Skip to main content

Evidence checklist

Gastroparesis

DC 735638 CFR § 4.114Digestive

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 2 collected
Nuclear medicine gastric emptying scintigraphy (4-hour solid study)Critical

A standardized 4-hour technetium-labeled solid-meal gastric emptying study showing delayed gastric emptying (>10% retention at 4 hours per consensus guidelines). This is the definitive diagnostic test.

Private provider · independent opinion
Nexus opinion linking gastroparesis to service ("at least as likely as not")Critical

A medical opinion connecting gastroparesis to service-connected diabetes (diabetic gastroparesis), post-surgical causes from in-service abdominal surgery, or post-viral etiology after deployment illness.

Private provider · independent opinion
02

Treating physician

0 of 1 collected
Service-connected diabetes documentation (if claiming as secondary)

Records establishing the causal connection between service-connected diabetic neuropathy affecting the vagus nerve and gastroparesis onset.

Your treating provider · written request
03

Treatment records

0 of 2 collected
Nutritional support and weight/nutrition documentationCritical

Records of the nutritional support you require — prescribed dietary management, intermittent tube feeding, or continuous tube feeding/TPN — plus serial weights and nutritional labs (albumin, prealbumin). Under DC 7356 the level of nutritional support drives the 30% (dietary management), 50% (intermittent tube feeding), and 80% (TPN) levels; weight loss is supporting context.

VA or private records · written request
Treatment records (prokinetics, gastric stimulator, tube feeding, TPN)Critical

Records documenting prokinetics (metoclopramide, erythromycin), gastric electrical stimulator, and especially any tube feeding or total parenteral nutrition (TPN) — under DC 7356 intermittent tube feeding supports 50% and dependence on continuous feeding or TPN supports 80%.

VA or private records · written request
04

Lay statements

0 of 3 collected
Symptom documentation (nausea, vomiting, early satiety, weight loss)Critical

Medical records or personal log documenting the frequency and severity of gastroparesis symptoms — nausea, vomiting, postprandial fullness, early satiety, and bloating — including impact on nutrition.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
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.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
05

Benefits questionnaire

0 of 1 collected
Completed DBQ Stomach and Duodenal ConditionsCritical

Standardized form capturing gastric emptying results, symptom frequency and severity, weight impact, and treatment requirements.

Provider-completed · VA DBQ formHow to get this →
06

Service records

0 of 1 collected
Service treatment records (STRs)Critical

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

NPRC / milConnect · SF-180
Condition guideRating criteria and what VA looks forC&P exam prepWhat the examiner will askBuddy statement builderGuided VA Form 21-10210

What you mark here is saved in this browser, on this device only — not to an account. Changing the target rating shows different items, but never loses what you have already marked.