Is this a relapse or a pseudoexacerbation?
Recognizing the difference between a true relapse and a pseudoexacerbation can be confusing. To follow are the criteria for a relapse versus a short-term flare-up of symptoms (usually subsiding within 24 hours). You should call your neurologist or healthcare team about the possibility of a relapse when you are experiencing new or worsened symptoms and the following criteria are met:
- The new or recurring symptom(s) has been present for at least 24 hours
- It’s been less than 24 hours, but your symptoms are severe and could affect your health or safety
- You do not have a fever or any other signs of infection, e.g., a urinary tract infection (please note: if you do have signs of an infection, consult your physician immediately for treatment of the infection)
- Your body is not overheated, which may result from the temperature around you, exercise, etc.
- You didn’t overexert yourself today and do too much
- You aren’t having an unusually stressful day
It’s important to note that you should not dismiss symptoms simply because you feel that you may have been under significant stress.