1. Unless there has been clear benefit from prednisone would stop treatment with mesalamine and the azathioprine until a definitive diagnosis of Inflammatory Bowel Disease can be made. 2. Stool for an electrolyte 3. Fecal elastase and pH 4. Fecal alpha-1 antitrypsin 5. 48-hour stool on a high fat diet to assess for fat malabsorption 6. Check other fat soluble vitamins--A, E and PT INR and folate level 6. Agree with balloon enteroscopy for tissue acquisition of the jejunum. Biopsy should be stained for amyloid 7. Check C1 esterase inhibitor panel 8. Document whether there is any similar history in the family to suggest familial Mediterranean fever By Dr. Kane, Sunanda V.,
