Post-Surgery Care for Warts: Managing Bleeding and Medication Use

Postoperative care for cauliflower (likely referring to cauliflower ear or a similar condition)?

Hello Doctor, I would like to ask you about my situation.
On Tuesday, I had a recurrence of genital warts and went to a doctor who performed electrocautery.
The doctor prescribed me a medication called "Hiyu Zhi" to apply.
I want to confirm if the doctor mentioned that I only need to apply it in the morning and evening, but if I wash after using the restroom, should I apply it again? The medication itself states that I should apply it after bowel movements.
After using the restroom, I noticed that there seems to be quite a bit of blood, and it drips down, making the toilet appear more bloody than after the first electrocautery treatment.
Is this normal? Besides electrocautery, are there other options available to treat genital warts?

Nìngmíng xiǎozi, 20~29 year old female. Ask Date: 2019/06/29

Dr. Ke Fangxu reply Surgery

1.
It is acceptable to apply ointment after bowel movements because it helps protect the wound.

2.
Light bleeding after electrocautery is a normal occurrence; however, if bleeding persists, you should consult your physician for further evaluation.

3.
If the anal warts are not extensive, there are antiviral ointments available for application.

Reply Date: 2019/06/29

More Info

Post-surgery care for warts, particularly after procedures like electrosurgery, requires careful attention to medication use and management of any bleeding that may occur. It’s essential to follow your healthcare provider's instructions closely to ensure proper healing and minimize complications.

Managing Bleeding
After electrosurgery for warts (also known as condylomas or "菜花"), it is not uncommon to experience some bleeding. However, if you notice that the bleeding is significantly more than what you experienced after the first treatment, it is crucial to contact your healthcare provider. They can assess whether this is a normal part of the healing process or if there is a need for further intervention.
Bleeding can occur for several reasons, including irritation of the surgical site, excessive movement, or even straining during bowel movements. If you notice blood dripping after using the restroom, it may indicate that the area is still healing, and you might need to take extra precautions to avoid further irritation.

Medication Use
Regarding the medication you were prescribed, "喜癒痔" (which is likely a topical medication for promoting healing), it is important to follow the instructions provided by your doctor. If your doctor advised you to apply the medication twice daily, you should continue to do so. After using the restroom, if the medication instructions specify that you should reapply it, then you should follow that guidance.
However, if you are experiencing increased bleeding after bowel movements, it may be wise to discuss this with your doctor. They might recommend adjusting your medication or provide additional strategies to manage the bleeding.

Additional Care Tips
1. Gentle Cleaning: After using the restroom, clean the area gently with water. Avoid using harsh soaps or scrubbing, as this can irritate the surgical site.

2. Avoid Straining: If you are experiencing constipation, try to manage it with dietary changes or over-the-counter remedies. Straining can exacerbate bleeding and discomfort.

3. Monitor Symptoms: Keep an eye on the bleeding. If it becomes heavy or is accompanied by severe pain, fever, or other concerning symptoms, seek medical attention promptly.

4. Follow-Up Appointments: Ensure you attend any follow-up appointments with your healthcare provider. They can monitor your healing progress and address any complications that may arise.

Alternative Treatments for Warts
In addition to electrosurgery, there are various other treatment options for warts, including:
- Topical Treatments: Over-the-counter treatments containing salicylic acid can help remove warts over time. These are often used for common warts and may not be as effective for genital warts.

- Cryotherapy: This involves freezing the wart with liquid nitrogen and is commonly used for various types of warts.

- Laser Therapy: This method uses focused light to destroy wart tissue and is often used for warts that are resistant to other treatments.

- Immunotherapy: This treatment helps stimulate the immune system to fight off the virus causing the warts.

- Surgical Removal: In some cases, warts may need to be surgically excised, especially if they are large or recurrent.

Always consult with your healthcare provider to determine the most appropriate treatment based on your specific situation and medical history. They can provide personalized recommendations and ensure that you are on the right path to recovery.

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