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Pharmacy Links

MALAISE: DESCRIPTION AND POSSIBLE MEDICAL PROBLEMS

20/04/09

Over the course of a year, I’ll see 5,000 or more patients who come to me for treatment. Of all the symptoms my patients tell me they have, malaise, or a general sense that they’re not feeling as well as they could, is one of the most common complaints I hear. Unfortunately, whenever a patient tells me she is feeling weak and unwell, it opens the door to the possibility of every single medical problem on earth. This can be frustrating and overwhelming to the physician as well as to the patient, so if she simply says she doesn’t feel quite right, I ask her to be as specific with her complaints as she can. It’s important to keep in mind that age and activity levels have a lot to do with how people define malaise. For instance, the malaise of a 20-year-old athlete who cannot run 10 miles every day because of an injury is much different from the 50-year-old executive who can’t seem to find the energy to go to work or the 65-year-old grandmother who just feels too tired to do chores around the house.

If you have been feeling weak and out of sorts lately, answering the following questions will help your physician zero in on the possible causes:

1. How long have I been feeling unwell? A week, a month, or longer?

2. Has there been a change in my appetite or thirst? In my urination or bowel habits?

3. Have I gained or lost a significant amount of weight in the last few weeks or months?

4. For women, if I am still menstruating, has my cycle or flow, or both, changed recently?

5. Have I recently had a fever, night sweats, or a physical intolerance to hot or cold temperatures?

6. Have I recently traveled abroad or to a different region of the country?

7. Do I have a symptom such as a rash, arthritic pain, or swollen glands?

8. Do I think I might have been bitten by a tick recently?

9. Have I been undergoing problems in my personal life lately?

10. Do I have a past history of a serious illness that was cured or went into remission? Have I begun to take a new form of medication recently?

11. Has my urine darkened in color recently?