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Esophagus C&P thoughts.
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sanktuary
Hey everyone love the site. I was just looking over the C&P exams that came back in through the blue button. While my knee C&P exam was terrible ( Doctor laid me on my back and pushed all of his weight down on my knee, pushing it into my chest) hurt like hell, i even told him it was hurting. But that one looks like he just did not care. No tool used to measure anything, said I had no complaints since the service, even though my VA records shows imaging, offering of knee replacements and braces... but I digress.
The tinnitus one they gave me ( MOS 11B ) said
Does the Veteran report recurrent tinnitus: Yes
Date and circumstances of onset of tinnitus: He reported constant ringing since 1996-97.
Circumstances of onset related to weapon training without hearing protection. The tinnitus is described as a loud whine or buzz sound. It is more noticeable in a quiet area, at night in bed.
2. Etiology of tinnitus ---------------------- At least as likely as not (50% probability or greater) caused by or a result of military noise exposure.
My bigger issue is I can not make this out regarding the stomach disorder and espohagus issue i am having. They have diagnosed me with Eosonophil Esophagitis. They told me it was caused from silent reflux due from stomach issues. But where as the exam for tinnutis stated At Least as Likely As NOT. This one doesn't say that. Can you guys give me your thoughts on what this looks like?
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Esophageal Conditions (Including gastroesophageal reflux disease (GERD), hiatal hernia and other esophageal disorders)
Disability Benefits Questionnaire
Is this DBQ being completed in conjunction with a VA 21-2507, C&P Examination Request? [X] Yes [ ] No
ACE and Evidence Review ---------------------- Indicate method used to obtain medical information to complete this document: [X] In-person examination
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
Other esophageal condition (such as eosinophilic esophagitis, Barrett's esophagus, etc.)
Other diagnosis #1: mallory weiss tear (esophogus)/healed 1995 ICD code: 000
Date of diagnosis: 1995/during military service
Medical history --------------
Description of the history (including onset and course) of the Veteran's esophageal conditions:
42-year-old male here with a history of a Mallory Weiss tear* of the esophagus during military service (1995) here in C&P to be considered for residual GI problems. Since military service, he never sought medical care, always being told his dysphasia (difficulty in swallowing) is due to anxiety. Vet states he has PTSD, VA records stat he has panic attacks with anxiety. Had a gastroscopy (considering the stomach with a camera) 5/2/2018 at Wake Forest/NCBH that VA records state he had an esophageal dilatation. "
* "Severe and prolonged vomiting can result in tears in the lining of the esophagus. The esophagus is the tube that connects your throat to your stomach. Mallory-Weiss syndrome (MWS) is a condition marked by a tear in the mucous membrane, or inner lining, where the esophagus meets the stomach. Most tears heal within 7 to 10 days without treatment, but Mallory-Weiss tears can cause significant bleeding. Depending on the severity of the tear, surgery may be necessary to repair the damage."
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Does the Veteran's treatment plan include taking continuous medication for the diagnosed condition? Yes
Medications used for the diagnosed condition: pantoprazole 40 mg bid
Does the Veteran have an esophageal stricture, spasm of esophagus (cardiospasm or achalasia), or an acquired diverticulum of the esophagus? Yes
Severity of condition: Amenable to dilation Moderate Permitting liquids only
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
Have diagnostic imaging studies or other diagnostic procedures been performed? Yes
Diagnostic Testing Preformed: Upper endoscopy Date: 5/02/2018
Results: esophogeal stricture/ esophogitis
Are there any other significant diagnostic test findings and/or results? No
Do any of the Veteran's esophageal conditions impact on his or her ability to work? No
Remarks, if any: ------------------
Esophogeal problems (esophogitis and esophogeal stricture documented in 5/02/2018 study).
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