10. Malaise
Naturally, patients with severe pain do not feel comfortable or healthy at all. Malaise is a sensation of not feeling well, but not because there is something specifically wrong with your health, like the articulations. Instead, it is a diffuse sensation of feeling unwell, and it is usually related to low energy levels. The sensation of malaise reported in patients with gout and pseudogout can also be described as fatigue and tiredness. This is common in many pain syndromes, and it is characterized by a sensation of weakness and exhaustion, even after resting correctly. It happens because the body is under significant stress as a result of enduring the symptoms. There are sometimes heartbeat changes and usually metabolic and immune system changes that take up a great deal of energy. The sensation can be severe in acute attacks or turn into a lingering sensation of feeling unwell with flu-like symptoms in case of chronic gout.