i have arthritis and have also been taking tramadol. recently my doctor told me to quit the tramadol because I akso take 8 mgs of methadone a day for back issues. But my sed rate is always high and since I stopped the tramadol( over a period of weeks) I am having stomach cramps and high, high inflamation. Is the tramadol the reason and what can I take as a substitute for anti-inflamatory? I cannot take motrin or aspirin because of bad stomach and esophogus issues. Take Nexium twice a day. Thank you. why don t you tell people up front about the charges? Obvious I guess? Forget me