"i used this for significant body pains, and had great results.  tramadol was described by my doc as a &#039;notch below&#039; vicoden.  the more you take, the queasier you get and my appetite was supressed, so i lost some weight. yes, it caused major constipation which made me miserable at first, but this was resolved with 3 flaxseed oil capsules, a couple fiber one bars, and a lot of water every day. (seriously, this was my miracle cure.) the tramadol also had me waking up every hour at night."