Intestinal infections, including parasitic infestations, must be first ruled out, by doing serial stool cultures, stools for ova and parasites, and anal tape test.
Gluten sensitivity (celiac disease) is another likely explanation: special blood tests plus a biopsy of the intestines are required to make a conclusive diagnosis.
Inflammatory Bowel Disease (IBD), a form of severe inflammation that affects the colon, is less likely at this young age but needs to be ruled out in the context of recurrent diarrhea and weight loss.
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Annual Checkup
It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.
The American Dental Association recommends dental cleanings for adults at least twice annually. Some stains can only be removed by a professional cleaning.
It’s recommended by the American Academy of Ophthalmology that every adult between the ages of 18 and 80 does an eye examination at least once every two years.
It's recommended by the American Cancer Association that every adult between the age of 20 and 80 does an annual skin screening by a licensed dermatologist.
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