Ibs C&p Result And Your Opinion Please

[abhusal]

What will be my rating with this C&P result? Your thoughts and ideas please...

3. Signs and symptoms

---------------------

Does the Veteran have any signs or symptoms attributable to any non-surgicalnon-infectious intestinal conditions?

[X] Yes [ ] No

If yes, check all that apply:

[X] Abdominal distension

If checked, describe:

Patient suffers from constipation predominant IBS which causes him to have abdominal distension when he does not empty his bowels frequently

[X] Nausea

If checked, describe:

Patient complains of nausea on a daily basis

4. Symptom episodes, attacks and exacerbations

----------------------------------------------

Does the Veteran have episodes of bowel disturbance with abdominal distress, or exacerbations or attacks of the intestinal condition?

[X] Yes [ ] No

If yes, indicate severity and frequency: (check all that apply)

[X] Episodes of bowel disturbance with abdominal distress

If checked, indicate frequency:

[ ] Occasional episodes

[X] Frequent episodes

[ ] More or less constant abdominal distress

[X] Episodes of exacerbations and/or attacks of the intestinal condition

If checked, describe typical exacerbation or attack:

Patient describes abdominal pain that is relieved with defecation. However, he rarely feels as though he empties his bowels, so has frequent abdominal pain

Indicate number of exacerbations and/or attacks in past 12 months:

[ ] 0 [ ] 1 [ ] 2 [ ] 3

[ ] 4 [ ] 5 [ ] 6 [X] 7 or more

10. Functional impact

---------------------

Does the Veteran's intestinal condition impact his or her ability to work?

[X] Yes [ ] No

If yes, describe the impact of each of the Veteran's intestinal conditions, providing one or more examples:

Patient states that he has a flexible work schedule. This is convenient for him because he spends a lot of time in the bathroom in the mornings. Sometimes he leaves work early because of abdominal pain. In the past month he had to leave early or miss work secondary to his IBS 1-2 times.

[Vync]

If they SC you for it, in my opinion, the rating will likely be based on the box they checked. The "frequent episodes" box = 10% and the "more or less constant abdominal distress" = 30%. I also believe the way they rate this one is kinda stupid. Where will you be when constipation/nausea/diarrhea strikes? If they deny your request for SC, try to find out if any medications they give you to treat your SC conditions cause constipation. If they do, then file a quick reconsideration for secondary SC, but don't forget to turn it into an appeal/NOD before your time is up. If it gets worse, you can always request an increase.

The ratings for gastro are found in:

4.114 - Schedule of Ratings - Digestive System
http://www.benefits.va.gov/warms/docs/regs/38CFR/BOOKC/PART4/S4_114.doc

7319 Irritable colon syndrome (spastic colitis, mucous colitis, etc.):

Severe; diarrhea, or alternating diarrhea and constipation, with more or less constant abdominal distress 30%

Moderate; frequent episodes of bowel disturbance with abdominal distress 10%

Mild, disturbances of bowel function with occasional episodes of abdominal distress 0%

Good luck!