What happens during a C&P exam for Dumping Syndrome?

Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation. Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

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Dumping Syndrome

Q: What are the VA rating percentages for Dumping Syndrome?

Dumping Syndrome (DC 7303) is rated at 0%, 10%, 30%, 50%, 80% under 38 CFR § 4.114, DC 7303 (chronic upper-GI surgery complications; the former DC 7308 dumping-syndrome framework was redirected here by § 4.114 amendment). Post-operative status, asymptomatic.

Q: What rates 0% for Dumping Syndrome under 38 CFR § 4.114, DC 7303 (chronic upper-GI surgery complications; the former DC 7308 dumping-syndrome framework was redirected here by § 4.114 amendment)?

Under 38 CFR § 4.114, DC 7303 (chronic upper-GI surgery complications; the former DC 7308 dumping-syndrome framework was redirected here by § 4.114 amendment) (DC 7303), a 0% rating for Dumping Syndrome requires: Post-operative status, asymptomatic.

Q: What rates 10% for Dumping Syndrome under 38 CFR § 4.114, DC 7303 (chronic upper-GI surgery complications; the former DC 7308 dumping-syndrome framework was redirected here by § 4.114 amendment)?

Under 38 CFR § 4.114, DC 7303 (chronic upper-GI surgery complications; the former DC 7308 dumping-syndrome framework was redirected here by § 4.114 amendment) (DC 7303), a 10% rating for Dumping Syndrome requires: With either nausea or vomiting managed by ongoing medical treatment.

Q: What rates 30% for Dumping Syndrome under 38 CFR § 4.114, DC 7303 (chronic upper-GI surgery complications; the former DC 7308 dumping-syndrome framework was redirected here by § 4.114 amendment)?

Under 38 CFR § 4.114, DC 7303 (chronic upper-GI surgery complications; the former DC 7308 dumping-syndrome framework was redirected here by § 4.114 amendment) (DC 7303), a 30% rating for Dumping Syndrome requires: With two or more of: vomiting 2+ times per week or vomiting despite treatment; post-prandial discomfort/pain within an hour of eating requiring ongoing dietary modification; 3-5 watery bowel movements per day every day.

Q: What rates 50% for Dumping Syndrome under 38 CFR § 4.114, DC 7303 (chronic upper-GI surgery complications; the former DC 7308 dumping-syndrome framework was redirected here by § 4.114 amendment)?

Under 38 CFR § 4.114, DC 7303 (chronic upper-GI surgery complications; the former DC 7308 dumping-syndrome framework was redirected here by § 4.114 amendment) (DC 7303), a 50% rating for Dumping Syndrome requires: Any one of: daily vomiting despite oral dietary modification or medication; 6+ watery bowel movements per day every day (or explosive BMs difficult to predict/control); post-prandial light-headedness (syncope) with sweating requiring medications specifically for dumping syndrome or delayed gastric emptying.

Q: What rates 80% for Dumping Syndrome under 38 CFR § 4.114, DC 7303 (chronic upper-GI surgery complications; the former DC 7308 dumping-syndrome framework was redirected here by § 4.114 amendment)?

Under 38 CFR § 4.114, DC 7303 (chronic upper-GI surgery complications; the former DC 7308 dumping-syndrome framework was redirected here by § 4.114 amendment) (DC 7303), a 80% rating for Dumping Syndrome requires: Requiring continuous total parenteral nutrition (TPN) or tube feeding for a period longer than 30 consecutive days in the last six months.

Q: What evidence do I need for a Dumping Syndrome VA claim?

Key evidence for a Dumping Syndrome claim includes: Service treatment records showing injury or complaints; Imaging (X-ray, MRI, CT); Range of motion measurements; Flare-up documentation per Sharp v. Shulkin; Buddy statements describing limitations. All evidence should document both the condition and its impact on daily functioning.

DC 730338 C.F.R. § 4.114

Diagnostic Code

DC 7303

38 C.F.R. § 4.114

Rating Range

0–80%

5 severity tiers

Source

Verified

38 C.F.R. § 4.114

Dumping Syndrome is rated by the U.S. Department of Veterans Affairs under DC 7303 of 38 CFR § 4.114, DC 7303 (chronic upper-GI surgery complications; the former DC 7308 dumping-syndrome framework was redirected here by § 4.114 amendment) across 5 severity tiers (0% / 10% / 30% / 50% / 80%). Service connection requires (1) a current diagnosis, (2) an in-service event, injury, or exposure, and (3) a medical nexus opinion linking the two under 38 C.F.R. § 3.303.

Educational tool only. Not legal or medical advice. Not affiliated with the VA.

Overview

Rapid gastric emptying causing nausea, cramping, diarrhea, and vasomotor symptoms after eating

Rating Criteria

Post-operative status, asymptomatic.

10%

With either nausea or vomiting managed by ongoing medical treatment.

30%

With two or more of: vomiting 2+ times per week or vomiting despite treatment; post-prandial discomfort/pain within an hour of eating requiring ongoing dietary modification; 3-5 watery bowel movements per day every day.

50%

Any one of: daily vomiting despite oral dietary modification or medication; 6+ watery bowel movements per day every day (or explosive BMs difficult to predict/control); post-prandial light-headedness (syncope) with sweating requiring medications specifically for dumping syndrome or delayed gastric emptying.

80%

Requiring continuous total parenteral nutrition (TPN) or tube feeding for a period longer than 30 consecutive days in the last six months.

03Key Evidence

—Service treatment records showing injury or complaints

—Imaging (X-ray, MRI, CT)

—Range of motion measurements

—Flare-up documentation per Sharp v. Shulkin

—Buddy statements describing limitations

—Prescription history

—Physical therapy records

—Employment impact documentation

04C&P Exam Tips

1Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation.

2Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

3Tell the examiner about flare-ups: frequency, duration, estimated ROM loss. Sharp v. Shulkin (2017) requires estimates.

4Request active, passive, weight-bearing, and non-weight-bearing ROM testing per Correia v. McDonald (2016).

5If you use assistive devices (brace, cane), bring them.

6Describe daily activity impact: work, sleep, household tasks.

Tools

Rating Calculator →Secondaries Explorer →C&P Exam Prep →PACT Act Scanner →2026 Rates →

Sources & Editorial

Rating criteria text quoted verbatim from 38 C.F.R. § 4.114 (Digestive system). Source verified 2026-05-17 by ClaimRecon Editorial Team against the Cornell Law CFR mirror; eCFR.gov is the authoritative government source.

View § 4.114 on eCFR →Cornell Law mirror →Editorial Standards →Suggest a correction →

EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026

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