BMJ 2002; 324 (7334). (15-22 February)

On 13 April we published a theme issue on the medicalisation of human experience ("Too much medicine?"), which included an article on
non-diseases.

By "non-disease" we mean "a human process or problem that some have defined as a medical condition but where people may have better outcomes if the problem or process was not defined in that way."

We are not suggesting that the suffering of people with these "non-diseases" is not genuine. The suffering of many with "non-diseases" may be much greater than those with widely recognised diseases. Disease is a very slippery concept.

After asking readers to suggest non-diseases, we invited them to vote for the 10 conditions that best fitted our definition.

Here are the results of that ballot, in which 570 people voted.
(Duplicate votes were removed).

Condition

Votes

Proportion of voters who
voted for this condition (%)

Ageing

251

44

Work

199

35

Boredom

184

32

Bags under eyes

177

31

Ignorance

162

28

Baldness

161

28

Freckles

153

27

Big ears

149

26

Grey or white hair

143

25

Ugliness

138

24

Childbirth

130

23

Allergy to the twentieth century

123

22

Jet lag

115

20

Unhappiness

110

19

Cellulite

108

19

Hangover

108

19

Anxiety about penis size/penis envy

104

18

Pregnancy

102

18

Road rage

101

18

Loneliness

99

17

Air rage

92

16

Gap teeth

92

16

Circumcision

89

16

Domestic violence

77

14

Menopause

76

13

Burnout

73

 

Chronic fatigue syndrome/Myalgic encephalomyelitis

72

Smoking

70

12

Skin wrinkles

65

11

Non-compliance

64

 

Stretch marks

64

 

Procrastination

63

 

Short stature

62

 

Ear wax accumulation

61

 

Bereavement (including grief reaction)

59

10

Nailchewing

55

 

Teething

55

 

Adjustment reactions

53

9

False memory syndrome

53

 

Teenage pregnancy

51

 

Dandruff

48

8

Hypercholesterolaemia

48

 

Obesity

47

 

Fibromyalgia

46

 

Transvestism

45

 

Attention deficit disorder

43

 

Stress

43

 

Total allergy syndrome

43

 

Trans-sexualism

41

7

Conduct disorders in children

38

 

Whiplash

34

6

Borborygmi

33

 

Chinese restaurant syndrome

32

 

Gulf War syndrome

32

 

Premenstrual syndrome

32

 

Peri-menstrual dysphoric disorder

29

5

Minor skeletal variations (eg flat feet)

25

4

Multiple chemical sensitivities

25

 

Sick building syndrome

25

 

Alcohol dependency

23

 

Anorgasmia

23

 

Chronic candida infection

23

 

Food intolerance (including lactose intolerance)

22

 

Personality disorder

22

 

Erectile dysfunction/impotence

21

 

Halitosis

21

 

Infertility

21

 

Most allergies

21

 

Skin tags

21

 

Bed wetting

20

 

Social phobia including shyness

20

 

Colic/wind

19

3

Seasonal affective disorder

19

 

Hysteria

18

 

Lice infestation

18

 

Acne

17

 

Irritable bowel syndrome

17

 

Low/absent libido

17

 

Munchausen syndrome by proxy

17

 

Pain

17

 

Tight foreskin in boys

17

 

Tongue tie

17

 

Hyperactivity

16

 

Motion sickness

16

 

Substance abuse (including drug addiction)

16

 

Anorexia

15

 

Deviation of the nasal septum

15

 

Disability

15

 

Dyslexia

15

 

Teeth grinding

15

 

Depression

14

2

Fever

14

 

Solasis (delusional belief that sun is causing skin problems)

14

 

Tension headache

14

 

Fibrocystic disease of the breast

13

 

Insomnia

13

 

Anxiety disorders

12

 

Fibrositis

12

 

Neurasthenia

12

 

Oedipus complex and complexes generally

12

 

Post traumatic stress disorder

12

 

Diabetes

11

 

Ejaculatory disorders

11

 

Hypertension

11

 

Munchausen's syndrome

11

 

Osteoporosis

10

 

Repetitive strain disorder

10

 

Syndrome X

10

 

Tics (habit spasms)

10

 

Atypical chest pain

9

 

Brain death

9

 

Constipation

9

 

Ingrown toe nail

9

 

Low bone mineral density

9

 

Somatisation disorders

9

 

Vegetative state

9

 

Cough

8

1

Food poisoning

8

 

Hirsutism

8

 

Low back pain

8

 

Miscarriage

8

 

Polycystic ovarian syndrome

8

 

Specific learning disorders

8

 

