Early-2000s Air Force veteran • Generalised Anxiety disorder with depressive features • Stress-triggered IBS
The Challenge
Service treatment records do not any complaints or diagnosis related to IBS. The evidence does not demonstrate that gastrointestinal symptoms are secondary to your service-connected anxiety/depression. No medical relationship was established.
What Existed Before
- IBS diagnosis
- SC anxiety/depression
- Notes showing symptom flares during MH episodes
Our Contribution
- Review of symptom fluctuations tied to stress and mental health episodes
- Identification of GI patterns consistent with secondary aggravation
- Chronological mapping of mental health treatment and IBS progression
- Structured secondary-service-connection explanation using existing evidence
Key Takeaway
Following submission of the new opinion, the veteran later received a favorable decision granting service connection for Irritable Bowel Syndrome (IBS). We supported the claim with medical rationale - NEXUS Letter. VA made the final decision.
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View medical review policyOriginally published December 7, 2025 • Last updated May 31, 2026