I take 200 mg of tramadol in the morning and 200 mg at night... The left side of my face swells usually only when I am tired. It feels puffy and starts by my cheekbone and pushes up so to close my eye but there is no pain at all. Just very uncomfortable. I have had a CT scan and that was clear, the specialist for ENT didn't know what it could be. My Dr hasn't got a clue either.I was wondering whether it could be something to do with the tramadol & also I take 1 300mg Gabapentin tablet 3 times a day. Any help would be appreciated. By the way I am in England UK.