Reasonable Hypothesis SOP [1] | 3 of 2017 |
Balance of Probabilities SOP [2] | 4 of 2017 |
SOP Bulletin 147 [3]
Haemorrhoids are normal vascular structures in the anal canal. The disease "haemorrhoids" occurs when these structures become enlarged or inflammed and cause symptoms (such as bright red blood per rectum, anal pruritus, and acute onset perianal pain).
Diagnosis is based on history, physical examination and the exclusion of other causes for any reported symptoms. The diagnosis can be made by a general practitioner.
The relevant medical specialist is a general or colorectal surgeon.
Additional diagnoses covered by SOP
Enlarged haemorhoids may be asymptomatic and found incidentally. These do not constitute a disease. Symptoms of haemorrhoids include bright red bleeding per rectum, anal pruritus (itch), prolapse, and pain due to thrombosis. Clinical onset will be when symptoms, not attributable to another disorder, first manifest.
The usual course of haemorrhoids is for symptoms to persist or slowly worsen. Symptoms may be improved or controlled by a range or treatment options, including conservative measures, non-surgical procedures and surgical procedures. Specialist opinion should be sought if worsening, beyond the normal course of the disease, needs to be considered.
Haemorrhoids - Being obese Factor
Last reviewed for CCPS 15 October 2008.
Investigative Documents
Claimant Report - Obesity [CR9230] [6] Medical Report - Obesity [MR9305] Preliminary questions [30152]
587 [7] the veteran has a history of obesity. 30172 — the veteran has established the causal connection between being obese and operational service for haemorrhoids. 30177 — the veteran has established the causal connection between being obese and operational service for the clinical onset of haemorrhoids. or 30179 — the veteran has established the causal connection between being obese and operational service for the clinical worsening of haemorrhoids. Clinical onset and operational service [30177] or
9005 — the morbid obesity is causally related to operational service. Clinical worsening and operational service [30179] or
9005 — the morbid obesity is causally related to operational service. the clinical onset of the condition under consideration occurred prior to that part of operational service to which the morbid obesity is causally related. [17]
Haemorrhoids - Inability to obtain appropriate clinical management for haemorrhoids Factor
Last reviewed for CCPS 15 October 2008.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [7806] 11109 — the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7334 [19] the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service. the condition under consideration permanently worsened. the veteran was unable to obtain appropriate clinical management for the condition under consideration at some time.
7379 [20] the inability to obtain appropriate clinical management for the condition under consideration contributed to the clinical worsening of the condition under consideration. 11234 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and VEA service for the clinical worsening of the condition under consideration. 11235 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and operational service for the clinical worsening of the condition under consideration. or 11236 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and eligible service for the clinical worsening of the condition under consideration. Clinical worsening and operational service [11235] or 7390 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to operational service. [25] [26] Clinical worsening and eligible service [11236] or 7391 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to eligible service. [25] [26]
Haemorrhoids - Pregnancy Factor
Last reviewed for CCPS 15 October 2008.
Investigative Documents
Claimant Report - Pregnancy [CR9027] Preliminary questions [30138]
1169 — the veteran is a woman. [34] the veteran has been pregnant at some time. 30139 — the veteran has established the causal connection between the pregnancy and VEA service for haemorrhoids. 30140 — the veteran has established the causal connection between the pregnancy and VEA service for the clinical onset of haemorrhoids. 30142 — the veteran has established the causal connection between the pregnancy and operational service for the clinical onset of haemorrhoids. or 30143 — the veteran has established the causal connection between the pregnancy and eligible service for the clinical onset of haemorrhoids. or 30141 — the veteran has established the causal connection between the pregnancy and VEA service for the clinical worsening of haemorrhoids. 30144 — the veteran has established the causal connection between the pregnancy and operational service for the clinical worsening of haemorrhoids. or 30145 — the veteran has established the causal connection between the pregnancy and eligible service for the clinical worsening of haemorrhoids. Clinical onset and operational service [30142] Clinical onset and eligible service [30143] Clinical worsening and operational service [30144] Clinical worsening and eligible service [30145]
Haemorrhoids - Spinal cord injury Factor
Last reviewed for CCPS 15 October 2008.
Investigative Documents
Claimant Report - Spinal Cord Injury [CR9166] [45] Medical Report - Spinal Cord Injury [MR9242] Preliminary questions [30151]
21295 [46] the veteran has had a spinal cord injury at some time.
30186 — the veteran has established the causal connection between the spinal cord injury and VEA service for haemorrhoids.
30188 — the veteran has established the causal connection between the spinal cord injury and VEA service for the clinical onset of haemorrhoids.
