Summarize the following:
Urinary tract infections, BPH, and prostatitis will not present with metastatic signs of cancer. There are a variety of symptoms that can go along with advanced prostate cancer. You should keep an eye out for these if you are at risk of prostate cancer or have had it in the past. Prostate cancer can attach to bone causing a deep bone pain, weakness, and eventually broken bones. The calcium from the bone can empty in the blood leading to increased levels causing nausea, vomiting, constipation and confusion. Prostate cancer can spread to the lymph nodes. These nodes are located throughout the body including around the pelvic area. They help filter and empty out fluid into the blood. When these become blocked by cancer tissue they will enlarge and cause swelling of the area. Look for swelling in your extremities such as the legs or arms. If you think one side is affected compare it to the other side. Prostate cancer can spread to the lungs. Look for a cough that cannot be treated with over-the-counter remedies or antibiotics, chest pain that may be throughout or isolated to an area, shortness of breath and coughing up blood. The cancer interrupts normal lung functioning, leading to damage and inflammation of the tissue and arteries. Inflammation will lead to fluid accumulation within the lining of the lungs (pleural effusion) and can cause shortness of breath and aching chest pain. Difficulty walking, headaches, sensation loss on certain parts of my body, memory loss, and trouble holding urine — when experienced together — can be signs of advanced cancer. The most common cancer spread to the brain from the prostate is called Leptomeningeal carcinomatosis. It can present with headaches, sensation loss on the body, difficulty walking, unable to hold urine (incontinence), and memory difficulties. Prostate cancer can spread to the spinal cord. This can lead to compression of the spinal column causing back pain, tenderness and muscle weakness with or without sensation loss. Neurological problems may arise such as urinary retention or, less frequently, bladder or bowel incontinence. This can be a sign that cancer has spread to the rectum. Case studies have documented prostate cancer can spread to the rectum due to its close proximity. Look for bleeding and/or abdominal pain from the rectum when passing stool. For example, a urinary tract infection may present with burning on urination and fever but will not have any of the other symptoms of prostate cancer. In either case, whether the burning and fever are symptoms of prostate cancer or a urinary tract infection, you should see your doctor. Best practice is to seek expert medical advice and perform the routine exams and tests for a proper diagnosis.  Prostatitis may present with the same symptoms as prostate cancer but tends to be more painful in the lower abdomen, lower back, and pelvic region. Prostatitis may be due to an infection and can present with a fever where cancer does not. Benign prostatic hyperplasia (BPH) can mimic prostate cancer symptoms to the point where only diagnostic test and examination will help rule cancer out. Though, BPH most commonly present with lower urinary tract symptoms such as urgency to urinate, weak urine stream, waking up at night to go to the bathroom (nocturia) and straining to void urine. Also, almost 50% of men aged 50 to 80 may experience erection or ejaculation difficulties.  Nocturia (nighttime urination) is common as you age. The bladder loses elasticity and its ability to hold more urine the older you get. In addition, our bodies make less hormones over time, which slows down our kidney function at night causing more urine production than normal. This combination leads to frequent waking up and nighttime urination as well as more urination during the day. BPH and prostate cancer can cause nocturia but will normally present with weak stream of urine, lack of urination, burning sensation in penis from urinating, painful ejaculation and trouble getting an erection. Frequent daytime and nighttime urination can also be a symptom of diabetes (high blood sugar), which can also have serious complications. It is advised to seek medical advice from your doctor if you experience excessive nighttime and daytime urination. Keep a voiding diary, this is a two-day record of how much you drink, how often you have to go the bathroom and the urine output, any medications you are taking, any urinary tract infections, and any related symptoms. Your doctor will review the diary in order to determine the possible cause(s) of and treatment for the nocturia. Many men with prostate cancer often have no symptoms at all. If you are at risk of prostate cancer, then it is a good idea to get checked on a regular basis, whether you have symptoms or not.

summary: Look for symptoms of advanced prostate cancer or metastasis (spread of cancer to other locations). Pay attention to unexplained nausea, vomiting, constipation, and confusion. Be aware that swollen extremities (arms or legs) or weakness in the legs, arms, or hips bones can be a sign of prostate cancer. Pay attention to unexplained shortness of breath, chest pain, and/or coughing up blood. Watch for a combination of symptoms that may indicate prostate cancer. Pay attention to back pain and tenderness to touch. Watch for bleeding from the rectum while going to the bathroom. Understand that symptoms associated with prostate cancer could be symptoms of a different illness. Be aware that there may be no symptoms present with prostate cancer.


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Work in an upwards motion along your top lashes, and a downwards motion on your bottom lashes. Use a similar motion as you would when applying mascara. This will set your lashes in the proper shape and minimize their tangling while you sleep.  To avoid poking your eyes with the brush, close one eye and brush upwards on those lashes. Then repeat the process for the other eye. Purchase a spoolie brush in the beauty or cosmetic section at a local department store, or online with major retailers. A spoolie brush looks like a mascara applicator and can be used to comb your eyelashes and eyebrows. Refrain from using oil-based products, as the oil will deteriorate the eyelash adhesive. To find out if a product is oil-free, read the manufacturer's ingredients label on the back of the bottle. Most oil-free products will clearly advertise themselves as such. If you still aren't sure what products to use, ask a staff member at the salon where you got your lashes done. The staff is knowledgeable and will be able to suggest alternative oil-free products. Put some of the cleanser on a cotton swab, and gently pat the skin around your eyes to remove makeup or dirt. Continue this process until all of the makeup has been removed. You will have more control using a cotton swab over a cotton pad to remove the makeup, and won't bump your eyelashes as much.  Use oil-free makeup removers like micellar cleansers to remove the makeup from around your eyes. If you opt to use a cotton pad with the cleanser, dab your eyelids instead of rubbing them to remove the makeup, as excess rubbing will damage the lashes and cause shedding. Apply mascara to your eyelash extensions sparingly to avoid weakening the follicles. Not only do most mascaras contain oil that will break down the adhesive on your lashes, but the mascara will require you to rub the lashes to remove it. Use the lash cleanser and instructions that your eyelash technician gave you. This will maintain the strength and cleanliness of your lashes. This typically involves applying the cleaning solution with a small makeup brush using circular motions, and then patting the eyelashes dry. If you run out of eyelash cleaner or did not receive any, use an oil-free baby shampoo diluted with water as an alternative. Use a towel to gently dry your face, and be extra careful when drying the skin around your eyes. Avoid rubbing or dragging the towel across your face to dry it, as this might cause some of the lashes to fall out. Eyelash extensions can take quite a while to dry, which can leave them feeling unnaturally heavy. Use a hairdryer on the lowest setting to gently speed up the air-drying process.
summary: Use a spoolie brush to comb your lashes before you go to bed. Use oil-free products to clean and moisturize your face. Use a cotton swab with makeup remover to carefully wipe off eye makeup. Wash your lashes nightly or at least once a week to keep them clean. Pat your face dry with a towel after washing to avoid dislodging the lashes.