms after gallbladder removal, including frequent episodes of diarrhea, abdominal cramping, nausea, or bloating requiring dietary restrictions.

What the VA looks for

Frequent diarrhea episodes documented
Abdominal cramping and nausea noted in medical records
Bloating requiring dietary restrictions
Prescription medication for symptom management
Impact on daily activities and work documented

Common Pitfalls

⚠Not documenting ongoing symptoms after surgery — many veterans assume symptoms are normal and do not report them to their doctor.
⚠Not connecting gallbladder removal during service to current digestive issues — the surgical records and timeline must be clearly established.
⚠Not filing for post-cholecystectomy syndrome as distinct from the original gallstone condition — the residual symptoms are a separate ratable disability.
⚠Not documenting dietary restrictions needed to manage symptoms — keeping a food diary showing trigger foods and required avoidances strengthens your claim.

Related DBQ Forms

DBQ Gallbladder and Pancreas Conditions

View evidence checklist →See secondary conditions →

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…