Inability to obtain appropriate clinical management for irritable bowel syndrome

Irritable bowel syndrome - Inability to obtain appropriate clinical management for irritable bowel syndrome Factor

In the case of irritable bowel syndrome appropriate clinical management may include:

• achieving patient understanding of the chronicity of the condition, and that while alleviation of symptoms is possible, there is no cure.
• drug treatment to alter the abnormal colonic motility,
• mild sedation with tranquillisers,
• the use of anticholinergic drugs such as dicyclomine,
• treatment of troublesome diarrhoea with diphenoxylate or loperamide.
• treatment of constipation by an increase in dietary bulk [unprocessed bran or psyllium bulk laxatives].

After the exclusion of any underlying pathology, routine general physical examinations, and stool examinations for occult blood should be regularly undertaken.

Further information about irritable bowel syndrome can be found in its Diagnostic Criteria contained in the Research module of CCPS.

Inability to obtain appropriate clinical management

Last reviewed for CCPS 14 December 1998.

Investigative Documents

Preliminary questions [21840]

21841 there is some evidence that an inability to obtain appropriate clinical management for irritable bowel syndrome, may be a factor in the worsening of the condition under consideration.

21804 the clinical onset of the veteran's irritable bowel syndrome occurred after the end of the veteran's last period of VEA service.

21805 the veteran's irritable bowel syndrome permanently worsened.

21842 the veteran was unable to obtain appropriate clinical management for irritable bowel syndrome at some time.

21843 the inability to obtain appropriate clinical management for irritable bowel syndrome contributed to the clinical worsening of irritable bowel syndrome.

21845  the veteran has established the causal connection between the inability to obtain appropriate clinical management for irritable bowel syndrome, and VEA service for the clinical worsening of irritable bowel syndrome.

21846   the veteran has established the causal connection between the inability to obtain appropriate clinical management for irritable bowel syndrome, and operational service for the clinical worsening of irritable bowel syndrome.

or

21847   the veteran has established the causal connection between the inability to obtain appropriate clinical management for irritable bowel syndrome, and eligible service for the clinical worsening of irritable bowel syndrome.

Clinical worsening and operational service [21846]

21848 the veteran was unable to obtain appropriate clinical management for irritable bowel syndrome during operational service.

21849 the veteran was unable to obtain appropriate clinical management for irritable bowel syndrome during operational service, as a causal result of operational service duties.

21853 the veteran's inability to obtain appropriate clinical management for irritable bowel syndrome during operational service was due to the veteran's serious default, wilful act or serious breach of discipline.

or

21850 the veteran was unable to obtain appropriate clinical management for irritable bowel syndrome because of an illness or injury which is identifiable.

21851  the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for irritable bowel syndrome is causally related to operational service.

21852 the clinical onset of irritable bowel syndrome occurred prior to that part of operational service to which the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for irritable bowel syndrome is causally related.

Clinical worsening and eligible service [21847]

21854 the veteran was unable to obtain appropriate clinical management for irritable bowel syndrome during eligible service.

21855 the veteran was unable to obtain appropriate clinical management for irritable bowel syndrome during eligible service, as a causal result of eligible service duties.

21856 the veteran's inability to obtain appropriate clinical management for irritable bowel syndrome during eligible service was due to the veteran's serious default, wilful act or serious breach of discipline.

or

21850 the veteran was unable to obtain appropriate clinical management for irritable bowel syndrome because of an illness or injury which is identifiable.

21857  the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for irritable bowel syndrome is causally related to eligible service.

21858 the clinical onset of irritable bowel syndrome occurred prior to that part of eligible service to which the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for irritable bowel syndrome is causally related.