Case Report A 21-month-old boy presented to us with generalized edema for last 3 months. Previously, patient was evaluated elsewhere and was treated for hypo-albuminemia with clinical improvement. On admission, child had anasarca and anemia. He weighed 10 kg and had a length of 74.5 cm (<3rd centile). His hemoglobin level was 5.1 g/dL, serum proteins were 3.7 g/dL, serum albumin was 1.5 g/dL, and serum globulins were 1.6 g/dL. Stool examination for ova, cysts and occult blood was negative. Paediatric Crohn’s Disease Activity Index was 37.5, suggesting moderate disease activity. Further investigations including echocardiogram, upper gastro-intestinal (GI) endoscopy and colonoscopy, contrast enhanced computed tomography scan (CECT) were normal. In view of clinical suspicion of protein losing enteropathy, we planned capsule endoscopy.