VA Disability Rating for Stricture of the Rectum and Anus (DC 7333)
Diagnostic Code 7333 · 38 CFR §4.114
What Is It?
Stricture of the rectum and anus means an abnormal narrowing of the rectal or anal canal that makes it difficult to pass stool. This can result from scarring after injuries to the pelvic area, surgical complications, radiation treatment, inflammatory bowel disease, or infections. Veterans may develop strictures from combat injuries, surgical procedures during service, or as complications of other service-connected conditions. The narrowing causes painful bowel movements, straining, bleeding, and can progress to complete obstruction in severe cases.
Rating Criteria
| Rating | Criteria |
|---|---|
| 100% | Stricture requiring colostomy because stool cannot pass through the narrowed area at all. |
| 50% | Severe narrowing that greatly reduces the size of the opening, requires frequent manual dilation procedures, and causes significant pain and difficulty with every bowel movement. |
| 30% | Moderate stricture requiring periodic dilation and causing regular difficulty with bowel movements. Stool can pass but with significant pain, straining, and sometimes bleeding. |
| 0% | Mild narrowing that is treated and causes minimal ongoing symptoms. |
Evidence Needed
- Examination findings documenting the stricture and degree of narrowing
- Imaging or endoscopy results showing the stricture location and severity
- Records of dilation procedures and their frequency
- Service records documenting the injury or condition that caused the stricture
- Treatment records for ongoing bowel symptoms
- Documentation of any surgical procedures to address the narrowing
C&P Exam Tips
- Describe the difficulty you have with bowel movements in specific terms
- Report how often you need dilation procedures and how long relief lasts
- Explain the pain level during bowel movements on a scale
- Describe any bleeding associated with bowel movements
- Report if you have ever had a complete obstruction requiring emergency treatment
- Explain how the condition affects your daily routine and ability to work
How to File
File under DC 7333 for stricture of the rectum and anus. Include examination findings documenting the narrowing, records of any dilation procedures, and all treatment records. If the stricture developed from a service-connected injury or condition, include a nexus opinion linking the current condition to that original cause.
Common Mistakes
Not tracking dilation frequency Not describing the impact on bowel movements Not considering colostomy discussion
Frequently Asked Questions
What is a dilation procedure?
Dilation is a procedure where a doctor gradually stretches the narrowed area using special instruments to allow easier passage of stool. It may be done under sedation or in the office depending on the severity. Many patients need repeated dilations because the stricture tends to re-form over time.
Can a rectal stricture be permanently fixed?
Some strictures can be resolved with surgery, but many tend to recur, particularly those caused by scarring or radiation. If your stricture returns after treatment, continue documenting symptoms and procedures for your VA rating.