a 4yrs child,with recurrent episodes of vomiting,fever,cough.on exm. child concious,mildly dehyrated,chest-crepts++,wheeze+!cvs,cns-n.a.d,abd-soft,no organomegaly!l.f.t normal,urea,creatinine-within limits,m.r.i-normal study,barium meal-normal study,endoscpy-laxed l.e.s.what's the diagnosis & line of management?
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You have not mentioned about the x-RAY CHEST, blood gases, electrolytes, failure to thrive etc. Since there is lax lower esophaeal sphincter, GER should be ruled out. Also renal tubular acidosis, pneumonia should be kept in mind.
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