Inclusion Criteria:  Clinical / radiological /histologic diagnosis of cirrhosis (Child A&B) Age >18 years Advanced compensated liver disease of different etiology(Viral,metabolic,alcoholic) Upper GI bleed Valid consent No history of NSBB use in last 6 weeks  Exclusion Criteria:  Age > 70 years Portal vein thrombosis Underlaying shunts Spleen anteroposterior diameter <4cm Non cirrhotic portal hypertension Only PHG, Ectopic varices Heart rate <50bpm, SBP<100mm of Hg,Asthma, COPD, Aortic disease, atrioventricular block, Peripheral vascular disease. Pregnancy obese(BMI>30mm of Hg) HIV HCC / Other malignancy Other Comorbidities: Chronic kidney disease [ CrCl< 30] Cirrhosis : Child C Stroke Cardiac failure, Uncontrolled diabetes(HbA1c >9) AST/ALT >5 times Drug allergies ACLF Narrow intercoastal space Failure to give informed consent from family members. Patient enrolled in other clinical study