Inclusion Criteria:  Age 18-70 years Cirrhosis as determined by clinical findings, hemogram and liver function tests, endoscopic findings and imaging Recurrent ascites: Recurrent ascites will be defined as tense ascites recurring at least thrice within the last 1-year despite optimal standard medical treatment including large volume paracentesis and diuretics  Exclusion Criteria:  Presence of chronic kidney disease as defined by an estimated glomerular filtration rate of <60 ml/min for more than 3 months. The MDRD-6 equation will be used for estimating GFR. Portal vein thrombosis Hepatocellular carcinoma. Gastrointestinal bleed in the preceding 2-weeks Overt hepatic encephalopathy in the preceding 1-month Documented hypoglycemia in the preceding 1-month Serum sodium < 125 meq/l History of skeletal fracture in the preceding year or any past history of fragility fracture History of peripheral vascular disease Acute kidney injury as defined by the International Club of Ascites criteria Infection within 1-month preceding the study Anatomic urologic defects that predispose to urinary tract infection Mixed ascites (additional etiology of ascites apart from portal hypertension) Any severe extra hepatic condition including respiratory and cardiac failure Acute-on-chronic liver failure as per the APASL or CANONIC criteria Treatment with drug with known effects on systemic and renal hemodynamics within 7 days of inclusion excepting beta-blockers Patients opting for liver transplant or TIPS Refusal to give consent