Hello,
1. With symptoms you mentioned above, possible causes are
Anaemia,
Hyperthyroidism, cardiac problems especially Ischemic and valvular heart problems.
Similarly, peripheral neuropathies,
anxiety,
stress and autoimmune-mediated disorders like Lupus also can lead to the above-mentioned symptoms.
For evaluation, I would like to recommend you some diagnostic investigations to find out the exact cause and these include Blood CP, ESR, LFTs, RFTs, HBA1C, TSH, ANA and
Echocardiography.
2. Meanwhile, I would recommend you to :
- Improve your diet especially intake of fresh fruits and vegetables
- Light walk or exercise at least 5 times a day
- Ensure you take adequate sleep daily.
- Try to Limit stress, if any.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Wajahat Baig, Internal Medicine Specialist