Air Force Flying Physical
Medical Examination Standards
Abdomen and Gastrointestinal System.
Flying Classes II and III.
Gastrointestinal hemorrhage or history of, regardless of cause. Waiver may be consid ered for any condition that is clearly attributable to a specific, nonpersistent cause.
Peptic ulcer disease, active or refractory.
Peptic ulcer complicated by hemorrhage, obstruction or perforation.
Hernia other than small asymptomatic umbilical or hiatal.
History of viral hepatitis, with carrier status, persistent transaminase elevation or evi dence of chronic active or persistent hepatitis.
Wounds, injuries, scars, or weakness of the muscles of the abdominal wall which are sufficient to interfere with function.
Sinus or fistula of the abdominal wall.
Chronic or recurrent esophagitis including reflux esophagitis.
Chronic gastritis.
Congenital abnormalities of the bowel if symptomatic or requiring surgical treat ment. History of intestinal obstruction if due to any chronic or recurrent disease. Surgery to relieve childhood pyloric stenosis or intussusception is not disqualifying if there is no residual dysfunction.
Crohn's disease (regional enteritis).
Malabsorption syndromes (see paragraph A7.28).
Irritable bowel
syndrome.
Ulcerative
colitis or proctitis or verified history of same.
Chronic
diarrhea, regardless of cause.
Megacolon.
Diverticulitis,
symptomatic diverticulosis, or symptomatic Meckel's diverticulum.
Any chronic
liver disease whether congenital or acquired. Marked enlargement of the liver
from any cause. Hepatic cysts. Congenital hyperbilirubinemias, e.g. Gilbert's
disease, do not require waiver if asymptomatic.
AChronic
cholecystitis.
Cholelithiasis.
Sphincter
of oddi dysfunction or bile duct abnormalities or strictures.
Pancreatitis
or history of same.
Congenital
anomalies, disease of the spleen. Chronic enlargement of the spleen.
Splenectomy,
for any reason except the following:
Trauma
to an otherwise healthy spleen.
Hereditary
spherocytosis.
History
of gastroenterostomy, gastrointestinal bypass, stomach stapling, or surgery
for relief of intestinal adhesions.
Symptomatic
esophageal motility disorders.
History
of partial resection of the large or small intestines for chronic or recurrent
disease.
Flying Class I and IA. See above.
Information derived from Air Force Instruction 48-23, Current as of Dec 2000.
