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Evidence checklist

Hemorrhoids

DC 733638 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
Proctologic examination documenting hemorrhoid grade and typeCritical

Clinical examination report documenting internal hemorrhoid grade (I–IV) and/or external hemorrhoids, with notation of bleeding, prolapse, thrombosis, and incontinence.

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

A medical opinion connecting hemorrhoids to service-related factors including prolonged sitting, heavy lifting, dietary changes during service, or chronic constipation from service-connected conditions.

Private provider · independent opinion
02

Treatment records

0 of 3 collected
Documentation of bleeding episodes and anemia (if applicable)

Medical records documenting rectal bleeding frequency, hemoglobin/hematocrit values, or iron deficiency anemia resulting from hemorrhoidal bleeding.

VA or private records · written request
Treatment records (banding, sclerotherapy, hemorrhoidectomy)

Records documenting office-based procedures (rubber band ligation, sclerotherapy, infrared coagulation) or surgical hemorrhoidectomy.

VA or private records · written request
Thrombosis-episode and prolapse documentationCritical

Provider records of each thrombosis episode (a hemorrhoid clotting into a hard, painful lump) and whether internal hemorrhoids stay continuously prolapsed — under DC 7336 the number of thrombosis episodes per year (plus prolapse or bleeding with anemia) drives the 10% and 20% levels. (Fecal incontinence, if present, is rated separately under DC 7332.)

VA or private records · written request
03

Lay statements

0 of 2 collected
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 →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Rectum and Anus ConditionsCritical

Standardized form capturing hemorrhoid grade, bleeding pattern, prolapse, incontinence, and treatment history.

Provider-completed · VA DBQ formHow to get this →
05

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

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