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Evidence checklist

Irritable Bowel Syndrome (IBS)

DC 731938 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 3 collected
GI specialist evaluation documenting IBS diagnosis and symptom patternCritical

Gastroenterologist evaluation confirming IBS (diarrhea-predominant, constipation-predominant, or mixed subtype) with documentation of stool frequency, consistency (Bristol Scale), and abdominal pain pattern meeting Rome IV criteria.

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

A medical opinion connecting IBS to service-related factors including combat stress, PTSD (gut-brain axis), traumatic abdominal injury, antibiotic use during deployment, or infectious gastroenteritis acquired during service.

Private provider · independent opinion
Colonoscopy or flexible sigmoidoscopy ruling out organic diseaseCritical

Colonoscopy or sigmoidoscopy report confirming absence of inflammatory bowel disease, malignancy, or other structural pathology — required to support the IBS diagnosis.

Private provider · independent opinion
02

Treatment records

0 of 2 collected
Treatment records (antispasmodics, dietary modifications, IBS-specific medications)

Records showing medications prescribed (dicyclomine, hyoscyamine, rifaximin, linaclotide) and dietary recommendations (low-FODMAP diet), documenting treatment need and severity.

VA or private records · written request
Weight and nutritional status documentation

Serial weight measurements and nutritional records showing weight loss or dietary restriction caused by IBS. This is supporting context for severity — it is not itself a DC 7319 criterion (the rating is based on how often you have defecation-related abdominal pain plus associated symptoms; 30% is the maximum).

VA or private records · written request
03

Lay statements

0 of 3 collected
Symptom diary documenting defecation-related pain days and associated symptomsCritical

A personal log — ideally covering three months — recording each day you have abdominal pain related to a bowel movement, plus associated symptoms (change in stool frequency or form, straining or urgency, mucus, bloating, distension). Under DC 7319 the number of pain days (once in 3 months, at least 3 days a month, or at least weekly) plus two or more associated symptoms is the primary rating driver.

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 →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Intestinal Conditions (other than Small or Large Intestine)Critical

Standardized form capturing IBS subtype, symptom frequency, incapacitating episode count, and weight/nutritional impact.

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

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