Digestive Disorders: Social Security Disability
- Gastrointestinal Hemorrhaging (from any cause, requiring blood transfusion)
- Hepatic Dysfunction (Chronic Liver Disease)
- Inflammatory Bowel Syndrome (IBD)
- Short Bowel Syndrome
- Malnutrition (Weight Loss due to a Digestive Disorder)
- Liver Transplant
The Social Security Administration evaluates claimants applying for Social Security Disability Insurance benefits using criteria determined by your symptoms. Treatments as well as side effects of treatment are also considered during the evaluation.
At Freedom Disability Services we are happy to pay for the collection of all necessary medical records, and our experienced Advocates will work with you to ensure we gather the records needed to document your case. Our Advocates can help determine if your condition is likely to result in a successful SSDI application. If you do qualify, we can provide you with the assistance that you need to get the benefits that you deserve. If you have previously been denied benefits, but feel your condition makes you eligible, contact us today at (866) 761-5942.
Claimants are typically approved for Social Security Disability Insurance benefits when they have Gastrointestinal Hemorrhaging from any cause, requiring blood transfusion of at least 2 units of blood per transfusion. This must occur at least three times, at least 30 days apart during a consecutive six-month period. The claimant will be considered under a disability for at least one year to date from the last documented transfusion. Back to digestive disorders list
To be approved for Social Security Disability Insurance benefits for Hepatic Dysfunction, claimants must present medical evidence of their condition containing one of the following seven main symptoms:
- Hemorrhaging from gastric, esophageal or ectopic varices or from portal hypertensive hastropathy (demonstrated by x-ray, endoscopy or other medically acceptable imaging) resulting in hemodynamic instability, and requiring hospitalization for transfusion of at least two units of blood.
- Hydrothorax or ascites not attributed to other causes, despite the continuation of prescribed treatment. This must be present on at least two evaluations, not more than 60 days apart, within a consecutive six-month period. Each evaluation must be documented by:
- Paracentesis or thoracentesis
- Physical examination or appropriate medical imaging and one of the following:
- 1. Serum albumin of 1.0 g/dL or less
- 2. International Normalized Ratio of at least 1.5
- Spontaneous bacterial peritonitis with peritoneal fluid containing an absolute neutrophil count of at least 250 cells/mm3
- Hepatorenal syndrome with one of the following:
- Serum creatinine elevation of at least 2 mg/dL
- Oliguria with 24 hour urine output less than 500 mL
- Sodium retention with urine sodium less than 10 mEq per liter
- Hepatopulmonary syndrome with
- Arterial oxygenation on room air
- Documentation of intrapulmonary arteriovenous shunting by contrast-enhanced echocardiography or macro aggregated albumin lung perfusion scan
- Hepatic encephalopathy with documentation of abnormal behavior changes in mental status, cognitive dysfunction, or altered state of consciousness. These symptoms must be present in at least two evaluations at least 60 days apart within a consecutive 6 month period, along with one of the following:
History of transjugular intrahepatic portosystemic shunt (TIPS) or any surgical portosystemic shunt One of the following occurring in two evaluations at least 60 days apart within the same consecutive 6 month period
1. Asterixis or other fluctuating physical neurological abnormalities
2. Electroencephalogram (EEG) demonstrating triphasic slow wave activity
3. Serum albumin of 3.0 g/dL or less
4. International Normalized Ratio of 1.5 or greater
- End stage liver disease with SSA CLD scores of 22 or greater. Claimants are considered disabled from the date of the first score. Back to digestive disorders list
Inflammatory Bowel Syndrome is documented by biopsy, endoscopy, appropriate medical imaging or operative findings with either:
- Obstructions (not adhesions) of stenotic areas in the small intestine or colon with proximal dilation, confirmed either in surgery or medically acceptable imaging.
- Hospitalization for intestinal decompression or for surgery.
- And occurring at least twice with a minimum of 60 days in between, during a consecutive six month period.
- Or two of the following symptoms must be present despite the continuation of prescribed treatment occurring within the same consecutive six-month period:
- Anemia with hemoglobin of less than 10.0 g/dL
- Serum albumin of 3.0 g/dL or less
- Clinically documented tender abdominal mass palpable on physical examination with abdominal pain or cramping that is not controlled by prescribed narcotic medication
- Perineal disease with a draining abscess or fistula with pain that is not controlled by prescribed narcotic medication
- Weight loss of at lest 10 percent from baseline
- Need for supplemental daily parenteral nutrition via a central venous catheter or daily enteral nutrition via a gastrostomy Back to digestive disorders list
Claimants are typically approved for Social Security Disability Insurance benefits when they have daily nutritional dependence via a central line or catheter due to a surgical resection of more than half the small intestine. Back to digestive disorders list
Malnutrition is characterized by significant weight loss due to a digestive disorder. Claimants are typically approved for Social Security Disability Insurance benefits when they have a BMI of less than 17.50 calculated at least twice within six months, but at least 60 days apart. Back to digestive disorders list
Claimants who have had a liver transplant are considered disabled for one year from the date of the transplant. If you are still unable to work one year after your transplant, your case will be reviewed, focusing on recovery and any side effects due to the transplant.
If you feel you qualify for Social Security Disability Insurance benefits based upon the symptoms above, or if you have any questions about your condition, please call Freedom Disability Services today at (866) 761-5942 for a free evaluation with one of our Advocates. Our Advocates have the professional experience you need for your Social Security Disability Insurance application or appeal a previous denial. Call us today and waste no time beginning your application. Back to digestive disorders list
The foregoing information is based on published materials from the Social Security Administration (“Disability Evaluation Under Social Security”). It is meant to serve as an introduction to some of the factors used by the SSA in evaluating cases. It is no way comprehensive. While Freedom Disability Services can help you prepare an effective application for benefits, only the SSA can determine whether or not you qualify. For more information call Freedom today at (866) 761-5942.