Carvedilol, Endoscopic Variceal Ligation or Combination of Both for Prevention of First Variceal Bleed in Child's B & C Cirrhosis

Inclusion Criteria: * Liver Cirrhotics between 18-70 yrs of age (cirrhosis diagnosed on the basis of clinical, biochemical, fibroscan \& imaging.) * CTP ≥ 7-15 (Child's B/C) * Small esophageal varices with RCS and large esophageal varices (\>5 mm) * No history of previous bleed Exclusion Criteria: * Malignancy-HCC, PVT * Child A * MELD \>35 * Contraindications to β blockers. * Platelet count \< 30,000/mm3 * Previous endoscopic variceal treatment. (Beyond 21 days) * Patients having an indication for TIPS or requiring more than 1 therapeutic ascitic tapping/month * Post TIPS, Shunt surgery * Acute kidney injury (Sr.Cr\>1.5mg/dl) * Non cirrhotic portal hypertension * Acute on chronic liver failure