Post-Laser Treatment: Why Are Warts White After Surgery? - Surgery

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The area treated with cauliflower laser may appear white?


1: Hello, doctor.
I recently went to the colorectal surgery department to get a colonoscopy, but I was informed that I have warts in the anal area and cannot proceed until I receive treatment first.
2: I was quite anxious, so I went directly to a clinic for laser minimally invasive surgery.
Is it normal for the area where the warts were treated to appear white after the laser procedure? 3: I have been doing fecal screening every two years, but another hospital called me to say that there was occult blood in my stool and advised me to get a colonoscopy as soon as possible.
What should I do? I haven't been able to eat well or sleep properly these past few days; I feel like crying and am under a lot of stress.
Right now, I feel helpless and am suffering every day.
I understand that treating the warts takes time, but what if I have colorectal cancer? Could it worsen in the early stages since I can't get a colonoscopy right now? I am very frustrated.
Is there any way to address this? I am in urgent need of help.
Thank you very much!

Kevin, 50~59 year old female. Ask Date: 2024/01/08

Dr. Zhang Shuhao reply Surgery


After cauliflower is burned, it may appear white, which is a normal phenomenon.
A positive fecal occult blood test does not necessarily indicate a problem with the colon; generally, it is reasonable to schedule a follow-up examination within three months after notification.
You can arrange for the examination after the cauliflower lesion has healed.

Reply Date: 2024/01/08

More Info


It sounds like you're going through a very challenging time, and I want to reassure you that your concerns are valid and important. Let's break down your questions and provide some clarity on the situation regarding your recent laser treatment for warts (likely genital warts or condylomata acuminata) and the implications for your health.

1. Post-Laser Treatment Appearance: After undergoing laser treatment for warts, it is common for the treated area to appear white. This whitening is typically due to the coagulation of tissue and the formation of a protective scab or crust over the treated area. The white appearance is often a sign that the tissue is healing. However, it’s essential to follow up with your healthcare provider to ensure that the healing process is progressing as expected. If you notice any unusual changes, such as increased pain, bleeding, or signs of infection, you should seek medical attention promptly.

2. Concerns About Colonoscopy: It’s understandable to feel anxious about the need for a colonoscopy, especially after being informed of potential issues like occult blood in your stool. While the presence of blood can be concerning, it does not automatically indicate cancer. There are many benign conditions that can cause blood in the stool, such as hemorrhoids, polyps, or inflammatory bowel disease. However, given your history and the urgency expressed by the other hospital, it is crucial to address this issue.
Since you are currently unable to undergo a colonoscopy due to the treatment of your warts, I recommend contacting your healthcare provider to discuss your situation. They may be able to provide alternative options or expedite your colonoscopy once you have healed from the laser treatment. It’s essential to communicate your anxiety and urgency to your doctor; they can help you navigate this process and may offer reassurance or additional testing if necessary.

3. Managing Anxiety and Stress: It’s completely normal to feel overwhelmed in situations like this. The uncertainty surrounding your health can lead to significant stress and anxiety. Here are a few strategies that might help you cope during this time:
- Stay Informed: Knowledge can be empowering. Understanding your condition and the steps you need to take can help alleviate some anxiety. Don’t hesitate to ask your healthcare provider questions about your treatment and what to expect.

- Seek Support: Talk to friends, family, or a mental health professional about your feelings. Sometimes, sharing your concerns can lighten the emotional load.

- Practice Self-Care: Engage in activities that help you relax, such as reading, meditation, or light exercise (as permitted by your doctor). Taking care of your mental health is just as important as your physical health.

- Follow-Up: Keep in close contact with your healthcare provider regarding both your wart treatment and the need for a colonoscopy. Regular follow-ups can help ensure that any potential issues are addressed promptly.

In summary, the white appearance of the treated area is typically a normal part of the healing process after laser treatment for warts. However, your concerns about the potential need for a colonoscopy due to blood in your stool are valid and should be addressed with your healthcare provider. Open communication with your medical team is crucial, and they can help guide you through this process. Remember, you are not alone in this, and there are resources available to support you through your health journey.

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