This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. Date of admission : 20 November 2021 INTRODUCTION A 48 year old male who is farmer by occupation came to the OPD with the chief complaint of pain in the abdomen and bilateral pedal edema. HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic 10 years back when he developed depression and was addicted to alcohol. He attempted suicide 9 years back by consuming poison due to depression, was brought to Kamineni and was treated. An year later he again attempted suicide by taking sleeping pills and he was taken to hospital and treated for that. 5 years back he had pain in the abdomen following wh