If you suspect that you are having menstrual pain because of secondary dysmenorrhea, then make an appointment with a gynecologist right away. Secondary dysmenorrhea can indicate that you have a serious medical problem that requires prompt treatment. Your gynecologist will take a thorough health history and ask questions about your current condition as well. It is important to provide honest answers to these questions. Some of the questions your doctor may ask might include:  When did you have your first period? When did your symptoms start? Does anything make your symptoms worse or better? How is the pain affecting your daily life? Is it interfering with your normal daily activities? After taking a thorough health history, your doctor will also need to do a physical exam. As part of this exam, your doctor will examine your vagina, vulva, and cervix to check for masses and abnormalities. Your doctor will also examine your abdomen for signs of swelling. Depending on the findings of the exam, your doctor may decide to run blood tests or imaging tests. These tests can provide your doctor with additional information to help him or her make a diagnosis. Some symptoms may indicate a serious problem and you should share these with your doctor right away. Call or visit your doctor right away if you have had:  a sudden onset of pain pain that does has not gone away a fever vaginal discharge swelling of your stomach suddenly heavy menses (this could be a sign for a thyroid disorder)

===
Write a summary of the previous text in Russian:

Запишитесь на прием к гинекологу. Предоставьте подробную историю болезни. Пройдите физикальную диагностику. Поделитесь с врачом тревожными симптомами, которые вы заметили.


If you suspect that you have a thyroid problem, then the first thing you should do is see your primary care physician for a physical exam and tests. Your doctor can easily determine if you have a thyroid problem by interviewing you, performing a physical exam, and ordering some simple blood tests.   Depending on your symptoms, lab tests may include a Thyroid stimulating hormone concentration (TSH test), Total thyroxine (T4 test), Total triiodothyronine (T3 Test), an/or a Free T4 Concentration test. Depending on the results of your bloodwork, you may also have to have imaging, such as an ultrasound or CT scan. There are two common problems that can affect the thyroid. The thyroid can be overactive and overproduce the thyroid hormone, which is called hyperthyroidism. The thyroid can also be underactive and produce insufficient amounts of the thyroid hormone, which is called hypothyroidism. Hypothyroidism is second only to diabetes as the most common endocrine disorder. Both conditions can cause a goiter, which is the enlargement of the thyroid in an effort to increase and manufacture thyroid hormone. A goiter presents as a glandular swelling that can be detected as a swelling in the neck. It is only considered a symptom, not a medical disorder in and of itself. Hyperthyroidism causes an increase in metabolic activity. Symptoms of hyperthyroidism include:  Heat intolerance Tachycardia or rapid heart rate Weight loss Sweating Goiters The most common causes of hyperthyroidism are Grave’s disease, a toxic thyroid adenoma, a toxic multinodular goiter, lymphocytic thyroiditis, heart medications such as amiodarone, or a primary pituitary disorder. A thyroid storm is a rare cause and at the extreme end of the spectrum of hyperthyroidism. In this condition, the patient exhibits symptoms such as increased heart rate, vomiting, fever, diarrhea, dehydration, and altered mental status. Every cell in the body requires thyroid hormones and without them, signs of decreased metabolism are present. The symptoms of hypothyroidism...

===
Write a summary of the previous text in Russian:

Обратитесь к врачу. Узнайте больше о расстройствах щитовидной железы. Узнайте симптомы гипертиреоза. Узнайте причины гипертиреоза. Знайте симптомы гипотиреоза. Узнайте причины гипотиреоза. Обратитесь к врачу за диагнозом, если вам кажется, что у вас может быть гипотиреоз. Знайте возможные побочные эффекты гипотиреоза.


If you suspect that you have a urinary tract infection, call your doctor right away. Don't ignore it — if left untreated, the infection can spread to the blood stream, which can develop into a more serious potentially life-threatening situation. Your doctor will need to get a urine sample and perform a culture to be certain that it is a UTI and not something else. Some common symptoms of a UTI include:  Feeling a burning sensation when you go to the bathroom Having the urge to urinate often, even if little or nothing comes out Feeling pain or pressure in your back and/or lower abdomen Producing cloudy, dark, bloody, and/or strange-smelling urine Feeling tired and/or shaky Having a fever and/or chills Confusion (in older adults) If your doctor diagnoses you with a urinary tract infection, then you will need to follow your doctor’s treatment plan to ensure a quick and full recovery. Your doctor may prescribe anti-biotics, recommend a certain fluid intake, or advise against certain activities. In some cases, a UTI may not respond to treatment and may require a more aggressive treatment or even hospitalization. Some people are more susceptible to UTIs and may get one after another. Let your doctor know right away if your symptoms do not improve or if they get worse.

===
Write a summary of the previous text in Russian:

При симптомах инфекции мочевыводящих путей обратитесь к врачу. Неукоснительно соблюдайте предписания врача. Если симптомы возобновятся или усилятся, сообщите об этом врачу.


If you suspect that you have an STI, contact your general physician as soon as possible, and request an appointment to get tested for any sexual infections or diseases. Tests are inexpensive and easy, and do not require a referral or specialist consultation.  STI screening will typically include a urine analysis and culture, blood sample analysis, a pelvic exam, and a body tissue sample.  Do not put off getting tested. Many STIs are uncomfortable or painful. Also, putting off getting tested can increase your risk of contracting another STI, including HIV. The majority of STIs are very treatable. Bacterial infections can be cured with antibacterial medications, commonly prescribed as pills or tablets, or administered via injection. Parasite STIs, including scabies and public lice, are treated via a prescribed medicated shampoo. Even for viral STIs that cannot be treated or cured (which includes both herpes and HIV) your doctor can prescribe medications which will alleviate painful symptoms. If you’re sexually active, and especially if you’re not monogamous or change sexual partners with relative frequency, it’s important to get screened for STIs regularly. Some types of STI do not manifest notable symptoms, while the symptoms of other STIs can take weeks or even months to manifest.  When speaking to your doctor, be explicit in asking for an STI screening. Don’t assume that your doctor will test you for STIs simply because they’re performing a PAP smear or drawing blood. In addition, always ask your partner to get tested for STIs before you engage in sexual activity. This will help prevent the spread of STIs. If you don’t have a regular health care provider, or are concerned about the cost of STI screening and treatment, visit a clinic like Planned Parenthood. Although sexual health clinics will vary by region and by country, they’re typically an affordable option for anyone needing a STI screening.

===
Write a summary of the previous text in Russian:

Сдайте анализы на наличие ИППП. Узнайте у врача насчет возможного лечения. Узнайте у врача насчет распространенных анализов на ИППП.


If you suspect that you have an ear infection, do not attempt the following method to unclog your ear. If you have any of the following symptoms, call a doctor immediately:  Persistent and severe pain in your ears lasting more than a few hours. Fever Vomiting or diarrhea. Yellow or green drainage from the ear.

===
Write a summary of the previous text in Russian:

Убедитесь, что у вас нет инфекции.


If you suspect that your cat has gone blind or is losing her sight, schedule an appointment with your cat's veterinarian right away. Some types of blindness are reversible if they are treated right away. For example, if your cat is suffering from blindness caused by hypertension, a daily medication may restore her sight and prevent further health problems as well. Make sure that your cat gets regular check-ups with a veterinarian even if she seems healthy. Early diagnosis and treatment of a problem can prevent your cat from going blind. Sometimes a cat will go blind over a period of days, weeks, or months. After the cat has become mostly or totally blind, you may begin to notice some strange behavior. Observe your cat to determine if she might be blind. Some of the behaviors that blind cats display include:  Seeming confused about her surroundings Bumping into furniture and other objects Missing jumps or landings that she used to manage with ease Seeming reluctant to move around or venture outdoors Rubbing or squinting her eyes If your cat's behavior has you suspicious that she might have gone blind, inspect her eyes to see if they look different than usual. Even if your cat is not showing signs of blindness, you should inspect your cat's eyes regularly to check for early symptoms of blindness. Some common symptoms of blindness in cats include:  Eyes don't respond to light, pupils are dilated Eyes look cloudy, inflamed, or discolored

===
Write a summary of the previous text in Russian:

Запишите кошку на прием к ветеринару. Обратите внимание на поведенческие симптомы слепоты. Осмотрите глаза кошки на предмет слепоты.


If you suspect that your dark knees are caused by dry skin, drink more water! In general, aim to consume at least 68 fluid ounces (2.0 L) of water every day for healthy, glowing skin. If you don’t see results from increasing your water intake, consider using a natural remedy or applying a moisturizer in addition to drinking water. If you’ve tried multiple methods to get rid of your dark knees but haven’t had any results, make an appointment with a dermatologist. There, the doctor will be able to do tests and look at your knees to identify a likely cause for the dark skin in that area.  Be sure to explain which methods you’ve used to try to get rid of your dark knees. Your doctor may be able to explain why your skin is darker in that area, and can offer more potent treatments for lightening the skin. Sometimes, individuals with undiagnosed or untreated diabetes will develop dark spots on their knees and shins. If you have spots that won’t go away, visit your doctor to get tested for diabetes. This condition is called “diabetic dermopathy,” and people often mistake these marks for age spots.

===
Write a summary of the previous text in Russian:

Увеличьте потребление воды, чтобы улучшить водный баланс. Сходите к дерматологу, чтобы он диагностировал проблемы с пигментацией или заболевание кожи. Сдайте анализы на диабет, если у вас на коленях темные пятна, от которых никак не удается избавиться.


