If there is chronic gastritis, the conscript is prescribed an additional examination, and the decision to serve in the army is made after receiving the results.
Also, fitness for military service is regulated by a document - the Schedule of Diseases, which sets out in detail the grounds for the release of young people from service for health reasons.
Chronic gastritis itself is a common pathology, which, according to statistics, occurs in every third conscript. If the disease is not characterized by frequent exacerbations and functional disorders of the digestive organs, it is not a contraindication for service. Therefore, in most cases, people with gastritis are recruited into the army. Now let's take a closer look at what situations in the presence of chronic gastritis may serve as grounds for postponing the service or even canceling it.
Important Terminology
The disease schedule provides for several categories of fitness for military service.
- Category A is given to young people who are recognized as fit for service in any army.
- Category B defines minor restrictions for those fit for military service. This category has additional decoding from B 1 to B 4.
- Category B means limited fitness for service. That is, in wartime such people are drafted, in peacetime they are given a military ID without serving.
- Category D indicates temporary unsuitability and requires a delay of 6 months to a year.
- Category D indicates complete unfitness for service and is issued with a military ID.
Complete unfitness for the army is established only in case of serious and serious illnesses.
Category of suitability for military service with gastritis
Gastritis is a controversial disease. The commission's decision to assign a category depends on the nature of the disease and its form. Depending on the situation, a young man with gastritis may be classified as:
- category B. The group includes conscripts with atrophic gastritis and gastroduodenitis. If these pathologies are not accompanied by frequent attacks, then the young man is drafted into the army;
- category B. Conscripts in this category also suffer from gastritis or gastroduodenitis. The difference is that these diseases are chronic and are in the acute stage (when the call is in progress). Periodic attacks of pain and/or undergoing treatment for more than two months in a year give the commission a reason to assign category B. This means that the young person is fit with limitations. Restrictions include the inability to serve under contract or in elite troops, as well as being in the reserves;
- category G. Category gives a deferment from the army for a period of 6 months. In order to obtain this right, the conscript must experience a relapse of the disease at the time of conscription. Health problems include severe pain and increased levels of hydrochloric acid. After six months, the young man is obliged to undergo a second medical examination;
- category D. The last category, the presence of which makes the conscript unfit. The medical commission comes to this conclusion in the presence of serious diagnoses. These include erosions, frequent exacerbations, weight loss and disruption of the secretory glands. An additional reason will be the young man undergoing treatment in a hospital for more than 2 months.
Acute form
Acute gastritis occurs due to certain circumstances (poisoning, nutritional disorders), and is manifested by acute attacks of pain, intoxication and other symptoms. The patient’s condition during this period is unenviable, however, with the right approach, it responds well to treatment and goes away without a trace.
If a conscript suffers from acute gastritis, he is sent to a hospital for treatment; after recovery, he is fit for conscription. The same is done in cases where a young person has an exacerbation of chronic gastritis. After the aggravation is removed, the conscript is considered fit for military service.
Important! For the period of treatment, the young man receives category “G” for 6 months, after which a re-examination is carried out.
Do they take into the army with erosive gastritis?
Evgeniy Aristov
Lately we have often been asked whether people with superficial gastritis, as well as with erosive gastritis, are accepted into the army. Here it is necessary to immediately note that those with an acute form of these diseases are not accepted into the army, but are given a deferment of six months so that the conscript can recover. As a rule, acute gastritis becomes chronic. The further picture may be different: in some guys it goes away almost asymptomatically, in others it regularly worsens, causing digestive problems, and so on. If superficial gastritis worsens more than twice a year, then people with such gastritis will not be accepted into the army. But it is necessary to provide a confirmed medical history to the military registration and enlistment office - there are many nuances here. We advise on how to properly prepare documents and provide legal support in case the conscript’s certificates are not accepted and declared fit. Call us, we can help you all over Russia.
Chronic form
Any form of chronic gastritis requires adherence to a gentle diet and nutrition regimen. Therefore, military service is even useful for young people with this disease - in the soldiers' canteen the diet is always balanced, and food is taken strictly at certain hours.
There are no excesses that provoke an exacerbation of the disease in the soldier’s menu - smoked meats, marinades and alcohol will not be offered here, smoking is also limited. Even with significant physical exertion, recruits very rarely end up in the hospital with an exacerbation of chronic gastritis, and this happens mainly after a visit from caring parents who try to “feed the child” with delicious homemade food.
Important! Chronic gastritis with rare exacerbations is not considered a contraindication to military service.
Erosive form
Erosive gastritis
and the army are not always compatible concepts. A conscript will receive category “G” in the acute stage of the disease, but this will not be the basis for issuing a military ID.
After a temporary deferment, the conscript is readmitted to the hospital for examination, and if there is no exacerbation, he is declared fit. A young man will receive complete exemption from military service only if there are complications: the presence of gastric bleeding or the transition of the erosive form to a peptic ulcer.
