Cancer can form anywhere along this tract. 06. However, where an increase in the disability rating is at issue, the present level of disability is of primary concern. More than 130,000 Americans are diagnosed with this form of cancer a year, and 50,000 die from the disease annually. Occasionally cancer in the small intestine will cause a palpable lump in the abdomen. Code 7802 refers to “superficial scars. adults at least weekly and nearly 1 in 10 daily. Six months following discharge, the appropriate disability rating shall be determined by mandatory VA examination. 18 - Misconduct Etiology/Unemployability. Scar adherent to underlying tissue. 114, the Schedule of Ratings for the Digestive System, diagnostic code 7327. 800. Still, it’s important to get the full disability rating you deserve. Id. New Papers Since 2005 With Surveillance Outcomes After Baseline Colonoscopy Category: baseline colonoscopy finding No. § 4. Below is a breakdown of the criteria for the rating scale: 100%— Presents total occupational and social impairment. Chronic bleeding may lead to iron deficiency anemia, which can make you feel tired and short of breath. By a subsequent rating action in October 1995, the veteran was awarded a 30 percent disability rating for gastroenteritis. Email. The answer is yes, but it depends on the severity of your symptoms. Prostate cancer, testicular cancer, blood cancer, and soft tissue sarcoma. 114, Schedule of Ratings – Digestive System, Diagnostic Code 7346. RATING COMPARISON: SERVICE PEB - 20051129 VARD - 20070224 Condition Code Rating Condition Code Rating Exam 10% – urinating every 2-3 hours daily and at least twice at night. 03 for 60% in 2022 and increases with eligible dependents. The highest schedular VA rating for IBS is 30 percent. eCFR :: 38 CFR 4. 97 – Schedule of Ratings, Respiratory System, Diagnostic Code (DC) 6522. Having surgery. Subpart B—Disability Ratings The Digestive System § 4. 350 (e) (1) (i) 38 CFR 3. Asthma secondary to GERD (acid reflux or heartburn) Asthma secondary to Obstructive Sleep Apnea. This means you do NOT currently have the VA disability rating and compensation YOU deserve, and. 300(c), disability which is proximately due to or the result of a service-connected disease or injury shall be service connected. § 3. This can improve sinus drainage or remove nasal blockages. , the small bowel or the colon) will move through the hiatus, in a condition known as giant esophageal hernia. At this rate (and 20%), you get no extra benefits or higher rate for your dependents. C. They gave me opiates for the the pain from those conditions. $508. However, a Veteran may be entitled to a maximum rating of 40% disability benefits for each extremity affected. intestinal blockages brought about by scar tissue or tumors. In a non-presumptive claim, if the veteran participated in a TERA event, then a TERA exam and associated medical opinion will be ordered by the VSR or RVSR. Disability ratings are determined by applying criteria that are set forth in the VA's Schedule for Rating. Since that 2011 report came out, the VA has slowly started to. The VA has a specific rating for IBS. 10 percent rating. 2. R. On the other hand, the scientific research community. Squamous cell carcinoma of the trachea. 800-544-9144. R. Brian Reese. 55, 58 (1994). #3 Hearing Loss rated at 0% or $0 per month. We use your disability rating to determine how much disability compensation you’ll receive each month, as well as your eligibility for other VA benefits. proximal to sigmoid, with 2 or more 10 mm; (2) any serrated polyps proximal to sigmoid with family history of serrated polyposis syndrome; and (3) 20 serrated polyps of any size throughout the colon. The VA uses a formula called the combined rating table to come up with the combined rating. R. This means an in-service event, injury, or disease related to your military service caused you to develop Sinusitis. However, the VA disability benefits system only counts by tens, so you will have to round down to 40. 401-331-6300. Exposure to Agent Orange can occur through inhalation. The average compensation for Agent Orange is a 100 percent service connected VA disability rating, which is worth a minimum of $3,332. For example, a 10% VA rating is worth just under $160 per month, while a 100% VA rating can be worth more than $3,500 per month. Your combined rating can range from 0% to 100%, with 10% increments. Polyps may be scattered throughout the colon and vary in size from a few millimeters to several centimeters. The monthly money you receive will vary based on your combined disability rating. ACTION: Proposed rule. Under 38 CFR § 4. § 1155; 38 C. DC 6502 does not provide a higher disability rating for this condition. The current rating schedule does not provide specific criteria for diverticulitis, diagnostic code 7327, but directs that it be evaluated as either irritable colon syndrome (diagnostic code 7319), peritoneal adhesions (diagnostic code 7301), or ulcerative colitis (diagnostic code 7323), depending on the predominant disability picture. Because colon polyps are not assigned a specific Diagnostic Code the RO rated them under 38 C. May 26, 2017. Your rating determines how much in monthly disability compensation you’ll receive. The VA Disability Rating includes: 10%: This rating is for veterans with two or more GERD symptoms from the 30% schedule but not severe enough for the total 30% rating. 