Ok so I have list of complaints that I never thought went together but now I am worried that they do.  Im a 29 year old male.  I originally went to the doctor about two-three years ago for unexplained back pain.  X-rays were negative, blood work and urine tests only showed slightly elevated uric acid.  I was told I  may have the precursors to gouty arthritis.  I was given ultram for the pain.  Now, in addition to the back pain I am experiencing pins and needles in my back and sometimes chest area especially at times of temperature change like hot baths or a cool breeze.  I am constantly fatigued but I have a poor diet and dont exercise except for my job as a warehouse worker.  Lately Ive had some trouble swallowing as well and once or twice unexplained general weakness. Any ideas?
For generalize weakness I suggest taking vitamin B complex as it's an energy Booster vitamin, for gouty arthritis take omega 3suppliment as it is a natural anti-inflammatory supplement and there are many other benefits available along with it.  To reduce uric acid level or production you need to consult a dietician too.  I can suggest something that avoid any fruits or vegetable which contain too many seeds like tomato, brinjal, red chili, etc. And yes doing regular work out is also very important.  Our body also have got healing capacity for anything goes wrong in the body.  And it works best when we are active doing enough walking a day, and when body sweats.  Along with this you will also start feeling good and active.  Take care