Agitation can come on suddenly or over time. It can last for just a few minutes, or for weeks and even months. Pain, stress, and fever can all increase agitation.
Agitation by itself may not be a sign of a health problem. However, if other symptoms occur, it can be a sign of disease.
When agitation lasts for hours and there is changed awareness (altered consciousness), doctors often call this "delirium." Usually this has a medical cause such as alcohol withdrawal or an infection (in elderly adults). Older adults often have delirium while hospitalized.
Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and Timothy A. Rogge, MD, private practice in Psychiatry, Kirkland, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
References
Moore DP, Jefferson JW. Moore & Jefferson: Handbook of Medical Psychiatry. 2nd ed. Philadelphia, Pa: Mosby; 2004:chap 155.