401-421-3185. Urinary frequency is rated from 10% to. Veterans helping Veterans Worldwide™, and since 2016 we’ve helped 10,000+ Veterans just like you INCREASE their VA disability rating! Get Started. com. 64 each. 7327 Diverticulitis. Understanding Colon and Rectal Polyps. Rate as for irritable colon syndrome, peritoneal adhesions, or colitis, ulcerative, depending upon the predominant disability picture. All VA ratings for peripheral neuropathy range from between 10% and 40% maximum. University of California Davis Medical Center, Fulsom, CA. The VA currently gives a 0, 10, or 30 percent VA disability for IBS. ”. Bethany: Typically, allergic rhinitis is rated under 38 CFR 4. I am currently at DRO at regional office within the month. Diagnosis. #6 The Custom Legal Review. CONCLUSION OF LAW A colon polyps disability was not incurred in or aggravated by military service. Some immediate effects of burn pit exposure can include coughing, throat discomfort, or difficulty breathing. For a veteran without dependents, this would translate to $3,621. S. 30% —Veterans who experience severe symptoms as a result of the removal of the gallbladder can receive the 30 percent rating. If you have questions or can't find what you're looking for, you can call, text, or chat online with the Women Veterans Call Center (WVCC) at 855-829-6636 to get help and find available resources and services in your area. § 1701(1) (West 2014); Allen v. Except as provided in § 3. Legal Criteria - Increased Ratings Disability ratings are determined by applying the criteria set forth in the VA Schedule for Rating Disabilities, found in 38 C. The VA schedular for IBS are 0%, 10%, and 30%. The VA lists symptoms and outcomes that help you determine your potential sinusitis VA rating. A veteran with a VA disability rating for a hysterectomy under diagnostic code 7618 (Removal of the uterus and both ovaries) may be entitled to compensation at 100 percent for three months after removal and a 50 percent rating after that. To receive a hemorrhoids VA disability rating, the hemorrhoids must be service-connected and chronic. By Order dated August 2012, the Court vacated the Board's September 2011 denial and remanded this matter for compliance with the instructions included. Dysplasia/colon polyps were initially manifest in 2006, more than 30 years after discharge from active duty. 1 (2009), and based on the Veteran's representative's contentions and the medical evidence of record, the Board has recharacterized the claims as service connection for a colon disability, to include cancerous polyps of the colon and skin condition other than erythrasma, to include chloracne as due to herbicide exposure. C. 114, diagnostic code 7319 for Irritable Colon Syndrome. If denied, you have the right to appeal the decision. 9350. Unlike other conditions, uterine fibroids do not have a separate rating. Table 2. Part 4 (2008). Twenty percent of 70 is 14. 100 percent disability rating: $3,737. Fax. F. 38 CFR § 4. I have been diagnosed with chronic sinusitis (10%) and allergic rhinitis (0%). The VA ratings define these episodes as requiring bed rest and doctor’s treatment. In September 2005, the veteran underwent VA medical examination at which he reported a history of colon cancer in December 1998, followed by a sigmoid. How Does VA Rate Colon Cancer? If a veteran is service connected for an active cancer, VA should automatically assign a 100 percent disability rating. S. The criteria for each VA IBS rating are as follows:100+ Most Common VA Disability List of Secondary Conditions. VA will add a note that directs personnel to rate under proposed DC 6233 (rhinosinusitis, allergic and nonallergic (vasomotor) related) using the General Rating Formula for Rhinosinusitis instead of proposed DC 6240 (Rhinitis, allergic or. The examiner noted that the Veteran had no lower gastrointestinal symptoms while on active duty and that although colon polyps can take years to develop, the size of the largest one indicates that it was present for at most, 10 years. Robinson Street Suite 635, Orlando, FL 32801The VA rates bursitis in the shoulder using diagnostic codes 5200-5203. The ascending colon, beginning with a saclike structure called the cecum, is located on the lower right side of the abdomen and curves left below the liver. 