If you suspect that your dog has mange, the first thing you should do is take him to the veterinarian. Treatments vary for the different types of mange and some medications can be toxic, so it is best to obtain an accurate diagnosis from a veterinarian who can advise you on the right course of treatment.  The process for diagnosing mange will vary from case to case. In some instances, the vet will be able to take a skin scraping from the affected area and analyze it under the microscope to look for mites or eggs. In situations where the mites are buried within the dog's skin -- such as in demodectic pododermatitis -- the vet may have to perform a deep biopsy to confirm the presence of mange. The vet will also perform a physical exam and take your pet's general health and history into account when making a diagnosis. Demodectic mange is characterized by thinning patches of hair that can scab over. They can be localized in one area or spread throughout the body. Demodectic mange is not contagious and cannot be transferred to humans.  Demodectic mange -- also known as demodex or "red mange" -- is caused by mites that are transferred from mother to puppy during the first few days of life. These mites are present in all dogs and usually won't cause any problems. Mange occurs when mite populations proliferate in dogs with underdeveloped immune systems -- like puppies under the age of 18 months, older dogs and dogs with compromised immune systems. When the mites are concentrated in one or two isolated patches on the skin, this is known as localized demodectic mange, which presents as bald scaly patches, usually on the dog's face. Localized demodectic mange is most common in puppies and will usually clear up on its own with no need for treatment. When the mange is present in large patches or all over the dog's body, this is known as generalized demodectic mange. This type of mange produces bald, scaly patches of skin, which can be very itchy. When the dog scratches, sores can form which are susceptible to...

===
Write a summary of the previous text in Russian:

Приведите собаку к ветеринару. Обратите внимание на симптомы демодекозной чесотки. Обратите внимание на симптомы саркоптоза. Обратите внимание на симптомы хейлетиоза.


If you suspect that your dog is pregnant, it is worthwhile to visit the vet to confirm your suspicion. There are various methods a vet can use to definitively confirm pregnancy. The vet will examine the dog and pay special attention to gently feeling her tummy.  By palpation (feeling from the outside of her belly) the vet can sometime feel the womb and the outline of a puppy inside. However, this is much more difficult than it sounds because it is easy to mistake a puppy for feces in the bowel, and vice versa. The ideal time to feel a pregnancy is between day 28 - 35 after conception. Before this, there is not enough difference to feel to tell the vet she is pregnant. After this, the puppies can be mistaken for other things such as food in the gut. In late pregnancy (week 6 onwards), the vet can sometimes hear fetal heartbeats by holding a stethoscope to the dog’s belly. However, this is much more difficult than for human babies because of the rustling of the dog's fur coat and the fact that dogs have round, not flat, tummies. The gold standard to test for pregnancy is for your vet to run a blood test that looks for the presence of a pregnancy hormone called Relaxin.   The hormone is only reliably present after day 28 of the pregnancy. If the test is run before this date it is possible to get falsely negative results, where you believe the bitch isn't pregnant when she is.   A positive result at any point, even before day 28, does confirm pregnancy. The method that can confirm pregnancy the earliest is an ultrasound.  A skilled ultrasound operator can pick up puppies on the scanner from around day 16 onward.   In a docile bitch the scan can be done without sedation. The operator will need to clip fur on the tummy of very furry dogs so that the probe can make good contact with her skin. With the widespread use of ultrasound, the need for x-rays in pregnancy has decreased. The main reason to x-ray a pregnant bitch is in late pregnancy, to count how many puppies are present in the womb. This information is...

===
Write a summary of the previous text in Russian:

Посетите ветеринара. Общий осмотр. Сердечные сокращения. Анализ крови. Ультразвуковое обследование. Рентгеновское обследование.


If you suspect that your foot issue is more than just a minor sprain or strain and may be neuropathic, then see your doctor — she will give you a physical exam and ask questions about your history, diet and lifestyle. Your doctor will also likely take your blood and check for high glucose levels (a telltale sign of diabetes), certain vitamin levels and thyroid function.  You can also test your blood sugar levels at home with a store-bought testing device, but make sure you read the instructions carefully. High levels of glucose in the blood are toxic and damaging to small nerves and blood vessels, as is too much ethanol from drinking alcoholic beverages. B-vitamin deficiencies, especially B12 and folate, are another relatively common cause of neuropathy.  Your doctor may also take a urine sample to see how well your kidneys are functioning. You may have to see a nerve specialist (neurologist) in order to get a confirmed diagnosis of neuropathy. The neurologist may order a nerve conduction study (NCS) and/or an electromyelography (EMG) to test the ability of the nerves in your feet and legs in transmitting electrical messages. Damage can occur in the protective covering of a nerve (myelin sheath) or underneath in its axon.  NCS and EMG are not very helpful for diagnosing small fiber neuropathy, so either a skin biopsy or quantitative sudomotor axon reflex test (QSART) are sometimes used. Skin biopsy can reveal problems with nerve fiber endings and it's easier and safer than a nerve biopsy as your skin is on the surface. Your specialist may also perform a color Doppler test so he can see the condition of the blood vessels of your legs — to rule in or rule out venous insufficiency. A podiatrist is a foot specialist who can give you another informed opinion about your foot issue. A podiatrist will examine your foot for any trauma that may have damaged any nerves or benign growths or tumors that are irritating / compressing nerves. A podiatrist can also prescribe custom made shoes or orthotics (shoe inserts) for...

===
Write a summary of the previous text in Russian:

Обратитесь к терапевту. Получите направление к специалисту. Проконсультируйтесь с ортопедом.


If you suspect that your partner is gaslighting you, you should learn all of the different ways that gaslighting can manifest. This can help you recognize the ways in which you were manipulated so that you can recover. Some common signs include:  Accusing you of remembering wrong or making up things that happened. Diverting or avoiding talking about certain topics. Claiming that you overreact or that you are too sensitive. Acting as if they do not understand what you are saying. Refusing to talk about their behavior. Gaslighting is a form of mental and emotional abuse. It is a way to have power over you and control you. If you have not yet ended this relationship, you should strongly consider it in order to recover from the gaslighting.  For instance, if you have recently realized that your partner has been purposely doing things to make you second guess yourself, you should try to leave the relationship. Talk to someone close to you about helping you leave. For example, you might tell your sibling, “Could you help me. I’m being gaslighted and I need to get out of the situation.” Ask a counselor, therapist, or other professional to help you get out of the situation. Contact a crisis hotline for assistance with leaving your situation. They can connect you with other resources. Because it is a form of abuse, gaslighting can be very stressful on you. You may constantly feel nervous, tense, or tired. You can recover from gaslighting if you make an effort to reduce the overall stress in your life. Try stress reduction techniques like meditation, deep breathing, or visualization.  There are several different types of meditation that you can use to relieve you stress. You might try mindfulness, yoga, concentration or another type. Practice visualizing yourself some place peaceful. Picture yourself in detail. For example, picture your relaxed forehead and chin. Visualize the smile on your face and the happiness in your eyes. When you are gaslighted, you may end up feeling anxious or nervous. You might feel like you...

===
Write a summary of the previous text in Russian:

Изучите признаки газлайтинга. Дистанцируйтесь от ситуации. Снижайте уровень стресса. Избавьтесь от тревожности. Боритесь с депрессией. Следите за собственной безопасностью.


If you suspect that your sink is clogged with hair or other solid masses, you might be able to fish it out with an old, bent wire hanger.  Straighten out a wire clothes hanger as much as possible. Bend one end slightly to create a small hook capable of fitting into your sink drain. Slide the wire hanger down, hook-side first, into the drain. Try to keep the wire pressed to the side of the drain rather than pushing it down the center of the pipe. Doing so will minimize the risk of pushing the blockage further down. Once you feel resistance, twist and maneuver the hanger in an attempt to hook the blockage. Pull the wire back up to remove as much of the blockage as possible. Run hot tap water from your sink and into the drain for a couple of minutes. Make the water as hot and rapid as possible, but if the sink starts to back up, turn the water off. Use a standard plunger to vigorously suction the blockage out.  If you are working with a sink that has two sink drains, hold a wet cloth tightly over one drain to seal it off. Place a plunger over the other drain, holding it fairly upright. Fill the other side of the sink with 3 to 4 inches (7.5 to 10 cm) of water. Doing so helps the plunger seal around the drain. Roll the head of the plunger into the water, forcing water into the drain. Pump the plunger up and down for a solid 20 seconds using a vigorous, rapid motion, but do not break the seal between the plunger and the drain. Pop the plunger off the drain on your last vertical upstroke. You may need to plunge the sink for several minutes in order to loosen the blockage. The P-trap often catches debris and other blockages before they make it further into your pipes. This portion of your piping is located directly under your sink and can be removed and cleaned out manually.  Place a large bucket below the trap. This will catch any water or debris that falls from the pipe once you remove the trap. Use slip joint pliers to loosen the slip nuts on the trap and unscrew the nuts by hand. Slide the nuts away from the...

===
Write a summary of the previous text in Russian:

Прочистите затор с помощью изогнутой проволоки от вешалки. Используйте вантуз, чтобы прочистить засор. Прочистите сифон. Используйте для прочистки трос.


If you suspect things are about to take a nasty turn, be the one to make the first move. End a tense standoff with a sudden, well-placed blow to the jaw or solar plexus (the soft, fleshy outer edge of the diaphragm beneath the sternum). Put everything you’ve got into the strike—try to put a stop to the fight in a single maneuver. If you’re successful, your opponent will be incapacitated and the altercation will be over. If not, you’ll at least already be ready for the ensuing brawl.  Assess the situation as best you can before resorting to a surprise attack. In many cases, the aggressor might simply be worked up and won’t have any intention of actually getting into a physical dispute. Be certain that you’ve exhausted all other options first. Be careful when going for a sucker punch. If it misses or doesn’t do the trick, there will be no way to avoid a full-on fight. It’s worth repeating that you shouldn’t try to stand and duke it out with a bigger guy. His reach and power will just be too much to handle. Take your time staying away from his strikes, waiting for an opening and then closing the gap and landing a hard shot. By alternating between defensive posturing and quick offensive bursts, you’ll eventually be able to wear him down.  Don’t get impatient. You’ll start making mistakes, which could end up costing you dearly. Attack the body when you don't have a clear shot at your opponent's head. The solar plexus is a sensitive target that when hit just right can drive all the air out of an opponent's lungs and leave them gasping for breath. The ribs are also quite fragile, and can be broken with only a few pounds of force per square inch. Unlike a boxing match, which has regulations about where you’re allowed to hit an opponent, all bets are off in a real fight. Target the most delicate areas of your attacker’s body to make every strike count. One well-placed blow is all you'll need to put your towering opponent out of commission. Most people won’t be expecting these types of attacks, so they’ll be left...

