Dr. David Yablonsky

Internal Medicine 25 years experience

Heart Healthy B.S.: I agree, the notion that eating too much saturated fats raises bad cholesterol and causes cardiovascular disease is a weak argument. If by "keto" you... Read More

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2.5k viewsAnswered >2 years ago

A 29-year-old female asked:

I don't think my migraines are hormonal i have mirena (levonorgestrel) no probs for years. could anything else cause increase in severity/frequency suddenly?

Internal Medicine 25 years experience

YES: Many things can contribute to worsening or new headaches. Since you say the increase was sudden, you definitely need to be seen soon to rule out more ... Read More

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3.6k viewsReviewed >2 years ago

Dr. Diane Minich and another doctor agree2 doctors agree

A 26-year-old female asked:

Lower back pain bloating fatigue feels like ther is a brick in my pelvis sometimes and very gassy. the back pain has gotten worse over several months.

Internal Medicine 25 years experience

Many possibilities: Assuming you have been otherwise healthy and no significant family history I would start with running some simple blood tests and updating a routine p... Read More

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2.1k viewsAnswered >2 years ago

A 22-year-old female asked:

My husbands hair is falling out a lot all of sudden. he's only 19. no bald patches but hair is thinning.

Internal Medicine 25 years experience

Stress?: Is he under unusual amounts of stress? Otherwise could be normal male pattern balding. Some men start very early. Does it run in his family? Other pos... Read More

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3.6k viewsAnswered >2 years ago

A 39-year-old female asked:

What can cause pin pokin feeling in abdomen, sides & back & radiating to the legs at the moment it is more on the left side?

Internal Medicine 25 years experience

Spine: sounds like something compressing part of your spine or the nerve roots coming out of your spine. you need testing. go see your doc

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3.6k viewsReviewed >2 years ago

Dr. Carrie Cannon agrees1 doctor agrees

A 30-year-old male asked:

I always feel tired after waking up in morning which gradually decreases as the day progresses.any suggestion for improving my condition?

Internal Medicine 25 years experience

Apnea?: could be a case of obstructive sleep apnea or some type of sleep disorder where you are not getting proper rem sleep. I would recommend an overnight s... Read More

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3.4k viewsAnswered >2 years ago

A 25-year-old female asked:

At approximately what percent below average does the metabolism operate for a 25 year old female with severe hypothyroidism?

Internal Medicine 25 years experience

Replacement?: The simple answer is if you are on the correct dose of thyroid replacement probably none. Your blood test for TSH will determine if you are in "balanc... Read More

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3.6k viewsReviewed >2 years ago

Dr. Dariush Saghafi and another doctor agree2 doctors agree

A 32-year-old female asked:

I have longggg periods. i mean weeks n weeks n weeks. and every now & again i bleed out those huge red clots?!? what's wrong?

Internal Medicine 25 years experience

See your doctor!: This is too complex to answer in this format. You really need to se an OB/GYN. WIth this much bleeding you need blood tests, exam and then some type o... Read More

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3.6k viewsAnswered >2 years ago

A 49-year-old female asked:

Drinking h20 lil but more 4 mild kidney failure woke up w +2 pitt edema in legs and hands swollen and feel real tired what is this ! ?

Internal Medicine 25 years experience

Kidney failure: you need to see a doctor asap and have blood and urine tests. could be worsening kidney failure.

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3.4k viewsAnswered >2 years ago

A 38-year-old male asked:

I have been diagnosed with an inflamed tendon in my groin. i also am having a fever at night/early morning (101). goes away during the day? normal?

Internal Medicine 25 years experience

Not normal!: A tendon issue would not normally result in a fever. I believe the diagnosis needs to be re-evaluated. You need to be examined for enlarged lymph node... Read More

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3.6k viewsAnswered >2 years ago

A 18-year-old female asked:

I'm 18, today i was very hot and tonight i had excessive night sweat, heavy period, increased hunger. i now feel fine but am concerned. help thanks!

Internal Medicine 25 years experience

Get Blood Tests: Could be any number of issues but unlikely to be serious. I would see a doctor and get a few labs such as fasting glucose and thyroid . I would start ... Read More

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3.7k viewsReviewed >2 years ago

Dr. Natalie Hodge agrees1 doctor agrees

A 31-year-old female asked:

My ana came back again last night. it was 1:320. now >=1:640. what does >= mean? is the increase significant?

Internal Medicine 25 years experience

Needs work up: Those are very high ANA. Up to 10% of the "normal" population will have an elevated ANA without any disease. They typically run no higher than 1:160. ... Read More

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3.6k viewsAnswered >2 years ago

A 31-year-old female asked:

If i lay on my back and push down from just under my breast bone in a straight line to belly button it feels bumpy.... is this normal? endo nml

Internal Medicine 25 years experience

Lumps and bumps: This is probably nothing to worry about. You might be feeling your xyphoid process, a normal part of your bony anatomy. If you are truly feeling a lum... Read More

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2.5k viewsAnswered >2 years ago

A 28-year-old female asked:

My constant globus sensation is getting worse, driving me insane. dr having me try keflex b4 more tests. it's been over a month. is it risky to wait?

Internal Medicine 25 years experience

Usually not serious: Almost always associated with anxiety. Rarely anything significant. Unless you have enlarged tonsils or a sore throat, I dont get the reason for Kefl... Read More

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3.6k viewsReviewed >2 years ago

Dr. Heidi Fowler and 2 doctors agree3 doctors agree

3 comments

A 28-year-old female asked:

Big brown/ black patch on the upper back, what could it be. not itchy, no pain. it is been for couple of months.

Internal Medicine 25 years experience

Back patch: You need to have a doctor look at this. You need to make sure its not melanoma

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2.5k viewsAnswered >2 years ago

A 21-year-old female asked:

Feel pressure and tingling in lower abdomen. urge to push. feel like i have to pee but don't. light brown/light pink urine when wipe. what is this?

Internal Medicine 25 years experience

Urinary tract infect: could be a urinary tract infection. You need to get a Urinalysis with micro. You will need to see a doctor for this

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3.7k viewsAnswered >2 years ago

A 23-year-old female asked:

I have been getting sinus headaches daily for awhile. seems to be almost all year and nothing helps. what could cause this and what can help?

Internal Medicine 25 years experience

How do you know?: You sure its a sinus headache? Many causes for headaches. If you do have chronic sinus congestion may need antibiotics or prescription nasal steroid o... Read More

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3.6k viewsReviewed >2 years ago

Dr. Heidi Fowler and 5 doctors agree6 doctors agree

A 38-year-old female asked:

Looks like i have another bout of shingles coming on. is it from stress?

Internal Medicine 25 years experience

Probably: Stress can cause this. Other things can too such as infection, sun exposure, etc

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3.7k viewsAnswered >2 years ago

A 22-year-old female asked:

I'm having a lot of pressure and i feel like i have to take a poop but i know i don't, is this normal?

Internal Medicine 25 years experience

Not Normal: You need to see a doctor. May be simple like constipation but there are several possibilities that need to be looked into. If you are over 50 you may ... Read More

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3.6k viewsReviewed >2 years ago

Dr. Heidi Fowler and 2 doctors agree3 doctors agree

A female asked:

I took a 1mg of lorazapam at 8am and again at 3 pm. it is now almost 8pm and i want to have a few vodka mixed drinks. is that ok?

Internal Medicine 25 years experience

No: Alcohol and Lorazepam do not mix. Even though you took the last dose a few hours ago, I would avoid this. Here's the other thing: If you are requiring... Read More

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3.6k viewsReviewed >2 years ago