The Board granted service connection for several conditions effective April 16, 2007, but no earlier, and denied a rating in excess of 30 percent for constipation. SMC based on the need for aid and attendance was granted from August 30, 2013.

The deciding factor: The decision was based on the resolution of reasonable doubt in favor of the appellant regarding the effective dates for service connection, and the lack of evidence of a compensable worsening of constipation symptoms prior to the claim date.

Claimed conditions

constipation with chronic enteritis with scarring of duodenal bulb, ischemic heart disease (heart disability), Parkinson's disease with anxiety and sleep disturbance, neurogenic bladder, balance impairment, difficulty chewing, left side, difficulty chewing, right side, right upper extremity weakness, right lower extremity weakness, tremors, left upper extremity, left lower extremity weakness, loss of automatic movements, left side, loss of automatic movements, right side, loss of sense of smell, sexual dysfunction, speech changes, stooped posture

How they argued it

Reopened with new and material evidence

Exposure basis

None

Rating assigned

None in this decision

Decision date

November 5, 2025

Citation

A25096085

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