###Human: Had dialysis, but there is no improvement in the kidney function of a liver cirrhosis patient. Why? ###Assistant: Hello. As described in the case summary, the patient's condition is critical (attachment removed to protect patient identity). Decompensated cirrhosis is an irreversible disease, and it seems the patient has all the complications of the disease. The optimum medical management is already being provided as per the summary. Liver transplant is the only curative option but with the current situation, at least some partial recovery would be perhaps needed before the transplant can be taken up particularly for kidneys. Logistics and donor from family are needed for transplant to proceed as LDLT is an option. The patient is too sick to wait for a cadaveric donor. It seems it would be prudent to continue treatment as of now. The chances of survival will depend on the recovery signs best judged by the treating doctor.