I'm so sorry to hear that Maggie isn't doing well. My dog, Max, did awful on Tramadol. Not only did it not help with his pain, it seemed to worsen it, and brought on terrible trembling and him just not acting himself whatsoever. We had issues because one vet said it wasn't the Tramadol, it was simply his pain. Finally another doctor recommened Gabapentin, and since we stopped the Tramadol and are only giving him Gabapentin he's made a complete turn-around. No more shaking, no more restlessness, and most importantly – he's acting himself! I am not a medical expert by any means, but I suggest you speak with your vet about possibly stopping the Tramadol to see if that is what's causing, or contributing to it.

And about the stomach issuess... Max is on Gabapentin and Prednisone, which one or a mixture of both had made his stomach upset and caused some discomfort and diarrhea. Our vet recommend a stomach medicine to prevent and treat the stomach issues. I do believe ours recommend Prevacid.

Hoping the best for Maggie!