Japanese Onomatopoeia for Pain and Illness: Describe a Cold or Flu

Japanese doctors and pharmacists expect you to describe how you feel with sound words: a throbbing head is zukizuki, a stinging throat is hirihiri, a pounding hangover head is gangan and nausea is mukamuka. Add zokuzoku for chills and furafura for feeling unsteady, and you can describe most of a cold or flu in a few short sentences.

What you need to know

When you feel ill in Japan, the hardest part is often not the medical vocabulary but the feeling itself. Japanese speakers rarely say my throat hurts in a sharp, burning way; they say nodo ga hirihiri suru, and the sound word carries the whole description. The same is true for a feverish shiver, a woozy head or a stomach that feels about to turn. This guide follows a typical cold, flu or stomach bug from the first chills to the clinic. It starts with the four words most learners need, then covers fever and chills, coughs and noses, the stomach and dizziness, with the grammar each word takes and the register it belongs to. It ends with a dialogue at a clinic reception and the mistakes learners make most often. It is a language guide only: if you feel seriously unwell, call 119 for an ambulance or ask someone to help you contact a doctor.

Most symptom words take suru: atama ga zukizuki suru

Zukizuki throbs with your pulse; gangan pounds like a hammer

Zokuzoku is shivery chills; furafura is weak and unsteady

Mukamuka means nausea, and also anger in other contexts

Four symptom words to know before you get sick

These four words cover the complaints learners most often need: a headache, a sore throat, a heavy hangover head and nausea. All four are gitaigo, words for a feeling rather than a sound you hear, and all four take suru when you describe your own symptoms. They are neutral in register: you can say them to a friend, and with shimasu to a doctor.

Four picture cards: a throbbing headache, a stinging sore throat, a pounding head and a queasy stomach, each with its Japanese word.
Zukizuki, hirihiri, gangan and mukamuka: four sound words that describe most cold and hangover complaints.
JapaneseRomajiMeaning
頭がずきずきする。Atama ga zukizuki suru.My head is throbbing.
のどがひりひりする。Nodo ga hirihiri suru.My throat stings.
頭ががんがんする。Atama ga gangan suru.My head is pounding.
胸がむかむかする。Mune ga mukamuka suru.I feel queasy.

Zukizuki follows the rhythm of your pulse; gangan feels heavier, as if someone were hitting a bell inside your head. Hirihiri is a stinging, raw feeling, used for a sore throat, sunburn or spicy food on your tongue. Mukamuka is nausea or heartburn; people usually say mune (chest) or i (stomach) ga mukamuka suru.

Fever and chills: zokuzoku, furafura, bōtto

A fever often starts with chills. Zokuzoku is the shivery feeling running up your back; people often pair it with samuke, chills: samuke ga shite zokuzoku suru. Once the fever rises, your body may feel weak and unsteady, which is furafura, and your head may feel foggy, which is bōtto. Kurakura is a spinning, light-headed dizziness, and guruguru describes the room going round.

All of these take suru. Bōtto also works with a verb: atama ga bōtto shite iru, my head is in a fog.

JapaneseRomajiMeaning
朝から寒気がしてぞくぞくします。Asa kara samuke ga shite zokuzoku shimasu.I've had chills since this morning. (polite)
熱があって、ふらふらする。Netsu ga atte, furafura suru.I've got a fever and feel unsteady.
頭がぼーっとしています。Atama ga bōtto shite imasu.My head feels foggy. (polite)
立つとくらくらします。Tatsu to kurakura shimasu.I feel dizzy when I stand up.
目がぐるぐる回る感じです。Me ga guruguru mawaru kanji desu.It feels like everything is spinning.

Coughs, sneezes and noses

Coughs are giongo, words that copy the sound. Gohogoho is a heavy, chesty cough; konkon is a lighter, drier cough and is often used about children; kehokeho is a thin, dry cough. For the nose, guzuguzu describes a stuffy, runny nose, zuruzuru is the sound of sniffling, and muzumuzu is the tickle you feel before a sneeze, also used for itchy eyes or skin.

When you describe your own cough to a doctor, the verb is usually seki ga deru, a cough comes out, and the sound word goes before it.

JapaneseRomajiMeaning
夜になるとごほごほ咳が出ます。Yoru ni naru to gohogoho seki ga demasu.I get a heavy cough at night.
子どもがこんこん咳をしています。Kodomo ga konkon seki o shite imasu.My child has a dry little cough.
花粉で鼻がぐずぐずする。Kafun de hana ga guzuguzu suru.Pollen makes my nose stuffy and runny.
鼻がむずむずして、くしゃみが止まらない。Hana ga muzumuzu shite, kushami ga tomaranai.My nose tickles and I can't stop sneezing.
WordTypeMeaningUsual pattern
gohogohoGiongoHeavy, chesty coughgohogoho seki ga deru
konkonGiongoLight, dry cough, often a child'skonkon seki o suru
guzuguzuGitaigoStuffy, runny nosehana ga guzuguzu suru
muzumuzuGitaigoTickle before a sneeze; itchhana ga muzumuzu suru

Stomach trouble: mukamuka, kirikiri, shikushiku

Stomach symptoms need careful words, because the treatment a pharmacist suggests depends on what you describe. Mukamuka is nausea. Kirikiri is a sharp, twisting or cramping pain, often linked with stress. Shikushiku is a dull, nagging ache that keeps going. Mukatsuku, the verb, is also used for nausea, but in casual speech it more often means that something makes you angry, so at a clinic the safer phrase is hakike ga shimasu, I feel nauseous.