===
Write a summary of the previous text in Russian:

Используйте элемент неожиданности. Выжидайте подходящего момента и двигайтесь. Наносите удары по чувствительным местам. Используйте болевые приемы. Не брезгуйте грязными приемами.


If you suspect you applied the wrong strength product, applied too much pressure, or used too many exfoliators at once, look for symptoms of over-exfoliated skin. These may include:  Redness Flaking Irritation Burning sensation Gently press a cool, clean washcloth on skin you have over-exfoliated. Hold on your skin for a few minutes or until your skin feels less irritated. Avoid rubbing the washcloth over your face, which can make irritation worse. Repeat doing this as necessary. Gently dab on a thin layer of aloe gel. This can soothe irritation and promote healing of areas you over-exfoliated. Keep the aloe gel in your refrigerator for added cooling and soothing benefits. Use a non-steroidal anti-inflammatory, or NSAID, medication if your over-exfoliated skin causes you pain. NSAIDs can ease your discomfort and may minimize any inflammation on your skin. Follow your doctor’s instructions or the dosing recommendations on the packaging. The most common over-the-counter NSAIDs you could use are:  Aspirin Ibuprofen (Advil, Motrin) Naproxen (Aleve, Naprosyn)

===
Write a summary of the previous text in Russian:

Определите, пересушена ли у вас кожа. Приложите холодный компресс. Смажьте гелем алоэ вера. Примите противовоспалительное обезболивающее средство.


If you suspect you are pregnant, pick up a home pregnancy test at a drug store. Follow the directions on the package and take the test at home. Usually, you pee on the stick or gather your urine in a cup and dip the stick in the test.  The best time to take a home pregnancy test is in the morning when your levels of the hormone HCG are highest. Most pregnancies tests can be taken a few days after your missed period. However, there are some tests on the market designed for early detection, like e.p.t., that you can try. Refer to the package's instructions for precise directions on when to take the test.  Tests are more accurate after your missed period. If you suspect you are pregnant before missing your period, go to the doctor instead of taking an at home test. If you suspect you are pregnant, or have a positive pregnancy test, make an appointment with your doctor.  During your first visit, your doctor will run tests to confirm your pregnancy. A doctor may perform a urine test in the office or they may order blood work.  Your doctor will also ask you about your medical history, past pregnancies, your general lifestyle, and any medications you're currently taking. Your doctor will perform a basic physical exam to make sure you're in good health. If you are pregnant, it can be an emotional experience. Waiting on the results of a test can be stressful, so talk to friends, family members, and the other parent about your emotions. You can also talk to a therapist if you have one.

===
Write a summary of the previous text in Russian:

Сделайте тест на беременность. Запишитесь на прием к гинекологу. Обеспечьте себя поддержкой.


If you suspect you have a vaginal infection, pay attention to your symptoms. Not all women with BV have symptoms, but the following symptoms are often associated with BV:  Vaginal discharge with an unpleasant or "fishy" odor Yellowish discharge Burning or discomfort when urinating Itchiness and irritation in and around the vagina The symptoms of a yeast infection are similar to BV. They include:  Abnormal vaginal discharge which can range from a thin, watery, white discharge to a thick, white, and chunky discharge (often described as looking like cottage cheese) Itching and burning of the vagina and labia Painful intercourse Painful urination Redness and swelling of the area just outside of the vagina. While many people with a trich infection have no symptoms, these symptoms are signs of an infection:  Vaginal discharge that is smelly, frothy, bubbly, or foamy Vaginal itching Yellow or gray-green discharge Painful urination There is not always a specific cause for BV or a yeast infection other than a bacterial imbalance. Trich is an STI that is caused by a protozoan parasite called Trichomonas vaginalis. Most women have probably had at least one bacterial infection.  The risk of getting BV increases with a new sexual partner (or multiple partners), douching, having sex without a condom, or using an intrauterine device (IUD) as a method of birth control.  If you are diagnosed with trichomoniasis, you'll need to inform any sexual partners so they can be treated. Yeast infections and BV can be caused by antibiotic use. Antibiotics disrupt the normal balance of bacteria in your vagina which can allow "bad" bacteria or yeast to thrive. Other causes may include: wearing tight underwear or non-cotton panties (which can increase the temperature around the vagina and increase the moisture levels), a weakened immune system, using vaginal douches or perfumed feminine hygiene sprays, or vaginal trauma (scratches in the vagina caused by inserting objects like tampons or during rough sex). You should also tell any sexual...

===
Write a summary of the previous text in Russian:

Поищите у себя признаки бактериального вагиноза. Поищите признаки грибковой инфекции (кандидоза). Поищите признаки трихомоноза. Знайте о возможных причинах вагинальной инфекции. Знайте, когда следует обратиться к врачу. Пройдите осмотр у гинеколога. Знайте, как можно предупредить повторное развитие инфекции.


If you suspect you have injured your cornea, it's best to make an appointment with your eye doctor. The doctor will use a penlight or ophthalmoscope to examine your eye for trauma. Your doctor may also examine your injured eye using special eye drops with Fluorescein dye that make your tears yellow. This dye helps make your abrasion more visible under the blue light.  To do this, a topical anesthetic is added to the eye and then your lower lid will be pulled down gently. A Fluorescein strip is then touched onto the eye, and as you blink, the dye spreads throughout the eye. Yellow stained areas under normal light indicated damaged corneal areas. Your doctor will then use a special cobalt blue light to highlight areas of abrasion and to determine the cause.  Several vertical abrasions can indicate a foreign body, while branching stains can indicate herpes keratitis. Additionally, several punctuated lesions can indicate your contact lens as a cause.  Your vision will be affected by this dye and you will see a yellow haze for a few minutes. You may also experience a yellow discharge from your nose during this time. If your scratched cornea is causing you pain, it's a good idea to take over-the-counter pain medications, such as those containing acetaminophen (Tylenol).  Dealing with your pain is important, as pain causes stress to the body, which prevents the body from healing quickly and effectively.  Always take pain medications according to the instructions on the packaging and never exceed the recommended dosage. Eye patches were traditionally used to help heal a corneal scratch, however recent medical studies have found that eye patches can actually increase pain and prolong healing. An eye patch hinders the natural blinking of the eye, thus straining the eyelids and producing pain. It also increases the tearing of the eye and this invites more infection and delays the healing process.  An eye patch also decreases oxygen delivery, and the cornea is dependent on oxygenation. Nowadays, instead of an eye patch,...

===
Write a summary of the previous text in Russian:

Получите официальный диагноз от врача. Для облегчения болевого синдрома примите оральное обезболивающее средство. Не делайте повязку на глаз. Узнайте об альтернативах наложению повязки. Не наносите макияж на глаза. Носите солнцезащитные очки. Не носите контактные линзы.


If you suspect you may be infested with scabies, you should quickly consult a physician for a clinical diagnosis. Your physician will diagnose scabies by examining you for the scabies rash and mite burrows.  Your physician will likely use a needle to scrape off a very small piece of skin. The doctor will then examine the matter under the microscope to confirm the presence of mites, eggs, or mite fecal matter.  It is important to note that an individual can still be infested with scabies even if mites, eggs, or fecal matter cannot be found. An infestation of scabies averages 10 to 15 mites found over the entire body. Your doctor can use an ink test to identify the burrows of scabies mites. Your doctor will rub ink around an area of skin that is itchy or irritated and then use an alcohol pad to wipe off the ink. If a mite burrow is present in your skin, it will trap some of the ink and the burrow will show up as a dark, wavy line on your skin. There are numerous other skin conditions that may be confused with scabies. The main way to distinguish them is through the mite burrows, which are not associated with any of the skin conditions that may be confused with scabies. Ask your doctor to rule out these other conditions so you can be sure you have scabies.  Scabies is sometimes confused with other insect bites or stings, or with bed bugs. These skin conditions include impetigo, which is a highly contagious skin infection.  The red pimple-like rash of impetigo is most commonly seen on the face around the nose and mouth. It can also be confused with eczema, which is a chronic skin condition involving inflammation of the skin. The red pimple-like rash of eczema represents an allergic reaction. People with eczema can also get scabies, and the condition is more severe for them. You could also have folliculitis, which is an inflammation, and usually infection, in the area associated with a hair follicle.  This conditions causes small white-headed pimples to crop up on a reddened base around or near hair follicles.  It...

===
Write a summary of the previous text in Russian:

Пройдите медицинское обследование. Пройдите чернильный или йодный тест. Исключите другие возможные заболевания кожи.


If you suspect you might have a desire for knowledge and for satisfaction that can't be easily answered, you might need to turn to deeper questions to find solace. Whether you consider yourself a spiritual person or not, considering the big questions can lead many people to a new sense of purpose and fulfillment, helping to realign priorities and perspectives. Why are we here? What does it mean to lead a good life? Embrace the difficulty and the mystery of these questions. Whether you want to call it "god" or not, learning to give up some of your ego and embrace the idea of a higher power can be a powerful experience for a lot of people. It can be enough to save yourself. If you're not interested in religion, that doesn't mean you can't find a way to live faithfully and with a deep sense of purpose. Physicists, artists, and people in lots of different fields are serious to the point of deep spirituality regarding knowledge. Throw yourself into something entirely and find redemption in work. An essential part of any religious practice is worshipping with like-minded believers. To learn more about whatever purpose, practice, or religion you're thinking of adopting, the best way to learn isn't from a book or from a video, but from real interactions with other believers. try to practice as they practice and bring your questions and concerns to the table. Deepen your questions into beliefs and a daily practice that you can comfort yourself with. Spiritual practice should be a daily activity. Even if you only go to church once a week, or if you choose not to go to church at all, try to build some kind of daily devotion into your life. Meditating for a few minutes every day can help you keep you tied back into those deep questions you're interested in. If you want to grow in your renewed sense of purpose and your interest in the divine, it may be appropriate to devote yourself to an organized religion. Start by learning as much as you can about different modes of worship and experimenting with different theologies...

