Hello Thank you for placing your query with Health Care Magic I can understand your problem. Your granddaughter has been through a lot. Portal hypertension is due to the mild cirrhosis. Cirrhosis due to choledochal cysts is known to settle down after the cyst has been excised. The cirrhosis changes also show a trend of improvement over the years. So we can expect her portal hypertension to be get stabilized and even improve with time. Nevertheless she will require to take some medication to keep it under check (beta blocker: Propranalol). You need to watch for any episode of bleeding e.g. fresh blood or dark colored stools, blood in vomits etc. She needs to get an endoscopy of her esophagus (food pipe) to screen for dilated veins (varicosities). Her blood needs to be checked frequently to look for signs of overactivity of spleen (will be reflected as fall in the counts of white bleed cells, platelets etc). As for ADD is concerned, adderal can be taken along with her portal hypertension. I hope things will get better pretty soon. Hope that helped. God bless you