Primary service-connected condition

DC 7319 — Irritable bowel syndrome (IBS)

Also known as: ibs, Irritable bowel syndrome, irritable bowel syndrome, Irritable bowel syndrome (IBS), irritable bowel, stomach cramps, diarrhea, constipation, abdominal pain, bowel problems

Mapped secondary conditions
4

These are commonly claimed secondary connections linked to this primary disability. Use them as a screening tool for conversations with your doctor, VSO, or VA-accredited attorney.

Primary → Secondary

Irritable bowel syndrome (IBS) → Generalized anxiety disorder

9400
Strong

How the connection is commonly explained

Fear of episodes and unpredictability causes significant anxiety

Filing tip

File as a secondary claim to DC 7319 (Irritable bowel syndrome (IBS)). Provide medical records showing fear of episodes and unpredictability causes significant anxiety and request a nexus opinion linking Generalized anxiety disorder to your service-connected condition.

Relationship type: Caused by
View condition detail
Primary → Secondary

Irritable bowel syndrome (IBS) → Major depressive disorder

9434
Strong

How the connection is commonly explained

Chronic GI distress and dietary restrictions lead to depression

Filing tip

File as a secondary claim to DC 7319 (Irritable bowel syndrome (IBS)). Provide medical records showing chronic gi distress and dietary restrictions lead to depression and request a nexus opinion linking Major depressive disorder to your service-connected condition.

Relationship type: Caused by
View condition detail
Primary → Secondary

Irritable bowel syndrome (IBS) → Hemorrhoids, external or internal

7336
Moderate

How the connection is commonly explained

Chronic bowel dysfunction can lead to hemorrhoids

Filing tip

File as a secondary claim to DC 7319 (Irritable bowel syndrome (IBS)). Provide medical records showing chronic bowel dysfunction can lead to hemorrhoids and request a nexus opinion linking Hemorrhoids, external or internal to your service-connected condition.

Relationship type: Caused by
View condition detail
Primary → Secondary

Irritable bowel syndrome (IBS) → Hiatal hernia and paraesophageal hernia

7346
Moderate

How the connection is commonly explained

GI conditions often co-occur — shared inflammatory mechanisms

Filing tip

File as a secondary claim to DC 7319 (Irritable bowel syndrome (IBS)). Provide medical records showing gi conditions often co-occur — shared inflammatory mechanisms and request a nexus opinion linking Hiatal hernia and paraesophageal hernia to your service-connected condition.

Relationship type: Caused by
View condition detail

This condition may also be secondary to

Fibromyalgia (fibrositis, primary fibromyalgia syndrome)
DC 5025
Strong

Fibromyalgia and IBS frequently co-occur — shared central sensitization

Generalized anxiety disorder
DC 9400
Strong

Anxiety directly affects gut motility through the gut-brain axis

Endometriosis
DC 7629
Moderate

Endometrial implants on the bowel and pelvic adhesions frequently cause IBS-like symptoms including bloating, diarrhea, constipation, and abdominal cramping.

Major depressive disorder
DC 9434
Moderate

Depression disrupts gut-brain axis function

Panic disorder and/or agoraphobia
DC 9412
Moderate

Panic disorder and chronic anxiety worsen IBS through the gut-brain axis, increasing bowel motility and abdominal distress.

Posttraumatic stress disorder
DC 9411
Moderate

PTSD affects the gut-brain axis, disrupting normal bowel function. The stress response commonly manifests as GI symptoms.

How to File a Secondary Claim

1. Have your primary condition already service-connected.
2. Get diagnosed with the secondary condition.
3. Get a nexus letter from a doctor linking them.
4. File VA Form 21-526EZ and select the claim as a secondary claim.
5. Attend the C&P exam if one is scheduled.

Disclaimer: Secondary connections shown are based on commonly established medical links. Individual claims require medical evidence. Consult a VSO or VA-accredited attorney.