Temperomandibular dysfunction syndrome

8

 

Tonsillar enlargement

8

 

Astigmatism

7

 

Chronic glandular fever

7

 

Dysfunctional uterine bleeding

7

 

Frozen shoulder

7

 

Hypotension

7

 

Phantom limb

7

 

Restless legs syndrome

7

 

Warts

7

 

Autism syndromes

6

 

Autistic enterocolitis

6

 

Benign prostatic hyperplasia

6

 

Hypoglycaemia

6

 

Impacted teeth

6

 

Malnutrition/hunger

6

 

Myopia

6

 

Nausea and vomiting

6

 

Phobias

6

 

Positive cervical smear

6

 

Dementia

5

 

Glue ear

5

 

Hallucinations

5

 

Iron deficiency

5

 

Sleep apnoea

5

 

Atypical facial pain

4

 

Calcium deficiency

4

 

Endometriosis

4

 

Mitral valve prolapse

4

 

Reflex sympathetic dystrophy

4

 

Rosacea

4

 

Diarrhoea

3

 

Dizziness/vertigo

3

 

Non-ulcer dyspepsia

3

 

Haemorrhoids

3

 

Hyperhidrosis (profuse sweating)

3

 

Hypertrichosis

3

 

Migraine

3

 

Faint/syncope

2

0

Onychomycosis

2

 

Varicose veins

2

 

Mania

1

 

Raised intracranial pressure

1

 

Senile cataract

1

 

Skin rash

1

 

Tendonitis

1

 

Tinnitus

1

 

Pruritis

0

 

Senile osteoarthritis

0

 

Sinusitis/post nasal drip

0

 

Tonsillitis

0

 

Rapid Responses:

