and Treating Oral Warts: Key Questions Answered

How to treat oral cauliflower lesions?

Hello Dr.
Tseng,
In January and February, after engaging in sexual activity, I noticed small raised bumps in my throat and under my tongue.
I looked up images online and they resemble oral warts.
I have a few questions to ask:
1.
Do warts self-resolve? Is it possible to not seek treatment?
2.
If I want to see a doctor, should I make an appointment with an oral surgeon?
3.
What are the treatment options for oral warts? Are they treated with cryotherapy, electrocautery, or laser?
4.
If I undergo surgery, what is the recovery time and will I be able to eat normally?
5.
If I do not seek treatment, is there a possibility of spreading?
Thank you for your assistance, Dr.
Tseng.

Xia, 20~29 year old female. Ask Date: 2016/03/23

Dr. Zeng Guanghui reply Dentistry

1.
In the aforementioned situation, the patient was referred to an oral surgeon for examination and evaluation.

2.
Treatment options for oral warts include cryotherapy, electrosurgery, laser therapy, and topical medications.

3.
Following surgical treatment, the recovery time may take 1 to 2 weeks.
Due to the presence of wounds, it is advisable to consume soft or liquid foods.
However, there remains a possibility of recurrence after surgery.

4.
Without treatment, it is unlikely to heal on its own, and if it comes into contact with other areas of the body, it may spread to other parts.
Therefore, early treatment is recommended.

Reply Date: 2016/03/23

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding the oral warts, which you have described as resembling cauliflower. It’s important to address your questions thoroughly, as oral warts can be a source of discomfort and concern.

1. Will the warts heal on their own? Can I avoid treatment?
Oral warts, often caused by the human papillomavirus (HPV), may not always resolve spontaneously. While some individuals may experience regression of these lesions, it is not guaranteed. If left untreated, they can persist and potentially lead to further complications, including discomfort and difficulty with eating or speaking. Therefore, it is advisable to seek treatment rather than relying on self-resolution.

2. Which specialist should I consult?
For your condition, it would be appropriate to consult an oral and maxillofacial surgeon or an otolaryngologist (ENT specialist). These specialists are well-equipped to diagnose and treat conditions related to the oral cavity and throat. They can provide a thorough examination and recommend the best course of action.

3. What are the treatment options for oral warts?
Treatment for oral warts can vary based on the size, location, and number of lesions. Common methods include:
- Cryotherapy (freezing): This involves applying extreme cold to the warts to destroy the tissue.

- Electrosurgery: This technique uses electrical currents to burn off the warts.

- Laser therapy: A focused beam of light is used to remove the warts with precision.

Each method has its advantages and potential side effects, so discussing these options with your healthcare provider is essential to determine the most suitable approach for your situation.

4. What is the recovery time, and will I be able to eat normally?
Recovery time can vary depending on the treatment method used. Generally, after procedures like cryotherapy or electrosurgery, patients may experience some swelling and discomfort for a few days. Most individuals can return to normal activities, including eating, within a few days, but it’s advisable to stick to soft foods and avoid spicy or acidic items during the initial recovery phase to minimize discomfort.

5. Is there a risk of spreading the warts if I do not seek treatment?
Yes, untreated oral warts can potentially spread, especially if they are caused by HPV. The virus can be transmitted through direct contact, including sexual activity. Additionally, if the warts are not treated, they may proliferate or lead to the development of new lesions. Therefore, it is crucial to address the issue promptly to prevent further complications.

In summary, while oral warts may not always require immediate treatment, seeking professional evaluation is essential to determine the best course of action. Early intervention can help alleviate symptoms, reduce the risk of spreading the virus, and improve your overall oral health. Please consider scheduling an appointment with a specialist to discuss your condition further.

Wishing you good health and a speedy resolution to your concerns.

Best regards.

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