GERD (7346) | Notion

GERD is rated analogously under DC 7346 (hiatal hernia)

Criteria	7346
very severe symptoms suggestive of severe impairment in overall health, including: severe pain, vomiting, weight loss, moderate anemia, possibly blood in stool, or other symptoms that significantly interfere with day-to-day life	60%
less severe symptoms suggestive of a considerable impairment in overall health, including:

persistently recurrent epigastric distress/constant acid reflux, but symptoms can be controlled by medication
pain in the arms or shoulders, or
other symptoms that cause a considerable interference with day-to-day life | 30% | | same symptoms as 30% but not as frequent or severe (ie. you have epigastric distress but it's not persistent, it only happens once a month) | 10% |

    Dysphagia** - difficulty swallowing

    **Pyrosis** - heartburn

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<aside> <img src="https://s3-us-west-2.amazonaws.com/secure.notion-static.com/615f0ac2-ecc3-45f9-8004-530d8dabe1f7/treasurechest.png" alt="https://s3-us-west-2.amazonaws.com/secure.notion-static.com/615f0ac2-ecc3-45f9-8004-530d8dabe1f7/treasurechest.png" width="40px" /> Secondary to Mental Health Medications ****GERD is often caused by a medication prescribed for mental health conditions or other service-connected condition (although frequently seen in mental health medications). Consider whether GERD could be secondary to medication prescribed for one or more service connected conditions.

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Potential Causes of Veterans with Chronic Heartburn (GERD):

Effects and Secondary Conditions of Veterans with Chronic Heartburn (GERD):