Severe, with pain only partially relieved by standard ulcer therapy, periodic vomiting, recurrent hematemesis or melena, with manifestations of anemia and weight loss productive of definite impairment of health
Moderately severe, with less than severe but with impairment of health manifested by anemia and weight loss, or recurrent incapacitating episodes averaging 10 days or more in duration at least four or more times a year
Moderate, with recurring episodes of severe symptoms two or three times a year averaging 10 days in duration, or with continuous moderate manifestations
Mild, with recurring symptoms once or twice yearly
Medical Evidence
Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history
Service Connection
Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)
Personal Statement
Your detailed account of how ulcer, duodenal affects your daily life and when symptoms began
Lay Evidence
Buddy letters from fellow service members or family who can corroborate your symptoms
During your Compensation & Pension exam for ulcer, duodenal, examiners will assess your symptoms against the rating criteria above.
Be specific: Describe your worst day, not your average day
Document everything: Bring copies of all medical records and evidence
Functional impact: Explain how symptoms affect work, sleep, and daily activities
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