Managing Anal Warts: Efficacy of Phenol in Internal Treatment - Surgery

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Managing anal warts can be a challenging process, especially when using topical treatments like phenol. It seems you have been using phenol for about six weeks to treat anal warts, and while you have observed some positive effects on the external warts, the internal warts appear to be persistent and unchanged. Let's delve into the efficacy of phenol for internal treatment and explore your options.

Phenol is a caustic agent that is often used in the treatment of warts, including anal warts, due to its ability to destroy the wart tissue. It works by denaturing proteins and causing cell death in the wart tissue, which can lead to the wart falling off. However, the effectiveness of phenol can vary based on the location and type of warts being treated.
In your case, it seems that the external warts have responded well to the treatment, as indicated by the white growths falling off. This is a positive sign that the phenol is working effectively on the external lesions. However, the internal warts have not shown similar signs of improvement, which can be concerning. The persistence of these internal warts could be due to several factors, including the depth of the lesions, the specific characteristics of the warts, or even the technique of application.

It's important to note that while phenol can be used internally, it may not penetrate as effectively as it does on the surface. The internal anal canal has a different tissue structure and may require a different approach. If the internal warts are not responding to phenol, it may be time to consider alternative treatments.
You mentioned the possibility of switching to "樂得美" (likely referring to imiquimod) or "疣" (which translates to warts, but may refer to another treatment). Imiquimod is an immune response modifier that can be effective for treating genital and anal warts. It works by stimulating the immune system to fight the HPV (human papillomavirus) that causes warts. This treatment may be more effective for internal warts, as it can help the body recognize and eliminate the virus.

Before making any changes to your treatment regimen, it is crucial to consult with your healthcare provider. They can assess the current state of your internal warts and determine the best course of action. They may recommend a different topical treatment, a combination of therapies, or even procedural options such as cryotherapy or laser treatment, which can be more effective for stubborn internal warts.

In summary, while phenol has shown efficacy for your external anal warts, the lack of response in the internal area suggests that a different approach may be necessary. Consulting with your healthcare provider will provide you with tailored advice and treatment options that can help manage your condition more effectively. Remember, persistence in treatment and open communication with your healthcare provider are key to successfully managing anal warts.