Post-Treatment Care for Viral Warts: Managing Wound Healing and Symptoms

Post-treatment management of viral warts?

Hello, Doctor.
I have had several viral warts in the past, which I have treated with cryotherapy.
However, after my recent treatment, my doctor advised me to use a wart removal solution as an adjunct therapy.
I understand that the main ingredient in the wart removal solution is salicylic acid, and my doctor mentioned not to use salicylic acid on open wounds, so I have been careful about that.

During the follow-up observation of the treatment site, I initially developed a blister but did not break it.
The wound gradually sloughed off, leaving a small indentation.
Should I continue applying the ointment at this stage, or would it be better to leave it undisturbed to aid in healing?
Additionally, I was unsure which approach was better, so I continued applying the ointment.
Currently, the wound area is red and swollen, and I have developed small blisters that even seem to be oozing.
The blisters are itchy, and I feel the urge to scratch them.
Could this be due to my unintentional application of salicylic acid on the wound? Also, will the redness and blisters resolve over time?

Aiden, 10~19 year old female. Ask Date: 2022/04/20

Dr. Wu Yuxin reply Dermatology

Without actually seeing the lesion, it is impossible to determine the issue.
You should consult your attending physician, as they are the most familiar with your condition.

Reply Date: 2022/04/20

More Info

Post-treatment care for viral warts, especially after cryotherapy, is crucial for ensuring proper healing and minimizing complications. It sounds like you have been diligent in following your doctor's advice, but let’s delve deeper into your concerns regarding wound care, symptoms, and the healing process.

After cryotherapy, it’s common for the treated area to develop blisters or water-filled bubbles as part of the healing process. These blisters are a natural response to the trauma inflicted on the skin and indicate that your body is working to heal the area. It’s important to avoid popping these blisters, as doing so can introduce bacteria and lead to infection. If you have already experienced some redness, swelling, and even pus, it may indicate that the area is becoming infected, which requires prompt attention.

In terms of wound care, here are some recommendations:
1. Keep the Area Clean and Dry: Gently clean the area with mild soap and water. Avoid scrubbing the wound, as this can irritate it further. After cleaning, pat the area dry with a clean towel.

2. Use an Appropriate Ointment: Since your doctor advised against using salicylic acid on the open wound, continue applying the recommended topical ointment. This will help keep the area moist and promote healing. If you notice increased redness, swelling, or pus, it may be wise to consult your healthcare provider for further evaluation.

3. Avoid Irritation: Try to avoid any activities that may irritate the area, such as scratching or wearing tight clothing over the wound. If the area itches, resist the urge to scratch, as this can exacerbate inflammation and increase the risk of infection.

4. Monitor for Signs of Infection: Keep an eye on the wound for any signs of infection, such as increased redness, warmth, swelling, or discharge. If you notice these symptoms, it’s important to contact your healthcare provider promptly.

5. Let It Breathe: While it’s important to keep the area covered with ointment, allowing the wound to breathe can also be beneficial. If the blister is intact and not causing discomfort, you may leave it uncovered for short periods to promote air circulation.

6. Hydration and Nutrition: Ensure you are well-hydrated and consuming a balanced diet rich in vitamins and minerals, particularly vitamin C and zinc, which are essential for skin healing.

7. Follow-Up Care: If the symptoms persist or worsen, or if you have concerns about the healing process, do not hesitate to reach out to your healthcare provider. They may need to assess the wound and possibly prescribe antibiotics if an infection is present.

Regarding your question about whether the redness and swelling will subside over time, in most cases, they should improve as the wound heals. However, if the symptoms do not resolve or worsen, it’s crucial to seek medical advice. Healing can take time, and each individual’s recovery process may vary based on factors such as overall health, the extent of the treatment, and adherence to care instructions.

In summary, continue to care for your wound as advised, monitor for any signs of infection, and consult your healthcare provider if you have any concerns. Proper care will help ensure that your skin heals well and minimizes the risk of complications.

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