Bowel Incontinence (Sphincter Control)
Bowel incontinence is rated under DC 7332 based on the severity of loss of sphincter control, ranging from how well it responds to a physician-prescribed bowel program to complete loss of control. This can be rated separately from other digestive conditions, except for other rectum/anus conditions with overlapping symptoms. If the veteran has both legs amputated or completely paralyzed and has any loss of sphincter control, the rating is 100%.
VA Rating Levels
No current symptoms.
Incontinence or retention fully responsive to a physician-prescribed bowel program requiring medication or special diet, or incontinence to solids/liquids at least once every six months requiring pad use.
Fully responsive to a bowel program requiring digital stimulation, medication beyond laxatives, and special diet, or incontinence two or more times per month requiring pad use.
Partially responsive to a bowel program requiring surgery or digital stimulation plus medication and diet, or incontinence two or more times per week requiring pad use.
Complete loss of sphincter control, not responsive to a bowel program, requiring surgery or digital stimulation plus medication and diet, or incontinence two or more times per day requiring pad changes.
Exam Tips & Key Evidence
- →This condition can be rated separately from other digestive issues, which makes it especially valuable in your overall combined rating. Make sure it is claimed individually.
- →If you use pads for incontinence, document how often you need to change them. The frequency of pad use is directly tied to rating levels.
- →Be open and specific with your examiner about your symptoms, even if it feels uncomfortable. The details about frequency and severity directly determine your rating.
- →Many veterans experience bowel incontinence secondary to spinal cord injuries, surgeries, or neurological conditions. Establishing that secondary connection is important.
Commonly Related Conditions
38 CFR Reference
38 CFR 4.114, DC 7332