30191 — the veteran has established the causal connection between the spinal cord injury and operational service for the clinical onset of haemorrhoids.
or
30192 — the veteran has established the causal connection between the spinal cord injury and eligible service for the clinical onset of haemorrhoids.
or
7334 [19] the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service. the condition under consideration permanently worsened. 30190 — the veteran has established the causal connection between the spinal cord injury and VEA service for the clinical worsening of haemorrhoids. 30193 — the veteran has established the causal connection between the spinal cord injury and operational service for the clinical worsening of haemorrhoids. or 30194 — the veteran has established the causal connection between the spinal cord injury and eligible service for the clinical worsening of haemorrhoids. Clinical onset and operational service [30191] or 21304 — the identified illness or injury which caused the spinal cord injury is causally related to operational service. [50] [51] Clinical onset and eligible service [30192] or 21308 — the identified illness or injury which caused the spinal cord injury is causally related to eligible service. [50] [51] Clinical worsening and operational service [30193] or 21304 — the identified illness or injury which caused the spinal cord injury is causally related to operational service. [59] [51] Clinical worsening and eligible service [30194] or 21308 — the identified illness or injury which caused the spinal cord injury is causally related to eligible service. [59] [51]
Haemorrhoids - Straining at stool due to constipation or diarrhoea Factor
Last reviewed for CCPS 15 October 2008.
Investigative Documents
Claimant Report - Straining at Stool Due to Constipation or Diarrhoea - Haemorrhoids [CR9247] [65] Medical Report - Straining at Stool - Haemorrhoids [MR9243] Preliminary questions [30150] 30156 — the veteran has established the causal connection between the straining at stool due to constipation or diarrhoea and VEA service for haemorrhoids. 30158 — the veteran has established the causal connection between the straining at stool due to constipation or diarrhoea and VEA service for the clinical onset of haemorrhoids. 30161 — the veteran has established the causal connection between the straining at stool due to constipation or diarrhoea and operational service for the clinical onset of haemorrhoids. or 30162 — the veteran has established the causal connection between the straining at stool due to constipation or diarrhoea and eligible service for the clinical onset of haemorrhoids. or 30160 — the veteran has established the causal connection between the straining at stool due to constipation or diarrhoea and VEA service for the clinical worsening of haemorrhoids. 30163 — the veteran has established the causal connection between the straining at stool due to constipation or diarrhoea and operational service for the clinical worsening of haemorrhoids. or 30164 — the veteran has established the causal connection between the straining at stool due to constipation or diarrhoea and eligible service for the clinical worsening of haemorrhoids. Clinical onset and operational service [30161] or
30157 [70] the veteran experienced straining at stool due to constipation or diarrhoea, as a consequence of the identified illness or injury, within the two weeks before the clinical onset of the condition under consideration. 30165 — the identified illness or injury, which caused the straining at stool due to constipation or diarrhoea, is causally related to operational service. [71] [72] Clinical onset and eligible service [30162] or
30157 [70] the veteran experienced straining at stool due to constipation or diarrhoea, as a consequence of the identified illness or injury, within the two weeks before the clinical onset of the condition under consideration. 30166 — the identified illness or injury, which caused the straining at stool due to constipation or diarrhoea, is causally related to eligible service. [71] [72] Clinical worsening and operational service [30163] or
30159 [79] the veteran experienced straining at stool due to constipation or diarrhoea, as a consequence of the identified illness or injury, within the two weeks before the clinical worsening of the condition under consideration. 30165 — the identified illness or injury, which caused the straining at stool due to constipation or diarrhoea, is causally related to operational service. [80] [72] Clinical worsening and eligible service [30164] or
