Brief Answer:
Drug Induced Side effects/Under Investigation

Detailed Answer:
Brief Ans-Drug Induced Side effects/Under Investigation

Hi,Welcome with your query to HCM.
Read your query and understood your health concern.
I would like to know few things-as
How long You get the feel of inside squeezing?
or Punched out feel?Does it amount to colicky pain/ or heaviness in stomach-with or without nausea/dizziness?
How long do you take these medicines or treatment?

Does it come with rising from a long seating / or lying down position / or after long standing?
Do you have any anxiety,for which You take these medicines?
Why do you take clozapine/ Why Zoloft / and why Prilosec?
What for your doctor has prescribed it to you?
what complaints you suffer from, for which you take these medicines?
What is your job?and your food(Spicy/alcohol/fried/ non-veg frequency) and life style(smoking/less sleep/outside food frequency) ?
Do you have Acid Reflux problem with Anxiety or mental stress ?

Await this information from you,soon,to be reviewed and replied in next session.

Welcome for any further query in this regard.

Good Day!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist

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Brief Answer:
Drug Induced Side effects/Under Investigation

Detailed Answer:
Brief Ans-Drug Induced Side effects/Under Investigation
Mostly due to Orthostatic Hypotension from Antipsychotics.

Hi,Thanks for your updates.
Reviewed your updates in context of feeling of someone squeezing inside and feeling of being punched in stomach and it relief by water drinking.

In My opinion-(Diagnosis of your problem and suggested remedy)
you have drug induced Orthostatic Hypotension,which is adding to your job stress, which mostly you can't change.Adding Fludrocortisone is the only solution for you.
You are on antipsychotics since long for variety of psychiatric problem.
All these complaints are suggestive of Vagal / parasympathetic toning effect on stomach,which is induced by the Orthostatic Hypotension causing postural hypotension.

Suggestions for your health -
-The job profile of your's makes you more susceptible to postural hypotension with high concentration job, neglecting your regular fluid intakes.
-I would suggest you to consult for Second opinion from another Psychiatrist and your Psychiatrist and to request for drug overdoasges if any.
-I would suggest you to have Fludrocortisone addition to counter this orthostatic hypotension which you suffer occasionally
-Would suggest Proton-with domeperidone for daily nausea /vomit controls with advise from your Psychiatrist,to replace your prilosec drug.
-If you can control smoking that would be a boon for your health.

Hope this would help you to correct your stomach related problem by better understanding of your health issues and its health limitations ,as you have to be on Antipsychotics for the various psychiatric problems you possess.

Hope this reply would help you to tune up your lifestyle and your drugs and could plan better balanced treatment as suggested above under guidance of Your Psychiatrist,who is doing a commendable job for you.

Welcome for any further query in this regard.
If Satisfied, Will appreciate You , to write excellent feedback comments of your experience with Me, to help needy patients like YOU,at MY clinic in HCM services.

Good Day!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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