Malaise
Definition Malaise is a generalized feeling of discomfort, illness, or lack of well-being. It can be associated with a disease. Malaise can be accompanied by a feeling of exhaustion, or of not having enough energy to accomplish usual activities. Alternative Names General ill feeling Considerations Malaise is a nonspecific symptom that can occur with almost any significant infectious, metabolic (endocrine), or systemic (throughout the body) disorder. The onset may be slow or rapid depending on the nature of the disease. Fatigue accompanies malaise in many common diseases. Common Causes The following lists give examples of the diseases and conditions that can cause malaise. ACUTE INFECTIOUS DISEASE - Acute bronchitis or pneumonia
- Acute viral syndrome
- Infectious mononucleosis (EBV)
- Influenza
- Lyme disease
CHRONIC INFECTIOUS DISEASE - AIDS
- Chronic active hepatitis
- Parasitic disease
- Tuberculosis
CARDIOPULMONARY DISEASE - Congestive heart failure
- COPD
ORGAN FAILURE - Acute or chronic kidney disease
- Acute or chronic liver disease
CONNECTIVE TISSUE DISEASE - Rheumatoid arthritis
- Sarcoidosis
- Systemic lupus erythematosus
ENDOCRINE or METABOLIC - Adrenal gland dysfunction
- Diabetes
- Pituitary gland dysfunction (rare)
- Thyroid disease
NEOPLASTIC - Leukemia
- Lymphoma (cancer that starts in the lymph system)
- Solid tumor malignancies, such as colon cancer
BLOOD DISORDERS PSYCHIATRIC - Depression
- Dysthymia (a long-lasting depressed mood, less severe than depression)
MEDICATIONS - Anticonvulsant (antiseizure) medications
- Antihistamines
- Beta blockers (medications used to treat heart disease or high blood pressure)
- Psychiatric medications
- Treatments involving several medications
Home Care Significant symptoms require immediate attention from your health care provider. Call your health care provider if - Malaise is accompanied by other symptoms indicating a significant illness.
- Malaise persists longer than one week, with or without other symptoms.
What to expect at your health care provider's office Your health care provider will perform a physical examination and ask questions such as: - How long has this feeling lasted (weeks or months)?
- What other symptoms do you have?
- Is the malaise constant or episodic (comes and goes)?
- Can you complete your daily activities? If not, what limits you?
- Have you recently traveled?
- What medications are you on?
- What are your other medical problems?
- Do you use alcohol or other drugs?
If signs or symptoms of a significant illness are present, tests may be required to confirm the diagnosis. These may include various blood tests, x-rays, or other diagnostic tests.Review date: 1/18/2007 Reviewed By: Benjamin W. Van Voorhees, MD, MPH, Assistant Professor of Medicine and Pediatrics, The University of Chicago, Chicago, IL. Review provided by VeriMed Healthcare Network.
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