===
Write a summary of the previous text in Russian:

Задавайтесь большими вопросами. Придите с вашей верой к высшей силе. Говорите и учитесь в других верующих. Подумайте о том, чтобы принять религию.


If you suspect your boyfriend thinks your cheating, but he hasn't said anything to you about it, ask if you can have a serious conversation with him.  Tell him you think something is bothering him and ask him if he feels comfortable talking to you about it.  Tell him you want to be there for him, no matter what's bothering him, and that you want to help in any way you can.  Listen to what he says with an open attitude and try to limit any knee-jerk reactions or judgements.  Ask him if there was a specific event or situation that occurred to make him worry you were cheating.  If there was, discuss the details of the situation and have him explain why it made him think you were cheating. Explain to him your perspective of the event or situation.  Further acknowledge that you can understand why he may have misinterpreted the event as an indication of cheating and ask what you can do to make sure it doesn't happen again. Discuss and agree on a course of action to make sure a misunderstanding like this never happens again.  This may include you changing your behaviour towards other men, or your boyfriend promising to raise any situations that have made him uncomfortable.  Promise to be more open with each other in the future. Once you've had a chance to talk to your boyfriend about his thoughts, you should take a moment to evaluate the specific behaviours or actions you may have had that caused him concern.  Is it possible that your actions were to blame?  Were you maybe a little too flirty with another guy without thinking about it?  Or were your actions completely reasonable and his reaction was irrational?  Now that you have a better understanding of where your boyfriend is coming from, you need to make a decision.  Is it possible that he's asking you to change your behaviour to be someone you are not?  Or is what he asking completely reasonable under the circumstances (i.e. that you're not single)? If you want to make the relationship work, then make a compromise with your boyfriend and alter your actions as...

===
Write a summary of the previous text in Russian:

Поговорите с парнем о его мыслях и чувствах. Проанализируйте свои собственные действия. Укажите парню на то, что вы не умеете изменять. Предложите парню присоединиться к вам, когда пойдете встречаться с новым другом. Дайте парню понять, что вы рады, когда он рядом. Напомните парню, что ваша сексуальная жизнь не изменилась. Позвольте парню просмотреть ваш телефон. Спросите парня, чувствует ли он в глубине души, что вы изменяете ему.


If you suspect your child has Fetal Alcohol Syndrome, it is crucial to see your doctor and get a definitive diagnosis. Early detection and aggressive intervention may reduce the risk of long-term problems for a child with FAS.  Make a list of symptoms you’ve noticed in your child so that your doctor can more easily make a diagnosis.  Let your doctor know if you consumed alcohol during your pregnancy. Be sure to include how much and how often you drank.  Your doctor may be able to assess your risk for FAS if you report the amount and timing of alcohol you consumed.  If you identify symptoms of FAS and do not see a doctor, inaction can have lasting consequences for your child. Your doctor needs a certain amount of expertise to make a definitive diagnosis of FAS in your child. Being open and honest can help your doctor successfully and quickly diagnose FAS in order to help your child as soon as possible.  Your doctor will likely assess certain factors in making a diagnosis including: how often you drank during pregnancy, your child’s physical appearance, your child’s physical and neurological growth and development.  Your doctor may also consider: cognitive abilities and difficulties, health issues, and social and behavioral issues. Your doctor will check for signs of FAS once you’ve described your child’s symptoms. She may be able to diagnose FAS with a simple physical examination in addition to more in-depth tests. Your doctor will examine your child for physical symptoms including wide-set eyes; an extremely thin upper lip; a short, upturned nose; narrow and small eyes; deformed joints and limbs; vision and hearing issues; small head circumference; or heart defects such as a murmur. If your doctor suspects that your has Fetal Alcohol Syndrome, she may order tests after conducting the physical exam. These tests can help confirm a diagnosis and help your doctor formulate a comprehensive treatment plan.  Your doctor may order brain imaging studies such as an MRI or CT scan. Blood and urine tests may be ordered...

===
Write a summary of the previous text in Russian:

Запишитесь на прием к педиатру. Важно понимать, как врач диагностирует ФАС. Обсудите с врачом симптомы. Пройдите тестирование и узнайте диагноз. Пройдите КТ или МРТ. Составьте план лечения.


If you suspect your dog is suffering from intestinal worms, your first step should be to make an appointment with your veterinarian, who will be able to properly diagnose the problem and prescribe the appropriate treatment. Your vet will most likely ask you to collect a stool sample before your appointment. She or he will use this sample to determine whether and what type of intestinal worms your dog may have. Most intestinal parasites can be treated with one of several different oral medications. Which type you use and how frequently is must be administered will depend on your veterinarian's recommendations and the type of worms your dog has.  For roundworms and hookworms, you'll most likely need to give your dog oral medication, called a "dewormer," and the dog will probably have to be be checked for reinfection every 3-6 months for a certain period of time after the treatment has begun.  More than one medication will treat roundworms and hookworms, some of which can be found “over the counter,” while others require a veterinary prescription.  Pyrantel pamoate and fenbendazole can be found over the counter as a treatment for both roundworms and hookworms.  Pyrantel is safe enough to give most puppies starting at 4 weeks of age.  It is best to contact your veterinarian before administering any medication to your pet.  In the case of roundworms or hookworms, the dog will also most likely need to have monthly heartworm medicine that contains roundworm prevention administered to manage reinfection.  The drugs, Praziquantel and Epsiprantel, are commonly used to treat Tapeworms.  Whipworms can only be killed by certain medications. These include fenbendazole or febantel. This treatment will last for five days, and will need to be repeated after three weeks.  Monthly heartworm medicine that contains medication to prevent Whipworms is also often recommended. A dog that has been infected with heartworm should receive treatment as soon as possible The treatment for adult heartworm infection requires a veterinarian. ...

===
Write a summary of the previous text in Russian:

Сдайте кал собаки на анализ. Назначение медикаментозного лечения. Незамедлительно начинайте лечение сердечных червей.


If you suspect your level of ketones are too high, schedule an appointment to see your doctor. She can provide a definitive diagnosis and help you formulate an effective plan to keep your levels of ketones in check.  Your doctor may order a blood ketone test. This will require a sample from a vein or a finger stick. This may be a more effective test than a urinalysis. Your doctor may order a urine test to determine the amount of ketones in your system; however, this may not be as accurate because it can take time for the ketones to pass through your system.  Ketoacidosis can cause problems with your heart, so you may need and EKG as well. If your doctor confirms that you are in a state of ketosis, he may suggest ways to keep your ketone levels within a healthy and manageable range. This may include everything from watching your diet to counseling. It is important to follow your doctor’s suggestions in order to minimize your risk developing ketoacidosis. There are several different ways to manage the amount of ketones in your system. These include: fluid replacement, insulin therapy, blood sugar monitoring, hydration and changing your diet. If you exercise regularly, you may want to refrain from vigorous activity if your ketone levels are high. Exercise often increases the number of ketones in the body and avoiding it can prevent your ketosis from developing  into ketoacidosis. If you need some form of activity to help you feel good, consider light activities such as walking or biking while your ketone levels are high. Staying hydrated is often the most effective way to control the level of ketones in your body. By drinking enough water throughout the day, you may be able to effectively eliminate excessive ketones from your system.  Most people need nine to 13 cups of water per day, and up to 16 if you are active or pregnant.  Water and other non-caloric beverages are the best liquids with which to flush out your system.  Avoid drinking too much caffeine or alcohol when your ketones are high, as these can...

===
Write a summary of the previous text in Russian:

Запишитесь на прием к врачу. Контролируйте кетоз. Воздерживайтесь от физических упражнений. Насытьте свой организм жидкостью. Придерживайтесь здорового и хорошо сбалансированного рациона питания. Следите за уровнем сахара в крови. Обратитесь к психиатру или психологу.


If you suspect your teenage daughter may be pregnant, first stop and consider her personal history. If you have reason to believe she's sexually active, then she may be pregnant. A few questions to consider include:  Has your daughter talked to you in the past about becoming sexually active? Does she have a steady boyfriend? Has your daughter engaged in risky behavior in the past? For example, if your daughter has a tendency towards sneaking out or substance abuse, she may also participate in behaviors like unprotected sex. However, keep in mind these are just general guidelines. Any teen can become pregnant if they are sexually active and have a functioning womb. You cannot gauge if a teen is pregnant based on her past history and behavior alone. Always consider other signs. Also keep in mind that if your daughter is afraid to tell you that she’s pregnant, she’s also less likely to be open about her sexual history. There are many physical symptoms of pregnancy you may notice in your teen early on that could indicate pregnancy. If you suspect your teen is pregnant, look for symptoms such as:  Changes in appetite. Pregnancy often causes food cravings and/or nausea, the latter of which is commonly experienced in the first trimester and may lead to vomiting and/or be triggered by certain tastes/smells. You may notice your teen eating unusual foods, eating more (due to needing nutrients for the fetus) or less (because morning sickness, if she's having it, can cause a loss of appetite) than usual, or rejecting foods she usually likes. However, if she is rejecting a food she normally likes and it's not mealtime, she's probably just not hungry, and if she's nervous it might be normal for her to lose her appetite or even feel nauseated. If the aforementioned symptoms progress, though, or if they are accompanied by more dramatic symptoms, she could be pregnant. Be warned, however, because nausea and loss of appetite are also sometimes signs of illness, although normally she'd show other symptoms if she was ill. ...

===
Write a summary of the previous text in Russian:

Проанализируйте обстоятельства. Обратите внимание на физические признаки беременности. Проверьте, использует ли ваша дочь средства женской гигиены. Обратите внимание на настроение дочери. Обратите внимание на изменения в поведении.


