Evidence Checklist: Dysphagia (Difficulty Swallowing)

Barium swallow or endoscopy documenting obstructionCritical

Modified barium swallow study or upper endoscopy results documenting the nature and severity of swallowing difficulty, stricture, or obstruction.

Nexus opinion linking dysphagia to service ("at least as likely as not")Critical

A medical opinion connecting your dysphagia to service-connected GERD, TBI, surgical scarring, or other service-related cause.

Modified diet documentation

Records from your physician or speech pathologist documenting dietary modifications required (soft foods, liquids only, thickened liquids).

Weight loss documentation

Medical records documenting weight loss attributable to difficulty swallowing, with serial weight measurements over time.

Aspiration pneumonia records (if applicable)

Hospitalization or treatment records for aspiration pneumonia episodes caused by swallowing dysfunction.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Completed DBQ Esophageal ConditionsCritical

Standardized form capturing swallowing study results, dietary restrictions, weight impact, and functional limitations.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.