Article 59 of the disease schedule – points “b” and “c”. What is the difference?
- With the first (59 “b”) conscripts are granted exemption from the army and issued a military ID. This includes gastritis, which is accompanied by symptoms such as “altered secretion”, “impaired acid formation”, as well as periodically recurring acute phases of gastritis, or if the disease is accompanied by malnutrition in the form of lack of body weight (thinness). Do they take into the army with gastritis of this form? The wording in the list of diseases is rather ambiguous - it is not obvious how many of the indicated symptoms must be recorded for this part of the article to apply; how many times must a diagnosis of “exacerbation of gastritis” be made to fall into the category of “frequent exacerbations” - some doctors believe that 2 cases per year are enough. However, opinions in different regions of Russia may differ. But the main fact is that once diagnosed with moderate or chronic gastritis, it cannot be relevant to this article if there is no medical history with regular complaints, exacerbations of the disease, treatment in a hospital setting and reappearance of symptoms over a period of at least the last 2 years.
- With the second (59 “c”) paragraph of Article 59, young conscripts are given the category “fit with minor restrictions” - this means that the young man will serve in the army, but not in an elite military unit or special forces, but in an ordinary unit, which are the majority. This item includes “chronic gastritis” if the disease rarely enters an acute phase - according to some opinions - less than 2 times a year. Also, this article usually includes other forms of gastritis in which there are no signs corresponding to the previous paragraph. As you can see, to the question of whether people with chronic gastritis are recruited into the army, the answer is very clear.
Fitness categories and disease in different types
The schedule of diseases approved by the Government of the Russian Federation offers the following gradation of eligibility categories for chronic gastritis.
- Category B. Any chronic gastritis with rare exacerbations. This includes superficial gastritis, reflux gastritis, and all other forms without dysfunction;
- Category B. This includes forms of the disease in which there are disturbances in acid formation in the stomach and secretory dysfunction of the digestive tract develops. Also important is long-term treatment of the disease without recovery, hospital stay for at least 2 months a year (in total), and significant body weight deficiency.
- Category G is assigned only to patients who have an acute form of chronic gastritis with identified complications requiring immediate treatment.
Do they take you into the army if you are underweight?
A disease in which body weight is below the established norm is called dystrophy. The cause may be constant malnutrition, other diseases, pathological processes. If you are underweight at the time of passing the commission, you are assigned category “G” and given a deferment of six months until the next conscription. If the condition does not return to normal within 6 months, they are released from service for 1 year or assigned category “D”.
The formula used to calculate body mass index:
The indicators for boys 18-25 years old are 18.5-19.4, men 26-45 years old 19-19.9 are considered normal. If at the time of passing the commission the indicator is below 19 units, the main reason is chronic gastritis, you will not be allowed to serve.
BMI and call
Conscripts know that being underweight can cause a delay or even release from service. However, one disadvantage of kilograms is not enough. What matters here is the reason that led to weight loss. If thinness is associated with poor nutrition, the conscript will still end up in the army, he will just be given an additional ration in addition to his usual diet.
Doctors of draft commissions can exempt from service only young people weighing less than 45 kg. Such pathological thinness rarely occurs with insufficient or reduced nutrition; more often it indicates a lack of physical development.
The formula for calculating body mass index is as follows: body weight in kilograms divided by height in meters squared. Example – weight 91, height – 1 m 75 cm. BMI will be – 91: (1.75 x 1.75) = 29.71.
A BMI below 19 can be the basis for assigning category G only if there are significant health problems.
Normal BMI values for men are as follows:
- From 18 to 25 years old – 19.5 -22.6;
- After 25 years - from 20 to 26.
You can read more about underweight in the Schedule of Diseases.
If a young man has chronic duodenitis
The diagnosis of “gastroduodenitis” refers to a pathological process on the mucous membranes of the duodenum and stomach. This disease is not a reason for exemption from the army, even if during its course there are slight disturbances in secretion or infrequent exacerbations.
Even at the time of service, soldiers are not transferred to the reserves, but undergo treatment in specialized medical institutions of the Ministry of Defense. And only a serious dysfunction of the secretion and formation of gastric acid, as well as constant intensification of symptoms and a decrease in body mass index less than 19, can become the basis for assigning a recruit category “B”.
Useful video
We invite you to watch an interesting video on this issue:
In the countries of the Near Abroad, in Belarus, in Kazakhstan, in Ukraine, the health requirements for conscripts with chronic gastritis are identical to those that exist in Russia. The only difference is in the gradation of the Schedule of Diseases for each country, that is, the rules use different letters to designate categories. In conclusion, we remind you of an important point - the diagnosis of gastritis must be confirmed morphologically and recorded in the outpatient chart.