If you take care of yourself, this guy is more likely to be interested in you. Take your time each day when getting ready and be sure to look your best. Shower daily, keep your hair neat and looking nice, and always wear clothes that fit well and are wrinkle-free. Even though you really want him to like you again, don’t forget about your most important relationship - the one you have with yourself. Every day, do something fun that’s just for you like reading a book, watching your shows, or even meditating. Keep up with all your hobbies, too, like horseback riding, swimming, or do-it-yourself projects. Though you should still give it a shot with this guy you like, don’t spend all your time on him! Keep a full schedule of things for you to do each day. Make sure to spend time each week with your family and friends. If he isn’t responsive to your texts or phone calls, doesn’t want to hang out, or if he tries to avoid you, move on. There are plenty of other guys out there who will be so happy to have you. Remember - this is his loss!

===
Write a summary of the previous text in Russian:

Следите за собой. Занимайтесь тем, что вам нравится. Найдите, чем себя занять. Если у вас не получилось снова заинтересовать этого парня, двигайтесь дальше.


If you take regular birth control pills, and have simply missed a dose, you may be able to increase your dose as a form of emergency contraception. However, you should talk to your doctor or a pharmacist about the number of pills you should take.  You can also call 1-800-PLAN to discuss your options with a Planned Parenthood representative. Depending on the kind of oral contraceptive, one dose may be 4 or 5 pills. After establishing how many pills you need, take two doses within 12 hours of one another. This is considered a safe and effective pregnancy prevention method.  Take your first dose up to 5 days or up to 120 hours after unprotected sex. Take the second dose 12 hours after the first dose. An hour more or less won't make a difference. You may be tempted to take more than 4-5 pills to make sure it works, but this will not actually reduce your risk. The only thing it will do is raise your chances of an upset stomach. If you experience severe stomach pain, seek medical attention.

===
Write a summary of the previous text in Russian:

Рассчитайте свою дозировку. Примите двойную дозу. Не принимайте таблеток помимо рассчитанной двойной дозы!


If you take your clothes out of the washer and see that there is lint on them, put them back in and wash them again. Do not use detergent for this second wash. After the cycle is done, take the clothes out, and shake them out to loosen any leftover lint. Dry the clothes in the dryer as you normally would.

===
Write a summary of the previous text in Russian:

Постирайте одежду еще раз, но без стирального средства.


If you talk to him online, notice if he's confident and talkative, then see if he's the same way in person. If he likes you, chances are he'll be nervous/shy when you're right in front of him. If you talk to him online, take note of who starts most of the conversations. If it's him, that's a good sign that he likes you. These days people throw out emoticons all the time. It’s usually a good indication of him liking you if he regularly sends you smiley faces. If you’re flattered, send a smiley face back. It may give him the courage to ask you out. When a guy tries to touch you in a casual way, that is a good indicator that he likes you. Beware of the creepier guys who may try to touch you in inappropriate ways.  If it is done properly, then just smile and keep the conversation flowing. Some men will take the primal route and try to impress you with their feats. Even the nervous type can embellish a story to you. Notice if he tries to grab your attention with a story about him “rescuing sea otters off the south pacific” or how his “dad played in Fleetwood Mac.”  They’ll usually go for something small like “yeah I play the electric guitar” or “did you see my touchdown last Friday?” If you like them back and they begin throwing out their feats, play along but quickly change the subject. You can’t necessarily go out looking for this. It just happens if it happens. Sometimes if guys are interested they’ll ask your friends about you. This is a clear indication that he likes you.

===
Write a summary of the previous text in Russian:

Обратите внимание на его отношение к вам. Обращайте внимание на то, кто из вас становится инициатором разговора. Обратите внимание на смайлики. Ждите прикосновений. Обратите внимание на то, есть ли у молодого человека привычка порисоваться. Обратите внимание на то, говорит ли он о вас.


If you talk to no one in the group of people around you, it's gonna be pretty hard to open yourself up to this boy. Start by befriending the other people around you. This is good for a few reasons:  He'll see you talking to those around you. This makes you look friendly, fun, and sociable. It'll also make you seem more approachable. He may be friends with the people you're talking to. This is a natural bridge to get you two talking to each other. When you talk to everyone, it's only natural that you would start talking to him, too. This makes it look as if you don't have any secret intentions, masking any potential feelings you may not want to slip out. The more you get out in to the world and socialize and talk to people, the easier it will become with anyone and everyone. If you only string two words together biannually, you're probably going to be pretty rusty and awkward. And that's normal – no one was born a Casanova – we all learn it. We are all social animals and tend to pick up this stuff pretty quickly one we get out there and try – and the same goes for you! It'll be hard at first, but with each time it'll get easier and easier. This is why you start with the people around you you aren't interested in – to warm you and your skills up for that special boy. . If you are smiling and look willing and eager to talk to people, then you are inevitably going to meet them. If you are standoffish or don't add to the conversation at all (like being obsessed with your phone), others will likely move past you, thinking you don't want to talk. Keep your head up and your mind involved and interested in your surroundings. If you're in the same place, you'll be sharing similar experiences, and it'll give you something to talk about. Imagine this scenario: you're at your after-school club and a whole bunch of you are around a table snacking. A mutual friend cracks a joke and you all laugh and laugh. Later, you two are leaving the parking lot together, and you reference that joke. You share a laugh and it breaks the...

===
Write a summary of the previous text in Russian:

Будьте открыты с окружающими людьми. Потренируйтесь общаться. Будьте открыты. Следите за собой. Уважительно относитесь ко всем людям. Помните, что он, возможно, нервничает даже больше, чем вы.


If you talk to them in a public place, it's easier for them to change the subject or for the two of you to get interrupted. Instead, ask if you can talk to them somewhere private – maybe an out-of-the-way bench in a park or even a quiet corner of a coffee shop. If you live with the person, ask if you can speak to them somewhere where you'll both be comfortable – like the living room sofa. If they refuse to meet or talk with you, that's a pretty good indication that they're using the silent treatment to manipulate or control you. It's okay at that point to tell them you understand they don't want to talk, and that you'll be walking away from the relationship. It's important to start here so they know that you're not just trying to start a fight. It starts the conversation by letting them know that you care about them and the relationship and that their behavior has mattered to you.  For example, you can say things like, "I've really enjoyed spending time/working with you," or "I'm hoping you can help me figure out what's happening between us, because I appreciate your friendship so much." Ask if you've done something to upset them and let them know you want to make the situation right. This is especially important if you're very close to the person who's giving you the silent treatment. Let them know how it makes you feel, whether that's sad or hurt. But because the silent treatment is often used by people trying to control others, make sure you remain calm and collected as you explain your feelings. You can say something like “Sally, I really love you and I value our friendship, but I feel hurt when you shut me out. I hope we can talk about this and sort it out." Most people who use the silent treatment on a regular basis do it to get a reaction. If you sound overly hurt or sad, or even desperate to get their friendship back, it gives them incentive to keep using the silent treatment. Instead, do your best to sound calm and in control. For example, instead of saying, “I'm really hurt and I've been losing...

===
Write a summary of the previous text in Russian:

Попросите его поговорить наедине. Скажите, что цените эти отношения. Расскажите, какие чувства вызывает у вас его молчание. Обратите внимание, каким тоном вы говорите. Выслушайте, что он скажет.


If you temporarily deactivated your account, you can recover it whenever you like. If you nominated your account for deletion, however, you have 14 days from the time you nominate it to change your mind and log back in. If your account has been nominated for deletion for more than 14 days, it's gone, and you can't recover it. Try creating a new Facebook account. Go to https://www.facebook.com/. This will open the Facebook home page. Do so in the "Email or Phone" text box in the upper-right side of the page. Type the password you use to log into Facebook into the "Password" text box to the right of where you typed in your email address (or phone number). It's in the upper-right side of the page. Doing so will take you to your account if it's still accessible. If your account was nominated for deletion, click the Cancel Deletion button to proceed to your Facebook account. You can now resume using your Facebook account the way you did before disabling it.

===
Write a summary of the previous text in Russian:

Убедитесь, что учетную запись можно восстановить. Откройте сайт Facebook. Введите свой адрес электронной почты или номер телефона. Введите пароль. Щелкните по Войти. Нажмите Отменить удаление, если будет предложено.


If you tend to be a homebody, it can be tempting to say "no" to social events. Nonetheless, if you're trying to make new friends, show up to events you're invited to. In addition, show up to more personal appointments, too. That is, if a friend invites you for coffee or to the movies, agree to go. In return, ask people you know to go have coffee with you. In addition, if coworkers reach out to you to start friendships, encourage the interaction. If you're going to make someone your best friend, you can't leave your friendship on superficial topics such as the weather. Try to make the relationship go deeper by encouraging more substantial conversation. Ask about her hopes and dreams. Talk about what keeps you up at night. Ask her what she worries about. Question her about what she likes and why she likes those things, such as her favorite movies, books, and quotes. Pushing the conversation further helps you get to know each other. You're asking the other person to be vulnerable, so you must learn to be vulnerable in turn. Try to share personal stuff about yourself, as well. Show your new friends you appreciate them with your body language. That is, smile when they enter the room. When they are talking, be sure to give them your full attention, even with your body. Don't be looking at your phone or fidgeting with something to the side. Giving nonverbal clues help to establish that you want to be a good friend. For instance, make sure your body is pointing towards the person, and try not to cross your arms, as that can signal you don't want to talk to the person. Of course, you want a friend who will lend you an ear when you need it. However, that also means you need to be willing to do the same. Pay attention to what your friend is saying, and try to listen between the words to find out if she's really trying to signal something more. For example, if your friend says, "I've been pursuing my own interests lately." when you ask her how her and her spouse are doing, that may signal she's having a little bit of...

===
Write a summary of the previous text in Russian:

Принимайте приглашения и сами приглашайте. Постарайтесь побольше узнать об этом человеке. Не пренебрегайте языком тела. Научитесь слушать. Дружба должна развиваться. Посвящайте дружбе свое время. Не пренебрегайте мелочами. Увеличьте время, которое проводите вместе. Помните, что это может не сработать.


