Consult a General Physician / Internal Medicine specialist for initial evaluation. Depending on the clinical findings, referral to a Pulmonologist (given the history of ILD) or Cardiologist may be advised to rule out pulmonary hypertension or cardiac causes of edema. Possible management approach (to be decided by the treating physician): Evaluation for the cause of low albumin (nutritional status, protein loss, chronic inflammation). Dietary protein optimization if nutritional deficiency is suspected. Review of current medications, including diltiazem, if drug-related edema is suspected. Diuretics may be prescribed if clinically indicated for symptomatic edema. Assessment of cardiac function (e.g., echocardiography) if heart-related causes are suspected.

Visit a General Medicine specialist

Start protein supplements after consulting with a physician

consult with nearby gastroenterologist change medicine if required

keep legs elevated with pillow under