Dr. Hanif warmly Welcomes you! Thanks for consulting at my virtual clinic. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns. Symptoms like this has many reasons that needs to be addressed properly & through diagnostic screening: *Liver disease e.g Hepatitis *Diabetes *Tuberculosis *Heart disease *Kidney disease *Lungs problems. I suggest you to go for the following laboratory tests and consult a Physician for proper evaluation and assessment of the cause: *HBA1c and Fasting Blood Sugar Levels *Anti HCV *HBSAg *Tuberculin testing *Liver and Kidney function tests You may follow-up with me after having the lab results. Hope I answered all of your health concerns . If you have further questions in future, feel free to contact me anytime. In the start of your question write my name, and I will get back to you in no time. If satisfied, please click you found it helpful. Have a wonderful time ahead. Best Regards! DR. MUHAMMAD M. HANIF USA