If you think fleas or sarcoptic mange mites are causing your dog's itchy ears, then speak to your veterinarian about an appropriate anti-parasite product to kill the infestation and relieve the itch. There are several highly effective spot-on products available that kill fleas and mange mites. Ask the veterinarian to recommend one and determine the proper dosage for your dog. Since it's difficult to look deep into your dog's ear, you may only notice the scratching and a thick brown wax that might also be crumbly. This wax is made by ear mites, an infection that's a common problem in dogs. Your vet will need to use magnification tools (like an auroscope or otoscope) to look for mites scurrying or by looking at microscopic slides for mites or eggs. In otodectic mange, or ear-mite infection, the ear mites feed off wax in your dog's ear canal. They infest both the vertical and horizontal ear canals. Your veterinarian will probably recommend that you start with non-prescription medication containing pyrethrin. Typically, you'll apply a pyrethroid ear medication to the ear canal once or twice daily, for ten to fourteen days. Pyrethrin applied topically is safe for your dog, since it doesn't pass into your dog's bloodstream easily.  While pyrethrin is effective against ear mites, it's not a successful treatment for bacterial infections. There is a theoretical risk of toxicity if your dog eats the medication or another dog licks your dog's medicated ear. The signs of poisoning include excessive salivation, muscle tremors, agitation and in extreme cases, seizures. If you notice any of these signs, keep the dog in a dark, quiet room to minimize stimulation, and get veterinary advice.

===
Write a summary of the previous text in Russian:

Следуйте указаниям ветеринара по лечению вашего питомца. Обратите внимание на признаки эндопаразитарной инфекции (признаки наличия ушных клещей). Следуйте указаниям ветеринара по лечению ушных клещей.


If you think making a drastic decision is the only way out or the only thing that will make you happy, think again. You likely have more than 1 option to choose from. For example, if you’re unhappy at your job, consider shifting positions, working at another branch, or asking to move up in your company. While it can be fun to make impulsive decisions, don’t let them rule your life. Gather information and examine your choices first.  If you feel like buying fancy things is the only way you experience happiness, find other ways to feel fulfilled, like growing a garden or learning how to dance. Get into the habit of waiting 24 to 48 hours before buying items that you suddenly want. Carefully and thoughtfully consider your options before moving forward. You don’t have to make drastic choices to be happy. Try to give yourself a few months to think about making a big change, such as changing careers or moving to a new city. If you feel ready to make some big decisions, seek some wise counsel from someone you trust. This might be a parent, friend, therapist, or spiritual leader. Listen to what they have to say, even if you don’t like it. They may share some perspectives you haven’t considered. If you’re planning to quit your job, leave your spouse, or make a big purchase, talk it over before going through with it. Many people who hit mid-life think that turning back the clock is the answer to moving ahead. While acting young, looking young, and dating young people might feel good for a few moments, it won’t solve your problems.  You may postpone feelings of confusion but they will likely not go away. No amount of fancy things or nice cars will actually turn back the clock. It’s best to acknowledge your age and be okay with it.  For example, if you’ve put your worth into your looks all your life, try to find worth in yourself in other more enduring ways, like your kindness and generosity. Everybody ages and gets older, it only matters how you handle it and grow from it. However, keep in mind that it is okay to invest...

===
Write a summary of the previous text in Russian:

Делайте осознанный выбор. Обратитесь за советом. Двигайтесь вперед, а не назад.


If you think or even suspect you have tetanus, seek medical treatment immediately. It's a medical emergency and you'll need to be hospitalized, because tetanus has a high mortality, or death, rate (10%). In the hospital, you'll be given a tetanus antitoxin, like tetanus immune globulin. This will neutralize any toxin that hasn't already bound to your nervous tissue. The wound will be thoroughly cleaned and you'll get a tetanus vaccine to prevent future infections. Being infected with tetanus does not give you immunity from future infection. Instead, you'll need to get the tetanus vaccine to keep from getting it again. There are no blood tests that can diagnosis tetanus. So, lab testing is not useful in the evaluation for disease. Because of this, most doctors do not take a wait and see approach, but instead opt for aggressive treatment if infection is suspected. Doctors will base their diagnosis mainly on the symptoms and clinical signs that are present. The more severe the symptoms, the more rapid the course of action. Since there is no cure for tetanus, treatments are directed at symptoms and emerging complications. You'll be given antibiotics intravenously, by injection, or orally and you'll also get drugs to control muscle spasms.  Some of the drugs to control muscle spasms include sedatives from the benzodiazepine group (like diazepam (Valium), lorazepam (Ativan), alprazolam (Xanax), and midazolam (Versed).   Antibiotics are not generally effective against tetanus, but they may be prescribed to keep the Clostridium tetani bacteria from reproducing. This can help slow the production of toxins.

===
Write a summary of the previous text in Russian:

Обратитесь к врачу. Врач назначит вам курс лечения. Снятие симптомов столбняка.


If you think that he will say yes and want to have sex right away, prepare your surroundings. Light a couple of candles and invite him over to watch a movie, listen to music, or play a game. Make sure that you have enough time and privacy to have sex. Some relationship discussions are okay to have while you are out in public, but a discussion about something as personal as your first time together should be had in private and just between the two of you. You may be sending signals that seem obvious to you, but he might not pick up on them. In that case, you might just have to gather your courage and tell him how you feel.   Try asking him, "I am ready to start having sex with you, would you be into that?" or "How do you feel about becoming more intimate with me?" If you don’t like the idea of asking him to have sex, you could simply say, "I'm ready for us to start having sex, but it's totally cool if you need more time." Saying something like this provides him with the opportunity to take the next step or decline without too much awkwardness. If your boyfriend says he’s not ready, be understanding and don’t push him. He may just need a little more time. It is important to make sure that both of you are ready before you begin having sex.

===
Write a summary of the previous text in Russian:

Для начала подготовьтесь. Дождитесь, пока вы останетесь наедине. Скажите ему, что вы уже готовы к близости. Уважайте мнение своего партнера, даже если он отказал вам.


If you think that someone likes you, try to find out more. Put your arm around her during a movie to see how she reacts; give him an extra-long hug and try to gauge his interest; smile slyly back when you catch him staring. Be bold and flirtatious, and you might be able to bring a bit more clarity to the situation. If you're pretty sure that this person is attracted to you, then there's a good chance that he/she likes you at least a little bit. It is natural to want to be sure – but at some point, you'll need to make a move. This can take many forms: asking someone out, hooking up with someone, or just telling someone how you feel. Do not be forceful, and try not to make too many assumptions. Be respectful, always. Ultimately, direct communication is the surest way to know that someone is attracted to you. If you think that there's a mutual attraction, try to get this person alone for a conversation. Lead in slowly, if you like, or come out and confess your feelings. Kiss the person, if the moment feels right. Talk about your feelings and and establish a mutual understanding. Someone may well be attracted to you, but that does not necessarily mean that he or she wants to begin a physical or emotional relationship with you. Attraction is a primal sensation. We cannot necessarily control when and whether we feel it – but we can choose where we direct it and how we respond to it. Think carefully about the consequences of acting on mutual attraction.  If this person is already in a relationship with someone else, he or she may have committed to monogamy. Consider whether it is your place to disturb that agreement. The person in question might not be looking for any sort of relationship, period. Know that your attitude toward attraction is not necessarily the same as everyone else's attitude toward attraction.

===
Write a summary of the previous text in Russian:

Прощупайте почву. Будьте уверены в себе. Поговорите. Не переходите допустимые границы.


If you think that you might have been a bit too "full on", try pulling back for a while and giving him back the space that you've tried to inhabit. This doesn't mean withdrawing affection or not seeing him at all; it just means learning to pace yourself and take it easy.  Don't text or call him for an entire day. Try to stick with it. If he hasn't reached out to you at all during that day, talk with him about what he expects out of a relationship. If you expect something that he won't give you, you may want to look elsewhere for a boyfriend. Don't text or call him about pointless things. Don't call him just because Mindy broke up with Seth when your boyfriend doesn't know either of those people. You may think it's important, but he probably doesn't. Getting sad and emotional about it just lowers your appeal and may be the goal of some chauvinistic men. Be happy and smile more. Your days will not be hindered by the fact that he is ignoring you. The happier you are, the more he'll want to feed off that happiness.

===
Write a summary of the previous text in Russian:

Сделайте паузу. Не дайте этой ситуации завладеть всеми вашими мыслями.


If you think that you or someone you know may have avoidant personality disorder, the first step in getting a diagnosis is to see a doctor for an exam. The doctor will want to rule out any physical conditions that may be causing the symptoms. This appointment will consist of a physical exam, as well as a detailed examination of the patient's personal and family history. If no physical conditions are identified, the doctor will most likely refer the patient to a mental health professional, such as a psychiatrist or psychologist. Mental health professionals are specially trained to diagnose personality disorders, including avoidant personality disorder.   This appointment will consist of a detailed interview. The psychiatrist or psychologist will want to know all about the symptoms the patient is experiencing, when they started, and how they have progressed over time. There is not medical test that can be performed to diagnose avoidant personality disorder. A diagnosis is made based on the observations of the patient's behavior and reported symptoms. Once a patient is diagnosed, he or she will be encouraged to enter psychotherapy to help overcome the symptoms of avoidant personality disorder. Some people with avoidant personality disorder also suffer from other mental health issues, such as anxiety and depression. A thorough psychiatric evaluation should reveal whether any other conditions are complicating the symptoms of avoidant personality disorder. For patients who also suffer from anxiety or depression, medications may be helpful in reducing symptoms. Medications are typically not helpful for patients whose only diagnosis is avoidant personality disorder, however.

===
Write a summary of the previous text in Russian:

Пройдите комплексное обследование. Обратитесь к специалисту по психическому здоровью. Диагностика сопутствующих заболеваний.


