Respected user, hi I evaluated your query thoroughly .
* According to your narration there seems a definite underlying systemic
issue which may be
nutritional deficiency (iron ,protein , vitamins or else )
kidney ,
thyroid issue , heart / valvular condition or others .
* This is not the case which can be kept as such after checking urine that
there is no infection .
* He requires intensive clinical evaluations primary blood tests including
Complete blood counts , ESR , CRP ,
Serum creatinine, fasting blood
sugar , serum proteins,
vitamin b12 level , thyroid profile , liver function
tests ; x-ray chest ,
ultrasonography of abdomen & pelvis & others
depending upon finding of the above tests .
Hope this clears your query .
Welcome for any further assistance .
Thanks for using Healthcaremagic.com & giving me an opportunity to assist
Regards dear take care .