Effective Treatment for Warts: Duration and Care Tips - Dermatology

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How to treat viral warts?


1.
If you have warts on your feet, how long should you apply the medication, and what changes in the skin indicate that it has healed?
2.
If you continue to apply salicylic acid solution and experience redness and swelling, can you apply clotrimazole cream?

Xiao Xiao, 20~29 year old female. Ask Date: 2021/06/16

Dr. Li Yufen reply Dermatology


Hello: 1.
Each lesion requires different treatment times depending on its size and depth, and typically needs to be treated until the skin returns to normal, with no visible black spots.
2.
If there is redness and inflammation, you may temporarily stop using the medication for a few days and switch to applying clotrimazole cream.
If the skin condition does not improve or worsens, it is advisable to consult a dermatologist nearby for diagnosis and to evaluate whether further examination and treatment are necessary.
Thank you!

Reply Date: 2021/06/16

More Info


Warts, caused by the human papillomavirus (HPV), are benign growths that can appear on various parts of the body, including the feet. Effective treatment for warts typically involves topical medications, cryotherapy, or other methods, depending on the wart's size, location, and the patient's overall health. Here, I will address your questions regarding the duration of treatment and care tips for warts.

1. Duration of Treatment and Signs of Healing:
When using topical treatments like salicylic acid, which is a common over-the-counter remedy for warts, it is essential to apply the medication consistently. Generally, it can take several weeks to months for a wart to resolve completely. The duration of treatment can vary significantly based on the individual and the wart's characteristics.
You should continue applying the salicylic acid until the wart appears to be gone, which is typically indicated by the following signs:
- The wart becomes smaller and less raised.

- The surface of the wart may start to flake or peel.

- The skin around the wart may appear normal, without redness or irritation.

- The wart may turn white or grayish as it dries out.

Once the wart has flattened and the skin looks normal, you can consider it treated. However, it is crucial to avoid picking at the wart, as this can lead to irritation or infection.

2. Managing Redness and Swelling:
If you experience redness and swelling after applying salicylic acid, it may indicate irritation or an allergic reaction. In such cases, it is advisable to take a break from the treatment to allow your skin to recover. Applying a soothing ointment or cream can help alleviate discomfort.
Regarding the use of clotrimazole cream (often referred to as "purple fungus cream"), it is primarily an antifungal medication. While it may not directly treat warts, it can help if there is a secondary fungal infection due to irritation from the wart treatment. However, it is essential to consult with a healthcare professional before combining treatments. They can provide guidance on whether it is appropriate to use clotrimazole in conjunction with salicylic acid or if you should consider alternative treatments.

Additional Care Tips:
- Keep the Area Clean: Regularly wash the area with mild soap and water to prevent infection.

- Moisturize: After the wart has been treated, applying a moisturizer can help keep the skin hydrated and promote healing.

- Avoid Sharing Personal Items: Warts are contagious, so avoid sharing towels, shoes, or other personal items to prevent spreading the virus.

- Consider Professional Treatment: If over-the-counter treatments do not yield results after several weeks, or if the wart is painful or bothersome, consider consulting a dermatologist. They may recommend cryotherapy, laser treatment, or other methods that can be more effective.

In conclusion, treating warts requires patience and consistency. Monitor the wart's response to treatment, and do not hesitate to seek professional advice if you encounter persistent issues or complications. Remember, while warts are generally harmless, they can be bothersome, and effective treatment can help restore your skin's appearance and comfort.

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