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Question
Hoppy
New studies are showing that individuals with confirmed diagnoses of PTSD have an incidence rate for GERD that is two times the general population.
These studies also indicate that these individuals were exposed to dust. However, the levels of exposure to dust or any other dust related disorders have not been identified. There are no studies of individuals who live in dust, hydrocarbon or any other pollutant prone areas showing a high incidence of GERD.
The veteran contends that it is “as likely as not” that mental disorders are just as capable of causing the high incidence of GERD as dust or any other pollutant. The veteran concedes that pollutants can cause irritations of the esophagus. However, a required symptom of GERD is regurgitation. Regurgitation is the result of the lower esophageal sphincter not functioning properly. There is no evidence that the levels of dust experienced in the noted studies caused injuries to the lower esophageal sphincter. There are several theories as to the mechanisms involved in lower esophageal sphincter dysfunction. However, all that is known at this time is that persons with mental disorders have an incidence rate for GERD that is twice the general population.
See research article at:
http://www.medpageto...erage/ACG/16728
I guess the key here is whether or not an incidence rate of twice the general population will fly. It is my understanding that a 2 to 1 incidence rate for Gulf vets allowed MS to be service connected.
Edited by Hoppy (see edit history)Link to comment
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