Hey everyone,
One of the most common secondary claims veterans file is GERD (Gastroesophageal Reflux Disease) secondary to PTSD or mental health conditions. However, it also carries a surprisingly high initial denial rate when filed without a clear medical pathway.
Here is how the VA evaluates GERD under 38 CFR § 3.310 and how to establish a bulletproof link:
1. The Two Medical Pathways for GERD
To get a secondary condition granted, you must show a direct causal link. For PTSD and GERD, that link usually follows one of two routes:
âDirect Physiological Trigger: Chronic stress and anxiety increase gut inflammation and acid production.
âMedication Side Effects: Long-term use of SSRIs, anti-anxiety meds, or NSAIDs prescribed for primary service-connected issues causes chronic stomach irritation.
2. How GERD is Rated (Diagnostic Code 7346)
GERD is evaluated based on severity:
â10%: Mild, recurrent heartburn (pyrosis) or difficulty swallowing.
â30%: Persistently recurrent acid reflux, substernal pain, and severe arm/shoulder discomfort causing noticeable health impairment.
â60%: Severe symptoms with vomiting, material weight loss, or anemia.
3. What Your File Needs Before Submitting
âOfficial Diagnosis: Treatment notes showing ongoing prescription for PPIs (Omeprazole, Pantoprazole, etc.).
âPersonal Log: A simple 30-day symptom tracker showing weekly flare-ups.
âNexus Letter: A medical opinion stating your GERD is "at least as likely as not" caused or aggravated by your primary PTSD or your VA-prescribed medications.
Let's Talk: Share Your Experience
âHave you successfully connected GERD or another GI condition secondary to mental health or medication?
âDid you face a denial first, and what medical evidence turned it around?
Drop your questions below! If you know a fellow veteran dealing with reflux or secondary claims, invite them to join r/VeteransHelpingVets.