Hi, I am a male (45 years of age) and I have developed a number of symptoms during the past 2 months following a major anxiety attack. Here are the symptoms and timelines: ==2 years ago till now== - Developed hard stool (constipation). However I have been visiting the bathroom at least 4-5 times a week but it is always a very hard stool. One month per year the hard stool became extremely difficult to pass (sometimes took me 45 min in the bathroom!) - I have a long history of having a fatty liver with elevated ALT (ranging from 45 to 72 U/L) - I have a long history of elevated CRP (4) - My triglyceride level has recently been elevated, in the range of 2.9 to 4.9 mmol/L - My blood pressure is always in the higher normal sides (140/95 mmHg) ==2 months ago, following a major anxiety, which last for 2 months== - Low-grade fever - Flushing in my ears, hot red ears - Sever pain in my feet, I couldn t walk for 1 day - Disturbed sleep (lots of waking up and nightmares) ==6 weeks ago== - A high fever for 3 days (possibly from flu) - A semi productive cough - Muscle in my feet and hand started to get tight - Sever numbness in my hands and feet, specially during nights - Burning sensations in my legs and hands - Elevated CRP (9) and ESR (25) - Low-grade fever continued - Excessive sweating day and night - I became pre-diabetes (blood sugar at 123 mg/dl and 5.9 mmol/L) - Two red rashes appeared in my palms (please see the below pictures): . WWW.WWWW.WW . WWW.WWWW.WW - My temperature and blood pressure increased when I sit and decreased when I stand up - Red hot ears continued, usually started with the right ear and then left, last for 1-2 hours - My ears continued to remain hot throughout my night sleep and go to normal as soon as I wake up. Sometimes I feel pain sleeping on them and sometimes no pain. - Loss of appetite, lost 5-6 kg (10-12 lbs), possibly due to eating less - Stomach started growling all day and all night long - Sensitivity of the skin to pressure and touch, became temporarily red when scratched == My current symptoms== - Two red rashes are still there - The hot ears are still persisting, the upper section gets hot and normally the ear lob remains cold - Profuse sweating during day and night. At night I only get sweating in my head and shoulders. My pillow gets wet but not drenching wet. - I feel discomfort in my upper right abdomen, where my liver is - I continue getting stomach growling all day long, no matter if I have eaten or not. I feel the sounds are mostly coming from my upper right abdomen area - I still have persisting coughs and I have voice hoarseness after 6 weeks - My CRP/ESR levels fluctuates: CRP between 6 and10 and ESR between 15 and 35 - I still have tingling feeling and burning sensation in my hands during night, but not sever - I have some mild joint pain and muscle tightness - I feel less energized than before --------------------------------------------------------- I have been tested negative for: Mono, TB, Hepatitis, and HIV with normal CBC, liver enzymes (except for ALT), urine culture, TSH, testosterone, and vitamins. What I am worried about is the possibility of having: - Autoimmune Disease (Celiac, Lupus, Relapsing Polychondritis, Vasculitis, Fibromyalgia, or autoimmune hepatitis) - Lymphoma - Liver Cirrhosis or cancer === Please evaluate my symptoms and let me know your assessment. Thank you