Inclusion Criteria:  Age 18-65 years Liver cirrhosis Grade II-III high SAAG ascites Small low risk or no esophageal varices CTP 7-12  Exclusion Criteria:  Age <18 years AKI at enrollement (Prior transient volume responsive AKI stage I included) Post renal or liver transplantation History of CAD, PVD, ventricular arrythmia, Bronchial asthma SBP at diagnosis Severe Hyponatremia (Na <125 MEq/L) Grade II/III/IV HE Advanced HCC (BCLC C,D), PVTT, Pregnancy or Lactating mother High risk varices (Large varices or small high risk varices) CTP >12 ACLF Mixed / TB ascites Bilirubin >5 mg/dl Known CKD, obstructive uropathy Patient on MV, NIV, systemic sepsis and shock Lack of informed consent Prior intolerance or S/E to carvedilol or diuretics