If you think you are at risk for Lynch syndrome, you should visit your doctor, who will most likely refer you to see a specialist in genetics called a Medical Geneticist. They are experts in providing genetic testing, counseling, and management of genetic disease like lynch syndrome. You should see your doctor if you experience any of the physical symptoms, or have a family history of colon or other related cancer. Lynch syndrome may be suspected if there is a family history of colon, endometrial, and other cancers, especially if those cancers showed up in younger family members. The diagnosis is determined by doing genetic testing.  Your doctor may also ask about relatives with tumors of the stomach, small intestine, brain, kidney, liver, or ovaries, as the gene that is mutated in Lynch syndrome increases the risk for a number of different cancers. Your doctor will probably ask about cancer in previous generations, especially if you have multigenerational cancer patients in your family. If you or a family member have tumors, the doctor can do testing on the tumor to see if you have Lynch syndrome. He can determine if certain proteins are in the tumors which indicate Lynch syndrome.  If the tumor test proves positive, you may not have Lynch Syndrome. The mutations may develop just in the tumors or cancer cells. After a positive, your doctor can perform genetic tests to decide for sure if you have Lynch Syndrome. If anyone in your family has had cancer in the last few years, the hospital may still have a tissue sample your doctor can test. Currently there are tests available for a number of the mutations that occur in Lynch syndrome. These tests screen for mutations in the the MLH1, MSH2, MSH6, and EPCAM genes. You can have your doctor send out your blood for testing, but you can also have your blood tested by a number of different labs. If you are interested in outside testing, check out Myriad myRisk, Quest Diagnostics, and Invitae.

===
Write a summary of the previous text in Russian:

Запишитесь на прием к врачу. Определите, имеете ли вы генетическую предрасположенность. Сдайте биопсию опухоли. Пройдите генетическое обследование.


If you think you changed the default directory for MSN chat logs but simply cannot remember where, then not all hope is lost. You can search Windows for the chat files, contained in .xml files, but the process may be a bit tedious. XML (Extensible Markup Language) files are a format for text data. Like HTML, they can be read with a web browser, but the format is more flexible with how the data can be applied between applications. They can also be opened in a text editor, but the data will likely read more smoothly from a web browser. Go to Start > Search and enter the search term XML and begin the search. You get many results for XML files, but you can make things a little easier by the looking at the filepath for each listed result. Look for a filepath that seems like where you might have saved the chat logs. With a little luck and some persistence, you can find the chat logs you’re looking for!

===
Write a summary of the previous text in Russian:

Подумайте, куда вы могли сохранить журналы чата. Запустите поиск файлов XML в Windows. Проанализируйте результаты.


If you think you have a severe burn, which would be a third or fourth degree burn, you need to call for help immediately. These are too severe to treat at home and need to be treated by professionals. Call emergency services if the burn:  Is deep and severe Is more than a first degree burn and you haven’t had a tetanus shot in more than five years Is bigger than 3 inches (7.6 cm) or encircles any body part Shows signs of infection, such as increased redness or pain, areas that leak pus, or fever Is on a person less than five years or more than 70 years old Happens to someone who has difficulty fighting infection, such as those with HIV, those on immunosuppressive medications, those with diabetes, or those with liver disease If you are helping a loved one who has been burned, check for responsiveness after you call emergency services. If they are not responding or going into shock, tell emergency services so they know what to expect. If the person is not breathing, focus on doing chest compressions until emergency services arrive. While you wait for help to arrive, take off any constrictive clothing and jewelry that are on or near the burn site. However, leave on any clothing or jewelry that might be stuck in the burn. This will pull off the skin at the site of the burn and cause further injury.  Place cold packs around any metal jewelry such as rings or hard to remove bracelets, as metal jewelry will conduct the heat of the burn up from the surrounding skin and back to the burn site. You can cut loose clothing off around the area where it is stuck to the burn. Keep yourself or the victim warm because severe burns can cause you to go into shock.  Unlike with minor burns avoid soaking the burn in water as this may cause hypothermia. If the burn is on a moveable part of the body, elevate the area above the heart to help prevent or reduce swelling. Do not take any pain medication, pop blisters, scrape dead skin, or apply any ointment. This could interfere with your medical treatment. Once you get any problem...

===
Write a summary of the previous text in Russian:

Немедленно обратитесь за медицинской помощью. Обеспечьте надлежащий уход человеку, который получил ожог. Снимите одежду. Покройте ожог стерильным бинтом.


If you think you have broken a thumb, you should go to the emergency room so that a professional can set it. If you wait too long, the swelling caused by the broken bone can actually make it too difficult to realign the bones, which means that your thumb could be permanently bent.  In addition, broken thumbs in children can permanently affect their growth by damaging their growth plates. Even if you suspect the injury might be a sprain (torn ligament) rather than a bone fracture, you should still see a doctor for an accurate diagnosis. Additionally, some serious sprains can still require a hand surgeon to repair. You should ultimately leave the final diagnosis and treatment decisions to a medical professional. In addition to asking questions regarding the symptoms from Part One, the doctor will also physically examine your thumb. He may test your strength and movement in the thumb by comparing it to that of your uninjured thumb. Another test includes touching the tip of your thumb to your index finger before applying pressure to the thumb to check your weakness. The doctor will likely order x-rays of your thumb from a variety of angles. This will not only confirm that diagnosis, but it will also show the doctor exactly how many fractures your thumb has sustained, which will assist in determining the best treatment option. The angles for the x-rays include:  Lateral: The lateral view is an x-ray with the hand resting on its side, so that the thumb is up. Oblique: The oblique view is an x-ray with the hand tilted, resting on its side, so that the thumb is up. AP: The AP view is an x-ray of your hand in a flattened position, from above. A CT scan can also be referred to as a computerized axial tomography (CAT) scan. A CT scan uses x-rays and a computer to create images of what the inside of your body parts (in this case, your thumb) look like. This way, your doctor can get a better idea of what the break is like and the best way to go about fixing it. Tell your doctor if you are pregnant because CT scans might...

===
Write a summary of the previous text in Russian:

Посетите врача или обратитесь в пункт неотложной медицинской помощи. Пройдите медицинский осмотр. Пройдите рентгеновское исследование. Посоветуйтесь с врачом насчет компьютерной томографии (КТ). Врач определит тип перелома.


If you think you have thrush, then it is important t see your dentist or family doctor for an evaluation and diagnosis. If a medical professional determines that you have oral thrush, he will start your treatment immediately. Healthy adults and children can get rid of thrush more easily than others. Treatment for thrush in healthy patients generally starts with acidophilus tablets. A medical professional may also suggest eating plain unsweetened yogurt. Acidophilus and plain yogurt will not destroy fungus, but they will reduce the infection and help restore a normal balance of bacterial flora in your body. Acidophilus and yogurts are both probiotics. Saltwater temporarily creates an inhospitable environment for the thrush fungus to live in. Add 1/2 teaspoon (2.5 ml) of table salt to 1 cup (237 ml) warm water. Stir well before rinsing. Your doctor can prescribe an anti-fungal medication if symptoms persist or if you have a weak immune system.  You will generally take an anti-fungal medication for a period of 10 to 14 days. This medication is available in tablets, lozenges and liquid forms. Make certain you take this medication as directed and in its entirety. Antibiotics may also produce thrush especially in women or in patients who have experienced thrush in the past. In this case, your doctor may ask you to take an anti-fungal medication along with antibiotics Candida fungus often becomes resistant to anti-fungal medications, especially in people with HIV and other illnesses that cause weak immune systems. Talk to your doctor about amphotericin B if nothing seems to be working.

===
Write a summary of the previous text in Russian:

Если вы подозреваете у себя молочницу, то сходите к стоматологу или к терапевту, чтобы врачи проверили вас. Не откладывайте лечение. Полощите рот теплым раствором морской соли. Если симптомы долго не будут проходить, или если у вас слабый иммунитет, то врач предпишет вам принимать противогрибковые препараты. Используйте Амфотерицин В, если другие лекарства не помогают.


If you think you look sexy, your boyfriend will think so, too. Instead of asking him for reinforcement about your looks, be proud to show off your beautiful face and body.  Pick at least three attributes you love about yourself, and show 'em off. If you love your legs, wear a shorter skirt, and if you think your arms are to die for, expose them in the perfect tank top. Have fun with your body. Dance in front of the mirror to your favorite song, and you'll see how much fun it is to inhabit your body. Be healthy. Eating right and exercising can have a positive impact on the way you think about yourself. Exercise can also be an opportunity to do something sexy with your boyfriend, like taking salsa lessons. Pay attention to the way you talk about your body. If you're wearing a new dress, instead of asking your boyfriend, "Do I look okay in this?" tell him, "Don't I look fabulous in this?" He'll be turned on by your love for your looks. There's nothing sexier than showing your man how confident you are. Instead of spending time telling you that you're amazing, he'll be busy loving your natural ease with yourself, which will make you look even more sexy. Here are some ways to be confident:  Be aware of the things that make you a beautiful, unique, and talented individual. When you're having doubts, remind yourself of these qualities. It may even help to write them down. Be confident--to a point. Part of confidence is accepting that you are a flawed individual. You're already awesome, but there's always room for improvement. Your boyfriend will be impressed not only by your confidence, but by how comfortable you are in admitting you're not perfect.

===
Write a summary of the previous text in Russian:

Полюбите то, как вы выглядите. Будьте уверенны в себе.


