<s>[INST] My Husband, 48 years old is suffering from chronic liver disease , Diagnosis: Cirrhosis - Child B ( CTP 9/15), Baveno Stage 1v Portal hypertension- recurrent UGI bleed. Grade iix3 columns esophageal varices , fundal varices Post endotherapy status -EVL bands applied and glue injected. Decompensated ascites , no hepatic encephalopathy Diabetes mellitus . Now he is suffering from sleeplessness in the night. Now under diet control and taking following medicines : Lactulose, Ciplar 40mg, sucral Please guide us, I am under great tension. Regards, [/INST] Hi Cirrhosis with decompensated ascites and esophageal varices is not a good sign. You are already in an advanced stage of chronic liver disease. Patient with chronic liver disease sometimes tend to have an altered sleep pattern. You must continue lactulose as prescribed and I would also add another medication are Rifaximin to your existing meds. Discuss this option with your doctor.  A piece of personal advice, start thinking about liver transplant, don't go around looking of quick fixes and herbal solutions because they don't work and make the liver condition worse. Liver transplant is the only solution at really works, trust me. I am not trying to scare you, but I just want to give a reality check on the prognosis.  Regards </s>