Dear Welcome to HCM We understand your concerns I went through your problem description. I suggest you not to worry too much. There are so many people around you who are in tramadol for considerable time and it is common. The acidity and indigestion problem needs to be addressed first. Are you under proper diet? Is there any other problems like peptic ulcer? If you have peptic ulcer, you should consult a gastrologist. Normal acidity and indigestion should be cured or releived with the help of exercise and proper diet. You should go for it. Second, Keeping yourself stress free and anxiety free also contributes considerably. Have five or six pieces of boiled garlic along with breakfast and dinner. Include ginger in vegetables. Parsley leaves also help. Hope this clears your doubts. Available for further clarifications. Good luck.