Your MRIs are clear and medications like Lyrica and Tryptomer haven't helped. Since these treatments haven't provided relief, I highly recommend consulting a Pain Management Specialist or a Physical Medicine and Rehabilitation (PM&R) doctor. They can offer targeted options like specialized physical therapy, myofascial release, or localized nerve blocks for your meralgia paresthetica. Please don't lose heart; finding the right combination of therapies takes time, and there are still many effective pathways.

An overactive thyroid can indeed cause a fast heart rate, along with anxiety, weight loss, and feeling unusually warm. Your doctor prescribed Norton (propranolol) to help calm your heart rate, and Tryptomer (amitriptyline) to manage related symptoms. While these medications are highly effective at managing your symptoms, a simple blood test can easily check your thyroid hormone levels to see if that is the underlying cause. I highly recommend discussing this with your doctor.

Even though your exam stress has resolved, your gut can sometimes take a little longer to calm down and heal. The burning sensation might be due to residual stomach acidity, while the pulsing feeling is often just the normal pulsing of your main blood vessel, which becomes more noticeable when your stomach is irritated or sensitive. Both amitriptyline (Tryptomer) and propranolol (Norton 10) help manage nerve sensitivity and stress, but it is important to let your doctor know these symptoms continue. They can safely evaluate your progress and adjust your care plan.

Since your infection has cleared, this ongoing pain is often related to pelvic floor muscle tension or nerve sensitivity triggered by the initial UTI, sometimes called chronic pelvic pain syndrome. Because the muscles in your pelvis can tense up in response to infection, pelvic floor physical therapy can be highly effective. I recommend discussing this possibility with a urologist or a pelvic health specialist to help you find relief.

Yes, these symptoms could be side effects of your medication. Tryptomer (amitriptyline), even at a low 10 mg dose, is known to cause fatigue and can sometimes cause heart rhythm changes or an irregular heartbeat. Nervijen (Vitamin B12) is unlikely to cause these symptoms. You should not take any new medicine to treat these symptoms yourself. An irregular heartbeat requires immediate medical attention. Please consult your doctor or visit a clinic promptly for an ECG (heart trace) to evaluate your heart rhythm. Your doctor may need to adjust your Tryptomer dose or switch you to a safer alternative for migraine prevention.

Yes, both of your new medications, Tryptomer (amitriptyline) and Desval ER (divalproex sodium), can cause hand tremors as a side effect. It is a known and manageable reaction. Please do not stop or change your doses suddenly, as this can worsen your anxiety. Instead, contact your doctor soon. They can easily evaluate this, adjust your dosage, or discuss alternative treatments to safely manage both your anxiety and this side effect.