30159 [79] the veteran experienced straining at stool due to constipation or diarrhoea, as a consequence of the identified illness or injury, within the two weeks before the clinical worsening of the condition under consideration. 30166 — the identified illness or injury, which caused the straining at stool due to constipation or diarrhoea, is causally related to eligible service. [80] [72]
Links
[1] http://www.rma.gov.au/assets/SOP/2017/003.pdf
[2] http://www.rma.gov.au/assets/SOP/2017/004.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20147.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/63580%23comment-form
[5] http://www.rma.gov.au/SOP/alpha_ind/h.htm
[6] https://clik.dva.gov.au/ccpsclaimant-78
[7] https://clik.dva.gov.au/standard-commentary-15
[8] clikpopup://CCPS/reject587No
[9] clikpopup://CCPS/Reject/OnsetAfterService
[10] clikpopup://CCPS/Reject/NoPermanentWorsening
[11] clikpopup://CCPS/reject17307No
[12] clikpopup://CCPS/reject591No
[13] clikpopup://CCPS/reject9004No
[14] clikpopup://CCPS/reject9005No
[15] clikpopup://CCPS/reject17308No
[16] clikpopup://CCPS/reject17309No
[17] clikpopup://CCPS/reject9009No
[18] https://clik.dva.gov.au/ccpsother-31
[19] https://clik.dva.gov.au/node/69202
[20] clikpopup://CCPS/Haemorrhoids/ACM - contributed to worsening
[21] clikpopup://CCPS/ACM/NoContribution
[22] clikpopup://CCPS/ACM/NotOpService
[23] clikpopup://CCPS/ACM/NotOperDuties
[24] clikpopup://CCPS/rejectwilful
[25] clikpopup://CCPS/ACM/NoIllness
[26] clikpopup://CCPS/reject7390,7391No
[27] clikpopup://CCPS/Haemorrhoids/ACM - onset prior to operational service
[28] clikpopup://CCPS/ACM/OnsetFailOper
[29] clikpopup://CCPS/ACM/NotEligService
[30] clikpopup://CCPS/ACM/NotEligDuties
[31] clikpopup://CCPS/Haemorrhoids/ACM - onset prior to eligible service
[32] clikpopup://CCPS/ACM/OnsetFailElig
[33] https://clik.dva.gov.au/ccpsclaimant-127
[34] clikpopup://CCPS/reject1169No
[35] https://clik.dva.gov.au/ccpsg002rc-4
[36] clikpopup://CCPS/reject8240No
[37] https://clik.dva.gov.au/reasons-decision-12
[38] clikpopup://CCPS/reject8246No
[39] clikpopup://CCPS/reject30146No
[40] clikpopup://CCPS/reject8247No
[41] clikpopup://CCPS/reject8248No
[42] clikpopup://CCPS/reject30147No
[43] clikpopup://CCPS/reject30148No
[44] clikpopup://CCPS/reject30149No
[45] https://clik.dva.gov.au/ccpsclaimant-160
[46] https://clik.dva.gov.au/ccpsg001rc-0
[47] clikpopup://CCPS/reject30195No
[48] clikpopup://CCPS/reject30196No
[49] clikpopup://CCPS/reject30198No
[50] clikpopup://CCPS/reject30199No
[51] clikpopup://CCPS/reject21304,21308No
[52] clikpopup://CCPS/eligible service spinal cord injury
[53] clikpopup://CCPS/reject30200No
[54] clikpopup://CCPS/reject30201No
[55] clikpopup://CCPS/reject30202No
[56] clikpopup://CCPS/operational service spinal cord injury
[57] clikpopup://CCPS/reject30204No
[58] clikpopup://CCPS/reject30205No
[59] clikpopup://CCPS/reject30208No
[60] clikpopup://CCPS/onset prior to causally related operational service illness or injury which caused spinal cord injury
[61] clikpopup://CCPS/reject30209No
[62] clikpopup://CCPS/reject30210No
[63] clikpopup://CCPS/onset prior to causally related eligible service illness or injury which caused spinal cord injury
[64] clikpopup://CCPS/reject30213No
[65] https://clik.dva.gov.au/ccpsclaimant-81
[66] clikpopup://CCPS/straining at stool due to constipation or diarrhoea within two weeks
[67] clikpopup://CCPS/reject30153No
[68] clikpopup://CCPS/reject34993No
[69] clikpopup://CCPS/reject34995No
[70] clikpopup://CCPS/straining at stool due to constipation or diarrhoea as consequence illness or injury
[71] clikpopup://CCPS/reject30157No
[72] clikpopup://CCPS/reject30165,30166No
[73] clikpopup://CCPS/Straining at stool due to constipation or diarrhoea on el duties
[74] clikpopup://CCPS/reject34994No
[75] clikpopup://CCPS/reject34996No
[76] clikpopup://CCPS/Straining at stool due to constipation or diarrhoea on op service
[77] clikpopup://CCPS/reject34991No
[78] clikpopup://CCPS/reject34997No
[79] clikpopup://CCPS/straining at stool due to constipation or diarrhoea worsening as consequence illness or injury
[80] clikpopup://CCPS/reject30159No
[81] clikpopup://CCPS/onset prior to operational service causing straining at stool due to constipation or diarrhoea
[82] clikpopup://CCPS/reject30167No
[83] clikpopup://CCPS/reject34992No
[84] clikpopup://CCPS/reject34998No
[85] clikpopup://CCPS/onset prior to eligible service causing straining at stool due to constipation or diarrhoea
[86] clikpopup://CCPS/reject30168No