Here's why:
* "Ailness" is a noun that often refers to a general sense of ill health or a specific ailment, but it's not used to describe the state of being sick.
* "Sickness" is a more common and versatile word, encompassing a wide range of illnesses, diseases, and conditions.
Here are some examples of how to use "ailness" and "sickness":
* "Ailness": "He suffered from a lingering ailness that weakened him."
* "Sickness": "The doctor diagnosed the patient with a serious sickness."
Therefore, while "ailness" is related to sickness, it's not a direct synonym.