If you think you may be a trans man or a trans woman, give it a try to see how you feel. Consider setting aside a weekend in which you think of yourself as that gender. If you are sharing these questions with a friend, a therapist, or a family member, tell them your plans and ask for their support. Try out other pronouns. See how you feel when you refer to yourself with pronouns other than those you were assigned. If you think you might be a trans woman, call yourself "she" and "her," and ask a confidant to do the same. There are so many ways of expressing a gender beyond "man" and "woman." You may be gender variant, agender, bigender, or something else entirely. There's no need to squeeze yourself into a box if that box doesn't fit you.  Try using "they/them" pronouns. If you don't feel like a "he" or a "she," or if you are looking for a way to communicate your gender variance to others, try gender neutral pronouns. Keep in mind that you can take your time to make this decision, or you may decide that you do not want to make a choice at all. Don’t let other people pressure you about choosing. Experiment with clothing until you find a way of dressing that feels right to you. If you are strongly drawn to certain clothing, wear it. For instance, if you were assigned male but you always wanted to wear dresses, go for it. You'll learn a lot from how it feels to wear whatever you want. If you feel genderqueer, experiment with an androgynous look, or mix and match gendered clothing. Whatever gender you identify with, there isn't any one way to affirm it. Ask yourself what you want: what would make you feel the most yourself? Go over these questions with a counselor if you are feeling confused.  Consider changing your name. Think about asking others to call you by different pronouns, such as she/her, he/him, or they/them. Come out to people in your life if you feel safe doing so. You can come out as transgender or tell people you are questioning your gender. Think about your body. Would you like it to be more...

===
Write a summary of the previous text in Russian:

Позвольте себе быть бинарным трансгендером. Рассмотрите возможность небинарности. Самовыражайтесь с помощью одежды. Подумайте о других способах выражения своего гендера.


If you think you may have been infected with norovirus, it is helpful to know what symptoms to look for. If you do have the virus, the following steps will help you to deal with the illness while it lasts. Symptoms include:  Fever. Just like in any other infection, the norovirus infection will cause fever. Fever is a way in which the body fights infection. The body temperature will rise, making the virus more vulnerable to the immune system. Your body temperature will most likely rise above 100.4 degrees Fahrenheit (38 degrees Celsius) when suffering from a Norovirus infection. Headaches. High body temperatures will cause blood vessels to dilate in your entire body, including your head. The high amount of blood inside your head will cause pressure to build up, and the protective membranes covering your brain will suffer inflammation and become painful. Stomach cramps. Norovirus infections usually settle in the stomach. Your stomach may become inflamed, causing pain. Diarrhea. Diarrhea is a common symptom of Norovirus contamination. It occurs as a defense mechanism, through which the body is trying to flush out the virus. Vomiting. Vomiting is another common symptom of an infection with Norovirus. Like in the case of diarrhea, the body is trying to eliminate the virus from the system by vomiting. Unfortunately, there is no specific drug that acts against the virus. However, you can combat the symptoms that the norovirus causes. Remember that the virus is self-limiting, which means that it generally goes away on its own. The virus generally lasts for a few days to a week. Consuming a lot of water and other fluids will help to keep you hydrated. This can help to keep your fever low and your headaches to a minimum. It is also important to drink water if you have been vomiting or have had diarrhea. When these too symptoms occur, it is very likely that you will become dehydrated. If you get bored with water, you can drink ginger tea, which may help to manage your stomach pains while also hydrating you. Anti-emetic...

===
Write a summary of the previous text in Russian:

Обратите внимание на симптомы. Поймите, что в этот период нет никакого лечения, но существуют способы управлять симптомами. Пейте много жидкости. Вы можете принять анти-рвотные лекарства. Обратитесь за медицинской помощью, если инфекция серьезна.


If you think you may have postpartum psychosis, see your doctor or go to an emergency room or urgent care center right away. If someone close to you is showing signs of postpartum psychosis, do everything in your power to get that person treatment – she may be too disoriented or unstable to recognize that she needs help on her own. The doctor should ask for a complete medical history and a detailed description of any symptoms. Provide as much information as you can, and be honest – do not attempt to conceal the severity of your symptoms or act like you are okay when you are not. Note that if the person getting evaluated for postpartum psychosis is not you but rather your wife, partner, or friend, you may need to provide some or all of this information yourself. She may not be in a position to speak rationally or to give a detailed account of her symptoms. Some of the symptoms of postpartum psychosis can occasionally be caused by underlying medical conditions: a serious infection, a very high fever, or a neurological problem, for example. A doctor should evaluate symptoms and perform tests, usually including basic blood work, to rule out potential medical issues. Many women develop postpartum depression after the birth of a baby, and their symptoms can be very debilitating. Some of these symptoms – especially mood swings, extreme sadness, and sleep disturbances – are also indicative of postpartum psychosis. A good doctor will distinguish between these conditions by looking for evidence of psychotic episodes: hallucinations, delusions, paranoia, mania, and the like. Knowing exactly what’s going on is the first step to treating the condition and recovering completely. If the doctor rules out underlying medical causes and notes a psychotic component to the mental disturbance, he or she may diagnose you (or your wife or partner) with postpartum psychosis.

===
Write a summary of the previous text in Russian:

Обратитесь за медицинской помощью незамедлительно. Предоставьте как можно больше информации. Исключение потенциальных медицинских причин. Знайте отличие депрессии от психоза. Установите точный диагноз.


If you think you might have gynecomastia, see your doctor. While gynecomastia itself is not dangerous, you should have it checked out to make sure it is not a symptom of something more serious. See your doctor immediately if you have any other troublesome symptoms, such as:  Pain and swelling in your breasts. These are common symptoms of gynecomastia, but could also be caused by a cyst or infection.  Discharge from one or both nipples, which could be a sign of a condition such as breast cancer, an infection of the breast tissue, or an endocrine disorder.  A hard lump in your breast, which may be a sign of breast cancer. It will be easier for your doctor to diagnose your condition if they have thorough information about your overall health and medical history. Your doctor may ask about:  Any other symptoms you may be having. Any history of related health problems in your family. Any other medical problems you have had in the past. What medications, drugs, dietary supplements, or body care products you might be using. Your doctor will do a physical exam to determine if gynecomastia is likely. If they detect symptoms of gynecomastia, they may order further tests to determine the cause of the condition and rule out more serious problems. These tests may include:  A mammogram. Blood tests. CT scans, an MRI, or a chest X-ray. A testicular ultrasound. A biopsy of your breast tissue, if cancer is suspected. In many cases, gynecomastia will go away on its own with time. However, if your gynecomastia does not clear up on its own, or if it is causing you a lot of pain or distress, your doctor may recommend one of the following treatments:  Hormone therapy to block the production of estrogen or boost the production of testosterone in your body. Liposuction, to remove excess fat from the breast. Mastectomy, a type of surgery in which the glandular tissue of the breast is removed. Your doctor may also treat your gynecomastia by treating the underlying condition that is causing it. For example, if your gynecomastia is a...

===
Write a summary of the previous text in Russian:

Запишитесь на медосмотр. Помогите врачу собрать ваш анамнез. Пройдите обследование, чтобы подтвердить гинекомастию и исключить другие заболевания. Спросите врача о методах лечения.


If you think you might have pneumonia, it is important to treat it promptly before it gets worse. The symptoms may worsen gradually over several days or suddenly be very severe from the onset. Signs of pneumonia include:  Fever Sweating and shivering Discomfort in your chest when you cough or breathe, particularly breathing when breathing deeply Fast, shallow breathing. This may occur only when you are physically active. Fatigue Nausea, vomiting, or diarrhea. These are common symptoms in infants. Coughing. You may even cough up yellow, green, rust-colored, or pink and bloody mucus. Headache Lack of hunger White fingernails Confusion. This commonly occurs in elderly people who have pneumonia. A lower body temperature than normal. This is most likely to occur in the elderly or people with weakened immune systems. Joint pain, rib pain, upper abdominal pain, or back pain Accelerated heartbeat All people who think they may have pneumonia should go immediately to the doctor. Pneumonia can be deadly if left untreated. You are particularly likely to be vulnerably to rapidly developing a severe infection if you belong to one of the following high risk groups:  Children younger than two People over 65 People with other health conditions such as HIV/AIDS, heart, or lung problems People getting chemotherapy People taking medications which suppress their immune systems This will help him understand how long you have been sick and how severe your infection might be. Your doctor may want to know:  If you feel out of breath or breathe rapidly even when you are resting How long you have been coughing and whether it is getting worse If you are coughing up mucus that is yellow, green, or pink If your chest hurts when you inhale or exhale The doctor may ask you to lift up or remove your shirt so he or she can use a stethoscope to listen to your lungs. This doesn't hurt, and the only discomfort you may feel is because the stethoscope often feels cold when it touches the bare skin. The doctor will ask you to take deep breaths...

===
Write a summary of the previous text in Russian:

Определите симптомы пневмонии. Обратитесь к врачу, если думаете, что у вас пневмония. Опишите врачу свои симптомы. Позвольте врачу послушать ваши легкие. Пройдите дополнительные тесты, если их вам назначит врач.


If you think you might have tetanus, admit yourself to a hospital as soon as possible. In most cases, you will need to be hospitalized to treat a tetanus infection – especially if it is severe. If possible, get treated with a prophylactic dose of human tetanus immune globulin (TIG) (or equine antitoxin). This should begin to halt the spread of tetanus through your system. You do not need to wait for severe symptoms to seek treatment. If you have not been vaccinated and you think that you've been exposed to tetanus bacteria: consider getting the antitoxin. Penicillin, chloramphenicol, and other antimicrobial agents are commonly used to treat tetanus. You may also be given drugs to stabilize your muscle spasms. In very severe tetanus infections, drug treatment might be coupled with tissue debridement: the surgical removal of dead, damaged, or infected tissue. You should only go this route if it is recommended by a licensed and trusted physician. Be absolutely certain that the infection has spread too far to treat otherwise. Be aware that even after you've recovered from tetanus, you can still get reinfected at any point. Get the vaccine as soon as possible after the symptoms disappear. This will reduce the risk of lockjaw coming back. Continue to re-up with booster shots every ten years (at least) to keep yourself protected.

===
Write a summary of the previous text in Russian:

Обратитесь к врачу. Немедленно примите дозу антитоксинов. Узнайте у врача о приеме антибактериальных препаратов. Знайте, что делать при тяжелых случаях столбняка. Пройдите вакцинацию, когда выздоровеете.