Cryotherapy for Warts: What to Expect After Treatment - Dermatology

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Cryotherapy


Hello,
1.
I have a growth on the sole of my foot that the doctor said is a wart, and I need to undergo cryotherapy.
The day after the treatment, a large blister formed, which I learned is normal.
However, after another day, it seems to have expanded (the color is different, about 1mm, leaning towards gray), and while it didn't hurt before, now it hurts even without being touched.
Is this normal?
2.
In the center of the blister, I can clearly see a 2-3mm transparent bubble.
Is this a wart, or could it be something else?

Shoucan, 10~19 year old female. Ask Date: 2018/10/16

Dr. Wu Yuxin reply Dermatology


Without seeing the lesion, it is impossible to determine.
Since you have already sought medical attention, you should consult your attending physician, as they are the most familiar with your condition.

Reply Date: 2018/10/16

More Info


Cryotherapy, or cryosurgery, is a common treatment for warts, particularly those that are stubborn or resistant to other forms of treatment. It involves applying extreme cold to the wart, typically using liquid nitrogen, which freezes the tissue and causes the wart to eventually fall off. Understanding what to expect after cryotherapy can help alleviate concerns and ensure proper care during the healing process.

1. Post-Treatment Symptoms: After undergoing cryotherapy, it is normal to experience some discomfort, swelling, and the formation of blisters. The presence of a large blood blister the day after treatment is not uncommon. This blister forms as a result of the freezing process, which can damage the surrounding skin and lead to fluid accumulation. The fact that the blister has grown larger and is painful, even without direct pressure, may indicate that the area is still healing and that inflammation is present. Pain and sensitivity in the area can be expected as the body responds to the treatment.

2. Blister Characteristics: The transparent blister you describe, measuring 2-3 mm, is likely a result of the cryotherapy and may contain clear fluid. This blister is part of the healing process and is not the wart itself. The wart tissue is typically destroyed by the freezing process, and the blister forms as the body works to heal the area. The grayish color you mentioned could be due to the healing process or the underlying tissue reacting to the treatment. It is essential to keep the area clean and avoid popping the blister, as this can lead to infection.

3. Healing Timeline: Generally, after cryotherapy, the wart should begin to fall off within a week or two. The blister may take a few days to resolve, and the area may remain sensitive for some time. It is crucial to monitor the site for signs of infection, such as increased redness, warmth, or pus. If the pain worsens or if you notice any concerning symptoms, it is advisable to consult your healthcare provider.

4. Follow-Up Care: After cryotherapy, keeping the area clean and dry is essential. You may be advised to cover the blister with a bandage to protect it from friction and irritation. Over-the-counter pain relievers can help manage discomfort. If the wart does not fall off or if new warts appear, further treatment may be necessary.

5. When to Seek Help: If you experience severe pain, signs of infection, or if the blister does not improve after a few days, it is important to reach out to your healthcare provider. They can assess the area and determine if additional treatment or intervention is needed.

In summary, while some discomfort and blistering are normal after cryotherapy for warts, it is essential to monitor the healing process and seek medical advice if any unusual symptoms arise. Proper aftercare will help ensure a smooth recovery and effective treatment of the wart.

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