patient is now fully conscious... follow up serum K if still less than 3 mmol/l add 2 amp k in ringer every 12 h ... when k above 3 stop  k in ringer... upper endoscope must be performed before discharge... doppler on dilated veins in ant abdominal wall... aldactone 100 mg before discharge added with weekly follow up of edema and response to treatment.... inderal 20 mg every 12 h added before discharge if there is no peripheral vascular disease no asthma no bradycardia... follow up every 6 months by abdominal ultrasound and alpha feto protein