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
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.