Malaise is a generalized feeling of discomfort, illness, or lack of well-being.

General ill feeling

Malaise is a symptom that can occur with almost any health condition. It may start slowly or quickly, depending on the type of disease.

Fatigue (feeling tired) occurs with malaise in many diseases. Along with malaise, you can have a feeling of not having enough energy to do usual activities.

The following lists give examples of the diseases, conditions, and medications that can cause malaise.

SHORT-TERM (ACUTE) INFECTIOUS DISEASE

• Acute bronchitis or pneumonia
• Acute viral syndrome
• Infectious mononucleosis (EBV)
• Influenza
• Lyme disease

LONG-TERM (CHRONIC) INFECTIOUS DISEASE

• AIDS
• Chronic active hepatitis
• Disease caused by parasites
• Tuberculosis

HEART AND LUNG (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 DISEASE

• Adrenal gland dysfunction
• Diabetes
• Pituitary gland dysfunction (rare)
• Thyroid disease

CANCER

• Leukemia
• Lymphoma (cancer that starts in the lymph system)
• Solid tumor cancers, such as colon cancer

BLOOD DISORDERS

• Severe anemia

PSYCHIATRIC

• Depression
• Dysthymia

MEDICATIONS

• Anticonvulsant (antiseizure) medications
• Antihistamines
• Beta blockers (medications used to treat heart disease or high blood pressure)
• Psychiatric medications
• Treatments involving several medications

If you have severe malaise, contact your health care provider immediately.

Contact your health care provider if:

• You have other symptoms with the malaise.
• Malaise lasts longer than one week, with or without other symptoms.

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 traveled recently?
• What medicines are you on?
• What are your other medical problems?
• Do you use alcohol or other drugs?

If you have signs or symptoms of an illness, tests may be ordered to confirm the diagnosis. These may include blood tests, x-rays, or other diagnostic tests.

Based on your evaluation and any tests, your healthcare provider will recommend treatment if needed.

Leggett J. Approach to fever or suspected infection in the normal host. In: Goldman L, Schafer AI, eds. Goldman’s Cecil Medicine. 24th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 288.

Simel DL. Approach to the patient: history and physical examination. In: Goldman L, Schafer AI, eds. Goldman’s Cecil Medicine. 24th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 6.