31. 888. 70%— Occupational and social impairment, with deficiencies in most areas. Disability ratings for shoulder bursitis range from 10% to 80% disabling based on limitation of motion of the arm and pain. It absorbs water from stool and changes it from a liquid to a. Colorectal cancer (CRC) is a type of cancer that starts in the colon or rectum. § 4. Entitlement to an initial rating in excess of 20 percent on and after November 1, 2009. Here’s a list of the Top 10 Common VA Disability Claims, along with their average VA ratings: #1 Tinnitus rated at 10% or $165. Toll Free. B/C There is not a diagnostic code. colorectal (colon) large intestine, colon, and rectum. 1 (2009), and based on the Veteran's representative's contentions and the medical evidence of record, the Board has recharacterized the claims as service connection for a colon disability, to include cancerous polyps of the colon and skin condition other than erythrasma, to include chloracne as due to herbicide exposure. Eventually, a grassroots movement of disabled veterans with burn pit symptoms, assisted by media reports on the potential toxicity of these pits, put enough pressure of the government to reevaluate its position. F. 114 Schedule of Ratings – Digestive System – Diagnostic Code 7336. Veterans without a qualifying medical diagnosis must show a connection between the disease and herbicide. 4. The colon and rectum have a smooth lining composed of millions of cells. So, that diagnostic code includes two evaluations, a 10 percent rating, and a 30 percent evaluation based on different symptomology. 23 - Rating of Disabilities Aggravated by Active Service/Attitude of Rating Officers. During this surgery, your specialist eliminates the diseased pieces of your bowel and afterward. These may involve ulcers, gastroesophageal reflux disease (GERD), colon cancer, other forms of cancers, as well as hemorrhoids. 5001 Bones and Joints, tuberculosis, active or inactive. VA’s breakdown of ratings is as follows: 0% – This rating is assigned to veterans who may have a cyst that does not require treatment. 06. Drink plenty of liquids such as water and juice. , the wall between the nostrils) may restrict or block sinus passages. com. (A few very severe skin conditions, such as erythroderma, can get. § 3. 03 with dependents (parents, spouse, and children). In addition, the notice requirements of the VCAA apply to all elements of a service connection claim. 2. Entitlement to service connection for a bilateral elbow disability, to include as due to an undiagnosed illness. Learn more. You may receive a VA rating for your disability. If a veteran has been recommended for surgical intervention but is not a surgical candidate, evaluate. The digestive tract and accessory organs include the small and large intestines, gallbladder, stomach, esophagus, rectum, liver, and pancreas, among others. Conditions of the Intestines (Colon) Conditions of the Rectum and Anus Conditions of the Abdomen and Peritoneum Ulcers Hernias Cancer and Tumors of the Digestive System If. 114 diagnostic code 7319 for Irritable Colon Syndrome (spastic colitis, mucous colitis, etc. According to 7327, VA can rate diverticulitis analogous to “irritable colon syndrome, peritoneal adhesions, or colitis, ulcerative, depending upon the predominant disability picture. com. Your. Various conditions like ulcerative colitis, irritable colon syndrome, and other colon. R. Exposure to Agent Orange can occur through inhalation. Under Diagnostic Code 6522, a 10 percent disability rating is warranted for allergic or vasomotor rhinitis without polyps, but with greater than 50-percent obstruction of the nasal passages on both sides or complete obstruction on one side. Schedule My Free Evaluation Radiation exposure during service. The panel gives consideration to VA evidence, particularly within 12 months of separation, but only to the extent that it reasonably reflects the severity of disability at the time of separation. The PACT Act is a bill that directly addresses the effects on Veterans and others who served in the military and were exposed to environmental toxins, burn pits, radiation, and Agent Orange. Citation Nr: 1530753 Decision Date: 07/17/15 Archive Date: 07/24/15 DOCKET NO. As part of VA's ongoing revision of the VA Schedule for Rating Disabilities (VASRD or rating schedule), VA proposes changes to 38 CFR 4. R. R. HIGHER • Done every ten years for anyone over age 50* to look for (and remove, if needed) colon polyps. You may qualify for VA disability benefits for physical conditions (like a chronic illness or injury) and mental health conditions (like PTSD) that. We evaluate melanoma that is not malignant that affects the skin (benign melanocytic tumor) under the listings in 8. 