Hi,Dear,Thanks for your query to HCM.
Dear I read your query and reviewed it with context to your query facts.
I understood your health concerns and feel Concerned about them.
Based on the facts of your query, you seem to suffer from-
Tramadol induced Hyperalgesia-with
Narcotic like Bowel Syndrome(NBS).
Though this is not a narcotic drug,is
opioid and is known to cause
severe pain in abdomen.
Reduction of its dosages and shifting to
Gabapentin CAp-300 mg x 3 times a day with increase up to 600 mg , would resolve your issues.
Hope this reply would help you to plan further treatment with your doctors there.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS