Oh, it is really concerning....what you are going thru!

Tramadol can cause dizziness. This happens for me even at the small dose I use occasionally.

Also I'd warn you about ranitidine. This may cross the blood brain barrier in older patients. I have never been able to take it...as it causes migraine visual auras for me. I don't have migraines, but raniditine causes weird visual effects that are called migraine auras. I don't like those AT ALL. It can cause headaches in some, and also odd CNS symptoms.

I'd change to another drug...see what happens. Pepcid is an alternative, but a proton pump inhibitor like Nexium may be better. The H2's have side effects, sometimes unpredictable.