What % Do You Think I Will Get For Hemorrhoids?

[Navy04]

Below is the C&P results from my Hemorrhoids exam secondary to Crohns Disease. What % do you guys think I will get. Thank you so much and God Bless!!!

Indicate method used to obtain medical information to complete

this document:

[X] In-person examination

Evidence review

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

Was the Veteran's VA claims file reviewed?

[X] Yes [ ] No

If yes, list any records that were reviewed but were not

included in the

Veteran's VA claims file:

VA medical records.

1. Diagnosis

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

Does the Veteran now have or has he/she ever had any condition

of the rectum

or anus?

[X] Yes [ ] No

[X] Internal or external hemorrhoids

Date of diagnosis: 2013-14

2. Medical History

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

a. Describe the history (including onset and course) of the

Veteran's rectum

or anus conditions (brief summary):

The Veteran was diagnosed with Crohn's disease during

military service

in 2009.

He has had problems with frequent diarrhea and rectal

bleeding.

Last year he underwent diagnostic anoscopy with normal

results,

He was prescribed Analpram HC, which is hypdrocortisone

with pramoxine,

in an injectable rectal foam preparation.

Currently the hemorrhoids are actively inflamed and

symptomatic.

He also takes daily oral Psyllium to help prevent

constipation.

b. Does the Veteran's treatment plan include taking continuous

medication for

the diagnosed conditions?

[ ] Yes [X] No

3. Signs and Symptoms

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

Does the Veteran have any findings, signs or symptoms

attributable to any of

the diagnoses in Section 1?

[X] Yes [ ] No

[X] a. Internal or external hemorrhoids

If checked, indicate severity (check all that apply):

[X] Mild or moderate

If checked, describe:

Pain, itching, bleeding

4. Exam

-------

Provide results of examination of rectal/anal area: (check all

that apply)

[X] Small or moderate external hemorrhoids

[X] Other, describe:

Perianal inspection reveals diffuse moderate external

hemorrhoids

which become thrombotic/bluish when straining down,

no fissures

or fistulae.

DRE reveals normal sphincter tone, moderate sized

internal

hemorrhoids without prolapse or thrombosis, and no

other masses

in the rectal vault.

5. Other pertinent physical findings, complications, conditions,

signs and/or

symptoms

a. 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?

[ ] Yes [X] No

b. Does the Veteran have any other pertinent physical findings,

complications, conditions, signs and/or symptoms related to

any conditions

listed in the Diagnosis section above?

[ ] Yes [X] No

6. Diagnostic testing

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

a. Has laboratory testing been performed?

[X] Yes [ ] No

If yes, check all that apply:

[X] CBC (if anemia due to any intestinal condition is

suspected or

present)

Date of test: 2/11/2015

Hemoglobin: 15.8

Hematocrit: 44.3

White blood cell count: 5.1

Platelets: 191.0

[X] Other, specify: Sed Rate

Date of test: 2/11/2015

Results: 3 (normal)

b. Have imaging studies or diagnostic procedures been performed

and are the

results available?

[X] Yes [ ] No

If yes, provide type of test or procedure, date and

results (brief

summary):

See above.

Colonoscopy 8/19/2009--internal hemorrhoids visualized

c. Are there any other significant diagnostic test findings

and/or results?

[ ] Yes [X] No

7. Functional impact

Does the Veteran's rectum or anus condition impact his or her

ability to

work?

[ ] Yes [X] No

8. Remarks, if any:

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

The Veteran is claiming service connection for hemorrhoids.

Opinion: It is as least as likely as not that the Veteran's

hemorrhoids

are proximately due to his service connected Crohn's disease.

Rationale: The C file was reviewed.

The STRs do document the rectal bleeding and the Crohn's

disease.

He has frequent diarrhea and some constipation; this in and

of itself is

prone to lead to hemorrhoid problems, which were clearly seen

and palpated

on today's exam.

Also, colonoscopy in 2009 did visualize internal hemorrhoids.

Thus, the service connection is substantiated

[tdubya82]

[deleted]

Edited July 21, 2016 by tdubya82

[Navy04]

These are secondary to Crohns, but I don't know if you can with IBS, I would think so.

[meghp0405]

hemorrhoids, diagnostic code 7336, mild or moderate (which yours has been annotated as such) is 0%

[Navy04]

Thanks