The Board remands the case for a new VA examination to determine the relationship between the reported loss of bladder and bowel sphincter control and the service-connected disabilities.

The deciding factor: The examination report was found to be inadequate due to conflicting conclusions and failure to address all relevant factors.

Claimed conditions

Type II diabetes mellitus, hypertension, major depressive disorder, loss of use of the lower extremities, bilateral pes planus, migraine headaches, hiatal hernia with reflux esophagitis, duodenitis , and gastritis, internal hemorrhoids, right lower extremity sciatic nerve peripheral neuropathy, left lower extremity sciatic nerve peripheral neuropathy, chronic fatigue syndrome, adjustment disorder with mixed disturbances of emotions and conduct

How they argued it

Direct service connection

Exposure basis

None

Rating assigned

None in this decision

Decision date

November 3, 2025

Citation

25013592

Want to see how appeals like this one tend to go? Appeals like mine