Hi, the knuckles could be due to lymph
glands, or lipoma
, and they are not suggestive of any thing. The fatigue
and aches may be due to infection, as you said it may be the urinary tract infection
, causing systemic problems.
You may need to get the culture and sensitivity of the urine to find the organism, causing the recurent infection, and get treated accordingly. So i advise you to consult a urologist
for diagnosis and treatment. Thank you.