{"page":"https://casescribe.ai/explorer/conditions/hemorrhoids-external-or-internal","generated_at":"2026-10-03T18:34:07.002Z","data_as_of":{"decisions":944125,"first_year":2017,"last_year":2026,"latest_decision":"2026-04-30","cfr":"2026-10-01","m21":"2026-09-29"},"about":{"publisher":"CaseScribe AI (VA Law Explorer)","source":"Public Board of Veterans' Appeals decisions (appeals of VA decisions, not VA's first decisions), M21-1 Adjudication Procedures Manual, 38 CFR Parts 3 and 4.","method":"Outcomes are issue-level: each condition the Board decided in a decision counts once. Decision data is extracted by AI and can contain errors. Rates describe past appeals and do not predict any claim.","disclaimer":"For research only. CaseScribe AI is not a law firm and this is not legal advice. Verify figures against the source decisions and regulations.","attribution":"Cite as: VA Law Explorer, CaseScribe AI, with the page URL."},"data":{"condition":"Hemorrhoids external or internal","all_conditions_granted_pct":19.4,"decisions":3216,"years":"2017-2026","granted_pct":15.5,"denied_pct":36.3,"remanded_pct":45.9,"granted_on_merits_pct":29.9,"by_year":[{"year":2017,"issues":272,"granted_pct":11.4,"denied_pct":37.1,"remanded_pct":42.6},{"year":2018,"issues":419,"granted_pct":15.3,"denied_pct":38.2,"remanded_pct":42},{"year":2019,"issues":408,"granted_pct":12.3,"denied_pct":35.8,"remanded_pct":50.7},{"year":2020,"issues":333,"granted_pct":11.4,"denied_pct":37.5,"remanded_pct":48},{"year":2021,"issues":284,"granted_pct":13.7,"denied_pct":33.8,"remanded_pct":49.3},{"year":2022,"issues":330,"granted_pct":20,"denied_pct":29.7,"remanded_pct":49.1},{"year":2023,"issues":357,"granted_pct":14,"denied_pct":31.7,"remanded_pct":51.3},{"year":2024,"issues":345,"granted_pct":18,"denied_pct":35.7,"remanded_pct":44.9},{"year":2025,"issues":359,"granted_pct":16.2,"denied_pct":44.3,"remanded_pct":39.6},{"year":2026,"issues":143,"granted_pct":28.7,"denied_pct":37.8,"remanded_pct":31.5}],"benefit_of_doubt_in_grants_pct":68.5,"evidence_on_merits":[{"evidence":"va_exam_favorable","decisions_with":328,"granted_pct_with":50.8,"granted_pct_without":26.2},{"evidence":"va_exam_unfavorable","decisions_with":2199,"granted_pct_with":28.8,"granted_pct_without":33.9},{"evidence":"nexus_positive","decisions_with":366,"granted_pct_with":57.4,"granted_pct_without":24.9},{"evidence":"nexus_negative","decisions_with":1398,"granted_pct_with":32.6,"granted_pct_without":27.4},{"evidence":"private_opinion","decisions_with":777,"granted_pct_with":38.7,"granted_pct_without":26.4},{"evidence":"treating_physician","decisions_with":110,"granted_pct_with":53,"granted_pct_without":29},{"evidence":"lay_statement","decisions_with":2596,"granted_pct_with":31.9,"granted_pct_without":18.4},{"evidence":"buddy_statement","decisions_with":78,"granted_pct_with":39.1,"granted_pct_without":29.7},{"evidence":"combat_service","decisions_with":145,"granted_pct_with":42.5,"granted_pct_without":29.4}],"top_reasons":{"granted":[{"reason":"current diagnosis established","decisions":72},{"reason":"caused by the service-connected disability","decisions":16},{"reason":"already at the maximum schedular rating","decisions":12},{"reason":"criteria for service connection met","decisions":11},{"reason":"service connection established","decisions":9},{"reason":"presumption of soundness not rebutted","decisions":5}],"denied":[{"reason":"no current diagnosis","decisions":104},{"reason":"preponderance of the evidence against the claim","decisions":96},{"reason":"no in-service complaints, treatment or diagnosis","decisions":67},{"reason":"service records negative or silent","decisions":65},{"reason":"current diagnosis established","decisions":59},{"reason":"va examiner: less likely than not related to service","decisions":47}]},"recent_examples":{"granted":[{"case_id":"A26041007","year":2026,"judge":"CORY M. PICTON","rationale":"Improper reduction of rating; Procedural and substantive errors in reduction; Restoration of prior 20 percent rating"},{"case_id":"A26039488","year":2026,"judge":"W. DAKNIS","rationale":"September 2024 private opinion favored; Pilot duties as risk factor; Resolved doubt in Veteran's favor"},{"case_id":"A26039466","year":2026,"judge":"DONNIE R. HACHEY","rationale":"Veteran reported persistent bleeding and pain.; Found to have an anal fissure at VA exam.; Credible report of symptoms.; Benefit of the doubt applied."}],"denied":[{"case_id":"26005116","year":2026,"judge":"LESLEY A. REIN","rationale":"No current disability shown during appeal period; Service treatment records normal at separation; No post-service treatment for hemorrhoids"},{"case_id":"A26040422","year":2026,"judge":"J.P. NORMAN","rationale":"No new and relevant evidence submitted since prior denial; No treatment records for condition found in permissible evidentiary period; Evidence weighs against the claim"},{"case_id":"A26039499","year":2026,"judge":"L.M. YASUI","rationale":"Acute condition during service; No record of ongoing or chronicity of care inservice or after separation; No mention in post-service VA treatment records"}]},"how_va_rates":null,"rules":[]}}