800-544-9144. #2 Application Process. Veterans may be entitled to compensation for sinus. Your replies is greatly appreciated. Does Agent Orange cause colon polyps? The VA does not recognize colon polyps as caused by Agent Orange exposure. I have had several CT scan and MRI some indicate mucus retention cysts and some indicate mucus retention cyst versus polyp (only one not polyps). According to VA Disability Expert Brian Reese, “Asthma is a. 49 per. 3 January 1999 VA. 800-544-9144. The salivary glands, however, are stimulated by the sense of smell. Click HERE to see the 2023 VA Disability Pay Rates. VA disability ratings for IBS range from 0 to 10 to 30 percent, depending on the severity of symptoms. The rating criteria is listed below: 30% – with polyps; 10% –without polyps, but with greater than 50 percent obstruction of nasal passage on both sides or complete obstruction on one sideThere are 3 primary ways a veteran can get a VA disability rating for Sinusitis (Chronic): #1: Direct Service Connection for Sinusitis with a rating of 0%, 10%, 30%, or 50%. II. The obstructed voiding rating system is reserved for conditions that make it hard to urinate. Email. com. 114, Schedule of Ratings – Digestive System, diagnostic code 7346. Various conditions like ulcerative colitis, irritable colon syndrome, and other colon diseases have their specific codes and ratings. MyVA411. ). The Veteran was also notified how VA assigns disability ratings and effective dates. Hiatal hernias are rated under the 38 CFR § 4. Part 4. 800-827-1000. In October 2000, the RO increased his initial disability rating from noncompensable to 10 percent disabled, effective February 24, 1997. One can argue that this does not make any sense. Your inability to work due to colon or rectal cancer is expected to last at least a year. 10% – large or thrombotic, irreducible, with excessive redundant tissue, evidencing frequent recurrences. [email protected] Veteran had a VA disability rating of totally disabling for at least the 8 full years leading up to their death, and; You were married to the Veteran for those same. § 4. VA Rating for Diverticulitis Diverticulitis is rated under 38 CFR $ 4. The large bowel is otherwise called the large digestive system or the colon. Like hemorrhoids, anal fissures also present symptoms like swelling and bleeding in and around the anus. Cologuard is a non-invasive test for colon cancer that you can perform in the comfort of your own home. The following disability ratings may be assigned: 30% – a catheter is needed constantly or intermittently. gov. warranted where there is evidence of polyps. 85 per month (plus anything you receive on behalf of dependents). Another contributor to Gastrointestinal conditions. Here is the list that has been expanded in recent years: Veterans who served after Aug. #8 Impact on Ability to Work. It checks for evidence of cancer in a small sample of stool (poop) that you mail to a lab. Entitlement to an initial compensable disability rating for hemorrhoids prior to November 1, 2009. He had a history of colon polyps on colonoscopy last year. F. F. military. #5 Secondary Medical Conditions. There are multiple diagnostic codes for the various. 05 per month. In order to be eligible for VA disability benefits, the veteran must: Have a current illness or injury that affects the mind or body; AND, Have served on active duty, active duty for training, or inactive duty training. Chronic obstructive pulmonary. Dr. Sessile polyps are more likely. The organs usually involved are the bladder, small intestine, and skin. Adds more presumptive exposure locations for Agent Orange. The Veteran received a VA examination in January 2013, during which she reported a history of rectal bleeding, constipation. If sinusitis lasts more than 12 weeks (90 days), it is called chronic. A. Mustard Gas or Lewisite Exposure. You aren't engaged in "substantial gainful activity" (SGA)—meaning earning more than $1,470 per month. Read this page to review the most common types of cancers that we now consider presumptive for eligible Veterans. The colon, or large intestine, connects the small intestine to the anus and includes the ascending colon, transverse colon, descending colon, rectum, and anus. 2%. Check the status of your claim. A spirometry test can be used to determine the severity of asthma, and the ratings from that test determine your VA disability rating. If you have been diagnosed with allergic rhinitis, and you experienced something in service that represented the onset of the condition or the cause of the condition, you should file with VA for an allergic rhinitis VA rating. According to the VA disability ratings, allergic rhinitis is compensable. VA usually reevaluate veterans’ service-connected disabilities six months after service or between 2 and five years from the grant of benefits. Cancer – Digestive. 