History of traumatic injury to the liver within the preceding 6 months

“Hepatic-Biliary Tract. (1) History of chronic Hepatitis B unless successfully treated and the cure is documented. A documented cure for Hepatitis B is viral clearance as evidenced by Hepatitis B serology: (a) Surface antigen negative. (b) Surface antibody positive. (c) Core antibody positive. (2) History of chronic Hepatitis C, unless successfully treated and with documentation of a cure as evidenced by a viral load of "0" or "undetectable" measured at least 12 weeks after completion of a full course of therapy. (3) Other acute hepatitis in the last 6 months, or persistence of symptoms or abnormal serum aminotransferases after 6 months, or objective evidence of impairment of liver function. (4) History of cirrhosis, hepatic abscess, or complications of chronic liver disease. (5) History of symptomatic gallstones or gallbladder disease unless successfully treated. (6) History of sphincter of Oddi dysfunction. (7) History of choledochal cyst. (8) History of primary biliary cirrhosis or primary sclerosing cholangitis. (9) History of metabolic liver disease, excluding Gilbert's syndrome. This includes, but is not limited to, hemochromatosis, Wilson's disease, or alpha-1 anti-trypsin deficiency. (10) History of alcoholic or non-alcoholic fatty liver disease if there is evidence of chronic liver disease, manifested as impairment of liver function or hepatic fibrosis. (11) History of traumatic injury to the liver within the last 6 months.”

“Stomach and Duodenum. (1) Current dyspepsia, gastritis, or duodenitis despite medication (over the counter or prescription). (2) Current gastric or duodenal ulcers, including, but not limited to, peptic ulcers and gastrojejunal ulcers: (a) History of a treated ulcer within the last 3 months. (b) Recurrent or complicated by bleeding, obstruction, or perforation within the last 5 years. (3) History of surgery for peptic ulceration or perforated ulcer. (4) History of gastroparesis of greater than 6 weeks' duration, confirmed by scintigraphy or equivalent test. (5) History of bariatric surgery of any type (e.g., lap-band or gastric bypass surgery for weight loss). (6) History of gastric varices.”

“Small and Large Intestine. (1) History of inflammatory bowel disease, including, but not limited to, Crohn's disease, ulcerative colitis, ulcerative proctitis, or indeterminate colitis. (2) Current infectious colitis. (3) History of intestinal malabsorption syndromes, including, but not limited to, celiac sprue, pancreatic insufficiency, post-surgical, and idiopathic. (4) Dietary intolerances that may interfere with military duty or consuming military rations. Lactase deficiency does not meet the standard when it is of sufficient severity to require frequent intervention, or will interfere with military duties. (5) History of gastrointestinal functional or motility disorders including but not limited to volvulus within the last 24 months, or any history of pseudo-obstruction or megacolon. (6) Current chronic constipation, requiring prescription medication or medical interventions (e.g., pelvic floor physical therapy, biofeedback therapy). (7) History of diarrhea of greater than 6 weeks' duration, regardless of cause, persisting or symptomatic in the last 24 months. (8) History of gastrointestinal bleeding, including positive occult blood, if: (a) The cause is known but has not been corrected; or (b) The cause is unknown and bleeding has occurred within the last 12 months. (9) History of irritable bowel syndrome that has been symptomatic or medically managed within the previous 24 months. (10) History of symptomatic diverticular disease of the intestine. (11) Personal or family history of familial adenomatous polyposis syndrome or hereditary non-polyposis colon cancer (Lynch syndrome).”

“Anorectal. (1) Current anal fissure or anal fistula. (2) History of rectal prolapse or stricture within the last 24 months. (3) History of fecal incontinence after the 13th birthday. (4) Current hemorrhoid (internal or external), if symptomatic or requiring medical intervention within the last 60 days.”

“Abdominal Wall. (1) Current abdominal wall hernia other than small (less than 2 cm in size), asymptomatic inguinal or umbilical hernias. (2) History of open or laparoscopic abdominal surgery during the last 3 months. (3) The presence of any ostomy (gastrointestinal or urinary).”