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Primary Service Connection

Primary Service Connection for GERD

December 6, 2025

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Early-2000s Marine veteran • Repeated in-service stomach complaints • Chronic reflux after deployment

The Challenge

The VA denied GERD because there was no formal in-service diagnosis. The STRs contained few notations of “stomach pain” and prescription of antacids.

What Existed Before

STR notations of GI discomfort
Post-service GERD diagnosis.

Our Contribution

Highlighted repeated GI complaints in STRs
Explained pathophysiology of chronic reflux
Demonstrated post-service continuity through medical records
Connected dietary exposure during deployment to symptom onset

Key Takeaway

Once the updated medical rationale and continuity-of-symptom documentation were submitted, the veteran later received a favorable VA decision granting primary service connection for GERD.

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Written By

Military Disability Nexus Editorial Team

Educational Guidance and Evidence Research

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Reviewed For Clinical Accuracy

Military Disability Nexus Clinical Review Team

Clinical Integrity and Accuracy Review

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Originally published December 6, 2025 • Last updated May 22, 2026

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