87, No. 38 C. colon polyps, in remission, and. Rate as for irritable colon syndrome, peritoneal adhesions, or colitis, ulcerative, depending upon the predominant disability picture. F. Rates for a qualifying veteran in 2022 are: 30%: $467. Using the formula, the VA will assign you a disability of 60%, 30%, 10%, or 0%, based on how much of your body is affected by the skin condition or how much treatment you require. 40% – You change absorbent materials two to four times daily. Symptoms of colorectal and small intestine cancer include unintentional weight loss, a change in bowel habits, fatigue, and blood in the stool. 401-331-6300. If you are only 56 percent effective, the VA disability system will determine that you are 44 percent disabled. Diagnostic code 6523: Bacterial rhinitis. If you have. Gastrointestinal diseases are those that involve the organs of the digestive tract and accessory organs that aid in digestion. pre-cancerous polyps (e. 114, Diagnostic Code 7399-7329 for unspecified gastrointestinal condition rated under Diagnostic Code 7329. Colonoscopy Enlarge image. The injured hand, or the most severely injured hand, of an ambidextrous individual will be considered the dominant hand for rating purposes. The obstructed voiding rating system is reserved for conditions that make it hard to urinate. 118, are: Scar 5 or more inches (13 or more cm. 114, the VA evaluates this condition as follows: Gastritis, atrophic. Shinseki, 23 Vet. Phone. SUMMARY: The Department of Veterans Affairs (VA) amends its adjudication regulations regarding presumptive service connection, adding certain diseases associated with contaminants present in the base water supply at U. 3) a medical nexus to tie the diagnosis and event together. 159(b) apply to all five elements of the claim: (1) veteran status; (2) existence of a disability; (3) a connection between the veteran's service and the disability; (4) degree of disability; and (5) effective date. The veteran appealed this decision. 4. During the test, small pieces of tissue may be removed for testing. You may be eligible for disability compensation if you meet these 3 requirements. 2. We assign you a disability rating based on the severity of your service-connected condition. A 30 percent rating requires the presence of polyps. The USPSTF doesn’t recommend screening for colorectal. 83. If more than one scar is considered unstable, an additional 10 percent may be added to the rating. is continuous medication required for control of the veteran's intestinal condition? if yes, also complete va form 21-0960g-4, intestinal surgery (bowel resection, colostomy, ileostomy) disability benefits. Veterans can be rated at 10, 30, or. 05. If the VA concludes that your skin condition is not at least 10% disabling according to the VA rating system, you may not be able to qualify for benefits. Subtract 14 from 70, and you get 56, which is your new effectiveness level. If you served in Vietnam and have developed colon cancer, you may be entitled to VA disability compensation. C. If your diagnosis is active cancer, VA assigns an automatic disability rating of 100 percent. Veterans Law VA Disability for Gastrointestinal Cancers August 3, 2022 Updated: July 24, 2023 On August 10, 2022, the Honoring Our Promise to Address. § 4. 10% – large or thrombotic, irreducible, with excessive redundant tissue, evidencing frequent recurrences. 116, Schedule of Ratings – Gynecological Conditions and Disorders of the Breast. This matter comes before the Board of Veterans' Appeals (Board) from a November 2009 rating decision of the Department of Veterans Affairs (VA) Regional Office (RO) in Houston, Texas which, in part, granted an increased 10 percent disability rating for nodular gastritis with gastric polyp symptoms and antral gastritis, effective March 30, 2009. Sometimes it can show the last part of the small intestine (ileum). It affects men more than women. The highest schedular VA rating for IBS is 30 percent. We discuss more about each new. 401-421-3185. org ~ A Non-Profit Non Governmental Agency. Additionally, they must also be symptomatic in nature. Home; About us; Board of Veterans Appeals (BVA) United States Court of Appeals for Veterans ClaimsNote: A rating of 100 percent shall continue beyond the cessation of any surgical, X-ray, antineoplastic chemotherapy or other therapeutic procedure. They occur in several locations in the gastrointestinal tract but mostly in the colon. The VA rates eye conditions on a scale from 0 to 100, with 100 being the most severe. Many respiratory cancers have been linked to exposure to toxins from burn pits. You can view your disability ratings online if you got a decision notice from us in the mail confirming your disability rating. F. ”. S. These tests also can help find colorectal cancer in its early stages, when you have a good chance of recovery. com. And in my view, making sure that the VA gets the rating correct in an IBS case is much like opening a Pandora’s Box. " 38 U. This rating is awarded for hemorrhoids with persistent bleeding that either includes fissures (small tears in the tissue) or causes mild anemia. Among gastrointestinal disorders, gastroesophageal reflux disease (GERD) is a very. F. 3. Symptoms of IBS are classified. 