Hello, Thanks for your query on HCM As per your clinical history is concerned please follow like this - 1)Do a clinical examination by a [Gastroenterologist] to rule out cirrhosis 2)Do few investigations like[liver function, kidney function, international normalized ratio (INR) and ultrasound whole abdomen]Treatment for cirrhosis depends on the cause and extent of your liver damage. The goals of treatment are to slow the progression of scar tissue in the liver and to prevent or treat symptoms and complications of cirrhosis. You may need to be hospitalized if you have severe liver damage. 3)Try to avoid or limit alcohol. 4)Eat a healthy diet. Choose a plant-based diet that s full of fruits and vegetables. Select whole grains and lean sources of protein. Reduce the amount of fatty and fried foods. 5)Maintain a healthy weight. An excess amount of body fat can damage your liver. Talk to your doctor about a weight-loss plan if you are obese or overweight. 6)Reduce your risk of hepatitis. Sharing needles and having unprotected sex can increase your risk of hepatitis B and C. Ask your doctor about hepatitis vaccinations. Hope that helps