Evidence Checklist: Chronic Gastritis

Upper endoscopy (EGD) findingsCritical

Esophagogastroduodenoscopy results documenting gastric mucosal inflammation, erosions, atrophy, or other findings consistent with chronic gastritis.

Nexus opinion linking gastritis to service ("at least as likely as not")Critical

A medical opinion connecting your chronic gastritis to military service, including NSAID use for service-connected pain conditions, stress, or H. pylori acquired during service.

H. pylori testing results

Lab results from H. pylori breath test, stool antigen, or biopsy showing infection status, which is a common cause of chronic gastritis.

NSAID use history linked to service-connected pain conditions

Documentation showing chronic NSAID use (ibuprofen, naproxen) prescribed for service-connected musculoskeletal conditions, establishing a secondary connection.

Treatment records (PPIs, antibiotics, dietary changes)

Records documenting medication history including proton pump inhibitors, H. pylori eradication therapy, and dietary modifications.

Symptom documentation (frequency, severity, flare-ups)

Personal log or medical records documenting the frequency and severity of gastritis symptoms including nausea, vomiting, epigastric pain, and weight changes.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Completed DBQ Stomach and Duodenal ConditionsCritical

Standardized form capturing endoscopy findings, symptom frequency, treatment, and functional impact of chronic gastritis.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.