As a medical term, malaise is a feeling of general discomfort, uneasiness or lack of wellbeing and often the first sign of an infection or other disease. The word has existed in French since at least the 12th century.
The term is often used figuratively in other contexts, in addition to its meaning as a general state of angst or melancholy.
Malaise is a non-specific symptom and can be present in the slightest ailment, such as an emotion (causing fainting, a vasovagal response) or hunger (light hypoglycemia), to the most serious conditions (cancer, stroke, heart attack, internal bleeding, etc.).
Malaise expresses a patient's uneasiness that "something is not right" that may need a medical examination to determine the significance.
Malaise is thought to be caused by the activation of an immune response, and the associated pro-inflammatory cytokines.
"Economic malaise" refers to an economy that is stagnant or in recession (compare depression). The term is particularly associated with the 1973–75 United States recession. An era of American automotive history, centered around the 1970s, is similarly called the "malaise era."
The "Crisis of Confidence" speech made by US President Jimmy Carter in 1979 is commonly referred to as the "malaise speech", although the word itself was not actually in the speech.
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Fatigue describes a state of tiredness (which is not sleepiness) or exhaustion. In general usage, fatigue often follows prolonged physical or mental activity. When fatigue occurs independently of physical or mental exertion, or does not resolve after rest or sleep, it may have other causes, such as a medical condition. Fatigue (in a medical context) is complex and its cause is often unknown. Fatigue is associated with a wide variety of conditions including autoimmune disease, organ failure, chronic pain conditions, mood disorders, heart disease, infectious diseases and post-infectious disease states.
Signs and symptoms are the observed or detectable signs, and experienced symptoms of an illness, injury, or condition. Signs are objective and externally observable; symptoms are a person's reported subjective experiences. A sign for example may be a higher or lower temperature than normal, raised or lowered blood pressure or an abnormality showing on a medical scan. A symptom is something out of the ordinary that is experienced by an individual such as feeling feverish, a headache or other pains in the body.
An infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmissible disease or communicable disease, is an illness resulting from an infection. Infections can be caused by a wide range of pathogens, most prominently bacteria and viruses. Hosts can fight infections using their immune systems. Mammalian hosts react to infections with an innate response, often involving inflammation, followed by an adaptive response.