** Thanks for contacting with your health concern 1. going by your history, presently, it seems to be a case of macronodular cirrhosis of liver following type B hepatitis [virus came back], and the disease is progressing and since you don t think the seriousness has set in yet probably you are in the stage of Compensated cirrhosis , however, to know the staging and prognosis kindly consult your physician or a Hepatologist. 2. I at most can let you know about the diet, lifestyle, and investigations which one has to follow: i. blood examination: Hb%, TLC, DLC, ESR [ESR will be increased in presence of infection] ii. stool for occult blood: may be positive iii. Rectal examination and proctoscopy for the demonstration of internal hemorrhoids. iv. Chest X-ray may show tuberculosis/hydrothorax. vi. Liver function test: - Raised Serum Bilirubin, SGOT/SGPT/Alkaline phosphatase. PS. keep a note that although these tests are sensitive but very nonspecific and serve to detect liver disease rather than quantitative liver function so their high values don t signify a serious complication most of the time, it is the underlying pathophysiological process which needs to be diagnosed and managed, check regularly with Prothrombin time, INR and Serum Albumin vii. A liver biopsy will confirm the diagnosis of cirrhosis of liver viii. ultrasonography [or CT scan] of the liver, portal vein, any collaterals, and for any free fluid in the abdomen. 3. As virus came back, probably it is a case of Chronic Hepatitis thus patient with chronic hepatitis need specific treatment with Interferons. [consult with Hepatologist], till then . Adequate bed rest; [reduction of physical activity reduces metabolic demands of liver and increases renal perfusion] . Salt- free high protein diet [protein is restricted immediately at the onset of hepatic encephalopathy and/or serum creatinine rises] . control of aetiological factor: [abstinence from alcohol intake] . the safest analgesic is paracetamol. . In later stages, management is done in intensive care unit with the experienced management team.