JapaneseRomajiMeaning
食べた後、胃がむかむかします。Tabeta ato, i ga mukamuka shimasu.My stomach feels queasy after eating.
吐き気がします。Hakike ga shimasu.I feel nauseous. (clear, neutral)
おなかがきりきり痛みます。Onaka ga kirikiri itamimasu.I have sharp cramps in my stomach.
おなかがしくしく痛いです。Onaka ga shikushiku itai desu.I have a dull, nagging stomach ache.

Grammar: building a full symptom sentence

A clear symptom sentence has three parts: the body part with ga, the sound word, and suru or a verb. Add when it started with kara and how often with words like zutto (all the time) or tokidoki (sometimes). Here is the same skeleton at three levels of detail.

JapaneseRomajiMeaning
昨日の夜から頭がずきずきします。Kinō no yoru kara atama ga zukizuki shimasu.My head has been throbbing since last night.
飲み込むと、のどがひりひりします。Nomikomu to, nodo ga hirihiri shimasu.My throat stings when I swallow.
ずっとふらふらしています。Zutto furafura shite imasu.I've felt unsteady the whole time.
LevelStructureExample in romaji
BasicBody part + ga + word + shimasuNodo ga hirihiri shimasu.
With timeTime + kara + basic sentenceKinō kara nodo ga hirihiri shimasu.
With detailAdd zutto or tokidoki, or a conditionNomikomu to, nodo ga hirihiri shimasu.

At the clinic reception: a short dialogue

At many clinics you first tell the receptionist why you came, then fill in a questionnaire. Procedures vary by clinic and city, so follow the staff. The dialogue below uses polite Japanese throughout; the receptionist uses standard polite service language.

A patient at a clinic reception desk describes chills and a throbbing headache to a receptionist, with speech bubbles in Japanese.
Say what hurts, how it feels and since when: three short lines get you through the clinic reception.
JapaneseRomajiMeaning
今日はどうされましたか。Kyō wa dō saremashita ka.Receptionist: What brings you in today?
昨日から熱があって、ぞくぞくします。Kinō kara netsu ga atte, zokuzoku shimasu.You: I've had a fever since yesterday and chills.
ほかに症状はありますか。Hoka ni shōjō wa arimasu ka.Receptionist: Any other symptoms?
頭がずきずきして、のどもひりひりします。Atama ga zukizuki shite, nodo mo hirihiri shimasu.You: My head throbs and my throat stings too.
では、こちらの問診票にご記入ください。Dewa, kochira no monshinhyō ni gokinyū kudasai.Receptionist: Then please fill in this questionnaire.
すみません、少しふらふらするので、座ってもいいですか。Sumimasen, sukoshi furafura suru node, suwatte mo ii desu ka.You: Sorry, I feel a bit unsteady. May I sit down?

Mistakes that confuse doctors and friends

  • Using mukatsuku for nausea with friends. They may hear I'm angry. Use mukamuka suru or hakike ga suru for feeling sick.
  • Saying zokuzoku without context. It can mean chills or thrills; add samuke ga shite at a clinic.
  • Dropping the body part. Zukizuki shimasu alone is understandable, but atama ga or ha ga (tooth) makes it precise.
  • Mixing up hirihiri and chikuchiku. Hirihiri is a raw, burning sting; chikuchiku is prickly, like a needle or wool on skin.
  • Using itai with every word. Some words are already complete with suru; itamimasu fits best with kirikiri, shikushiku and zukizuki.

Rehearse the clinic before you need it

Write your symptom card and paste it to Mocchi with /correct, adding a note such as: I want to tell a doctor I have chills and a sore throat. Mocchi fixes the particles, suggests a more natural sound word if you picked the wrong one, and explains each change.

Then say it out loud. In AI Sensei, choose Haru-sensei and ask Haru-sensei to be a clinic receptionist and then a doctor asking follow-up questions; the Describe Symptoms at a Clinic mission gives you the same situation with a clear goal. Ask him to slow down if the questions come too fast.

Key points

A practical way to improve

Build a symptom card you can read at any clinic. Write three lines in Japanese: where it hurts and how (atama ga zukizuki shimasu), since when (kinō no yoru kara), and one more symptom (samuke ga shite zokuzoku shimasu). Read them aloud until you can say them without looking. Then practise the follow-up answers a nurse may ask for: zutto desu ka, is it constant, and netsu wa arimasu ka, do you have a fever. Mocchi, Unihongo's study assistant, can explain the difference between any two symptom words you are unsure of and quiz you on them later. Keep the card on your phone for real use.

FAQ

Frequently asked questions

How do you describe a headache in Japanese?

The most common pattern is atama ga + sound word + shimasu. Zukizuki is a throbbing headache that beats with your pulse; gangan is a heavy, pounding headache, often from a hangover or a loud noise; and the plain sentence atama ga itai desu, my head hurts, always works too.

What does mukamuka mean?

Mukamuka describes nausea or heartburn, a churning feeling in your stomach or chest: mune ga mukamuka suru. It is also used for anger that is building up inside you, so in a non-medical context mukamuka suru can mean I'm getting irritated.

How do you say you have chills in Japanese?

Say samuke ga shimasu, I have chills, or add the sound word: samuke ga shite zokuzoku shimasu. Zokuzoku is a shivery feeling running up your back. It is also used for thrills and spooky excitement, so the context tells people which one you mean.

Can I use these words with a doctor?

Yes. Symptom onomatopoeia are normal in clinics and pharmacies, and staff often ask for them. Keep the rest of the sentence polite, using shimasu or desu, and add when it started and how strong it is.