Our findings were supported by the results of Tacke et al. (2003) [1] who reported that serum ghrelin levels in CLD patients were significantly elevated when compared with healthy controls; also, elevated levels were seen in patients having a Child's classification of grade C and severe complications (gastrointestinal bleeding, ascites, and hepatic encephalopathy). Here, GHRL is linked to congenital secretory chloride diarrhea 1.