05 per month. Additionally, VA proposes to maintain the current rating instruction for DCs 7806, 7809, 7813–7816, and 7820–7822 which allows for evaluation under disfigurement of the head, face, or neck (DC 7800) or scars (DCs 7801, 7802, 7804, or 7805), depending upon the predominant disability, in lieu of using the General Rating Formula. The U. #8 Impact on Ability to Work. At the time of the September 201 rating decision, the 30 percent rating for the Veteran's service-connected nasal polyps had been in effect for less than five years. Chronic bronchitis, code 6600. Department of Veterans Affairs (VA) for disability benefits. The rating chart ranks hemorrhoids in the following categories: 0% – mild or moderate. LARYNX AND PHARYNX DISABILITY BENEFITS QUESTIONNAIRE. [email protected] VA may add to the list of cancers presumed to be caused by exposure to Agent Orange. The new cells resemble the columnar cells that are in the lining of the colon and intestines, built to withstand gastric acid. F. Most colorectal cancers begin as a polyp, which can be detected during routine screening colonoscopy performed every 10 years starting. Where the criteria for a compensable rating under a diagnostic code are not met, and the schedule does not provide for a 0 percent evaluation, a 0 percent rating will be assigned when the required symptomatology is not shown. 91 per month. g. Rate as for irritable colon syndrome, peritoneal adhesions, or colitis, ulcerative, depending upon the predominant disability picture. Veterans can receive a 0 percent, 10 percent, or 30 percent rating for IBS depending on the severity of the irritable bowel syndrome (IBS). 20% – with persistent bleeding. R. The Board directed the examiner to specify which symptoms, if any, were attributable to the Veteran's service-connected polyps, and residuals thereof, and which symptoms were associated with another disability. A complication of a number of diseases, including pernicious anemia. 878. F. Small polyps are usually not cancer (benign). § 4. §. A colonoscopy will help your doctor see whether there are polyps that may become cancerous on your colon. Effective August 5, 2021, 38 CFR 3. com. 97, Diagnostic Code 6516 (2008). Therefore, your VA disability rating for cancer in remission will start at 100%. F. If polyps (growths) are present, this rises to a 30% rating. It absorbs water and stores food waste. After this, the VA will re-evaluate the level of disability and assign a permanent disability rating. Typically, the VA rates chronic sinusitis as 0%, 10%, 30%, or 50%. Last updated: October 20, 2022. VA will consider the information you provide on this questionnaire as part of their evaluation in processing the Veteran's claim. Obstructed Voiding. R. So, if you have allergic rhinitis and it gets service connected and you experience polyps, which is an abnormal tissue growth. Other common disabilities that we frequently see in the office involve irritable bowel syndrome. C. When diverticulitis-related infection spreads outside the colon, the colon's tissue may stick to nearby tissues. To receive a VA rating for your condition, you must provide medical evidence showing. com. The schedule lists common medical scenarios that may involve disease, injury, dysfunction, or other issues. An initial compensable disability rating for tinea cruris is denied. Cruiser weighed in on NavyIT's case, and unless I misinterpreted his response, VA's decision should be binary - if permanent ileostomy due to SC Ulcerative. S. App. 10. Increased Rating Disability evaluations are determined by comparing a Veteran's present symptomatology with criteria set forth in the VA's Schedule for Rating Disabilities (Rating Schedule), which is based on average impairment in earning capacity. C. R. In the evaluation of service-connected disabilities, the entire recorded history, including medical and industrial history, is considered so that a report of a rating examination, and the evidence as a whole, may yield a rating which accurately reflects all elements of disability, including the effects on ordinary activity. VA rates Irritable Bowel Syndrome under 38 C.