Read all Rapid Responses

Dodgy to say the least
Kieran E Fallon
bmj.com, 15 Feb 2002 [Full text]
Peri-menstrual Dysphoric Disorder
Marvin K Malek
bmj.com, 15 Feb 2002 [Full text]
Additional non-disease
Hans R. Koelz
bmj.com, 15 Feb 2002 [Full text]
Non-diseases
Caroline Richmond
bmj.com, 15 Feb 2002 [Full text]
Possible non-diseases
George B. Alcorn
bmj.com, 15 Feb 2002 [Full text]
Raised cholesterol levels - a non disease
Malcolm E Kendrick
bmj.com, 15 Feb 2002 [Full text]
Bereavement
Om Prakash
bmj.com, 15 Feb 2002 [Full text]
non-disease apostasy
Dale Archer
bmj.com, 15 Feb 2002 [Full text]
What is a Disease / Complaint?
Lonnie J Perry
bmj.com, 15 Feb 2002 [Full text]
Reconsidering Cholesterol and Atherosclerosis
Eric S. Freedland ,MD
bmj.com, 15 Feb 2002 [Full text]
Society's stigma spells DISEASE
Dr Rani Pal
bmj.com, 15 Feb 2002 [Full text]
Non-disease
Mathai Babu
bmj.com, 15 Feb 2002 [Full text]
Non-disease if doctor recognize physiological deterministic chaos.
Stagnaro Sergio
bmj.com, 15 Feb 2002 [Full text]
Diastema
Chinelo E Nwokolo
bmj.com, 15 Feb 2002 [Full text]
Time warps perception
Susan J Wighton
bmj.com, 16 Feb 2002 [Full text]
A non disease
Clare O'Connor
bmj.com, 16 Feb 2002 [Full text]
Non-diseases
douglas n salmon
bmj.com, 16 Feb 2002 [Full text]
How to use an esteemed medical journal to increase suffering
Margaret Bailey
bmj.com, 16 Feb 2002 [Full text]
Non-diseases
Joel M. Kauffman
bmj.com, 16 Feb 2002 [Full text]
Lactose intolerance, ignorance, noncompliance
Myrna Y. Munar, Pharm.D.
bmj.com, 16 Feb 2002 [Full text]
Re: Raised cholesterol levels - a non disease
Gunnar Lindgren
bmj.com, 16 Feb 2002 [Full text]
menopause and pregnancy
Jo A Rosenfeld
bmj.com, 16 Feb 2002 [Full text]
Solatic
Jeffrey D Bernhard
bmj.com, 16 Feb 2002 [Full text]
Non disease
Sethuraman K Raman
bmj.com, 16 Feb 2002 [Full text]
non-disease?
Tom P. Kindlon
bmj.com, 16 Feb 2002 [Full text]
Disease Vs. Non-disease: When a non-disease becomes a disease?
Malvinder S. Parmar
bmj.com, 16 Feb 2002 [Full text]
Non-Diseases or CO Poisoning?
Albert H Donnay
bmj.com, 16 Feb 2002 [Full text]
Arrogance
Anelie J. Walsh
bmj.com, 16 Feb 2002 [Full text]
Medicalization.. non-disease.. a view from across the pond
Gary N. Fox
bmj.com, 16 Feb 2002 [Full text]
Hypercholesterolaemia - the superior winner
Uffe Ravnskov
bmj.com, 16 Feb 2002 [Full text]
Other Non-Diseases??
Patricia S. Blankenship
bmj.com, 16 Feb 2002 [Full text]
non disease of the month
John p McCormack
bmj.com, 16 Feb 2002 [Full text]
"Non-disease"
Aya Biderman
bmj.com, 16 Feb 2002 [Full text]
Non Diseases - A Case of Throwing the Baby Out With The Bath Water?
Dianna Dunbar
bmj.com, 16 Feb 2002 [Full text]
Myalgia Encephalitis
Raymond Henry Givan
bmj.com, 17 Feb 2002 [Full text]
Dis-ease= Drug-Deficiency
Kenneth M. Jacobie
bmj.com, 17 Feb 2002 [Full text]
Who carries the can?
Alexa E McLaughlin
bmj.com, 17 Feb 2002 [Full text]
More choices
A Chaudhuri
bmj.com, 17 Feb 2002 [Full text]
here we go again
Paul S Mitchell
bmj.com, 18 Feb 2002 [Full text]
Join the queue
Gurli H. Bagnall
bmj.com, 18 Feb 2002 [Full text]
This exercise is a slippery slope itself
Raymond F Colliton
bmj.com, 17 Feb 2002 [Full text]
Domestic violence and Non-disease
seshubabu gosala, et al.
bmj.com, 17 Feb 2002 [Full text]
Myalgic encephalomyelitis/chronic fatigue syndrome
Domenic A. Tricome
bmj.com, 18 Feb 2002 [Full text]
Re: Additional non-disease
Kjell O. Skavdal
bmj.com, 17 Feb 2002 [Full text]
Profit & loss
Raelene J Reeves
bmj.com, 18 Feb 2002 [Full text]
Common childhood symptoms
Peter M Jones
bmj.com, 17 Feb 2002 [Full text]
Stupid Idea Syndrome
Trevor Wainwright
bmj.com, 18 Feb 2002 [Full text]
Autism as a process of dealing with the world
David N Andrews
bmj.com, 18 Feb 2002 [Full text]
Non-Diseases of the Past
Robert D. Tennent
bmj.com, 18 Feb 2002 [Full text]
The origin of "Non-Disease"
James A Dickinson
bmj.com, 18 Feb 2002 [Full text]
Missing Non disease
Sri S Varman
bmj.com, 18 Feb 2002 [Full text]
Re: Common childhood symptoms
zaffar sultan
bmj.com, 18 Feb 2002 [Full text]
Age
Dirk Ulbricht
bmj.com, 18 Feb 2002 [Full text]
'Wind'
Surinder Singh
bmj.com, 18 Feb 2002 [Full text]
Shyness etc
Tim R Anderson
bmj.com, 18 Feb 2002 [Full text]
non-diseases
douglas n salmon
bmj.com, 18 Feb 2002 [Full text]
Re: Non-diseases
Tim R Anderson
bmj.com, 18 Feb 2002 [Full text]
Impacted wisdom teeth
Mahendra Bagur
bmj.com, 18 Feb 2002 [Full text]
Non-Diseases
Christopher I Stark
bmj.com, 18 Feb 2002 [Full text]
non-diseases
Indramani Jena
bmj.com, 18 Feb 2002 [Full text]
Bags under eyes
NAEIM ASAAD, et al.
bmj.com, 18 Feb 2002 [Full text]
another non-disease
Mark S CADE
bmj.com, 18 Feb 2002 [Full text]
Let's leave dental problems to the dentists!
Sarah David
bmj.com, 18 Feb 2002 [Full text]
Non disease or lack of knowledge?
Ann E. Fonfa
bmj.com, 19 Feb 2002 [Full text]
Benign Chest Pain and Syndrome X
Colleen McKinnon, et al.
bmj.com, 19 Feb 2002 [Full text]
Re: Three other responses
Collen Mckinnon, et al.
bmj.com, 19 Feb 2002 [Full text]
Repetitive Strain Injury
Martin Wilson
bmj.com, 22 Feb 2002 [Full text]
Re: Two other responses
Colleen McKinnon, et al.
bmj.com, 19 Feb 2002 [Full text]
Ivan Illich on what is and what isn't a disease
Richard Smith
bmj.com, 19 Feb 2002 [Full text]
Chinese restaurant syndrome and penis envy
Caroline Richmond
bmj.com, 19 Feb 2002 [Full text]
Miscarriage
Rupak R Roy
bmj.com, 19 Feb 2002 [Full text]
Dental signs and symptoms
(Dr) Trevor Watts
bmj.com, 19 Feb 2002 [Full text]
another one
Nicola A Cooper
bmj.com, 19 Feb 2002 [Full text]
prevalence of non-diseases outside the UK
David W Pitches
bmj.com, 20 Feb 2002 [Full text]
Disability
Kevin Reel
bmj.com, 20 Feb 2002 [Full text]
...and another
Caroline Richmond
bmj.com, 20 Feb 2002 [Full text]
atypical depression
Edward Shorter
bmj.com, 20 Feb 2002 [Full text]
Hyperlipidaemia is the champion
Jorgen V Nielsen
bmj.com, 20 Feb 2002 [Full text]
Physical-Mental-Social and Spiritual well being
praveen kumar madikonda
bmj.com, 20 Feb 2002 [Full text]
non-disease
Phillip I Hodson
bmj.com, 20 Feb 2002 [Full text]
Rationing?
Steve Hajioff
bmj.com, 20 Feb 2002 [Full text]
Chronic Fatigue Syndrome/M.E. Medical Profession Cops Out
Christopher A. Szabo
bmj.com, 20 Feb 2002 [Full text]
The most insideous non-disease
Jeffrey Craig Phillips
bmj.com, 20 Feb 2002 [Full text]
Re: Re: Three other responses
Alexa E McLaughlin
bmj.com, 20 Feb 2002 [Full text]
Re: Ivan Illich on what is and what isn't a disease
Alexa E McLaughlin
bmj.com, 20 Feb 2002 [Full text]
two list additions
Anne Peticolas
bmj.com, 20 Feb 2002 [Full text]
CFS vs ME
Jill McLaughlin
bmj.com, 20 Feb 2002 [Full text]
ear wax
naeim ASAAD, et al.
bmj.com, 20 Feb 2002 [Full text]
Criteria for non-disease
Mohan Chawla
bmj.com, 20 Feb 2002 [Full text]
Re: Ivan Illich on what is and what isn't a disease
L S Lewis
bmj.com, 20 Feb 2002 [Full text]
Laenaac on what is and what isn't a disease
A Chaudhuri
bmj.com, 21 Feb 2002 [Full text]
Mitral Valve Prolapse
Hans JM Van Brabandt
bmj.com, 21 Feb 2002 [Full text]
sick notes
Antony M Goodwin
bmj.com, 21 Feb 2002 [Full text]
Non-disease
Meng-Kin Lim
bmj.com, 21 Feb 2002 [Full text]
Re: The most insideous non-disease
Christopher A Weiner
bmj.com, 21 Feb 2002 [Full text]
ICD605: Redundant prepuce and phimosis
Hugh P Young
bmj.com, 25 Feb 2002 [Full text]
physiological phimosis
Shelton M Kartun
bmj.com, 21 Feb 2002 [Full text]
Munchausen syndrome by proxy
Michael D Innis
bmj.com, 21 Feb 2002 [Full text]
Non-diseases
Ahmad Reza Rasekhi
bmj.com, 21 Feb 2002 [Full text]
Doctor-Thinks-you-have-a-disease syndromes.
Belle Monappa Hegde
bmj.com, 21 Feb 2002 [Full text]
old age - a nondisease?
Valmiki Kolmi Nagaraj, et al.
bmj.com, 21 Feb 2002 [Full text]
Not worthy
Jan Willem de Bruijn
bmj.com, 21 Feb 2002 [Full text]
A Darwinian concept of non-disease
Kazem Zarrabi, et al.
bmj.com, 22 Feb 2002 [Full text]
Tropical non-diseases
John S. Marr, et al.
bmj.com, 22 Feb 2002 [Full text]
Everything is a disease?
Alejandro F. Luque-Coqui, et al.
bmj.com, 22 Feb 2002 [Full text]
Ageing is natural
iona e collins
bmj.com, 22 Feb 2002 [Full text]
Re: Re: The most insideous non-disease
David Carvel
bmj.com, 22 Feb 2002 [Full text]
low blood pressure
Mónica G Silva
bmj.com, 22 Feb 2002 [Full text]
Truth, Justice and our Humanity
Malcolm Hooper
bmj.com, 22 Feb 2002 [Full text]
Better to have a 'non-survey' than a 'non-disease survey'
Jeanette L Chapman
bmj.com, 22 Feb 2002 [Full text]
Purpose of this exercise
Alexa E McLaughlin
bmj.com, 23 Feb 2002 [Full text]
CFS/ME a Non-illness?
Lucy I Dechene
bmj.com, 23 Feb 2002 [Full text]
Re: Ivan Illich on what is and what isn't a disease
Gurli Bagnall
bmj.com, 23 Feb 2002 [Full text]
The point of this exercise
Richard Smith
bmj.com, 24 Feb 2002 [Full text]
Almost none of the above
Peter J Allmark
bmj.com, 24 Feb 2002 [Full text]
Smith - Devil's Advocate?
Gurli Bagnall
bmj.com, 24 Feb 2002 [Full text]
Labels create legitimacy and produce dependence
Kevin C Murphy
bmj.com, 24 Feb 2002 [Full text]
Common Sense
Ian A Miller
bmj.com, 27 Feb 2002 [Full text]
Mythical Malady
Charles Pragnell
bmj.com, 25 Feb 2002 [Full text]
What really is the point
Trevor Wainwright
bmj.com, 25 Feb 2002 [Full text]
Thank you
Dale A. Roose
bmj.com, 27 Feb 2002 [Full text]
Re: Re: Re: The most insideous non-disease
Christopher A Weiner
bmj.com, 25 Feb 2002 [Full text]
Our common sense has atrophied
Julian H Jessop
bmj.com, 26 Feb 2002 [Full text]
MIS-DIAGNOSED MSBP
Michael D Innis
bmj.com, 27 Feb 2002 [Full text]
Elevated Cholesterol Is Not a Disease
Paul J. Rosch
bmj.com, 26 Feb 2002 [Full text]
The pros and cons of medicalisation
Simon Wessely
bmj.com, 27 Feb 2002 [Full text]
Patients' Poll on BMJ Results in Landslide
Jean Linn
bmj.com, 1 Mar 2002 [Full text]
In response to Wessely
Gurli Bagnall
bmj.com, 1 Mar 2002 [Full text]
Disability is a civil rights issue
Joyce M. Carter, et al.
bmj.com, 2 Mar 2002 [Full text]
Disease and non disease in children?
Barbara J Robinson
bmj.com, 3 Mar 2002 [Full text]
Is this a useful thing to do?
David J Walland
bmj.com, 8 Mar 2002 [Full text]
Re: Is this a useful thing to do?
John P. Heptonstall
bmj.com, 9 Mar 2002 [Full text]
The IQOL Indice
Karel A Lyons
bmj.com, 9 Apr 2002 [Full text]
what about these others
Alexander Parish
bmj.com, 10 Apr 2002 [Full text]
A pathetic attempt at cost-cutting...
Maria Christou
bmj.com, 11 Apr 2002 [Full text]
Top 10 Diseases Farce - Why I voted how I did
Trevor Wainwright
bmj.com, 11 Apr 2002 [Full text]
What should doctors be doing?
Jon Stone
bmj.com, 11 Apr 2002 [Full text]
A Joke, Yes?
Janette A Cobb
bmj.com, 11 Apr 2002 [Full text]
One disease should no longer be newly diagnosed, ever
Taimur Shoaib
bmj.com, 11 Apr 2002 [Full text]
Non Ilnnesses - another view
Trevor Wainwright
bmj.com, 11 Apr 2002 [Full text]
Is this poll supposed to help anyone?
Lynn A Watson
bmj.com, 11 Apr 2002 [Full text]
it is really a disease!
Elaine s Millard
bmj.com, 15 Apr 2002 [Full text]
Re: A non disease
Sarah L Davies
bmj.com, 12 Apr 2002 [Full text]
Shame
Marc G M van Impe
bmj.com, 16 Apr 2002 [Full text]
GP's with NON-DISEASE ailments
Vikki Crawford
bmj.com, 17 Apr 2002 [Full text]
FIBROMYALGIA
Sylvia M Mills
bmj.com, 25 Apr 2002 [Full text]
FURTHER DEFINITION OF A NON-DISEASE
RAJKUMAR K CHETTY
bmj.com, 15 May 2002 [Full text]
Feel ashamed
Victoria M Whitelaw
bmj.com, 26 Nov 2003 [Full text]
BMJ surveys dont speak for the medical profession
John Hopkins, et al.
bmj.com, 27 Nov 2003 [Full text]



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