1. if doctor said you are sitting on a time bomb , this probably means that at any time the portal pressure can elevate resulting in rupturing: . lower end of esophagus: leading to hematemesis and malena. . around th umblicus: caput medusae . rectum and anal canal: hemmorhoids. 2. since hepato cellular function is the best predictor of bleeding from varices, thus check with Liver function tests [LFT] to rule out hepatic failure. 3. treatment will depend whether the cause is pre-sinusoidal or post sinusoidal, [portal hypertension is associated with splenomegaly which favors extra hepatic obstruction] and hopefully your Doctor has find the aetiology of the same. 4. Rest: [reduction of physical activity reduces metabolic demands of the liver and increases renal perfusion]. . because your history suggests recurrent bleeding [for which bandaging was done], thus prevention is done by sclerotherapy, banding, TIS [Transjugular intrahepatic portosystemic shunting], surgical shunt. PS . prior to surgery prescription drugs like : vasopressin, glypressin, somatostatin and octreotide, propanol, nitrates,nitroglycerin,verapamil are used for prevention of recurrent bleeding, but your Doctor will be better to judge your Condition. . In good-risk patients with variceal bleeding undergoing portal decompression, surgical shunt is more effective, more durable, and less costly than angiographic shunt (transjugular intrahepatic portasystemic shunt [TIPS]).