hello i am new with this...i claiming diferent disabilities gerd,mental disorder,throat condition,back injury back pais and knee pain, i just went to my c&p exam for my gerd condition, i dont know if va going to send me for another c&p exam for each disability ....i got a tonsillectomy a year after i left the army.... i sent all record that i could get....like i am new with this...thank u so much....also i goint o post my gerd C&P EXAM ...I AM ASKING WHICH RATE I COULD GET.... THANK UUU
Evidence Review
Evidence reviewed (check all that apply):
[X] VA e-folder (VBMS or Virtual VA) [X] CPRS
Diagnosis
Does the Veteran now have or has he/she ever been diagnosed with an esophageal condition? Yes
Gastroesophageal reflux disease (GERD)
ICD code: k21.9 Date of diagnosis: 2009
Medical history
Description of the history (including onset and course) of the Veteran's
esophageal conditions: 05/14/2009 Enlistment exam : no frequent indigestion or heartburn
11/22/2009 Veteran was treated for heartburn and perscribed maalox. Veteran continued to have symptoms and has had multiple endoscopies with a private GI specialist.
08/12/2011 EGD: mild gastritis
06/06/2013 EGD : mild chronic gastritis, chronic mild duodenitis
03/07/2014 EGD : mild chronic gastritis, reflux esophatgitis
03/20/2015 EGD: normal EGD, no gastritis 07/25/2018 EGD : esophagitis, acute gastritis without bleeding
ΝΙΠΝΟΟ ΟΙΙΙΠ
He is currently taking omeprazole twice daily. He continues to have daily heartburn symptoms.
Does the Veteran's treatment plan include taking continuous medication for
the diagnosed condition? Yes
Medications used for the diagnosed condition: omeprazole twice daily
Signs and symptoms
Does the Veteran have any of the following signs or symptoms due to any esophageal conditions (including GERD)? Yes
Sign and Symptoms:
Reflux Regurgitation Pain
Substernal
Esophageal stricture, spasm and diverticula
CONFIDENTIAL
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Does the Veteran have an esophageal stricture, spasm of esophagus (cardiospasm or achalasia), or an acquired diverticulum of the esophagus? No
Other pertinent physical findings, complications, conditions, signs, symptoms and
scars
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Does the Veteran have any other pertinent physical findings, complications, conditions, signs or symptoms related to any conditions listed in the Diagnosis Section above? No
Does the Veteran have any scars (surgical or otherwise) related to any conditions or to the treatment of any conditions listed in the Diagnosis Section above? No
Diagnostic Testing
Have diagnostic imaging studies or other diagnostic procedures been performed? Yes
Diagnostic Testing Preformed:
Upper endoscopy
Date: 2018 Results: see all above
Has laboratory testing been performed? No
Are there any other significant diagnostic test findings and/or results? No
Functional impact
NINO YIK
Do any of the Veteran's esophageal conditions impact on his or her ability to
work? No
Remarks, if any:
MEDICAL OPINION REQUESTED: Direct service connection Does the Veteran have a diagnosis of (a) GERD that is at least as likely as not (50 percent or greater probability) incurred in or caused by complaints of heart burn in service
It is at least as likely as not that veteran's GERD incurred in service.
Veteran was treated for heartburn in 2009, which is consistent with diagnosis of GERD. His current condition is a continuation of that diagnosis.
NOTE: VA may request additional medical information, including additional
examinations if necessary to complete VA's review of the Veteran's