Rectum and anus, impairment of sphincter control (DC 7332)
Body system: Digestive SystemRegulation: 38 CFR § 4.114DBQ: DBQ GI Rectum & Anus
This diagnostic code covers problems with bowel control due to damage or dysfunction of the muscles that control your rectum and anus (called sphincter muscles). The VA rates this condition from 0% to 100% based on how severe your incontinence is, how often accidents happen, and whether treatment helps. Higher ratings go to veterans who have more frequent accidents, need more intensive medical management, or don't respond well to bowel programs prescribed by doctors.
Rating levels
100% — You have completely lost control of your bowel movements and either cannot go at all (retention) or cannot hold it in (incontinence), and normal doctor-recommended bowel programs don't help you. You need surgery, manual removal of stool with fingers (digital stimulation), special medications beyond just laxatives, and a strict special diet to manage the problem, OR you have accidents with solid or liquid stool at least twice every day and have to change protective pads at least twice daily.
60% — You qualify for this rating if you have serious problems controlling your bowel movements that partially improve with a doctor's treatment plan and require surgery, manual help to have bowel movements, special medications (stronger than basic laxatives), and a special diet. You also qualify if you have accidents where solid waste or liquid leaks out two or more times per week, making it necessary to wear protective pads at least twice weekly.
30% — You qualify for this rating if you have bowel control problems that respond well to a doctor's treatment plan requiring digital stimulation (using your finger to help start a bowel movement), prescription medications stronger than laxatives, and a special diet. You also qualify if you have accidents with solid stool or liquid at least twice a month, making it necessary to wear protective pads at least twice monthly.
10% — You qualify if you have problems controlling your bowel movements (sphincter control means the muscle that controls when you go to the bathroom) but can manage it well with a doctor's prescribed routine, medication, or special diet. You also qualify if you have accidents where you can't control solid waste or liquid at least twice a year and need to wear protective pads at least twice a year because of these accidents.
0% — You previously had problems controlling your bowel movements (sphincter control means the ability to hold in and control when you have a bowel movement), but you're not experiencing any symptoms right now. This applies when you have a documented history of losing control of your bowels, but currently you can control your bowel movements normally without any accidents or issues.
Disclaimer: This tool is for informational purposes only and is not legal or medical advice. Always consult with your VSO representative or a qualified veterans benefits attorney for guidance on your specific claim.