Mean girls feed on reactions. When they say or do something mean and you yell at them, start crying, or run away, they feel successful. Even if you feel a little hurt, try to keep yourself composed by reminding yourself that you’re strong enough to refuse to respond to and engage in negative behavior. If you’re composed, the mean girl won’t think she got to you.  Remind yourself that the goal of a bully is to get a reaction. If you don't react, then she loses. Try not to take the comments personally because they're not really about you. Bullies put others down because they feel bad about themselves. She wants you to feel bad so that she can feel better about herself. When the mean girl is mean to you, you might quickly feel a wave of negative emotions such as anger and sadness. Remove yourself from the situation for 5-10 minutes and go for a short walk or visit the restroom so that you can calm down. This will help keep you from being mean back to the girl or reacting in a way that’ll let her know you’re upset.  Deep breathing exercises can lower your blood pressure and help you de-stress. If you’re feeling upset, try inhaling through your nose for four seconds and exhaling through your nose for four more seconds. Repeat this until you feel more relaxed.  Come up with a mantra to tell yourself during difficult times. Try saying something like, “I am strong,” or “No one defines me but me,” repeatedly in your head until you’re more calm. If you act like the mean girl isn’t even there, you’ll remove her power completely. It takes strength and confidence to let hurtful words roll right off your back instead of internalizing them. Whenever the mean girl says or does hurtful things, don’t look at her or speak to her, and instead just continue with whatever you were doing before. If the mean girl is actually someone who you associate with and spend time with, it might be best to take a step away from the friendship. Make yourself a little less available and spend more time doing activities you love with true friends who are more kind to you. If you’ve tried to avoid the situation but she’s still being mean to you, it might be time to ask an adult for their help. Bring the problem up with any adult(s) you’re comfortable talking to, whether that’s your guidance counselor, parent(s), teacher(s), coach(es), or administrator(s). They may be able to give you advice and/or diffuse future situations.  If you’re physically harmed by the mean girl, tell an adult immediately.  If you’re worried that the mean girl may find out you that you told on her and harass you for it, ask the adult to keep it a secret. Don't ignore the issue if it's really bothering you. If you need help with taking steps toward addressing the situation, visit Stop Bullying at https://www.stopbullying.gov/.
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One-sentence summary -- Don’t react to her meanness. Separate yourself to calm down. Pretend that the mean girl is invisible. Distance yourself from a mean girl friend. Talk to an adult if the meanness doesn’t subside.

Article: 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.
Question: What is a summary of what this article is about?
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.