Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. IN the given situation of Yours, seem to suffer from-Celiac Sprue with Acidpeptic disease-causing duodenal erosions and strictures. Remedy- Stop Tramadol-for normal pyloric functioning. Take-PPI-Pepto-D-(proton pump inhibitors with gastrokinetic effects) Remedy- Take care of Celiac disease and avoid dysbiosis-to control mucosal stability of intestines. Oat,barley diett/avoid gluten and take gluten free diet-like BRAT. Be on bland diet-veg only, nonspicy, nonfried with more of liquid to start with and change over to solid intake at later stage. Add Vit B12 and folic acid for mucosal recovery. Iron/Calcium / Vit D3-for better cell stability and recoupment. Consult your doctor and discuss drug interactions-if needed. This plan would reduce your dilemma about stomach pains. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link- Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS