Inklingo
How to say

I don't feel well

in Spanish

No me siento bien

/no meh SYEN-toh byen/

This is the standard, most direct way to say you aren't feeling well. It works in any country and any social situation, from talking to a boss to telling a friend.

Level:A1Formality:neutralUsed:🌍
A cartoon illustration of a sick person wrapped in a blanket on a sofa with tea and tissues.

When you need to stay on the couch, use 'No me siento bien' to explain why.

💬Other Ways to Say It

Me siento mal

★★★★★

/meh SYEN-toh mahl/

neutral🌍

Literally 'I feel bad.' This is extremely common and interchangeable with 'No me siento bien,' though it sounds slightly more definitive about feeling sick.

When to use: Use this when you definitely feel sick, rather than just 'off' or tired.

Me encuentro mal

★★★★

/meh en-KWEN-troh mahl/

neutral🇪🇸

Literally 'I find myself bad.' This is very common in Spain but understood everywhere.

When to use: Use this in Spain for general malaise or sickness.

Estoy enfermo / Estoy enferma

★★★★★

/ehs-TOY en-FEHR-moh / en-FEHR-mah/

neutral🌍

Means 'I am sick.' You must change the ending to 'o' if you identify as male or 'a' if you identify as female.

When to use: Use this when you have a specific illness (like the flu) rather than just a vague feeling.

Me siento fatal

★★★☆☆

/meh SYEN-toh fah-TAHL/

casual🌍

Means 'I feel terrible' or 'I feel awful.' It adds emphasis to your complaint.

When to use: Use when your symptoms are severe or you want sympathy.

Ando mal

★★★★

/AHN-doh mahl/

casual🇲🇽 🌎

Literally 'I walk bad,' but means 'I'm doing/feeling bad.' It's a casual way to express your state.

When to use: Use in casual conversations with friends or family in Latin America.

Estoy indispuesto / Estoy indispuesta

★★☆☆☆

/ehs-TOY in-dis-PWEHS-toh/

formal🌍

Means 'I am indisposed.' It is polite and vague, often implying stomach trouble or a need for privacy without giving details.

When to use: Use in formal settings or when you want to be discreet about why you feel bad.

Tengo mal cuerpo

★★★☆☆

/TEN-goh mahl KWEHR-poh/

casual🇪🇸

Literally 'I have a bad body.' It describes that general 'under the weather' feeling before you get fully sick.

When to use: Common in Spain to describe body aches, fatigue, or the onset of a cold.

🔑Key Words

📊Quick Comparison

Here is a quick guide to choosing the right phrase based on how sick you actually are.

PhraseFormalityBest ForAvoid When
No me siento bienNeutralGeneral usage, polite excuses, undefined symptomsYou need urgent medical attention (too mild)
Estoy enfermo/aNeutralConfirmed illness like flu, calling in sick to workYou are just tired or hungover
Me siento fatalCasualComplaining to friends, severe symptomsSpeaking formally to a boss you don't know well
Estoy indispuesto/aFormalPolite company, hiding stomach issuesTalking to close friends (sounds too stiff)

📈Difficulty Level

Overall Difficulty:beginnerMaster in a few hours
Pronunciation2/5

Generally easy. The hardest part is blending 'No me' and 'siento' smoothly without chopping it up.

Grammar3/5

Reflexive verbs (me siento) and the difference between ser/estar (estoy enfermo) are common stumbling blocks for beginners.

Cultural Nuance2/5

Fairly straightforward, though knowing when to be specific about symptoms vs vague varies by region.

Key Challenges:

  • Remembering the reflexive 'me'
  • Matching gender for 'enfermo/a'

💡Examples in Action

Calling a boss or colleague (Professional)A2

Lo siento, no puedo ir a trabajar hoy porque no me siento bien.

I'm sorry, I can't go to work today because I don't feel well.

Speaking to friends at a social gathering (Casual)A2

Creo que me voy a casa, me siento un poco mal.

I think I'm going home, I feel a little bit sick.

Talking to family (Intimate/Casual)A1

Mamá, me duele la cabeza y me siento fatal.

Mom, my head hurts and I feel terrible.

Polite request in a public place or dinner party (Formal)B1

Disculpe, estoy algo indispuesta. ¿Dónde está el baño?

Excuse me, I'm feeling a bit indisposed. Where is the restroom?

🌍Cultural Context

The 'Bad Face' Compliment

If a Spanish speaker tells you 'Tienes mala cara' (You have a bad face), don't be offended! They aren't calling you ugly. It is a common expression of concern meaning 'You look sick' or 'You look tired.' They are showing they care about your well-being.

Expressing Specific Pain

While 'no me siento bien' is a good catch-all, Spanish speakers are often very specific about what hurts immediately. Instead of just saying they feel bad, they might say 'Me duele la cabeza' (My head hurts) or 'Me duele el estómago' (My stomach hurts) right away.

The Pharmacy Culture

In many Spanish-speaking countries, pharmacists play a much larger role in medical advice than in the US or UK. If you tell a pharmacist 'No me siento bien,' they will often diagnose you and prescribe medication right over the counter without you needing to see a doctor first.

❌ Common Pitfalls

Confusing 'Ser' vs 'Estar'

Mistake: "Saying 'Soy enfermo' instead of 'Estoy enfermo'."

Correction: Estoy enfermo.

Using 'Bueno' instead of 'Bien'

Mistake: "Saying 'No me siento bueno'."

Correction: No me siento bien.

Forgetting the Reflexive 'Me'

Mistake: "Saying 'No siento bien' or 'Siento mal'."

Correction: No ME siento bien.

💡Pro Tips

Softening the Blow

If you don't want to sound too dramatic, add 'un poco' (a little) to the phrase: 'Me siento un poco mal' (I feel a little bad). This is great for polite excuses to leave early.

Gender Matters for Adjectives

If you use 'Estoy enfermo' or 'Estoy indispuesto,' remember to change the last 'o' to an 'a' if you are female (enferma/indispuesta). However, 'Me siento mal' and 'No me siento bien' never change, regardless of gender!

The 'Creo que' Buffer

Start your sentence with 'Creo que...' (I think that...) before saying you feel sick. 'Creo que no me siento bien' sounds softer and less abrupt than just stating it as a hard fact.

🗺️Regional Variations

🇪🇸

Spain

Preferred:Me encuentro mal
Pronunciation:Standard Castilian pronunciation
Alternatives:
Tengo mal cuerpoEstoy pachucho (colloquial for feeling under the weather)

Spaniards often use 'encontrarse' (to find oneself) instead of 'sentirse' for health. 'Tengo mal cuerpo' is a very specific local phrase for general malaise.

⚠️ Note: None, but 'Me siento mal' is less common than 'Me encuentro mal' in some areas.
🇲🇽

Mexico

Preferred:Me siento mal / Ando mal
Pronunciation:Clear articulation
Alternatives:
Me siento de la patada (I feel like I was kicked - slang)Ando brujo (I'm broke/feeling bad - context dependent)

Mexicans often use the verb 'Andar' (to walk/go) to describe their current state: 'Ando enfermo' or 'Ando mal'. It feels more casual and temporary.

⚠️ Note: Be careful with slang like 'crudo' (raw) which specifically means hungover.
🌍

Caribbean (Cuba, PR, DR)

Preferred:Me siento mal
Pronunciation:Often swallows the 's' -> 'Me siento ma'l'
Alternatives:
No estoy católico (Old phrase meaning 'I'm not in good health')

Pronunciation is much faster. You might hear 'Toy malo' (short for Estoy malo) in very casual speech.

💬What Comes Next?

You tell someone you don't feel well

They say:

¿Qué tienes?

What do you have? (What's wrong?)

You respond:

Me duele la cabeza / Tengo fiebre.

My head hurts / I have a fever.

After you explain your symptoms

They say:

¡Que te mejores!

Get better! / Get well soon!

You respond:

Gracias, voy a descansar.

Thanks, I'm going to rest.

A friend sees you look sick

They say:

Te ves pálido/a.

You look pale.

You respond:

Sí, creo que algo me cayó mal.

Yeah, I think something I ate disagreed with me.

🧠Memory Tricks

Sentirse = Senses

The verb 'Sentirse' sounds like 'Senses'. Use it when your senses are telling you that you feel good or bad.

Enfermo = Infirmary

The word 'Enfermo' (sick) looks and sounds like 'Infirmary' (a place for sick people). If you are 'enfermo,' you belong in the infirmary!

🔄How It Differs from English

In English, we use the verb 'to be' for almost everything (I am hot, I am hungry, I am sick). In Spanish, usage is split. We use 'Estar' for being sick (state), 'Sentirse' for feeling sick (perception), and 'Tener' (to have) for specific symptoms like fever, cold, or pain.

False Friends & Common Confusions:

"I feel you"

Why it's different: Translating this literally as 'Te siento' sounds physical/touchy or weirdly emotional.

Use instead: Te entiendo (I understand you).

"I am hot (when having a fever)"

Why it's different: 'Estoy caliente' can mean 'I am horny' in many regions.

Use instead: Tengo calor (I have heat) or Tengo fiebre (I have a fever).

🎯Your Learning Path

➡️ Learn Next:

Me duele la cabeza

This is the most common specific symptom you'll need to explain *why* you don't feel well.

Tengo fiebre

Essential for medical contexts and determining if you are contagious.

Que te mejores

The natural response when someone else tells YOU they don't feel well.

Necesito un médico

Critical for emergencies if 'not feeling well' turns into something serious.

✏️Test Your Knowledge

💡 Quick Quiz: I don't feel well

Question 1 of 3

You are at work and need to go home because you have the flu. Which phrase is best?

Frequently Asked Questions

Is 'Me siento mal' rude?

No, not at all. It is very standard. However, it is direct. If you want to be softer or more polite, you can say 'No me siento muy bien' (I don't feel very well) or 'Me siento un poco mal' (I feel a little bad).

Can I just say 'Estoy mal'?

Yes, you can. 'Estoy mal' means 'I'm doing bad.' It can refer to health, but it can also mean you are sad, depressed, or having a bad life moment. 'Me siento mal' is more specifically about your physical or emotional sensation at that moment.

What is the difference between 'enfermo' and 'malo'?

'Enfermo' specifically means sick with a disease or illness. 'Malo' (in the context of 'estar malo') implies being sick, but it's more colloquial. In some contexts, 'ser malo' means to be a bad/evil person, so always use 'estar' when talking about health!

How do I say I feel sick to my stomach specifically?

You can say 'Me siento asqueado' (I feel nauseous) or simply 'Me duele el estómago' (My stomach hurts). A common phrase for nausea is 'Tengo ganas de vomitar' (I feel like vomiting).

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