<s>[INST] 1 year old child presented with facial puffiness,abdominal distension,edema feet ,hepatosplenomegaly,pallor , no devlopmental delay,anthropometry was with in normal range,hb electrophorosis normal,Renal ,hepatic parameteras in normal range ,Hb 8,chest x ray normal,2d Echo normal,the child was oterwise normal,no cherry redspot [/INST] Hello, Regarding your question, the treatment depends on the exact cause. As you mentioned renal and hepatic parameters are normal your child should be evaluated for other possible causes especially infections. I would recommend doing hid Echocardiography and screening for infections. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Wajahat Baig, Internal Medicine Specialist </s>