Welcome to healthcare Magic!
Your poor health stands in stark contrast to your fabulous height and bodily feature, it is strange!
It seems your primary and most befitting problem is the Gout and the persistent hyperuricemia
. Secondary to it's unabated high levels you have developed the involvement of the other joints. I would advise that you should get uricosuric drugs and the drugs to prevent formation of excess uric acid. There are good drugs available to handle this problem but must be taken under consultation of a physician of your locality. The options are Allopurinol
. these medicines are needed to be taken regularly till your levels of urate come down to below normal and you are asymptomatic. Then you can switch to lower maintenance doses.
I also agree with the idea that you ate not having rheumatoid arthritis
. The problem of inguinal hernia
is not related to your poor health and if problematic then must be solved surgically. The ganglions are sporadic growths around tendons and are more common with inflammatory states in body.
Your poor general health related symptoms like fatigue
and associated problems may be related to the excess urates, I would suggest to get a correction of urate levels and I hope most of the problems would subside in the sequence.
You should take a good soft laxative like Lactulose
20ml at bed time to regularise the bowels till you feel better about bowel movements.
I hope the advise would be informative and useful for you.