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I have been sick with what they think is COVID for about 6 weeks. I think it is improving now but I was in the ER twice and many visits to urgent care, xrays, CT scans, meds etc. I have RRMS and am 38. Now that the illness is slowing down, I have been having some major MS symptom flaring or pseudo-exacerbation. Is it normal for the MS symptoms to not be so bad DURING the lower respiratory infection/pneumonia and WORSE AFTER the infection starts to subside? Just never had this. The symptoms are all my same usual old symptoms but just a bit worse. Answer: This is common with many viral infections in people with MS, particularly those that occur in late spring and early summer; At the onset of the viral illness people with MS may experience worsening symptoms from an elevated body temperature. This improves with cooling and rest. After several weeks the activation of the immune system by the viral infection can led to an activation of your MS (a relapse). This is probably the reason relapses in people with MS tend to cluster during the late Spring and early summer. This may in turn be influenced by Vitamin D levels which tend to be low in Spring and rise by the end of summer Revere P (Rip) Kinkel, MDProfessor of Clinical Neurosciences Director of the Multiple Sclerosis Program Clinical Neurosciences Director University of California San Diego
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