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Conditions secondary to IBS

If the VA already service-connected your ibs (also called IBS, irritable bowel syndrome, functional bowel, chronic diarrhea), it can cause or worsen other conditions that are ratable on their own. These "secondary" claims are where many veterans leave money on the table. Below is what a service-connected ibs commonly leads to, why, and what evidence each one takes.

Secondary conditions to consider

A secondary claim only works if the primary condition (ibs) is already service-connected, and you have a nexus — a doctor's opinion that it is "at least as likely as not" the cause. More on nexus letters →

Depression / anxietymoderate link

IBS has a recognized gut-brain link; chronic, unpredictable symptoms can cause or worsen anxiety and depression (and vice versa).

What you'd need: A mental health diagnosis and a nexus opinion connecting the mood disorder to the IBS.

Typically rated under DC 9434 depression / DC 9400 anxiety (38 CFR 4.130)

Hemorrhoids / anal fissuresmoderate link

Chronic diarrhea or constipation from IBS strains the anorectal area, contributing to hemorrhoids and fissures.

What you'd need: A diagnosis of hemorrhoids/fissures and a note linking it to the service-connected IBS symptom pattern.

Typically rated under approx: DC 7336 hemorrhoids (38 CFR 4.114)

Malnutrition / weight loss / GERDmoderate link

Severe IBS can impair nutrient absorption and overlaps with other GI conditions, which may be separately claimed.

What you'd need: Documented weight loss/lab findings or a co-diagnosis and a nexus opinion linking it to the IBS.

Typically rated under approx: digestive system (38 CFR 4.114)
Find the ones you may be missing
Wingman's free Secondary-Condition Finder maps your rated conditions to what they can cause — privately, in your browser.
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Related guides:
How a VA claim worksWhat is a nexus letter?All secondary conditions
Education only. Wingman is a free, veteran-built self-help tool. It is not legal advice, not VA-accredited, and it never files anything for you. Every claim turns on your own facts and current VA rules — always confirm anything important with a free accredited VSO (find one at va.gov).
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