respected user , hi Thanks for using Healthcaremagic.com I evaluated your query thoroughly . * This is in relation with systemic problem which may be - low hemoglobin - deficiency of vitamins , minerals , trace elements , proteins , B complexes - blood sugar or thyroid related alterations - lung pathology - cardiac conditions - others * Need extensive work up with study of all reports done till date , what is lacking & which direction to proceed further to fix the issue Hope this clears your query Welcome for further assistance Regards .