Post-Application Effects of Phenylephrine on Skin Conditions

After using phenylephrine?

Hello doctor, I have been diagnosed with genital warts at the anal area.
I have undergone several sessions of electrosurgery, and later, after applying phenol, one of the warts became hard and turned white, but it hasn't fallen off yet.
Should I continue applying it? The others seem to have scabbed over, but they bleed when they fall off.
Is this normal?

A Qiang, 30~39 year old female. Ask Date: 2019/10/14

Dr. Wu Yuxin reply Dermatology

You should consult your attending physician about this issue, as they are the most familiar with your condition.

Reply Date: 2019/10/14

More Info

Phenylephrine is a medication that is primarily used as a decongestant and vasoconstrictor. However, it can also be applied topically in certain formulations to treat skin conditions, particularly those involving swelling or inflammation. In your case, it seems you are using a phenylephrine-based product for the treatment of warts (also known as condyloma acuminata) around the anal area.

When using phenylephrine for skin conditions, particularly for warts, it is essential to understand the expected effects and potential side effects. The hard, white area you are observing could be a result of the medication's action on the wart tissue. Phenylephrine works by constricting blood vessels, which can lead to a reduction in blood flow to the area, potentially causing the wart to become necrotic (die off) and eventually fall off. This process can take time, and the appearance of the wart may change as it responds to treatment.

It is not uncommon for warts to become crusty and bleed as they begin to resolve. The formation of a scab is part of the healing process, indicating that the body is working to remove the wart tissue. However, if you notice excessive bleeding, pain, or signs of infection (such as increased redness, swelling, or pus), you should consult your healthcare provider immediately.

Regarding whether to continue applying the phenylephrine, it is crucial to follow the guidance of your healthcare provider. If the wart is showing signs of improvement (i.e., changes in color, size, or texture), continuing treatment may be beneficial. However, if you have concerns about the hardness or the white appearance of the wart, or if you experience any adverse effects, it is advisable to seek medical advice. Your healthcare provider may recommend a different treatment approach or adjust your current regimen based on your specific condition and response to the medication.

In summary, while phenylephrine can be effective in treating certain skin conditions, including warts, it is essential to monitor the area for any changes and consult with your healthcare provider for personalized advice. They can provide guidance on the appropriate duration of treatment and any additional measures you may need to take to ensure proper healing and avoid complications.

Similar Q&A

Managing Inflammation and Side Effects of Phenylephrine Treatment

Hello, Doctor; I have developed two cauliflower-like growths at the anal opening and have been applying phenylephrine for 5-6 days. Currently, the growths have started to turn white, but I have recently noticed a continuous discharge and slight redness and swelling around the are...

Dr. Ke Fangxu reply Surgery
1. Phenylephrine may cause skin inflammation; it is recommended to temporarily discontinue use and monitor the recovery status. 2. Anal fissures should not be treated with phenylephrine, as it is intended for the treatment of warts, not anal fissures. 3. It is advised to temp...

Side Effects of Phenol for Skin Treatment: When to Stop Usage?

Due to a small cauliflower-like growth, the doctor recommended applying phenol. However, a few days after application, the surrounding area began to ulcerate and swell. The ulcerated area, along with what seems to be dead skin, is gradually merging and enlarging. Should I stop us...

Dr. Wu Yuxin reply Dermatology
If there is an ulcer, discontinue the medication first. Once the wound has healed, consult the physician to assess whether further treatment is necessary.

Managing Skin Reactions After Using Anesthetic Ointment: What to Do?

Hello, I previously sprained my ankle and applied a topical anesthetic that the doctor prescribed. Later, the area where I applied the medication became itchy, and now there is a bit of a rash. I noticed that the side effects listed on the medication include occasional itching an...

Dr. Wu Yuxin reply Dermatology
Without actually seeing the lesion, it is impossible to determine the issue. If it is very concerning, please seek medical attention as soon as possible. A proper examination is necessary to understand the problem and to determine how to address it.

Common Skin Issues: Effects of Bleach, Acne Treatments, and More

Bleach can cause various skin injuries, including chemical burns, irritation, and allergic reactions. It can lead to symptoms such as redness, itching, and peeling of the skin. As for non-granular exfoliants, they can be effective for treating keratosis pilaris, as they help to ...

Dr. Zheng Lizhen reply Dermatology
Hello: 1. Bleach can damage the skin's lipids and cause protein denaturation. 2. Exfoliating scrubs can be helpful for keratosis pilaris. 3. For acne, please consult a dermatologist, who will prescribe different medications based on the condition. 4. There are many causes fo...